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Critical Access HospitalVoluntary Non-Profit - Private

Fairfield Memorial Hospital

Fairfield, IL

303 Nw 11th Street, Fairfield, IL 62837(618) 842-2611

31

In-network payers

180

Disclosed rate categories

55

Beds

3

Care quality

About this hospital

Fairfield Memorial Hospital is a 55-bed voluntary non-profit - private hospital in Fairfield, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 180 disclosed rate categories.

CCN (Medicare provider number)

141311

NPI

1255422416

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

Beds

55

Care Quality

3

Insurance Accepted

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneGroup Health Cooperative of South Central Wisconsin

Prices for common services

The 24 services Fairfield Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$4,064 - $4,777

from 3 insurers · median $4,252

Aetna$4,064
Insurer A*est.$4,252
Insurer B*est.$4,777
Medicare $356Nearby hospitals $2,51369% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$3,677 - $4,599

from 3 insurers · median $4,131

Aetna$4,599
Insurer A*est.$3,677
Insurer B*est.$4,131
Medicare $244Nearby hospitals $2,45568% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$1,471 - $1,970

from 3 insurers · median $1,653

Aetna$1,970
Insurer A*est.$1,471
Insurer B*est.$1,653
Medicare $107Nearby hospitals $99966% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$5,297 - $5,758

from 2 insurers · median $5,527

Cignaest.$5,297
Insurer A*est.$5,758
Medicare $356Nearby hospitals $2,326138% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$1,916 - $2,153

from 3 insurers · median $1,970

UnitedHealthcareest.$2,153
Insurer A*est.$1,916
Insurer B*$1,970
Medicare $558Nearby hospitals $99298% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the chest, with contrast

CPT 71260

$2,190 - $2,877

from 3 insurers · median $2,461

Aetna$2,877
Insurer A*est.$2,190
Insurer B*est.$2,461
Medicare $179Nearby hospitals $1,55059% above nearby hospitals

Typical for a hospital with this service line

Nuclear imaging

Nuclear imaging of blood flow to the heart, multiple studies

CPT 78452

$5,023 - $7,276

from 3 insurers · median $5,644

UnitedHealthcareest.$5,644
Insurer A*est.$5,023
Insurer B*$7,276
Medicare $1,323Nearby hospitals $2,425133% above nearby hospitals

Hospital reports nuclear medicine services to CMS

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$2,731 - $3,734

from 3 insurers · median $2,968

Cignaest.$2,731
Insurer A*est.$2,968
Insurer B*$3,734
Medicare $244Nearby hospitals $2,60114% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$267 - $362

from 3 insurers · median $299

Aetna$362
Insurer A*est.$267
Insurer B*est.$299
Medicare $89Nearby hospitals $21638% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the brain, without contrast

CPT 70551

$2,245 - $2,720

from 3 insurers · median $2,502

Cignaest.$2,502
Insurer A*$2,245
Insurer B*est.$2,720
Medicare $244Nearby hospitals $2,04922% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the pelvis, before and after contrast

CPT 72197

$5,100 - $5,544

from 2 insurers · median $5,322

Cignaest.$5,100
Insurer A*est.$5,544
Medicare $356Nearby hospitals $2,045160% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Bone-density scan of the spine and hip

CPT 77080

$1,000 - $1,438

from 3 insurers · median $1,123

Aetna$1,438
Insurer A*est.$1,000
Insurer B*est.$1,123
Medicare $107Nearby hospitals $472138% above nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$186 - $451

from 3 insurers · median $209

Aetna$451
Insurer A*est.$186
Insurer B*est.$209
Medicare $92Nearby hospitals $24515% below nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$4,855 - $7,395

from 3 insurers · median $5,456

Insurer A*est.$4,855
Insurer B*est.$5,456
Insurer C*$7,395
Medicare $2,358Nearby hospitals $770608% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$635 - $855

from 3 insurers · median $714

Aetna$855
Insurer A*est.$635
Insurer B*est.$714
Medicare $107Nearby hospitals $36198% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$1,000 - $3,392

from 3 insurers · median $1,123

Aetna$3,392
Insurer A*est.$1,000
Insurer B*est.$1,123
Medicare $1,223Nearby hospitals $475137% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$792 - $1,767

from 3 insurers · median $890

Aetna$1,767
Insurer A*est.$792
Insurer B*est.$890
Medicare $927Nearby hospitals $317181% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$6,300 - $17,371

from 3 insurers · median $7,080

Cignaest.$6,300
Insurer A*est.$7,080
Insurer B*$17,371
Medicare $10,860

Typical for a hospital with this service line

Ultrasound

Transvaginal pelvic ultrasound

CPT 76830

$711 - $948

from 3 insurers · median $799

Aetna$948
Insurer A*est.$711
Insurer B*est.$799
Medicare $107Nearby hospitals $51755% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$943 - $5,856

from 3 insurers · median $1,060

Aetna$5,856
Insurer A*est.$943
Insurer B*est.$1,060
Medicare $1,223Nearby hospitals $423150% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of one breast

CPT 76642

$544 - $751

from 3 insurers · median $612

Aetna$751
Insurer A*est.$544
Insurer B*est.$612
Medicare $89Nearby hospitals $35373% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$607 - $804

from 3 insurers · median $683

UnitedHealthcareest.$683
Insurer A*est.$607
Insurer B*$804
Medicare $107Nearby hospitals $56820% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of pelvic lesions

CPT 58662

$9,648 - $14,694

from 3 insurers · median $10,841

Cignaest.$9,648
Insurer A*est.$10,841
Insurer B*$14,694
Medicare $6,176

Typical for a hospital with this service line

Lung function and sleep

Attended overnight sleep study

CPT 95810

$3,836 - $5,842

from 3 insurers · median $4,310

Insurer A*est.$3,836
Insurer B*est.$4,310
Insurer C*$5,842
Medicare $877Nearby hospitals $2,30887% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Fairfield Memorial Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*22
709%
200
Insurer B*24
654%
171
Insurer C*24
582%
143

How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Fairfield Memorial Hospital.

Location

303 Nw 11th Street, Fairfield, IL 62837

(618) 842-2611

Get directions

Frequently asked questions

About Fairfield Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Fairfield Memorial Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Fairfield Memorial Hospital range from $5,297 to $5,758 across 2 insurers. Cigna's rate is $5,297. The median at nearby comparable hospitals is $2,326. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Fairfield Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Fairfield Memorial Hospital range from $4,064 to $4,777 across 3 insurers. Aetna's rate is $4,064. The median at nearby comparable hospitals is $2,513. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Fairfield Memorial Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Fairfield Memorial Hospital range from $1,000 to $3,392 across 3 insurers. Aetna's rate is $3,392. The median at nearby comparable hospitals is $475. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Fairfield Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Fairfield Memorial Hospital range from $186 to $451 across 3 insurers. Aetna's rate is $451. The median at nearby comparable hospitals is $245. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Fairfield Memorial Hospital have?

Fairfield Memorial Hospital has 55 beds. Facility type: Critical Access Hospital.

Where is Fairfield Memorial Hospital and what is its phone number?

Fairfield Memorial Hospital is located at 303 Nw 11th Street, Fairfield, IL 62837. Its main phone number is (618) 842-2611.

What is Fairfield Memorial Hospital's CCN (Medicare provider number)?

Fairfield Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 141311.

What is Fairfield Memorial Hospital's NPI number?

The National Provider Identifier (NPI) on file for Fairfield Memorial Hospital is 1255422416.

Which insurance plans are in network at Fairfield Memorial Hospital?

Fairfield Memorial Hospital lists 31 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Fairfield Memorial Hospital?

180 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster