Fairbanks Memorial Hospital LLC
Fairbanks Memorial Hospital LLC in Fairbanks, AK publishes cash prices for 56 common procedures listed here, from its own machine-readable price file updated Jun 16, 2026. Click a procedure to compare it with other hospitals nearby.
1650 Cowles St Fairbanks AK 99701 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $3,002.29 | $3,160.31 | 5% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast | $1,380.78 | $1,453.45 | 5% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $710.57 | $747.97 | 5% |
| Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts | $690.17 | $726.49 | 5% |
| MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast | $2,998.40 | $3,156.21 | 5% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast | $3,327.58 | $3,502.72 | 5% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast | $2,642.99 | $2,782.09 | 5% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus | $657.47 | $692.07 | 5% |
| Screening mammogram, both breasts CPT 77067 Screening mammography | $690.17 | $726.49 | 5% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | $578.31 | $608.75 | 5% |
| Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen | $1,545.94 | $1,627.30 | 5% |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views | $557.72 | $587.07 | 5% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) | $120.62 | $126.97 | 5% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $97.91 | $103.06 | 5% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $142.65 | $150.16 | 5% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $145.74 | $153.41 | 5% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $159.63 | $168.03 | 5% |
| Kidney function blood test panel CPT 80069 Kidney function blood test panel | $244.78 | $257.66 | 5% |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $171.40 | $180.42 | 5% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total | $229.17 | $241.23 | 5% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood | $166.62 | $175.39 | 5% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $116.78 | $122.93 | 5% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $145.52 | $153.18 | 5% |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated | $118.72 | $124.97 | 5% |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $76.02 | $80.02 | 5% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test | $38.00 | $40.00 | 5% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cesarean delivery, including prenatal and postpartum care CPT 59510 Cesarean delivery with care before and after delivery | $12,289.20 | $12,936.00 | 5% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare | $2,723.65 | $2,867.00 | 5% |
| Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope | $1,910.45 | $2,011.00 | 5% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using a flexible endoscope | $1,835.40 | $1,932.00 | 5% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia (5 years or older) | $3,648.95 | $3,841.00 | 5% |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of knee cartilage using an endoscope | $5,531.85 | $5,823.00 | 5% |
| Left heart catheterization, diagnostic one side CPT 93452 Insertion of tube in left heart chambers for diagnosis with review by radiologist | $21,543.10 | $22,676.95 | 5% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into lower spine canal using imaging guidance | $2,011.25 | $2,117.10 | 5% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into lower spine canal | $2,011.25 | $2,117.10 | 5% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | $1,436.15 | $1,511.74 | 5% |
| Prostate biopsy CPT 55700 Biopsy of prostate gland | $1,698.60 | $1,788.00 | 5% |
| Removal of a breast lump, open surgery CPT 19120 Removal of growth and tissue of breast, duct, or nipple | $3,253.75 | $3,425.00 | 5% |
| Total hip replacement CPT 27130 Replacement of thigh bone and hip joint with prosthesis | $13,318.05 | $14,019.00 | 5% |
| Total knee replacement CPT 27447 Replacement of knee joint, both sides of knee | $8,677.30 | $9,134.00 | 5% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $1,520.00 | $1,600.00 | 5% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $1,141.90 | $1,202.00 | 5% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $2,012.65 | $2,118.58 | 5% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Vaginal delivery and care before and after delivery after previous cesarean delivery | $14,653.75 | $15,425.00 | 5% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Vaginal delivery with care before and after delivery | $11,172.95 | $11,761.00 | 5% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report | $133.00 | $140.00 | 5% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $607.67 | $639.65 | 5% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $826.84 | $870.36 | 5% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $897.68 | $944.93 | 5% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $186.11 | $195.90 | 5% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventive medicine evaluation (18-39 years) | $318.25 | $335.00 | 5% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventive medicine evaluation (40-64 years) | $318.25 | $335.00 | 5% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes | $260.45 | $274.16 | 5% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes | $339.73 | $357.61 | 5% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 1 hour | $498.27 | $524.49 | 5% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more | $421.80 | $444.00 | 5% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more | $590.90 | $622.00 | 5% |
Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbFMHFAIRBANKSAK&type=CDMWithoutLabel&fileType=CSV