FAIRFIELD, IL
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Mar 24, 2026 | Oct 28, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Fairfield Memorial Hospital’s price for it.
The codes Fairfield Memorial Hospital has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Comprehensive metabolic blood panelCPT 80053 | $14 | $38 | $50 | 133% | 1,086–1,446 | $0 | $186 |
| Therapeutic exercise sessionCPT 97110 | $36 | $60 | $44 | 73% | 870–1,140 | $4 | $133 |
| Complete blood count with automated differentialCPT 85025 | $7 | $35 | $41 | 117% | 548–692 | $2 | $114 |
| Blood draw from a veinCPT 36415 | $26 | $31 | $18 | 58% | 538–610 | $8 | $64 |
| Unscheduled hospital outpatient clinic visitHCPCS G0463 | $152 | $219 | $178 | 82% | 89–575 | $38 | $899 |
| Manual therapy, one or more body regionsCPT 97140 | $102 | $85 | $44 | 51% | 271–343 | $25 | $141 |
| Automated urinalysis with microscopic examinationCPT 81001 | $65 | $52 | $31 | 60% | 192–300 | $2 | $90 |
| Lipid panel blood testCPT 80061 | $59 | $86 | $79 | 92% | 138–327 | $5 | $220 |
| Magnesium blood testCPT 83735 | $101 | $125 | $106 | 85% | 154–289 | $3 | $372 |
| Thyroid stimulating hormone blood testCPT 84443 | $20 | $72 | $81 | 112% | 165–273 | $6 | $227 |
EIN: 370661202
Last updated: Mar 24, 2026
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Hospital ID: 545215977796b5be64ddcf399110d268067557a4de1a48a20b6e7c839344cc3a