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Fredonia Regional Hospital

Kansas · 1,500 published self-pay prices, from $20.40 to $19,478.

These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.

Showing the 300 lowest-priced of 1,500 published items.

ItemCash priceSetting
3D breast mammography of 1 breast$70.00Outpatient
3D breast mammography of both breasts$120Outpatient
3D radiographic procedure$492Outpatient
A4215 - 0 CHROMIC GUT TIES SUTURE$44.70Outpatient
A4215 - 0 CHROMIC SUTURES$26.20Outpatient
A4215 - 2-0 NYLON SUTURES$34.00Outpatient
A4215 - 3-0 POLYSORB SUTURES$38.90Outpatient
A4215 - 4-0 MONOCRYL SUTURES$67.10Outpatient
A4215 - 4-0 POLYSORB SUTURES C-13$22.90Outpatient
A4215 4-0 POLYSORB SUTURE P-12$34.60Outpatient
A4215 5-0 PROLENE SUTURES$21.50Outpatient
A4570 SPLINT METACARPAL LEFT MEDIUM$23.40Outpatient
ABLYSINOL 99% AMPULE$693Outpatient
ACETYLCYSTEINE 20% VIAL$78.83Outpatient
ACETYLCYSTEINE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAM$55.60Outpatient
ACTIVITY THERAPY, SUCH AS MUSIC, DANCE, ART OR PLAY THERAPIES NOT FOR RECREATION, RELATED TO THE CARE AND TREATMENT OF PATIENT'S DISABLING MENTAL HEALTH PROBLEMS, PER SESSION (45 MINUTES OR MORE)$676Outpatient
Acute hepatitis panel$189Outpatient
ADH (antidiuretic hormone) level$187Outpatient
Administration of chemotherapy into vein using push technique$198Outpatient
Administration of chemotherapy into vein, 1 hour or less$286Outpatient
Administration of chemotherapy into vein, each additional hour$62.42Outpatient
Administration of drug for helicobacter pylori$88.43Outpatient
ADMINISTRATION OF INFLUENZA VIRUS VACCINE$30.00Outpatient
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle$46.82Outpatient
ADMINISTRATION OF PNEUMOCOCCAL VACCINE$62.42Outpatient
Administration of severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine by intramuscular injection, single dose$26.01Outpatient
Administration of vaccine$50.96Outpatient
Administration of vaccine, each additional vaccine$62.42Both
Adrenocorticotropic hormone (ACTH) level$143Outpatient
ADVANCED LIFE SUPPORT, LEVEL 2 (ALS 2)$750Outpatient
Albumin (protein) level$36.41Outpatient
albuterol 5 mg/mL Sol 20 mL [FRKS]$61.80Outpatient
Aldolase (enzyme) level$35.89Outpatient
Aldosterone hormone level$125Outpatient
Alkaloids levels$67.63Outpatient
Alpha-1-antitrypsin (protein) blood test, total$102Outpatient
Alpha-fetoprotein (AFP) level, serum$67.63Outpatient
Ambu ALS/BLS Refusal$100Outpatient
AMBULANCE RESPONSE AND TREATMENT, NO TRANSPORT$200Outpatient
AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS 1 - EMERGENCY)$724Outpatient
AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, NON-EMERGENCY TRANSPORT, LEVEL 1 (ALS 1)$618Outpatient
AMBULANCE SERVICE, BASIC LIFE SUPPORT, EMERGENCY TRANSPORT (BLS-EMERGENCY)$545Outpatient
AMBULANCE SERVICE, BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT, (BLS)$474Outpatient
AMIDATE 40 MG/20 ML VIAL$24.24Outpatient
Amikacin (antibiotic) level$69.71Outpatient
Ammonia level$69.71Outpatient
Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen$104Outpatient
Amplifed nucleic acid probe typing of disease agent in blood culture specimen$1,196Outpatient
Amputation of finger or thumb with direct closure$524Both
Amylase (enzyme) level$67.63Outpatient
Analysis for antibody (IgM) to Cytomegalovirus (CMV)$97.80Outpatient
Analysis for antibody (IgM) to West Nile virus$83.23Outpatient
Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)$103Outpatient
Analysis for antibody to aspergillus (fungus)$45.78Outpatient
Analysis for antibody to Bartonella (bacteria)$41.62Outpatient
Analysis for antibody to Cytomegalovirus (CMV)$97.80Outpatient
Analysis for antibody to Ehrlichia (bacteria transmitted by ticks)$141Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen$81.15Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid$103Outpatient
Analysis for antibody to Francisella tularensis (bacteria transmitted by rodents)$78.03Outpatient
Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria)$85.31Outpatient
Analysis for antibody to Herpes simplex virus, type 1$104Outpatient
Analysis for antibody to Herpes simplex virus, type 2$104Outpatient
Analysis for antibody to histoplasma (fungus)$66.59Outpatient
Analysis for antibody to Legionella (waterborne bacteria)$74.91Outpatient
Analysis for antibody to mumps virus$54.10Outpatient
Analysis for antibody to Mycoplasma (bacteria)$127Outpatient
Analysis for antibody to Rickettsia (bacteria)$182Outpatient
Analysis for antibody to Rubella (German measles virus)$79.07Outpatient
Analysis for antibody to Rubeola (measles virus)$54.10Outpatient
Analysis for antibody to varicella-zoster virus (chicken pox)$87.39Outpatient
Analysis for antibody to West Nile virus$47.86Outpatient
Analysis for antibody, Treponema pallidum$184Outpatient
Analysis for detection of tumor marker$104Outpatient
Analysis of substance using immunoassay technique, multiple step method$64.50Outpatient
Analysis of voice and resonance production$111Outpatient
Analysis test by nucleic acid for Hepatitis C virus$367Outpatient
Analysis using chemiluminescent technique (light and chemical )reaction$78.03Outpatient
ANES CRNA ANESTHESIA ADMIN I$114Outpatient
ANES CRNA ANESTHESIA ADMIN II$81.57Outpatient
Anesthesia for access to central vein$162Outpatient
Anesthesia for exam of colon using an endoscope$162Outpatient
Anesthesia for lens surgery$162Outpatient
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope$162Outpatient
Anesthesia for other procedure on large bowel using an endoscope$162Outpatient
Anesthesia for other procedure on male genitals$162Outpatient
Anesthesia for other procedure on skin of arms, legs, and front body$162Outpatient
Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back$162Outpatient
Anesthesia for other procedure on upper abdomen$162Outpatient
Anesthesia for procedure on anus and rectum$162Outpatient
Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope$162Outpatient
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand$162Outpatient
Anesthesia for procedure on nerves, muscles, tendons, and tissue of knee$162Outpatient
Anesthesia for procedure on nerves, muscles, tendons, and tissue of upper leg$162Outpatient
Anesthesia for procedure on saliva gland$162Outpatient
Anesthesia for procedure on small and large bowel using an endoscope$162Outpatient
Anesthesia for procedure to repair upper abdominal incisional hernia and/or wound opening$162Outpatient
Anesthesia for repair of abdominal wall hernia$162Outpatient
Angiotensin l - converting enzyme (ACE) level$93.64Outpatient
ANKLE CONTROL ORTHOSIS, STIRRUP STYLE, RIGID, INCLUDES ANY TYPE INTERFACE (E.G., PNEUMATIC, GEL), PREFABRICATED, OFF-THE-SHELF$61.70Outpatient
ANNUAL DEPRESSION SCREENING, 5 TO 15 MINUTES$22.88Outpatient
ANNUAL WELLNESS VISIT, INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), SUBSEQUENT VISIT$196Outpatient
ANNUAL WELLNESS VISIT; INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), INITIAL VISIT$207Outpatient
Antibody identification test for white blood cell antibodies$41.62Outpatient
Antidepressants levels, 1 or 2 (tricyclic and other cyclicals)$58.26Outpatient
Antipsychotics levels, 1-3$114Outpatient
Antithrombin III antigen (clotting inhibitor) activity$78.03Outpatient
Antithrombin III antigen (clotting inhibitor) level$337Outpatient
Apolipoprotein level$67.63Outpatient
APPL SURFACE NEUROSTIMULATOR$83.23Outpatient
Application of chemical to stop tissue regrowth in wound$41.62Outpatient
Application of elbow to finger cast$158Outpatient
Application of electrical stimulation with therapist present, each 15 minutes$52.02Outpatient
Application of long leg splint from thigh to ankle or toe$103Outpatient
Application of lower and upper arm splint$123Outpatient
Application of mechanical traction$81.15Outpatient
Application of medication using electrical current, each 15 minutes$55.14Outpatient
Application of nonmoveable finger splint$185Outpatient
Application of nonmoveable forearm to hand splint$183Outpatient
Application of short leg cast$253Outpatient
Application of short leg splint from calf to foot$174Outpatient
Application of shoulder to hand cast$190Outpatient
Application of stress by physician for joint imaging$91.56Outpatient
Application of ultrasound, each 15 minutes$85.31Outpatient
Application of walking cast covering below knee to toe$239Outpatient
Arsenic level$118Outpatient
Artery puncture collection of blood sample$104Outpatient
Aspiration and/or injection of cyst of kidney$887Outpatient
Aspiration and/or injection of cyst of tendon$150Outpatient
Aspiration and/or injection of fluid from large joint$179Outpatient
Aspiration and/or injection of fluid from medium joint$88.43Outpatient
Aspiration and/or injection of fluid from medium joint using ultrasound guidance$567Outpatient
Aspiration and/or injection of fluid from small joint$141Outpatient
Aspiration and/or injection of fluid large joint using ultrasound guidance$850Outpatient
Aspiration of abscess, blood, or cyst$730Outpatient
Aspiration of bladder with insertion of bladder tube to skin$403Outpatient
Aspiration of cyst of breast, first cyst$442Outpatient
Aspiration of fluid from chest cavity$962Outpatient
Aspiration of fluid from chest cavity using imaging guidance$1,194Outpatient
Aspiration of lens material by aspiration$3,468Outpatient
Aspiration of spinal disc tissue for diagnostic purposes$1,066Outpatient
Automated white blood cell count$26.01Outpatient
AVITENE FLOUR$501Outpatient
Bacterial blood culture$66.59Outpatient
Bacterial colony count, urine$56.18Outpatient
Bacterial culture for aerobic isolates$92.08Outpatient
Bacterial culture for anaerobic isolates$43.70Outpatient
Bacterial culture, any other source except urine, blood or stool, aerobic$56.18Outpatient
Bacterial culture, any source, except blood, anaerobic$78.55Outpatient
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm$2,367Outpatient
benzocaine-butamben-tetracaine Top Aerosol 56 gm [FRKS]$161Outpatient
Benzodiazepines levels, 1-12$200Outpatient
Beta-2 microglobulin (protein) level$65.55Outpatient
Bilirubin level, direct$46.82Outpatient
Bilirubin level, total$46.82Outpatient
Biopsy and aspiration of bone marrow sample for diagnosis$2,530Outpatient
Biopsy of anal and/or rectal wall through anus$1,248Outpatient
Biopsy of bone marrow$1,509Outpatient
Biopsy of bone using needle or trocar$718Outpatient
Biopsy of breast and placement of locating device using ultrasound, each additional growth$2,856Outpatient
Biopsy of breast and placement of locating device using ultrasound, first growth$2,390Outpatient
Biopsy of breast through incision$2,029Outpatient
Biopsy of deep tissue of pelvis and hip$1,321Outpatient
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope$1,821Outpatient
Biopsy of large bowel using a flexible endoscope$900Outpatient
Biopsy of lining of uterus$300Outpatient
Biopsy of related skin growth, each additional growth$60.00Outpatient
Biopsy of related skin growth, first growth$115Outpatient
Biopsy of small bowel (except ileum) using an endoscope$1,535Outpatient
Biopsy of surface tissue of forearm or wrist$468Outpatient
Biopsy of surface tissue of pelvis and hip$571Outpatient
Biopsy or removal of lymph nodes$3,381Outpatient
Blood chloride level$26.01Outpatient
Blood creatinine level$36.41Outpatient
Blood gases measurement$124Outpatient
Blood glucose (sugar) level after receiving dose of glucose$42.66Outpatient
Blood glucose (sugar) tolerance test, 3 specimens$97.80Outpatient
Blood group typing (ABO)$32.25Outpatient
Blood osmolality (concentration) measurement$44.74Outpatient
Blood potassium level$30.17Outpatient
Blood sodium level$26.01Outpatient
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)$46.82Outpatient
Blood test, basic group of blood chemicals (Calcium, total)$57.22Outpatient
Blood test, comprehensive group of blood chemicals$78.03Outpatient
Blood test, lipids (cholesterol and triglycerides)$83.23Outpatient
Blood test, thyroid stimulating hormone (TSH)$93.64Outpatient
Blood typing for red blood cell antigens$26.01Outpatient
Blood typing Rh phenotyping$169Outpatient
Blood unit compatibility test, antiglobulin technique$113Outpatient
Body fluid cell count with cell identification$56.18Outpatient
Bone marrow, smear interpretation$203Outpatient
Breath test analysis for helicobacter pylori$218Outpatient
BSS EYE SOLUTION$45.60Outpatient
budesonide 0.25 mg/2 mL Inh Susp [FRKS]$32.80Outpatient
budesonide 0.5 mg/2 mL Inh Susp [FRKS]$35.44Outpatient
C-peptide (protein) level$74.91Outpatient
Calcium level, ionized$56.18Outpatient
Calcium level, total$36.41Outpatient
Carbohydrate analysis, single qualitative$46.82Outpatient
Carbon dioxide (bicarbonate) level$26.01Outpatient
Carcinoembryonic antigen (CEA) protein level$102Outpatient
Cardiolipin antibody (tissue antibody) measurement$52.02Outpatient
Catecholamines (organic nitrogen) level$124Outpatient
Catecholamines (organic nitrogen) urine level$139Outpatient
Cell examination of body fluid, smears$98.84Outpatient
Cell examination of specimen, concentration technique$106Outpatient
Cell examination of specimen, selective cellular enhancement technique$88.43Outpatient
Ceruloplasmin (protein) level$74.91Outpatient
CETACAINE SPRAY$1,239Outpatient
Chemical analysis of stone$178Outpatient
Cholesterol level$36.41Outpatient
Cholinesterase (enzyme) level, to test for exposure to chemical or liver disease$52.02Outpatient
Chromosome analysis for genetic defects, analyze 100-300 cells$1,248Outpatient
Chromosome analysis for genetic defects, analyze 20-25 cells$1,066Outpatient
Chromosome analysis for genetic defects, count 15-20 cells$349Outpatient
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month$79.51Outpatient
Citrate level$130Outpatient
CLONIDINE 0.3 MG/DAY PATCH$52.12Outpatient
Closed treatment of broken collar bone$988Both
Closed treatment of broken end of finger or thumb$178Outpatient
Closed treatment of broken finger or hand at base of finger with manipulation$403Both
Closed treatment of broken finger or thumb at midportion or part near hand with manipulation$1,625Both
Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation$391Both
Closed treatment of broken hand bone$253Both
Closed treatment of broken nose bone with manipulation$242Outpatient
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation$765Outpatient
Closed treatment of broken toe with manipulation$185Outpatient
Closed treatment of dislocated forearm bone at wrist with manipulation$490Both
Closed treatment of dislocated forearm bone on thumb side at elbow with manipulation, child$1,300Both
Closed treatment of dislocated shoulder with manipulation$382Both
Closed treatment of dislocated shoulder with manipulation under anesthesia$531Outpatient
Closed treatment of inside portion of shin bone at ankle$398Outpatient
Closure of surgically created opening from stomach to skin$585Outpatient
Clotting factor II prothrombin, measurement$98.84Outpatient
Clotting factor V (AcG or proaccelerin) measurement$125Outpatient
Clotting factor VIII (AHG) measurement$156Outpatient
Clotting factor X assessment test, diluted$52.02Outpatient
Clozapine level$42.66Outpatient
Coagulation assessment blood test, plasma or whole blood$30.17Outpatient
Coagulation assessment blood test, substitution, plasma fractions$36.41Outpatient
Coagulation function measurement, D-dimer; quantitative$90.51Outpatient
collagenase Top 250 units/g Oint [FRKS]$768Outpatient
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK$1,379Outpatient
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK$1,535Outpatient
COLORECTAL CANCER SCREENING; FECAL OCCULT BLOOD TEST, IMMUNOASSAY, 1-3 SIMULTANEOUS$57.22Outpatient
Complete blood cell count (red cells, white blood cell, platelets), automated test$40.58Outpatient
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count$40.58Outpatient
Complete ultrasound of abdomen and pelvis artery and vein blood flow$712Outpatient
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts$712Outpatient
Complete ultrasound scan behind abdominal cavity$294Outpatient
Complete ultrasound scan of 1 breast$128Outpatient
Complete ultrasound scan of abdomen$304Outpatient
Complete ultrasound scan of joint$225Outpatient
Complete ultrasound scan of pelvis$239Outpatient
Complete ultrasound study of arm and leg arteries$712Outpatient
Complete X-ray of body bones$645Outpatient
Complex control of nose bleed$75.00Outpatient
Complex removal of cataract with insertion of prosthetic lens$3,225Outpatient
Complicated change of bladder tube$459Both
Complicated or multiple drainage of skin abscess$2,003Outpatient
Complicated removal of foreign body in deep muscle or tendon$333Both
Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm$417Outpatient
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm$382Both
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less$175Outpatient
COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, WHEN PERFORMED, AND IMAGE POSTPROCESSING$1,820Outpatient
Concentration of specimen for infectious agents$48.90Outpatient
Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria)$104Outpatient
Contrast injection for imaging to evaluate central venous access device$459Outpatient
Copper level$87.39Outpatient
Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin$1,071Outpatient
Cortisol (hormone) measurement, free$104Outpatient
Cortisol (hormone) measurement, total$114Outpatient
COVID-19 - RL$207Outpatient
Creatine kinase (cardiac enzyme) level, MB fraction only$114Outpatient
Creatine kinase (cardiac enzyme) level, total$46.82Outpatient
Creatinine clearance measurement to test for kidney function$114Outpatient
Creatinine level to test for kidney function or muscle injury$28.09Outpatient
Critical care, each additional 30 minutes$135Outpatient
Critical care, first 30-74 minutes$286Outpatient
Crystal identification from tissue or body fluid$38.49Outpatient
CT scan head or brain with contrast$702Outpatient
CT scan head or brain without contrast$706Outpatient
CT scan of abdomen and pelvis before and after contrast$910Outpatient
CT scan of abdomen and pelvis with contrast$838Outpatient
CT scan of abdomen and pelvis without contrast$733Outpatient
CT scan of abdomen before and after contrast$664Outpatient
CT scan of abdomen with contrast$635Outpatient
CT scan of abdomen without contrast$586Outpatient
CT scan of abdominal aorta and both leg arteries with contrast$1,850Outpatient
CT scan of arm before and after contrast$630Outpatient
CT scan of arm with contrast$625Outpatient
CT scan of arm without contrast$630Outpatient
CT scan of blood vessels of abdomen and pelvis with contrast$2,424Outpatient
CT scan of blood vessels of abdomen with contrast$1,833Outpatient
CT scan of blood vessels of arm with contrast$1,004Outpatient
CT scan of blood vessels of chest with contrast$1,767Outpatient
CT scan of blood vessels of head with contrast$1,792Outpatient
CT scan of blood vessels of neck with contrast$1,792Outpatient
CT scan of chest before and after contrast$737Outpatient
CT scan of chest with contrast$716Outpatient

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