Fairfield Hospital District prices. From its own published file.

Fairfield Hospital District in Fairfield, TX 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.

1,015prices published

Apr 2026file last updated

$5,155cash price for ct abdomen and pelvis with contrast (list $7,365)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$543	$775	$80.63–$672
Emergency visit, high (level 4) `99284`	$884	$1,263	$131–$2,800
Emergency visit, highest (level 5) `99285`	$1,321	$1,887	$196–$4,000
Comprehensive metabolic panel `80053`	$62.65	$89.50	$8.98–$71.60
Basic metabolic panel `80048`	$50.40	$72.00	$7.19–$57.60
Complete blood count (CBC) `85025`	$47.95	$68.50	$6.61–$54.80
Blood draw (venipuncture) `36415`	$13.30	$19.01	$1.80–$15.22
Urinalysis `81001`	$19.78	$28.25	$2.69–$22.60
Troponin (heart test) `84484`	$95.20	$136	$8.36–$109
EKG tracing `93005`	$421	$620	$5.33–$496
Chest X-ray, 2 views `71046`	$399	$570	$28.35–$456
CT head without contrast `70450`	$2,632	$3,760	$91.50–$1,880
CT abdomen and pelvis with contrast `74177`	$5,155	$7,365	$262–$3,682
MRI lower back without contrast `72148`	$4,134	$5,905	$166–$2,953
Ultrasound, abdomen `76700`	$1,205	$1,722	$97.95–$1,377
IV push, single drug `96374`	$421	$620	$39.64–$521
IV fluids, first hour `96360`	$421	$620	$38.56–$521
Ketorolac injection, 15 mg `J1885`	$5.87	$11.82	$0.18–$13.42
Ondansetron injection `J2405`	$2.93	$4.19	$0.59–$3.69

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: Fairfield Hospital District price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.