Does Adena Fayette Medical Center publish its standard charges and chargemaster?

Yes. Adena Fayette Medical Center publishes a machine-readable file with 35,844 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Adena Fayette Medical Center charge for procedures?

Adena Fayette Medical Center (Washington Court House, OH) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · OH · CCN 361331

Adena Fayette Medical Center

Washington Court House, OH, 43160

25 bedsCritical Access Hospitals2

Compliance grade

100/100

Rates published

35,844

last crawl 2026-05-24

Procedures tracked

108

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All OH hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://sthpiprd.blob.core.windows.net/machine-readable-files/10269/852985806_adena-fayette-medical-center_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychotherapy 30 minutes	CPT	90832	18	$562.35	$281.18	$191.2	$372.84	2.5×	$635.46
Psychotherapy 45 minutes	CPT	90834	18	$562.35	$281.18	$191.2	$372.84	2.3×	$635.46
Psychotherapy 60 minutes	CPT	90837	18	$562.35	$281.18	$191.2	$372.84	2.0×	$635.46
emergency
ED visit level 1	CPT	99281	18	$339.79	$169.9	$115.53	$225.28	1.6×	$383.96
ED visit level 2	CPT	99282	18	$554.26	$277.13	$188.45	$367.47	1.5×	$626.31
ED visit level 3	CPT	99283	18	$1,087.3	$543.65	$369.68	$720.88	1.8×	$1,228.65
ED visit level 4	CPT	99284	18	$1,772.81	$886.41	$602.76	$1,175.37	1.8×	$2,003.28
ED visit level 5	CPT	99285	18	$2,145.85	$1,072.93	$729.59	$1,422.7	1.4×	$2,424.81
Critical care, first hour	CPT	99291	18	$2,949.14	$1,474.57	$1,002.71	$1,955.28	1.8×	$3,332.53
imaging
CT head without contrast	CPT	70450	18	$1,528.63	$764.32	$519.73	$1,013.48	4.9×	$1,727.35
CT head with contrast	CPT	70460	18	$2,016.23	$1,008.12	$685.52	$1,281.31	5.5×	$2,278.34
CT head with and without contrast	CPT	70470	18	$2,390.46	$1,195.23	$812.76	$1,519.14	5.7×	$2,701.22
CT neck with contrast	CPT	70491	18	$2,016.23	$1,008.12	$685.52	$1,281.31	4.7×	$2,278.34
MRI brain without contrast	CPT	70551	18	$2,319.65	$1,159.83	$788.68	$1,537.93	3.8×	$2,621.2
MRI brain with contrast	CPT	70552	18	$2,517.04	$1,258.52	$855.79	$1,668.8	3.5×	$2,844.26
MRI brain with and without contrast	CPT	70553	18	$2,990.35	$1,495.18	$1,016.72	$1,982.6	3.4×	$3,379.1
Chest X-ray single view	CPT	71045	18	$346.87	$173.44	$117.94	$238.99	2.5×	$391.96
Chest X-ray 2 views	CPT	71046	18	$346.87	$173.44	$117.94	$238.99	2.4×	$391.96
Chest X-ray 3 views	CPT	71047	18	$346.87	$173.44	$117.94	$238.99	2.5×	$391.96
CT chest without contrast	CPT	71250	18	$1,528.63	$764.32	$519.73	$1,013.48	4.7×	$1,727.35
CT chest with contrast	CPT	71260	18	$2,016.23	$1,008.12	$685.52	$1,281.31	4.6×	$2,278.34
CT chest with and without contrast	CPT	71270	18	$2,390.46	$1,195.23	$812.76	$1,519.14	5.2×	$2,701.22
MRI chest without contrast	CPT	71550	18	$1,697.4	$848.7	$577.12	$1,125.38	2.6×	$2,000
MRI chest with contrast	CPT	71551	18	$2,924.57	$1,462.29	$994.35	$1,938.99	2.4×	$3,304.76
MRI chest with and without contrast	CPT	71552	18	$3,207.35	$1,603.68	$1,090.5	$2,038.27	3.4×	$3,624.31
Lumbosacral spine X-ray	CPT	72100	18	$372.19	$186.1	$126.54	$256.44	2.5×	$420.57
CT cervical spine without contrast	CPT	72125	18	$1,528.63	$764.32	$519.73	$1,013.48	5.0×	$1,727.35
CT thoracic spine without contrast	CPT	72128	18	$1,528.63	$764.32	$519.73	$1,013.48	5.1×	$1,727.35
CT lumbar spine without contrast	CPT	72131	18	$1,528.63	$764.32	$519.73	$1,013.48	5.0×	$1,727.35
MRI cervical spine without contrast	CPT	72141	18	$2,301.92	$1,150.96	$782.65	$1,526.17	3.8×	$2,601.17
MRI thoracic spine without contrast	CPT	72146	18	$2,311.27	$1,155.64	$785.83	$1,532.37	4.1×	$2,611.74
MRI lumbar spine without contrast	CPT	72148	18	$2,288.5	$1,144.25	$778.09	$1,517.28	4.0×	$2,586.01
MRI lumbar spine with and without contrast	CPT	72149	18	$2,587.5	$1,293.75	$879.75	$1,715.51	3.8×	$2,923.88
MRI cervical spine with and without contrast	CPT	72156	18	$2,975.49	$1,487.75	$1,011.67	$1,972.75	3.7×	$3,362.3
MRI lumbar spine with contrast	CPT	72158	18	$2,932.5	$1,466.25	$997.05	$1,944.25	3.6×	$3,313.73
CT pelvis without contrast	CPT	72192	18	$1,528.63	$764.32	$519.73	$1,013.48	5.1×	$1,727.35
CT pelvis with contrast	CPT	72193	18	$2,016.23	$1,008.12	$685.52	$1,281.31	4.6×	$2,278.34
Shoulder X-ray	CPT	73030	18	$707.02	$353.51	$240.39	$487.14	5.2×	$798.93
Humerus X-ray	CPT	73060	18	$353.51	$176.76	$120.19	$243.57	2.7×	$399.47
Hand X-ray 3 views	CPT	73130	18	$707.02	$353.51	$240.39	$487.14	5.2×	$798.93
MRI upper extremity joint without contrast	CPT	73221	18	$2,188.24	$1,094.12	$744	$1,450.8	3.5×	$2,472.71
MRI upper extremity joint with and without contrast	CPT	73223	18	$3,022.06	$1,511.03	$1,027.5	$2,000	3.3×	$3,414.93
Knee X-ray 1-2 views	CPT	73560	18	$707.02	$353.51	$240.39	$487.14	5.2×	$798.93
Ankle X-ray 3 views	CPT	73610	18	$707.02	$353.51	$240.39	$487.14	5.3×	$798.93
MRI lower extremity joint without contrast	CPT	73721	18	$4,232	$2,116	$1,438.88	$2,689.44	5.7×	$4,782.16
MRI lower extremity joint with and without contrast	CPT	73723	18	$5,750	$2,875	$1,955	$3,654.13	5.8×	$6,497.5
CT abdomen without contrast	CPT	74150	18	$1,528.63	$764.32	$519.73	$1,013.48	5.4×	$1,727.35
CT abdomen with contrast	CPT	74160	18	$2,016.23	$1,008.12	$685.52	$1,281.31	4.5×	$2,278.34
CT abdomen with and without contrast	CPT	74170	18	$2,390.46	$1,195.23	$812.76	$1,519.14	4.5×	$2,701.22
CT abdomen and pelvis without contrast	CPT	74176	18	$3,053.6	$1,526.8	$1,038.22	$1,940.56	5.3×	$3,450.57
CT abdomen and pelvis with contrast	CPT	74177	18	$4,032.45	$2,016.23	$1,250	$2,562.62	4.7×	$4,556.67
CT abdomen and pelvis with and without contrast	CPT	74178	18	$4,780.93	$2,390.47	$1,250	$3,038.28	5.3×	$5,402.45
MRI abdomen without contrast	CPT	74181	18	$2,317.25	$1,158.63	$787.87	$1,536.34	3.9×	$2,618.49
MRI abdomen with and without contrast	CPT	74183	18	$3,151	$1,575.5	$1,071.34	$2,002.46	3.5×	$3,560.63
Abdominal ultrasound complete	CPT	76700	18	$818.4	$409.2	$278.26	$542.6	3.6×	$924.79
Abdominal ultrasound limited	CPT	76705	18	$818.4	$409.2	$278.26	$542.6	3.7×	$924.79
Retroperitoneal ultrasound complete	CPT	76770	18	$743.83	$371.92	$252.9	$493.16	3.4×	$840.53
Obstetric ultrasound first trimester	CPT	76801	18	$818.4	$409.2	$278.26	$542.6	3.8×	$924.79
Obstetric ultrasound after first trimester	CPT	76805	18	$818.4	$409.2	$278.26	$542.6	3.6×	$924.79
Transvaginal ultrasound	CPT	76830	18	$818.4	$409.2	$278.26	$542.6	3.7×	$924.79
Pelvic ultrasound complete	CPT	76856	18	$818.4	$409.2	$278.26	$542.6	3.8×	$924.79
Scrotal ultrasound	CPT	76870	18	$818.4	$409.2	$278.26	$542.6	4.1×	$924.79
Diagnostic mammography unilateral	CPT	77065	18	$652.05	$326.03	$221.7	$432.31	2.9×	$736.82
Diagnostic mammography bilateral	CPT	77066	18	$749.8	$374.9	$254.93	$497.12	2.6×	$847.27
Screening mammography bilateral	CPT	77067	18	$287.5	$143.75	$97.75	$190.61	1.2×	$324.88
EKG tracing only	CPT	93005	18	$307.67	$153.84	$104.61	$203.99	1.7×	$347.67
Transthoracic echocardiogram complete	CPT	93306	18	$4,778.55	$2,389.28	$1,237.97	$2,743.93	4.6×	$5,399.76
Transthoracic echocardiogram	CPT	93307	18	$782.36	$391.18	$266	$518.7	2.1×	$884.07
Stress echocardiogram	CPT	93350	18	$2,058.37	$1,029.19	$699.85	$1,364.7	2.7×	$2,325.96
lab
Basic metabolic panel (BMP)	CPT	80048	18	$40.22	$20.11	$3.47	$26.67	0.82×	$60.93
General health panel	CPT	80050	18	$634.7	$317.35	$17.1	$403.35	3.8×	$717.21
Electrolyte panel	CPT	80051	18	$25.2	$12.6	$2.14	$16.71	0.70×	$50.48
Comprehensive metabolic panel	CPT	80053	18	$57.93	$28.97	$5	$38.41	0.86×	$76.07
Lipid panel	CPT	80061	18	$69.76	$34.88	$6.02	$46.25	1.2×	$96.45
Renal function panel	CPT	80069	18	$47.62	$23.81	$4.11	$31.57	1.2×	$62.52
Hepatic function panel	CPT	80076	18	$34.66	$17.33	$2.99	$22.98	0.86×	$58.85
Urinalysis non-automated	CPT	81002	18	$12.65	$6.33	$2.77	$8.39	1.2×	$25.07
Urinalysis automated	CPT	81003	18	$12.32	$6.16	$1.06	$8.17	0.59×	$16.21
Glucose quantitative	CPT	82947	18	$18.73	$9.37	$5.13	$12.42	0.71×	$28.32
Hemoglobin A1c	CPT	83036	18	$46.28	$23.14	$9	$30.68	1.1×	$69.94
Thyroid stimulating hormone (TSH)	CPT	84443	18	$80.12	$40.06	$7.95	$53.12	1.1×	$121
Complete blood count with automated differential	CPT	85025	18	$42.63	$21.32	$3.68	$28.26	1.1×	$55.96
Complete blood count without differential	CPT	85027	18	$35.47	$17.74	$3.06	$23.52	1.1×	$46.59
Urine culture bacterial	CPT	87086	18	$44.01	$22.01	$9.61	$21.29	0.91×	$58.11
Urine culture identification	CPT	87088	18	$44.14	$22.07	$9.54	$29.26	1.3×	$58.27
Tissue exam by pathologist level IV	CPT	88305	18	$195.5	$97.75	$66.47	$129.62	1.3×	$278.02
maternity
Fetal non-stress test	CPT	59025	18	$704.1	$352.05	$239.39	$466.82	2.5×	$795.63
office
Office visit, new patient, 15-29 min	CPT	99202	18	$132.3	$66.15	$44.98	$87.71	1.0×	$149.5
Office visit, new patient, 30-44 minutes	CPT	99203	18	$180.6	$90.3	$61.4	$119.74	0.98×	$204.08
Office visit, new patient, 45-59 min	CPT	99204	18	$219.45	$109.73	$74.61	$145.5	0.84×	$247.98
Office visit, new patient, 60-74 min	CPT	99205	18	$245.7	$122.85	$83.54	$162.9	0.74×	$277.64
Office visit, established patient, 5 min	CPT	99211	18	$87.15	$43.58	$29.63	$57.78	0.90×	$98.48
Office visit, established patient, 10-19 min	CPT	99212	18	$103.95	$51.98	$35.34	$68.92	0.86×	$117.46
Office visit, established patient, 20-29 minutes	CPT	99213	18	$131.25	$65.63	$44.63	$87.02	0.76×	$148.31
Office visit, established patient, 30-39 minutes	CPT	99214	18	$164.85	$82.43	$56.05	$109.3	0.72×	$186.28
Office visit, established patient, 40-54 min	CPT	99215	18	$203.7	$101.85	$69.26	$135.05	0.72×	$230.18
preventive
Upper GI endoscopy diagnostic	CPT	43235	18	$4,942.57	$2,471.29	$1,680.47	$3,276.92	3.6×	$5,585.1
Upper GI endoscopy with biopsy	CPT	43239	18	$5,492	$2,746	$1,867.28	$3,641.2	3.8×	$6,205.96
Sigmoidoscopy diagnostic	CPT	45330	18	$4,136.74	$2,068.37	$1,406.49	$2,742.66	3.3×	$4,674.52
Sigmoidoscopy with biopsy	CPT	45331	18	$4,910.52	$2,455.26	$1,669.58	$3,255.67	3.6×	$5,548.89
Colonoscopy diagnostic	CPT	45378	18	$5,695.76	$2,847.88	$1,936.56	$3,776.29	4.3×	$6,436.21
Colonoscopy with biopsy	CPT	45380	18	$6,355.05	$3,177.53	$2,160.72	$4,213.4	3.5×	$7,181.21
Colonoscopy with polyp removal	CPT	45385	18	$6,133.02	$3,066.51	$2,085.23	$4,066.19	3.4×	$6,930.31
surgery
PCI single major coronary artery	CPT	92920	18	$22,012	$11,006	$7,484.24	$14,594	2.6×	$24,874
PCI with drug-eluting stent	CPT	92928	18	$59,875	$29,937	$20,357	$39,697	4.0×	$67,658
PCI bypass graft	CPT	92937	18	$81,889	$40,945	$27,842	$54,292	5.0×	$92,535
Coronary angiography with cath	CPT	93455	18	$18,505	$9,252.48	$6,291.69	$12,269	3.9×	$20,911
Coronary angiography with bypass cath	CPT	93458	18	$23,854	$11,927	$8,110.46	$15,815	5.1×	$26,955

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 18)

Payer	Codes covered	Median rate
Aetna	108	$648.17
Anthem BCBS	108	$542.6
buckeye community health plan	108	$390.67
care source	108	$398.48
care source just4me	108	$703.21
Cigna	108	$656.52
First Health	108	$852.44
Humana	108	$390.67
medical mutual of ohio	108	$616.75
medical mutual of ohio supermed	108	$718.07
medigold	108	$390.67
Molina	108	$407.45
Multiplan	108	$905.21
ohio health choice	108	$758.47
ohio ppo connect	108	$667
sidecar health	108	$1,076.72
the health plan	108	$667
UnitedHealthcare	108	$601.8

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