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 |
|---|---|---|---|---|
| MRA pelvis CPT 72198 | $2,277.26 | $3,257.00 | $76.69 – $176.54 | 20 |
| MRA spinal canal CPT 72159 | $94.72 | $185.00 | $77.96 – $179.45 | 20 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,091.98 | $2,992.00 | $75.43 – $173.63 | 20 |
| MRI chest without contrast CPT 71550 | $2,112.55 | $2,886.00 | $63.63 – $146.47 | 20 |
| MRI chest without & w/contrast CPT 71552 | $3,168.83 | $4,329.00 | $96.92 – $223.10 | 20 |
| MRI chest w IV cont CPT 71551 | $2,641.06 | $3,608.00 | $74.59 – $171.69 | 20 |
| MRI loex nonjt w IV cont CPT 73719 | $1,626.50 | $2,222.00 | $70.37 – $161.99 | 20 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,300.76 | $1,777.00 | $58.15 – $133.86 | 20 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,951.51 | $2,666.00 | $92.29 – $212.43 | 20 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,458.92 | $3,720.00 | $70.37 – $161.99 | 20 |
| MRI tmj CPT 70336 | $3,400.87 | $4,646.00 | $64.05 – $147.44 | 20 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,698.24 | $2,320.00 | $58.57 – $134.83 | 20 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,547.36 | $3,480.00 | $92.71 – $213.40 | 20 |
| MRI upper extremity w/dye CPT 73219 | $2,122.80 | $2,900.00 | $70.80 – $162.96 | 20 |
| Mr safety determination physician/other qhp CPT 76016 | $88.31 | $133.00 | $25.71 – $59.17 | 20 |
| Mr safety implant elec prepj CPT 76018 | $136.12 | $205.00 | $32.03 – $73.72 | 20 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $121.51 | $183.00 | $77.12 – $177.51 | 20 |
| Mr safety implt pos&/immoblj CPT 76019 | $207.83 | $313.00 | $25.28 – $58.20 | 20 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $25.23 | $38.00 | $16.01 – $36.86 | 20 |
| Mr sfty med physics xm cstmz CPT 76017 | $323.37 | $487.00 | $32.87 – $75.66 | 20 |
| Mthfr gene analy common variants CPT 81291 | $124.50 | $197.00 | $83.02 – $191.09 | 20 |
| Mumps antibody igg CPT 86735 | $45.82 | $62.00 | $23.60 – $54.32 | 20 |
| Mycobacteria dna amp probe CPT 87551 | $300.60 | $450.00 | $189.63 – $436.50 | 20 |
| Mycoplasma antibody igm CPT 86738 | $40.64 | $55.00 | $23.18 – $53.35 | 20 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $333.06 | $527.00 | $222.08 – $511.19 | 20 |
| Myelography l-s spine CPT 72265 | $1,460.14 | $2,199.00 | $77.96 – $179.45 | 20 |
| Myelography neck spine CPT 72240 | $1,440.22 | $2,169.00 | $87.23 – $200.79 | 20 |
| Myelography thoracic spine CPT 72255 | $1,148.06 | $1,729.00 | $90.60 – $208.55 | 20 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $844.42 | $1,191.00 | $105.35 – $242.50 | 20 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $100.43 | $135.00 | $14.75 – $33.95 | 20 |
| Natriuretic peptide CPT 83880 | $112.73 | $183.00 | $77.12 – $177.51 | 20 |
| Natural killer cells total count CPT 86357 | $84.25 | $114.00 | $48.04 – $110.58 | 20 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $48.92 | $69.00 | $29.08 – $66.93 | 20 |
| Ndl insj without njx 3+ musc CPT 20561 | $53.17 | $75.00 | $31.61 – $72.75 | 20 |
| Ndl round specialty proguide HCPCS C1715 | $292.24 | $588.00 | $69.95 – $161.02 | 20 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $206.50 | $311.00 | $8.01 – $18.43 | 20 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,648.03 | $4,443.00 | $54.78 – $126.10 | 20 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,206.99 | $3,703.00 | $52.67 – $121.25 | 20 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,765.35 | $2,962.00 | $43.40 – $99.91 | 20 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $1,585.84 | $2,604.00 | $99.03 – $227.95 | 20 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,321.53 | $2,170.00 | $77.54 – $178.48 | 20 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,057.22 | $1,736.00 | $64.47 – $148.41 | 20 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $312.08 | $470.00 | $10.11 – $23.28 | 20 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $429.61 | $647.00 | $12.22 – $28.13 | 20 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $506.63 | $763.00 | $13.48 – $31.04 | 20 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,797.08 | $5,511.00 | $77.96 – $179.45 | 20 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,164.58 | $4,593.00 | $64.90 – $149.38 | 20 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,531.39 | $3,674.00 | $52.25 – $120.28 | 20 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $1,403.53 | $2,471.00 | $70.37 – $161.99 | 20 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,169.51 | $2,059.00 | $59.84 – $137.74 | 20 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $935.50 | $1,647.00 | $55.62 – $128.04 | 20 |
| New Patient Office Visit (level 2) CPT 99202 | $513.00 | $557.00 | $56.89 – $130.95 | 20 |
| New Patient Office Visit (level 3) CPT 99203 | $769.04 | $835.00 | $139.06 – $320.10 | 20 |
| New Patient Office Visit (level 4) CPT 99204 | $923.76 | $1,003.00 | $191.74 – $441.35 | 20 |
| New Patient Office Visit (level 5) CPT 99205 | $1,237.82 | $1,344.00 | $219.13 – $504.40 | 20 |
| N-invas est c ffr sw aly cta CPT 75580 | $4,486.00 | $6,416.00 | $29.08 – $66.93 | 20 |
| Njx interlaminar lmbr/sac CPT 62326 | $234.99 | $401.00 | $168.98 – $388.97 | 20 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,386.10 | $1,955.00 | $135.69 – $312.34 | 20 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,102.00 | $1,900.00 | $41.72 – $96.03 | 20 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,035.88 | $1,786.00 | $42.56 – $97.97 | 20 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $462.26 | $797.00 | $50.99 – $117.37 | 20 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,056.76 | $1,822.00 | $45.51 – $104.76 | 20 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $767.34 | $1,323.00 | $21.07 – $48.50 | 20 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $228.42 | $344.00 | $8.01 – $18.43 | 20 |
| Npm1 gene CPT 81310 | $467.68 | $740.00 | $311.84 – $717.80 | 20 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,090.82 | $5,329.00 | $68.27 – $157.14 | 20 |
| Nudt15 gene common variants CPT 81306 | $553.00 | $875.00 | $368.73 – $848.75 | 20 |
| Observation direct referral from physician office for admission HCPCS G0379 | $430.99 | $654.00 | $275.60 – $634.38 | 19 |
| Observation per hour HCPCS G0378 | $103.36 | $190.00 | $40.03 – $92.15 | 20 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $327.96 | $421.00 | $50.99 – $117.37 | 20 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $216.56 | $278.00 | $42.98 – $98.94 | 20 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $204.62 | $262.00 | $110.41 – $254.14 | 20 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $203.84 | $261.00 | $109.99 – $253.17 | 20 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $196.81 | $252.00 | $106.19 – $244.44 | 20 |
| Onco (ovar) five proteins CPT 81503 | $1,700.71 | $2,691.00 | $1,133.99 – $2,610.27 | 20 |
| Organic acids total quant ea spec CPT 83918 | $62.22 | $101.00 | $42.56 – $97.97 | 20 |
| Oscillation chest wall mechanical per session CPT 94669 | $163.63 | $307.00 | $129.37 – $297.79 | 20 |
| Osmolality blood CPT 83930 | $34.50 | $56.00 | $23.60 – $54.32 | 20 |
| Osmolality urine CPT 83935 | $34.50 | $56.00 | $23.60 – $54.32 | 20 |
| Oth resp proc, group HCPCS G0239 | $114.06 | $214.00 | $90.18 – $207.58 | 20 |
| Oth resp proc, indiv HCPCS G0238 | $36.78 | $69.00 | $29.08 – $66.93 | 20 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $91.04 | $131.00 | $55.20 – $127.07 | 20 |
| Ot re-evaluation patient/family CPT 97168 | $175.72 | $225.00 | $94.81 – $218.25 | 20 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $62.03 | $93.00 | $39.19 – $90.21 | 20 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $66.03 | $99.00 | $41.72 – $96.03 | 20 |
| Parathormone (pth) intact CPT 83970 | $76.38 | $124.00 | $52.25 – $120.28 | 20 |
| Parathyroid planar imaging CPT 78070 | $667.58 | $1,151.00 | $33.71 – $77.60 | 20 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,667.10 | $4,475.00 | $52.67 – $121.25 | 20 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,222.48 | $3,729.00 | $50.15 – $115.43 | 20 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,777.87 | $2,983.00 | $47.20 – $108.64 | 20 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,269.93 | $3,101.00 | $94.39 – $217.28 | 20 |
| Pelvic MRI (with contrast) CPT 72196 | $1,891.49 | $2,584.00 | $75.01 – $172.66 | 20 |
| Pelvic MRI (without contrast) CPT 72195 | $1,513.04 | $2,067.00 | $63.63 – $146.47 | 20 |
| Pelvic Ultrasound (complete) CPT 76856 | $814.06 | $1,045.00 | $29.92 – $68.87 | 20 |
| Pelvic Ultrasound (limited) CPT 76857 | $596.71 | $766.00 | $21.49 – $49.47 | 20 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $164.01 | $247.00 | $8.01 – $18.43 | 20 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $245.68 | $370.00 | $10.96 – $25.22 | 20 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $11,718.64 | $21,904.00 | $2,058.54 – $4,738.45 | 20 |
| Pericardiocentesis wwo imaging CPT 33016 | $842.13 | $1,661.00 | $208.59 – $480.15 | 20 |
| Perineoplasty rpr per nonob CPT 56810 | $280.67 | $558.00 | $235.14 – $541.26 | 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.