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Jefferson County Health Center prices. From its own published file.

Jefferson County Health Center in Fairfield, IA publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

3,346prices published
Aug 2026file last updated
$1,502cash price for ct abdomen and pelvis with contrast (list $3,309)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$180$416$62.71–$1,000
Emergency visit, high (level 4)
99284
$290$720$75.00–$1,000
Emergency visit, highest (level 5)
99285
$501$1,255$75.00–$1,393
Comprehensive metabolic panel
80053
$30.00$50.00$5.28–$167
Basic metabolic panel
80048
$72.00$120$10.15–$120
Complete blood count (CBC)
85025
$55.80$93.00$7.23–$93.00
Blood draw (venipuncture)
36415
$8.40$28.00$1.80–$73.00
Urinalysis
81001
$34.80$58.00$1.84–$58.00
Troponin (heart test)
84484
$62.40$131$12.97–$157
EKG tracing
93005
$18.00$110$4.99–$195
Chest X-ray, 2 views
71046
$48.60$143$8.15–$267
CT head without contrast
70450
$1,031$1,718$584–$1,718
CT abdomen and pelvis with contrast
74177
$1,502$3,309$67.86–$3,309
MRI lower back without contrast
72148
$1,310$2,184$743–$2,184
Ultrasound, abdomen
76700
$470$784$267–$784
IV push, single drug
96374
$90.00$243$32.73–$243
IV fluids, first hour
96360
$91.20$339$29.94–$570
Ketorolac injection, 15 mg
J1885
$13.11$21.85$7.43–$27.10
Ondansetron injection
J2405
$13.11$27.71$7.43–$33.58
Colonoscopy, diagnostic
45378
$1,114$1,857$75.00–$1,857
Upper GI endoscopy with biopsy
43239
$680$1,133$75.00–$1,133
Knee arthroscopy
29881
$890$1,944$75.00–$2,404

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Jefferson County Health Center price transparency page.

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