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 |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,321.53 | $2,170.00 | $77.12 – $177.51 | 20 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,057.22 | $1,736.00 | $64.47 – $148.41 | 20 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $249.00 | $375.00 | $10.11 – $23.28 | 20 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $557.10 | $839.00 | $11.38 – $26.19 | 20 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $565.73 | $852.00 | $13.48 – $31.04 | 20 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $176.62 | $266.00 | $7.16 – $16.49 | 20 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $369.81 | $587.00 | $247.36 – $569.39 | 20 |
| Lung function test (mbc/mvv) CPT 94200 | $110.25 | $175.00 | $73.75 – $169.75 | 20 |
| Lung Function Test (Spirometry) CPT 94010 | $290.43 | $461.00 | $194.27 – $447.17 | 20 |
| Lung perfusion imaging CPT 78580 | $667.58 | $1,151.00 | $31.61 – $72.75 | 20 |
| Lymphatics/lymph node imaging CPT 78195 | $983.10 | $1,695.00 | $50.57 – $116.40 | 20 |
| Lymphocyte transformation mitogen CPT 86353 | $109.37 | $148.00 | $62.37 – $143.56 | 20 |
| Macroscopic exam arthropod CPT 87168 | $8.68 | $13.00 | $5.48 – $12.61 | 20 |
| Macroscopic exam parasite CPT 87169 | $38.74 | $58.00 | $24.44 – $56.26 | 20 |
| Magnesium CPT 83735 | $54.21 | $88.00 | $8.85 – $20.37 | 20 |
| Mammosite ced HCPCS C1728 | $7,433.83 | $13,895.00 | $5,855.35 – $13,478.15 | 20 |
| Marker biop eviva buckle ss HCPCS A4648 | $605.62 | $1,132.00 | $131.90 – $303.61 | 20 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $18.08 | $33.80 | $14.24 – $32.79 | 20 |
| M.avium-intra dna amp prob CPT 87561 | $180.36 | $270.00 | $113.78 – $261.90 | 20 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $38.81 | $63.00 | $26.55 – $61.11 | 20 |
| Mayo aathr protein s free CPT 85306 | $41.12 | $66.00 | $25.28 – $58.20 | 20 |
| Mayo activated protein c resistance assay CPT 85307 | $41.12 | $66.00 | $27.81 – $64.02 | 20 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $184.80 | $300.00 | $126.42 – $291.00 | 20 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $97.33 | $158.00 | $46.35 – $106.70 | 20 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $82.54 | $134.00 | $25.71 – $59.17 | 20 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $35.11 | $57.00 | $24.02 – $55.29 | 20 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $74.54 | $121.00 | $50.99 – $117.37 | 20 |
| Mayo alpha 1 antitrypsin CPT 82103 | $36.34 | $59.00 | $17.28 – $39.77 | 20 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $38.19 | $62.00 | $24.86 – $57.23 | 20 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $43.12 | $70.00 | $23.60 – $54.32 | 20 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $230.68 | $365.00 | $153.81 – $354.05 | 20 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $173.80 | $275.00 | $115.89 – $266.75 | 20 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $331.80 | $525.00 | $221.24 – $509.25 | 20 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,199.36 | $3,480.00 | $1,466.47 – $3,375.60 | 20 |
| Mayo androstenedione CPT 82157 | $54.21 | $88.00 | $37.08 – $85.36 | 20 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $37.58 | $61.00 | $25.71 – $59.17 | 20 |
| Mayo antithrombin iii antigen CPT 85301 | $42.99 | $69.00 | $29.08 – $66.93 | 20 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $40.64 | $55.00 | $23.18 – $53.35 | 20 |
| Mayo avwpr vw factor activity CPT 85397 | $102.17 | $164.00 | $69.11 – $159.08 | 20 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $97.33 | $158.00 | $23.60 – $54.32 | 20 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $45.82 | $62.00 | $26.13 – $60.14 | 20 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $274.92 | $435.00 | $183.31 – $421.95 | 20 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $407.01 | $644.00 | $271.38 – $624.68 | 20 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $57.64 | $78.00 | $32.87 – $75.66 | 20 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $34.50 | $56.00 | $23.60 – $54.32 | 20 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $51.73 | $70.00 | $29.50 – $67.90 | 20 |
| Mayo brcmg brucella antibody igm CPT 86622 | $49.51 | $67.00 | $28.23 – $64.99 | 20 |
| Mayo c1 esterase inhibitor CPT 83883 | $44.35 | $72.00 | $17.28 – $39.77 | 20 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $51.74 | $84.00 | $23.60 – $54.32 | 20 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $70.84 | $115.00 | $21.49 – $49.47 | 20 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $68.73 | $93.00 | $39.19 – $90.21 | 20 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $231.94 | $367.00 | $154.65 – $355.99 | 20 |
| Mayo ceruloplasmin CPT 82390 | $32.65 | $53.00 | $22.33 – $51.41 | 20 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $43.12 | $70.00 | $29.50 – $67.90 | 20 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $75.38 | $102.00 | $27.39 – $63.05 | 20 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $59.86 | $81.00 | $25.71 – $59.17 | 20 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $45.08 | $61.00 | $25.71 – $59.17 | 20 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $228.20 | $350.00 | $147.49 – $339.50 | 20 |
| Mayo chromium CPT 82495 | $37.58 | $61.00 | $25.71 – $59.17 | 20 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $91.78 | $149.00 | $23.60 – $54.32 | 20 |
| Mayo coccidioides antibody CPT 86635 | $48.77 | $66.00 | $23.18 – $53.35 | 20 |
| Mayo cocou cortisone urine CPT 82542 | $559.94 | $909.00 | $30.76 – $70.81 | 20 |
| Mayo cortisol free CPT 82530 | $33.88 | $55.00 | $23.18 – $53.35 | 20 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $93.85 | $127.00 | $53.52 – $123.19 | 20 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $42.12 | $57.00 | $24.02 – $55.29 | 20 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $770.01 | $1,181.00 | $497.67 – $1,145.57 | 20 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $29.56 | $40.00 | $16.86 – $38.80 | 20 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $46.82 | $76.00 | $32.03 – $73.72 | 20 |
| Mayo dihydrotestosterone CPT 82642 | $54.21 | $88.00 | $37.08 – $85.36 | 20 |
| Mayo efpo chloride stool CPT 82438 | $35.73 | $58.00 | $6.32 – $14.55 | 20 |
| Mayo estriol CPT 82677 | $44.97 | $73.00 | $30.76 – $70.81 | 20 |
| Mayo estrone CPT 82679 | $46.20 | $75.00 | $31.61 – $72.75 | 20 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $65.91 | $107.00 | $45.09 – $103.79 | 20 |
| Mayo everolimus therapeutic drug level CPT 80169 | $36.96 | $60.00 | $25.28 – $58.20 | 20 |
| Mayo factor ii CPT 85210 | $39.87 | $64.00 | $26.97 – $62.08 | 20 |
| Mayo factor v CPT 85220 | $46.73 | $75.00 | $31.61 – $72.75 | 20 |
| Mayo factor vii CPT 85230 | $47.35 | $76.00 | $32.03 – $73.72 | 20 |
| Mayo factor viii vw factor antigen CPT 85246 | $46.10 | $74.00 | $31.18 – $71.78 | 20 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $42.99 | $69.00 | $29.08 – $66.93 | 20 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $54.20 | $87.00 | $31.18 – $71.78 | 20 |
| Mayo factor x CPT 85260 | $47.35 | $76.00 | $32.03 – $73.72 | 20 |
| Mayo factor xi CPT 85270 | $47.35 | $76.00 | $32.03 – $73.72 | 20 |
| Mayo fat/lipids feces quantitative CPT 82710 | $31.42 | $51.00 | $21.49 – $49.47 | 20 |
| Mayo ffspg allergen clam igg CPT 86001 | $80.55 | $109.00 | $45.93 – $105.73 | 20 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $47.43 | $77.00 | $32.45 – $74.69 | 20 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $189.60 | $300.00 | $21.49 – $49.47 | 20 |
| Mayo hemosiderin qualitative urine CPT 83070 | $32.03 | $52.00 | $21.91 – $50.44 | 20 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $72.14 | $108.00 | $45.51 – $104.76 | 20 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $81.50 | $122.00 | $51.41 – $118.34 | 20 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $50.25 | $68.00 | $26.55 – $61.11 | 20 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $57.64 | $78.00 | $32.87 – $75.66 | 20 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $56.16 | $76.00 | $32.03 – $73.72 | 20 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $64.29 | $87.00 | $36.66 – $84.39 | 20 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $50.51 | $82.00 | $34.55 – $79.54 | 20 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $400.40 | $650.00 | $21.91 – $50.44 | 20 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $104.94 | $142.00 | $21.49 – $49.47 | 20 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $46.56 | $63.00 | $26.55 – $61.11 | 20 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $55.42 | $75.00 | $31.61 – $72.75 | 20 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $43.42 | $65.00 | $27.39 – $63.05 | 20 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $101.54 | $152.00 | $64.05 – $147.44 | 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.