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Fairbanks Memorial Hospital
Fairbanks, AK · CMS ID: 020012
This hospital has pricing data for 42 procedures ranging from $65 to $13,318.
Procedures (42)
C-Section Delivery
59510Cash Price
(No Insurance)
$12,289
Gross Charge
$12,936
Medicare Rate
$2,419
Insurance Negotiated Rates
Premera First - All Plans$3,007
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$209
Gross Charge
$220
Medicare Rate
$24
Insurance Negotiated Rates
Banner Choice - All Plans$59
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$209
Gross Charge
$220
Medicare Rate
$31
Insurance Negotiated Rates
Banner Choice - All Plans$59
Cash Price
(No Insurance)
$2,004
Gross Charge
$2,109
Medicare Rate
$356
Insurance Negotiated Rates
Tricare (Hnfs) - All Plans$215
Cash Price
(No Insurance)
$2,086
Gross Charge
$2,196
Medicare Rate
$450
Insurance Negotiated Rates
Premera First - All Plans$232
Cash Price
(No Insurance)
$2,974
Gross Charge
$3,130
Medicare Rate
$471
Insurance Negotiated Rates
Premera First - All Plans$294
Cash Price
(No Insurance)
$143
Gross Charge
$150
Insurance Negotiated Rates
Premera First - All Plans$8
Cash Price
(No Insurance)
$1,549
Gross Charge
$1,630
Insurance Negotiated Rates
Premera First - All Plans$11
Cash Price
(No Insurance)
$3,000
Gross Charge
$3,158
Medicare Rate
$280
Insurance Negotiated Rates
Va (Triwest) - All Plans$387
Cash Price
(No Insurance)
$2,274
Gross Charge
$2,393
Medicare Rate
$172
Insurance Negotiated Rates
Va (Triwest) - All Plans$265
CT Chest Low Dose
71271Cash Price
(No Insurance)
$231
Gross Charge
$244
Medicare Rate
$128
Insurance Negotiated Rates
Banner Choice - All Plans$66
Cash Price
(No Insurance)
$1,959
Gross Charge
$2,062
Medicare Rate
$156
Insurance Negotiated Rates
Premera First - All Plans$195
ER Visit Level 3
99283Cash Price
(No Insurance)
$372
Gross Charge
$392
Medicare Rate
$69
Insurance Negotiated Rates
Banner Choice - All Plans$88
ER Visit Level 4
99284Cash Price
(No Insurance)
$679
Gross Charge
$715
Medicare Rate
$117
Insurance Negotiated Rates
Banner Choice - All Plans$131
ER Visit Level 5
99285Cash Price
(No Insurance)
$985
Gross Charge
$1,037
Medicare Rate
$170
Insurance Negotiated Rates
Banner Choice - All Plans$190
Cash Price
(No Insurance)
$280
Gross Charge
$294
Medicare Rate
$48
Insurance Negotiated Rates
Premera First - All Plans$37
Hemoglobin A1C
83036Cash Price
(No Insurance)
$65
Gross Charge
$68
Insurance Negotiated Rates
Moda Health Plan - All Plans$5
Hip Replacement
27130Cash Price
(No Insurance)
$13,318
Gross Charge
$14,019
Medicare Rate
$1,129
Insurance Negotiated Rates
Premera First - All Plans$1,446
Knee Arthroscopy
29881Cash Price
(No Insurance)
$5,532
Gross Charge
$5,823
Medicare Rate
$495
Insurance Negotiated Rates
Premera First - All Plans$625
Knee Replacement
27447Cash Price
(No Insurance)
$8,677
Gross Charge
$9,134
Medicare Rate
$1,127
Insurance Negotiated Rates
Premera First - All Plans$1,443
Knee X-Ray
73560Cash Price
(No Insurance)
$227
Gross Charge
$239
Medicare Rate
$32
Insurance Negotiated Rates
Banner Choice - All Plans$64
Cash Price
(No Insurance)
$4,616
Gross Charge
$4,859
Medicare Rate
$615
Insurance Negotiated Rates
Banner Choice - All Plans$1
Lipid Panel
80061Cash Price
(No Insurance)
$2,927
Gross Charge
$3,081
Insurance Negotiated Rates
Premera First - All Plans$13
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$690
Gross Charge
$726
Medicare Rate
$146
Insurance Negotiated Rates
Premera First - All Plans$180
Mammogram Screening
77067Cash Price
(No Insurance)
$690
Gross Charge
$726
Medicare Rate
$118
Insurance Negotiated Rates
Va (Triwest) - All Plans$144
MRI Brain
70551Cash Price
(No Insurance)
$2,998
Gross Charge
$3,156
Medicare Rate
$183
Insurance Negotiated Rates
Va (Triwest) - All Plans$265
Cash Price
(No Insurance)
$3,328
Gross Charge
$3,503
Medicare Rate
$296
Insurance Negotiated Rates
Banner Choice - All Plans$3
MRI Cervical Spine
72141Cash Price
(No Insurance)
$2,643
Gross Charge
$2,782
Medicare Rate
$179
Insurance Negotiated Rates
Tricare (Hnfs) - All Plans$265
MRI Knee
73721Cash Price
(No Insurance)
$2,504
Gross Charge
$2,636
Medicare Rate
$191
Insurance Negotiated Rates
Premera First - All Plans$265
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$2,643
Gross Charge
$2,782
Medicare Rate
$180
Insurance Negotiated Rates
Premera First - All Plans$265
MRI Shoulder
73221Cash Price
(No Insurance)
$2,111
Gross Charge
$2,222
Medicare Rate
$191
Insurance Negotiated Rates
Premera First - All Plans$265
Office Visit Level 3
99213Cash Price
(No Insurance)
$225
Gross Charge
$237
Medicare Rate
$91
Insurance Negotiated Rates
Banner Choice - All Plans$38
Office Visit Level 4
99214Cash Price
(No Insurance)
$198
Gross Charge
$208
Medicare Rate
$130
Insurance Negotiated Rates
Banner Choice - All Plans$56
Shoulder X-Ray
73030Cash Price
(No Insurance)
$251
Gross Charge
$265
Medicare Rate
$33
Insurance Negotiated Rates
Banner Choice - All Plans$71
TSH (Thyroid)
84443Cash Price
(No Insurance)
$261
Gross Charge
$274
Insurance Negotiated Rates
Premera First - All Plans$17
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$1,545
Gross Charge
$1,626
Medicare Rate
$107
Insurance Negotiated Rates
Premera First - All Plans$116
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$811
Gross Charge
$853
Medicare Rate
$98
Insurance Negotiated Rates
Premera First - All Plans$116
Cash Price
(No Insurance)
$753
Gross Charge
$793
Medicare Rate
$109
Insurance Negotiated Rates
Premera First - All Plans$44
Cash Price
(No Insurance)
$1,247
Gross Charge
$1,312
Medicare Rate
$301
Insurance Negotiated Rates
Tricare (Hnfs) - All Plans$143
Cash Price
(No Insurance)
$1,660
Gross Charge
$1,747
Medicare Rate
$390
Insurance Negotiated Rates
Premera First - All Plans$161
Urinalysis
81001Cash Price
(No Insurance)
$1,756
Gross Charge
$1,849
Insurance Negotiated Rates
Premera First - All Plans$3
Vaginal Delivery
59400Cash Price
(No Insurance)
$11,173
Gross Charge
$11,761
Medicare Rate
$2,163
Insurance Negotiated Rates
Premera First - All Plans$2,715