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 |
|---|---|---|---|---|
| Hla ii typing 1 loc hr CPT 81382 | $235.10 | $372.00 | $156.76 – $360.84 | 20 |
| Hla i low res one antigen equiv ea CPT 81374 | $140.94 | $223.00 | $93.97 – $216.31 | 20 |
| Hla i typing low res one locus ea CPT 81373 | $242.06 | $383.00 | $161.40 – $371.51 | 20 |
| Hla typing dr/dq CPT 86816 | $67.25 | $91.00 | $38.35 – $88.27 | 20 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $0.48 | $1.60 | $0.67 – $1.55 | 20 |
| Homocysteine CPT 83090 | $35.73 | $58.00 | $24.44 – $56.26 | 20 |
| Homogenization tissue CPT 87176 | $34.74 | $52.00 | $21.91 – $50.44 | 20 |
| Homovanillic acid (hva) CPT 83150 | $41.89 | $68.00 | $28.66 – $65.96 | 20 |
| H pylori (c-13) breath CPT 83013 | $125.05 | $203.00 | $85.54 – $196.91 | 20 |
| Hrdtry perph neurphy panel CPT 81448 | $1,109.16 | $1,755.00 | $739.56 – $1,702.35 | 20 |
| Htt gene detc abnor alleles CPT 81271 | $259.75 | $411.00 | $173.20 – $398.67 | 20 |
| Human epididymis protein 4 (he4) CPT 86305 | $71.68 | $97.00 | $40.88 – $94.09 | 20 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $22.07 | $73.80 | $31.10 – $71.59 | 20 |
| Hysterosalpingography s&i CPT 74740 | $351.26 | $529.00 | $16.43 – $37.83 | 20 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $143.02 | $242.00 | $101.98 – $234.74 | 20 |
| I131 iodide cap, rx HCPCS A9517 | $34.96 | $50.00 | $21.07 – $48.50 | 20 |
| Iaadi respiratory synctial virus CPT 87280 | $40.08 | $60.00 | $25.28 – $58.20 | 20 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $70.81 | $106.00 | $44.67 – $102.82 | 20 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $100.50 | $136.00 | $57.31 – $131.92 | 20 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $91,876.36 | $131,404.00 | $18,457.32 – $42,486.00 | 20 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $65,614.54 | $122,644.00 | $25,840.25 – $59,480.40 | 20 |
| Icd crtp serena MRI HCPCS C2621 | $30,627.32 | $43,804.00 | $2,572.65 – $5,921.85 | 20 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $17,576.89 | $32,854.00 | $1,135.67 – $2,614.15 | 20 |
| Ifnl3 gene CPT 81283 | $139.67 | $221.00 | $93.13 – $214.37 | 20 |
| Igh gene rearrange amp meth CPT 81261 | $375.41 | $594.00 | $250.31 – $576.18 | 20 |
| Igh@ var region somatic mutation analy CPT 81263 | $558.69 | $884.00 | $372.52 – $857.48 | 20 |
| Igk rearrangeabn clonal pop CPT 81264 | $328.01 | $519.00 | $218.71 – $503.43 | 20 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $84.39 | $137.00 | $57.73 – $132.89 | 20 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $442.29 | $718.00 | $302.57 – $696.46 | 20 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $211.90 | $344.00 | $144.96 – $333.68 | 20 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $14.98 | $31.54 | $13.29 – $30.59 | 20 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $46.56 | $63.00 | $26.55 – $61.11 | 20 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $46.56 | $63.00 | $26.55 – $61.11 | 20 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $41.38 | $56.00 | $23.60 – $54.32 | 20 |
| Immunodiffusion nes CPT 86329 | $40.64 | $55.00 | $23.18 – $53.35 | 20 |
| Immunofixation electrophoresis serum CPT 86334 | $104.94 | $142.00 | $28.66 – $65.96 | 20 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $116.42 | $189.00 | $79.64 – $183.33 | 20 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $211.90 | $344.00 | $144.96 – $333.68 | 20 |
| Immunoglobulin assay CPT 86023 | $174.40 | $236.00 | $95.94 – $228.92 | 20 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $51,554.74 | $96,364.00 | $67.00 – $154.23 | 20 |
| Implant ureth bulk agent HCPCS L8606 | $1,646.73 | $3,078.00 | $69.95 – $161.02 | 20 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $272.63 | $542.00 | $228.40 – $525.74 | 20 |
| Infect ag drug suscept pheno predict CPT 87900 | $261.86 | $392.00 | $165.19 – $380.24 | 20 |
| Infect ag eia influenza a or b ea CPT 87400 | $28.72 | $43.00 | $18.12 – $41.71 | 20 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $516.36 | $773.00 | $325.74 – $749.81 | 20 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $258.52 | $387.00 | $163.08 – $375.39 | 20 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $516.36 | $773.00 | $325.74 – $749.81 | 20 |
| Infect ag ia optc obs influenza CPT 87804 | $33.40 | $50.00 | $21.07 – $48.50 | 20 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $40.08 | $60.00 | $25.28 – $58.20 | 20 |
| Infect ag if influenza a CPT 87276 | $40.08 | $60.00 | $25.28 – $58.20 | 20 |
| Infect ag if influenza b CPT 87275 | $40.08 | $60.00 | $25.28 – $58.20 | 20 |
| Infect ag if pneumocystis carinii CPT 87281 | $50.77 | $76.00 | $32.03 – $73.72 | 20 |
| Infect ag if varicella zoster CPT 87290 | $40.08 | $60.00 | $25.28 – $58.20 | 20 |
| Infect ag na hep b amp CPT 87516 | $90.18 | $135.00 | $56.89 – $130.95 | 20 |
| Infect ag na hpv high-risk types CPT 87624 | $70.81 | $106.00 | $44.67 – $102.82 | 20 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $192.38 | $288.00 | $121.36 – $279.36 | 20 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $102.87 | $154.00 | $64.90 – $149.38 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $40.08 | $60.00 | $25.28 – $58.20 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $28.06 | $42.00 | $17.70 – $40.74 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $44.09 | $66.00 | $15.17 – $34.92 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $50.10 | $75.00 | $18.54 – $42.68 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $154.31 | $231.00 | $18.96 – $43.65 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $56.78 | $85.00 | $24.44 – $56.26 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $58.12 | $87.00 | $36.66 – $84.39 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $104.88 | $157.00 | $15.17 – $34.92 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $24.05 | $36.00 | $15.17 – $34.92 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $42.75 | $64.00 | $26.97 – $62.08 | 20 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $281.23 | $421.00 | $44.67 – $102.82 | 20 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $76.82 | $115.00 | $44.67 – $102.82 | 20 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $74.82 | $112.00 | $47.20 – $108.64 | 20 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $835.67 | $1,251.00 | $527.17 – $1,213.47 | 20 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $70.81 | $106.00 | $44.67 – $102.82 | 20 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $70.81 | $106.00 | $44.67 – $102.82 | 20 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $84.17 | $126.00 | $53.10 – $122.22 | 20 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $70.81 | $106.00 | $44.67 – $102.82 | 20 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $102.87 | $154.00 | $64.90 – $149.38 | 20 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $64.13 | $96.00 | $40.45 – $93.12 | 20 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $70.81 | $106.00 | $44.67 – $102.82 | 20 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $74.15 | $111.00 | $44.67 – $102.82 | 20 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $835.67 | $1,251.00 | $527.17 – $1,213.47 | 20 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $257.18 | $385.00 | $162.24 – $373.45 | 20 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $527.05 | $789.00 | $332.48 – $765.33 | 20 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $183.70 | $275.00 | $54.36 – $125.13 | 20 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $86.17 | $129.00 | $54.36 – $125.13 | 20 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $98.20 | $147.00 | $54.36 – $125.13 | 20 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $171.01 | $256.00 | $107.88 – $248.32 | 20 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $285.90 | $428.00 | $180.36 – $415.16 | 20 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $174.41 | $246.00 | $36.24 – $83.42 | 20 |
| Inj, durolane 1 mg HCPCS J7318 | $7.70 | $16.21 | $6.83 – $15.72 | 20 |
| Inj dx for sinogram CPT 20501 | $173.00 | $244.00 | $33.71 – $77.60 | 20 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $265.88 | $375.00 | $61.10 – $140.65 | 20 |
| Injection epidural blood patch or clot CPT 62273 | $682.77 | $963.00 | $218.29 – $502.46 | 20 |
| Injection for arthrography wrist (both sides) CPT 25246 | $343.86 | $485.00 | $65.32 – $150.35 | 20 |
| Injection for bladder x-ray CPT 51600 | $258.08 | $364.00 | $39.19 – $90.21 | 20 |
| Injection for hip x-ray CPT 27095 | $274.38 | $387.00 | $74.17 – $170.72 | 20 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $411.93 | $581.00 | $45.09 – $103.79 | 20 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $213.89 | $365.00 | $102.40 – $235.71 | 20 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $172.28 | $294.00 | $82.59 – $190.12 | 20 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,706.96 | $3,818.00 | $214.91 – $494.70 | 20 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,905.08 | $2,687.00 | $99.87 – $229.89 | 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.