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 |
|---|---|---|---|---|
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $3,330.88 | $4,698.00 | $172.77 – $397.70 | 20 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,204.59 | $1,699.00 | $191.74 – $441.35 | 20 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $135.81 | $270.00 | $75.85 – $174.60 | 20 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $103.72 | $177.00 | $74.59 – $171.69 | 20 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $100.10 | $199.00 | $83.86 – $193.03 | 20 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $105.45 | $164.00 | $69.11 – $159.08 | 20 |
| Inject sacroiliac joint CPT 27096 | $1,464.79 | $2,066.00 | $160.13 – $368.60 | 20 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $226.20 | $386.00 | $162.66 – $374.42 | 20 |
| Inj for mammo ductogram CPT 19030 | $231.13 | $326.00 | $67.85 – $156.17 | 20 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $999.69 | $1,410.00 | $57.31 – $131.92 | 20 |
| Inj proc elbow arthro CPT 24220 | $256.66 | $362.00 | $59.42 – $136.77 | 20 |
| Inj proc myelogram lumbar CPT 62284 | $455.89 | $643.00 | $76.27 – $175.57 | 20 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $4.06 | $5.80 | $0.21 – $0.49 | 20 |
| Inj retro urethrocysto CPT 51610 | $214.12 | $302.00 | $56.47 – $129.98 | 20 |
| Inj w/fluor eval cv device CPT 36598 | $606.90 | $856.00 | $32.87 – $75.66 | 20 |
| Ins cerv dilator (sep proc) CPT 59200 | $357.29 | $511.00 | $215.34 – $495.67 | 20 |
| Insert cath pleura without image CPT 32556 | $197.63 | $386.00 | $108.30 – $249.29 | 20 |
| Insertion catheter bladder non indwelling CPT 51701 | $166.61 | $235.00 | $99.03 – $227.95 | 20 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,138.19 | $3,945.00 | $164.77 – $379.27 | 20 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,404.53 | $1,981.00 | $83.44 – $192.06 | 20 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,936.99 | $2,732.00 | $74.59 – $171.69 | 20 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $131.82 | $214.00 | $90.18 – $207.58 | 20 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $211.90 | $344.00 | $144.96 – $333.68 | 20 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $1,363.41 | $1,923.00 | $80.07 – $184.30 | 20 |
| Insulin total CPT 83525 | $35.11 | $57.00 | $24.02 – $55.29 | 20 |
| Intrinsic factor antibody CPT 86340 | $43.60 | $59.00 | $24.86 – $57.23 | 20 |
| Intro long gi tube CPT 44500 | $974.17 | $1,374.00 | $17.28 – $39.77 | 20 |
| Intro long gi tube w/mult fluo CPT 74340 | $306.77 | $462.00 | $23.60 – $54.32 | 20 |
| Intubation endotracheal emergency procedure CPT 31500 | $385.59 | $658.00 | $277.28 – $638.26 | 20 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $1.20 | $4.02 | $1.69 – $3.90 | 20 |
| Iron CPT 83540 | $128.13 | $208.00 | $8.43 – $19.40 | 20 |
| Iron binding capacity CPT 83550 | $16.63 | $27.00 | $11.38 – $26.19 | 20 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $163.32 | $254.00 | $107.04 – $246.38 | 20 |
| IV Fluids (each additional hour) CPT 96361 | $62.59 | $114.00 | $48.04 – $110.58 | 20 |
| IV Fluids (first hour) CPT 96360 | $232.78 | $424.00 | $178.67 – $411.28 | 20 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $138.90 | $253.00 | $106.61 – $245.41 | 20 |
| IV inj ra drug dx study CPT 78808 | $305.66 | $527.00 | $34.98 – $80.51 | 20 |
| IV Medicine Infusion (additional drug) CPT 96367 | $73.02 | $133.00 | $56.05 – $129.01 | 20 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $66.98 | $122.00 | $51.41 – $118.34 | 20 |
| IV Medicine Infusion (first hour) CPT 96365 | $247.05 | $450.00 | $189.63 – $436.50 | 20 |
| IV Push Injection (each additional drug) CPT 96375 | $142.75 | $222.00 | $93.55 – $215.34 | 20 |
| IV Push Injection (first drug) CPT 96374 | $205.76 | $320.00 | $134.85 – $310.40 | 20 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,023.89 | $1,542.00 | $21.07 – $48.50 | 20 |
| Jak2 targeted sequence analysis CPT 81279 | $351.39 | $556.00 | $234.30 – $539.32 | 20 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $258.96 | $390.00 | $10.96 – $25.22 | 20 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $330.01 | $497.00 | $10.96 – $25.22 | 20 |
| John cunningham antibody CPT 86711 | $37.69 | $51.00 | $21.49 – $49.47 | 20 |
| Ketamine and metabolite screen - quest CPT 80357 | $89.32 | $145.00 | $61.10 – $140.65 | 20 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $37.58 | $61.00 | $25.28 – $58.20 | 20 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $607.26 | $1,047.00 | $40.45 – $93.12 | 20 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $800.03 | $1,027.00 | $32.03 – $73.72 | 20 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $262.52 | $337.00 | $25.28 – $58.20 | 20 |
| Kit lead specify 5-6-5 HCPCS C1778 | $16,405.24 | $30,664.00 | $2,928.73 – $6,741.50 | 20 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,441.83 | $2,695.00 | $680.14 – $1,565.58 | 20 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $3,266.18 | $6,105.00 | $1,135.67 – $2,614.15 | 20 |
| Knee MRI (with and without contrast) CPT 73723 | $2,624.22 | $3,585.00 | $92.71 – $213.40 | 20 |
| Knee MRI (with contrast) CPT 73722 | $2,187.22 | $2,988.00 | $70.80 – $162.96 | 20 |
| Knee MRI (without contrast) CPT 73721 | $1,749.48 | $2,390.00 | $58.57 – $134.83 | 20 |
| Knee X-ray CPT 73564 | $388.44 | $585.00 | $10.11 – $23.28 | 20 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $209.16 | $315.00 | $7.59 – $17.46 | 20 |
| Knee X-ray (3 views, both knees) CPT 73562 | $254.98 | $384.00 | $8.43 – $19.40 | 20 |
| Knee X-ray (standing, both knees) CPT 73565 | $349.26 | $526.00 | $8.01 – $18.43 | 20 |
| Kras gene addl variants CPT 81276 | $366.56 | $580.00 | $244.41 – $562.60 | 20 |
| Kras gene variants exon 2 CPT 81275 | $366.56 | $580.00 | $244.41 – $562.60 | 20 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $50.40 | $86.00 | $36.24 – $83.42 | 20 |
| Lactate dehydrogenase (ldh) CPT 83615 | $35.11 | $57.00 | $8.01 – $18.43 | 20 |
| Lactated ringers intravenous solution HCPCS J7120 | $1.54 | $5.15 | $2.17 – $5.00 | 20 |
| Lactic acid CPT 83605 | $79.46 | $129.00 | $14.75 – $33.95 | 20 |
| Lactoferrin fecal qualitative CPT 83630 | $60.37 | $98.00 | $30.76 – $70.81 | 20 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $867.82 | $1,224.00 | $88.49 – $203.70 | 20 |
| Lead capillary CPT 83655 | $48.66 | $79.00 | $15.59 – $35.89 | 20 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $16,405.24 | $30,664.00 | $1,135.67 – $2,614.15 | 20 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $10,546.99 | $19,714.00 | $1,135.67 – $2,614.15 | 20 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $889.82 | $1,488.00 | $34.13 – $78.57 | 20 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,221.20 | $2,049.00 | $50.15 – $115.43 | 20 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $976.84 | $1,639.00 | $43.40 – $99.91 | 20 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,026.17 | $1,716.00 | $29.92 – $68.87 | 20 |
| Lens, intraocular (new tech) HCPCS C1780 | $2,045.94 | $3,853.00 | $595.44 – $1,370.61 | 20 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $3,690.45 | $6,950.00 | $250.31 – $576.18 | 20 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $3,690.45 | $6,950.00 | $250.31 – $576.18 | 20 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $2,593.94 | $4,885.00 | $250.31 – $576.18 | 20 |
| Levetiracetam therapeutic drug level CPT 80177 | $38.81 | $63.00 | $26.55 – $61.11 | 20 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $1.06 | $3.54 | $1.49 – $3.43 | 20 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $2,628,607.60 | $3,759,504.00 | $1,584,254.99 – $3,646,718.88 | 20 |
| Lipase CPT 83690 | $35.73 | $58.00 | $8.85 – $20.37 | 20 |
| Lipoprotein blood high res frac & quant CPT 83701 | $62.83 | $102.00 | $42.98 – $98.94 | 20 |
| Lipoprotein blood quant CPT 83704 | $63.45 | $103.00 | $43.40 – $99.91 | 20 |
| Lipoprotein direct measurement hdl CPT 83718 | $39.42 | $64.00 | $26.97 – $62.08 | 20 |
| Lipoprotein direct measurement ldl CPT 83721 | $57.90 | $94.00 | $13.48 – $31.04 | 20 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $63.45 | $103.00 | $43.40 – $99.91 | 20 |
| Lithium therapeutic drug level CPT 80178 | $32.03 | $52.00 | $21.91 – $50.44 | 20 |
| Liver elastography 91200 CPT 91200 | $257.20 | $297.00 | $12.22 – $28.13 | 20 |
| Liver Function Test CPT 80076 | $66.53 | $108.00 | $45.51 – $104.76 | 20 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $397.30 | $685.00 | $23.60 – $54.32 | 20 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $1.57 | $2.24 | $0.94 – $2.17 | 20 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $327.20 | $549.00 | $45.93 – $105.73 | 20 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,794.64 | $4,689.00 | $54.78 – $126.10 | 20 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,329.17 | $3,908.00 | $52.67 – $121.25 | 20 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,863.10 | $3,126.00 | $43.40 – $99.91 | 20 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,585.84 | $2,604.00 | $99.03 – $227.95 | 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.