East Morgan County Hospital
2400 Edison Street, Brush, CO · Banner Health · · NPI 1699708743
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $54.21 | $88.00 | $37.08 – $85.36 | 20 |
| 17-hydroxypregnenolone CPT 84143 | $42.50 | $69.00 | $29.08 – $66.93 | 20 |
| 17-ketosteroids CPT 83586 | $49.28 | $80.00 | $33.71 – $77.60 | 20 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $738.61 | $1,178.00 | $496.41 – $1,142.66 | 20 |
| 3d recon without postprocess indpndt CPT 76376 | $314.82 | $495.00 | $8.85 – $20.37 | 20 |
| 5' nucleotidase - sendout CPT 83915 | $60.98 | $99.00 | $41.72 – $96.03 | 20 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $42.38 | $65.00 | $27.39 – $63.05 | 20 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $52.47 | $71.00 | $29.92 – $68.87 | 20 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $806.70 | $1,349.00 | $49.73 – $114.46 | 20 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $476.01 | $796.00 | $34.55 – $79.54 | 20 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,218.82 | $2,045.00 | $60.68 – $139.68 | 20 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,015.58 | $1,704.00 | $55.20 – $127.07 | 20 |
| Abdominal CT scan (without contrast) CPT 74150 | $812.35 | $1,363.00 | $51.41 – $118.34 | 20 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,496.03 | $4,776.00 | $94.39 – $217.28 | 20 |
| Abdominal MRI (with contrast) CPT 74182 | $2,913.36 | $3,980.00 | $75.01 – $172.66 | 20 |
| Abdominal MRI (without contrast) CPT 74181 | $2,330.69 | $3,184.00 | $63.63 – $146.47 | 20 |
| Abdominal paracentesis w/image guidance CPT 49083 | $879.87 | $1,241.00 | $94.81 – $218.25 | 20 |
| Abdominal Ultrasound (complete) CPT 76700 | $930.91 | $1,195.00 | $35.40 – $81.48 | 20 |
| Abdominal Ultrasound (limited) CPT 76705 | $694.09 | $891.00 | $25.28 – $58.20 | 20 |
| Abdominal X-ray (2 views) CPT 74019 | $270.25 | $407.00 | $10.11 – $23.28 | 20 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $327.35 | $493.00 | $13.91 – $32.01 | 20 |
| Abdominal X-ray (single view) CPT 74018 | $149.40 | $225.00 | $8.01 – $18.43 | 20 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $77.97 | $155.00 | $65.32 – $150.35 | 20 |
| Abl1 gene CPT 81170 | $568.80 | $900.00 | $379.26 – $873.00 | 20 |
| Ablate inf turbinate superf 30801 CPT 30801 | $148.89 | $296.00 | $124.73 – $287.12 | 20 |
| Acetylcholine receptor modulating antibody CPT 86043 | $57.64 | $78.00 | $32.87 – $75.66 | 20 |
| Acute hepatitis panel CPT 80074 | $154.62 | $251.00 | $105.77 – $243.47 | 20 |
| Acyclovir 400 mg tablet HCPCS J8499 | $45.06 | $324.20 | $5.73 – $13.19 | 20 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $0.15 | $0.50 | $0.21 – $0.49 | 20 |
| #acylcarnitineprfl CPT 82017 | $70.84 | $115.00 | $48.46 – $111.55 | 20 |
| Acylcarnitines qual CPT 82016 | $30.80 | $50.00 | $21.07 – $48.50 | 20 |
| Adapter b 8 channel 10cm HCPCS C1883 | $3,965.96 | $7,413.00 | $474.50 – $1,092.22 | 20 |
| Adding walker to prev cast CPT 29440 | $45.27 | $90.00 | $25.28 – $58.20 | 20 |
| Adenovirus antibody,serum - quest CPT 86603 | $45.08 | $61.00 | $25.71 – $59.17 | 20 |
| Adh-sendout CPT 84588 | $62.83 | $102.00 | $42.98 – $98.94 | 20 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $49.19 | $88.00 | $37.08 – $85.36 | 20 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $111.80 | $200.00 | $84.28 – $194.00 | 20 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $227.51 | $407.00 | $171.51 – $394.79 | 20 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $362.85 | $391.00 | $164.77 – $379.27 | 20 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $171.68 | $185.00 | $77.96 – $179.45 | 20 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $459.36 | $495.00 | $208.59 – $480.15 | 20 |
| Administration immunization each additional vaccine CPT 90472 | $23.10 | $60.00 | $25.28 – $58.20 | 20 |
| Administration vaccine hepatitis b HCPCS G0010 | $41.58 | $108.00 | $45.51 – $104.76 | 20 |
| Administration vaccine influenza virus HCPCS G0008 | $41.58 | $108.00 | $45.51 – $104.76 | 20 |
| Administration vaccine pneumococcal HCPCS G0009 | $41.58 | $108.00 | $45.51 – $104.76 | 20 |
| Aep hearing status deter i&r CPT 92651 | $245.42 | $351.00 | $147.91 – $340.47 | 20 |
| _afb id by dna probe rflx ast CPT 87149 | $48.76 | $73.00 | $30.76 – $70.81 | 20 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $231.80 | $347.00 | $146.23 – $336.59 | 20 |
| Albumin body fluid quantitative each specimen CPT 82042 | $35.73 | $58.00 | $10.11 – $23.28 | 20 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $41.89 | $68.00 | $23.60 – $54.32 | 20 |
| Albumin serum plasma or whole blood CPT 82040 | $38.81 | $63.00 | $16.43 – $37.83 | 20 |
| Alkaline phosphatase CPT 84075 | $35.11 | $57.00 | $20.65 – $47.53 | 20 |
| Allergen alpha lactalbumin ige CPT 86008 | $59.12 | $80.00 | $26.97 – $62.08 | 20 |
| Allergen egg white ige CPT 86003 | $41.38 | $56.00 | $23.18 – $53.35 | 20 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $43.60 | $59.00 | $23.60 – $54.32 | 20 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $2,061.36 | $3,853.00 | $1,135.67 – $2,614.15 | 20 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $119.50 | $194.00 | $81.75 – $188.18 | 20 |
| Alpha-fetoprotein tumor marker CPT 82105 | $31.42 | $51.00 | $21.49 – $49.47 | 20 |
| Alt/sgpt CPT 84460 | $36.34 | $59.00 | $21.07 – $48.50 | 20 |
| Aluminum - quest CPT 82108 | $47.43 | $77.00 | $32.45 – $74.69 | 20 |
| Amantadine (symmetrel)-sendout CPT 80375 | $199.58 | $324.00 | $61.95 – $142.59 | 20 |
| Aminolevulinic acid delta CPT 82135 | $46.20 | $75.00 | $31.61 – $72.75 | 20 |
| Amitriptyline (elavil) -sendout CPT 80335 | $41.89 | $68.00 | $26.13 – $60.14 | 20 |
| Ammonia CPT 82140 | $70.84 | $115.00 | $18.54 – $42.68 | 20 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $757.21 | $1,068.00 | $71.22 – $163.93 | 20 |
| Amniocentesis therapeutic CPT 59001 | $991.18 | $1,398.00 | $589.12 – $1,356.06 | 20 |
| Amphetamine confirm urine -sendout CPT 80324 | $51.13 | $83.00 | $23.60 – $54.32 | 20 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $0.39 | $1.29 | $0.54 – $1.25 | 20 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $410.95 | $817.00 | $344.28 – $792.49 | 20 |
| Amylase CPT 82150 | $210.06 | $341.00 | $8.43 – $19.40 | 20 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $94.86 | $154.00 | $56.89 – $130.95 | 20 |
| Analysis gene f2 20210g>a variant CPT 81240 | $125.14 | $198.00 | $83.44 – $192.06 | 20 |
| Analysis gene f5 leiden variant CPT 81241 | $139.67 | $221.00 | $93.13 – $214.37 | 20 |
| Anca screen with reflex to titer -quest CPT 86021 | $40.64 | $55.00 | $22.76 – $52.38 | 20 |
| An cholangiogram percutaneous compl CPT 47531 | $795.50 | $1,122.00 | $62.37 – $143.56 | 20 |
| An fluoro guide for cvp CPT 77001 | $441.56 | $665.00 | $16.43 – $37.83 | 20 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $3,676.69 | $5,258.50 | $0.09 – $0.21 | 20 |
| Ankle X-ray CPT 73610 | $312.74 | $471.00 | $8.01 – $18.43 | 20 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $175.96 | $265.00 | $7.59 – $17.46 | 20 |
| Anodyne therapy charges pt CPT 97026 | $30.58 | $44.00 | $18.54 – $42.68 | 20 |
| Anoscopy remove fb 46608 CPT 46608 | $89.03 | $177.00 | $74.59 – $171.69 | 20 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $113.07 | $153.00 | $64.47 – $148.41 | 20 |
| Antibody elution rbc reference CPT 86860 | $254.22 | $344.00 | $144.96 – $333.68 | 20 |
| Antibody htlv/hiv confirm test CPT 86689 | $371.72 | $503.00 | $149.00 – $457.84 | 20 |
| Antibody htlv-i CPT 86687 | $20.69 | $28.00 | $11.80 – $27.16 | 20 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $176.62 | $239.00 | $61.10 – $140.65 | 20 |
| Antibody id rbc panel CPT 86870 | $632.56 | $718.00 | $302.57 – $696.46 | 20 |
| Antibody influenza virus CPT 86710 | $50.25 | $68.00 | $28.66 – $65.96 | 20 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $45.82 | $62.00 | $26.13 – $60.14 | 20 |
| Antibody screen rbc CPT 86850 | $103.08 | $117.00 | $45.51 – $104.76 | 20 |
| Antibody tetanus CPT 86774 | $46.56 | $63.00 | $26.55 – $61.11 | 20 |
| Anti mog serum - sendout CPT 86362 | $618.54 | $837.00 | $36.24 – $83.42 | 20 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $39.91 | $54.00 | $22.76 – $52.38 | 20 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $45.82 | $62.00 | $26.13 – $60.14 | 20 |
| Antinuclear antibodies CPT 86038 | $39.17 | $53.00 | $22.33 – $51.41 | 20 |
| Antinuclear antibodies titer CPT 86039 | $84.98 | $115.00 | $24.86 – $57.23 | 20 |
| Antiphosphatidylserine antibody CPT 86148 | $42.12 | $57.00 | $24.02 – $55.29 | 20 |
| Antistreptolysin o titer CPT 86060 | $42.12 | $57.00 | $24.02 – $55.29 | 20 |
| Antithrombin iii activity CPT 85300 | $39.25 | $63.00 | $23.60 – $54.32 | 20 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $299.14 | $384.00 | $24.02 – $55.29 | 20 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.