FAIRFIELD MEMORIAL HOSPITAL 1

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
47562	Removal of gallbladder using an endoscope	$10,198	—	—	—	6
29881	Removal of one knee cartilage using an endoscope	$9,107	$7,286	—	—	6
19120	Removal of 1 or more breast growth, open procedure	$6,891	$5,513	—	—	6
66984	Removal of cataract with insertion of lens	$6,636	$5,309	—	—	6
70543 TC	MRI NECK W/WO CONTR	$6,547	$5,238	—	—	6
71552 TC	MRI CHEST W/WO	$6,547	$5,238	—	—	6
72156 TC	MRI CERVICAL WO/W CO	$6,547	$5,238	—	—	6
72157 TC	MRI THORACIC W/WO	$6,547	$5,238	—	—	6
70553	MRI scan of brain before and after contrast	$6,476	$5,181	—	—	6
70553 TC	MRI BRAIN WO/W CONT	$6,476	$5,181	—	—	6
72158 TC	MRI LUMBAR W/WO	$6,476	$5,181	—	—	6
74178 TC	CT ABD/PEL W/WO CONT	$6,472	$5,178	—	—	6
72197 TC	MRI PELVIS W/WO CONT	$6,235	$4,988	—	—	6
49505	Repair of groin hernia patient age 5 years or older	$5,623	$4,498	—	—	6
55700	Biopsy of prostate gland	$5,559	$4,447	—	—	6
74177	CT scan of abdomen and pelvis with contrast	$5,373	$4,298	—	—	6
74177 TC	CT ABD/PEL W/CONTRAS	$5,373	$4,298	—	—	6
920		$4,847	—	—	—	5
95810	Sleep study	$4,847	$3,878	—	—	6
732		$4,673	—	—	—	5
74176 TC	CT ABD/PELV WO CONT	$4,647	$3,718	—	—	6
71275 TC	CT ANGIO CHEST	$4,448	$3,558	—	—	6
340		$4,371	—	—	—	5
73218 TC	MRI HAND W/O CONT	$4,249	$3,399	—	—	6
70496 TC	CT ANGIO HEAD	$4,050	$3,240	—	—	6
70498 TC	CT ANGIO NECK	$4,050	$3,240	—	—	6
72191 TC	CT ANGIO PELVIS	$4,050	$3,240	—	—	6
750		$3,867	—	—	—	5
343		$3,800	—	—	—	5
74183 TC	MRI ABD W/WO	$3,734	$2,987	—	—	6
71551 TC	MRI CHEST W/CONTRAST	$3,724	$2,979	—	—	6
72142 TC	MRI CERVICAL W CON	$3,724	$2,979	—	—	6
72147 TC	MRI THORACIC W CON	$3,724	$2,979	—	—	6
70552 TC	MRI BRAIN W CONT	$3,672	$2,938	—	—	6
72149 TC	MRI LUMBAR W CON	$3,672	$2,938	—	—	6
71270 TC	CT CHEST W/WO CONT	$3,637	$2,910	—	—	6
72146 TC	MRI THORACIC W/O CON	$3,382	$2,706	—	—	6
72148	MRI scan of lower spinal canal	$3,338	$2,670	—	—	6
72148 TC	MRI LUMBAR W/O CON	$3,338	$2,670	—	—	6
74170 TC	CT ABDOM W/WO CONT	$3,279	$2,623	—	—	6
73223 TC	MRI UPPER JOINT W/WO	$3,204	$2,563	—	—	6
72194 TC	CT PELVIS W & W/O	$3,192	$2,554	—	—	6
612		$3,096	—	—	—	5
72141 TC	MRI CERVICAL W/O CON	$3,096	$2,477	—	—	6
611		$3,059	—	—	—	5
619		$3,059	—	—	—	5
73718 TC	MRI LOWER EXT W/O	$3,059	$2,447	—	—	6
73220 TC	MRI ARM W/WO	$3,059	$2,447	—	—	6
73720 TC	MRI LEG W/WO	$3,059	$2,447	—	—	6
73222 TC	MRI UPPER JOINT W/CO	$3,059	$2,447	—	—	6

Showing top 50 of 397 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.