Fairfield Medical Center

401 North Ewing Street, Lancaster, OH 43130 · (740) 687-8000

Acute Care HospitalsVoluntary non-profit - OtherCMS rating 2/5Columbus, OH metro Website ↗

Price file

Prices published

File dated 2026-02-26

6,541 price rows for 67 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $53

$45

cash

$7 to $33,500

87 negotiated rates

$100

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 6 lines · metro median $1,932

$947

cash

$303 to $33,500

208 negotiated rates

$2,105

list

CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines · metro median $845

$738

cash

$91 to $33,500

149 negotiated rates

$1,640

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 4 lines · metro median $1,119

$798

cash

$152 to $33,500

149 negotiated rates

$1,773

list

Cataract surgery with lens implant

CPT 66984

—

cash

$1,223 to $33,500

33 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$3,250 to $13,322

20 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 8 lines · metro median $59

$26

cash

$16 to $33,500

345 negotiated rates

$57

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$825 to $33,500

33 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$825 to $33,500

33 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$825 to $33,500

33 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $25

$16

cash

$6 to $33,500

87 negotiated rates

$35

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $62

$63

cash

$9 to $33,500

87 negotiated rates

$141

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines · metro median $277

$170

cash

$48 to $33,500

149 negotiated rates

$377

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$12 to $33,500

17 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $298

$83

cash

$1 to $50,000

70 negotiated rates

list

Family psychotherapy with the patient

CPT 90847

—

cash

$147 to $33,500

31 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$147 to $33,500

31 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$2,802 to $33,500

33 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines · metro median $59

$52

cash

$16 to $33,500

233 negotiated rates

$116

list

Group psychotherapy

CPT 90853

—

cash

$122 to $33,500

31 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$1,285 to $28,162

22 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$1,285 to $11,382

22 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$1,285 to $18,114

22 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$2,258 to $33,500

33 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$1,697 to $33,500

33 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$295 to $33,500

33 negotiated rates

—

list

Left heart catheterization

CPT 93452 · lowest of 4 lines · metro median $4,786

$4,786

cash

$1,805 to $33,500

151 negotiated rates

$10,635

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 6 lines · metro median $54

$26

cash

$11 to $33,500

199 negotiated rates

$57

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $33

$52

cash

$7 to $33,500

87 negotiated rates

$115

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines · metro median $2,022

$1,469

cash

$303 to $33,500

149 negotiated rates

$3,265

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$237 to $33,500

31 negotiated rates

—

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,309

$959

cash

$207 to $33,500

90 negotiated rates

$2,131

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,282

$959

cash

$207 to $33,500

90 negotiated rates

$2,131

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$1,285 to $35,643

22 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $2,127

$614

cash

$524 to $1,407

59 negotiated rates

$1,365

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $175

$78

cash

$61 to $50,000

58 negotiated rates

$174

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $285

$86

cash

$67 to $50,000

58 negotiated rates

$192

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $388

$94

cash

$73 to $50,000

58 negotiated rates

$208

list

PSA test (prostate)

CPT 84153 · lowest of 10 lines · metro median $37

$37

cash

$15 to $33,500

311 negotiated rates

$82

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 8 lines · metro median $38

$12

cash

$5 to $33,500

289 negotiated rates

$27

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 6 lines · metro median $85

$75

cash

$25 to $33,500

208 negotiated rates

$167

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $416

$419

cash

$91 to $33,500

90 negotiated rates

$931

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$80 to $33,500

16 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$84 to $33,500

16 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$2,474 to $50,000

10 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$3,044 to $33,500

33 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 12 lines · metro median $23

cash

$4 to $33,500

423 negotiated rates

$19

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$88 to $33,500

31 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$110 to $33,500

31 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$110 to $33,500

31 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$956 to $33,500

33 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 6 lines · metro median $161

$170

cash

$48 to $26,250

209 negotiated rates

$377

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$1,017 to $50,000

17 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $2,109

$967

cash

$653 to $33,500

90 negotiated rates

$2,148

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$1,285 to $43,241

19 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 4 lines · metro median $1,107

$600

cash

$524 to $1,963

118 negotiated rates

$1,333

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $2,036

$669

cash

$524 to $1,963

59 negotiated rates

$1,486

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $46

$34

cash

$14 to $33,500

155 negotiated rates

$75

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$1,329 to $33,500

33 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $521

$428

cash

$91 to $33,500

90 negotiated rates

$951

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $520

$419

cash

$91 to $33,500

90 negotiated rates

$931

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$723 to $33,500

33 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$723 to $33,500

33 negotiated rates

—

list

Urinalysis with microscope

CPT 81001

—

cash

$3 to $33,500

31 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$2,850 to $9,367

20 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400 · lowest of 10 lines · metro median $5,436

$2,904

cash

$2,259 to $6,453

173 negotiated rates

$6,453

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $377

$305

cash

$53 to $33,500

90 negotiated rates

$678

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://www.fmchealth.org/app/uploads/2026/02/310645626_fairfield-medical-center_standardcharges.csv
Fairfield Medical Center · parsed · wide v3.0.0 · file dated 2026-02-26 · 171.1 MB · 6541 price rows read · read Nov 2026