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 |
|---|---|---|---|---|
| Removal cerumen impacted (both sides) CPT 69210 | $35.21 | $70.00 | $29.50 – $67.90 | 20 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $107.32 | $198.00 | $83.44 – $192.06 | 20 |
| Removal foreign body foot subcutaneous right CPT 28190 | $209.75 | $417.00 | $117.15 – $269.66 | 20 |
| Removal sutr and stapl no anes CPT 15854 | $119.24 | $220.00 | $92.71 – $213.40 | 20 |
| Removal sutr or stapl no anes CPT 15853 | $89.43 | $165.00 | $69.53 – $160.05 | 20 |
| Remove hip foreign body 27086 CPT 27086 | $262.57 | $522.00 | $146.65 – $337.56 | 20 |
| Remove renal tube w/fluoro CPT 50389 | $873.49 | $1,232.00 | $47.20 – $108.64 | 20 |
| Renal function panel CPT 80069 | $96.10 | $156.00 | $65.74 – $151.32 | 20 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $272.63 | $542.00 | $228.40 – $525.74 | 20 |
| Repair extns tendon finger without grft ea CPT 26418 | $618.69 | $1,230.00 | $518.32 – $1,193.10 | 20 |
| Repair finger/hand tendon CPT 26350 | $756.01 | $1,503.00 | $633.36 – $1,457.91 | 20 |
| Repair lac palate<2 cm CPT 42180 | $192.15 | $382.00 | $160.97 – $370.54 | 20 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $218.30 | $434.00 | $182.89 – $420.98 | 20 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $319.41 | $635.00 | $267.59 – $615.95 | 20 |
| Replace duod/jej tube perc CPT 49451 | $934.46 | $1,318.00 | $79.64 – $183.33 | 20 |
| Replace g/c tube perc CPT 49450 | $690.57 | $974.00 | $58.15 – $133.86 | 20 |
| Replace g-j tube perc CPT 49452 | $974.17 | $1,374.00 | $122.63 – $282.27 | 20 |
| Reptilase test CPT 85635 | $18.69 | $30.00 | $12.64 – $29.10 | 20 |
| Resp virus 6-11 targets CPT 87632 | $437.54 | $655.00 | $276.02 – $635.35 | 20 |
| Resuscitation delivery/birthing room CPT 99465 | $690.10 | $987.00 | $415.92 – $957.39 | 20 |
| Reticulated platelet assay CPT 85055 | $67.28 | $108.00 | $45.51 – $104.76 | 20 |
| Reticulocyte direct measurement automated CPT 85046 | $10.59 | $17.00 | $7.16 – $16.49 | 20 |
| Rheumatoid factor quantitative CPT 86431 | $40.64 | $55.00 | $7.59 – $17.46 | 20 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $296.14 | $446.00 | $11.80 – $27.16 | 20 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $372.50 | $561.00 | $14.33 – $32.98 | 20 |
| Rib X-ray (3 views, both sides) CPT 71110 | $303.45 | $457.00 | $13.06 – $30.07 | 20 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $147.38 | $293.00 | $123.47 – $284.21 | 20 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $3.68 | $7.74 | $3.26 – $7.51 | 20 |
| Rubella antibody igg CPT 86762 | $41.38 | $56.00 | $23.60 – $54.32 | 20 |
| Rubeola antibody igg CPT 86765 | $44.34 | $60.00 | $23.60 – $54.32 | 20 |
| Russell viper venom diluted CPT 85613 | $37.38 | $60.00 | $25.28 – $58.20 | 20 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $1,739.26 | $2,752.00 | $1,159.69 – $2,669.44 | 20 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $349.26 | $526.00 | $10.11 – $23.28 | 20 |
| Salivary gland imaging CPT 78230 | $521.42 | $899.00 | $19.81 – $45.59 | 20 |
| Salmonella antibody CPT 86768 | $53.95 | $73.00 | $30.76 – $70.81 | 20 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $448.50 | $750.00 | $34.13 – $78.57 | 20 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $469.43 | $785.00 | $21.91 – $50.44 | 20 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $778.60 | $1,302.00 | $19.38 – $44.62 | 20 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $577.67 | $966.00 | $21.07 – $48.50 | 20 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $642.85 | $1,075.00 | $21.49 – $49.47 | 20 |
| Screening Mammogram CPT 77067 | $278.26 | $341.00 | $33.29 – $76.63 | 20 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $70,301.14 | $131,404.00 | $29.50 – $67.90 | 20 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $749.40 | $962.00 | $27.39 – $63.05 | 20 |
| Sedimentation rate erythrocyte automated CPT 85652 | $5.61 | $9.00 | $3.79 – $8.73 | 20 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $67.41 | $97.00 | $40.88 – $94.09 | 20 |
| Semen analysis presence/motility CPT 89321 | $32.60 | $37.00 | $15.59 – $35.89 | 20 |
| Semen analysis w/count CPT 89310 | $22.91 | $26.00 | $10.96 – $25.22 | 20 |
| Sept9 promoter methylation analysis CPT 81327 | $364.03 | $576.00 | $242.73 – $558.72 | 20 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $6,905.81 | $13,895.00 | $131.90 – $303.61 | 20 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $113.81 | $177.00 | $74.59 – $171.69 | 20 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $250.33 | $377.00 | $8.43 – $19.40 | 20 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $177.95 | $268.00 | $8.01 – $18.43 | 20 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,085.47 | $2,849.00 | $92.71 – $213.40 | 20 |
| Shoulder MRI (with contrast) CPT 73222 | $1,737.77 | $2,374.00 | $70.80 – $162.96 | 20 |
| Shoulder MRI (without contrast) CPT 73221 | $1,390.07 | $1,899.00 | $59.42 – $136.77 | 20 |
| Shoulder X-ray CPT 73030 | $294.82 | $444.00 | $8.43 – $19.40 | 20 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $213.81 | $322.00 | $6.74 – $15.52 | 20 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $9,910.88 | $18,525.00 | $69.95 – $161.02 | 20 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $337.31 | $508.00 | $45.09 – $103.79 | 20 |
| Sickling rbc CPT 85660 | $34.89 | $56.00 | $23.60 – $54.32 | 20 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,092.51 | $3,684.00 | $54.78 – $126.10 | 20 |
| Sinus CT scan (with contrast) CPT 70487 | $1,743.76 | $3,070.00 | $48.88 – $112.52 | 20 |
| Sinus CT scan (without contrast) CPT 70486 | $1,395.01 | $2,456.00 | $37.50 – $86.33 | 20 |
| Sinus X-ray (complete) CPT 70220 | $288.84 | $435.00 | $10.11 – $23.28 | 20 |
| Sinus X-ray (limited) CPT 70210 | $183.93 | $277.00 | $8.01 – $18.43 | 20 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $94.86 | $154.00 | $64.90 – $149.38 | 20 |
| Skull X-ray (1 to 3 views) CPT 70250 | $272.90 | $411.00 | $8.85 – $20.37 | 20 |
| Skull X-ray (complete) CPT 70260 | $313.41 | $472.00 | $12.64 – $29.10 | 20 |
| Slco1b1 gene com variants CPT 81328 | $331.80 | $525.00 | $221.24 – $509.25 | 20 |
| Sleep study unattended CPT 95806 | $503.15 | $581.00 | $244.83 – $563.57 | 20 |
| Sling suprapubic suburetheral HCPCS C1771 | $9,609.67 | $17,962.00 | $1,133.57 – $2,609.30 | 20 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $127.28 | $215.00 | $90.60 – $208.55 | 20 |
| Slp ther svc non-spch gen CPT 92606 | $62.75 | $106.00 | $44.67 – $102.82 | 20 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $400.39 | $603.00 | $35.40 – $81.48 | 20 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $45.42 | $68.00 | $24.02 – $55.29 | 20 |
| Smear gram stain CPT 87205 | $8.68 | $13.00 | $5.48 – $12.61 | 20 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $12.02 | $18.00 | $7.59 – $17.46 | 20 |
| Smear wet mount CPT 87210 | $35.40 | $53.00 | $22.33 – $51.41 | 20 |
| Snrpn/ube3a gene CPT 81331 | $184.54 | $292.00 | $123.05 – $283.24 | 20 |
| Sodium 24 hour urine CPT 84300 | $44.35 | $72.00 | $6.74 – $15.52 | 20 |
| Sodium serum/plasma/whole blood CPT 84295 | $27.72 | $45.00 | $13.06 – $30.07 | 20 |
| Specific gravity body fluid CPT 84315 | $6.16 | $10.00 | $4.21 – $9.70 | 20 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $236.80 | $400.00 | $168.56 – $388.00 | 20 |
| Speech Therapy Session (one-on-one) CPT 92507 | $114.26 | $193.00 | $81.33 – $187.21 | 20 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $776.35 | $1,095.00 | $173.62 – $399.64 | 20 |
| Spine X-ray (single view, one level) CPT 72020 | $219.12 | $330.00 | $7.16 – $16.49 | 20 |
| Sputum specimen collection CPT 89220 | $303.06 | $344.00 | $144.96 – $333.68 | 20 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $224.96 | $380.00 | $160.13 – $368.60 | 20 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $151.55 | $256.00 | $107.88 – $248.32 | 20 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $23,435.14 | $43,804.00 | $250.31 – $576.18 | 20 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $4,956.78 | $9,265.00 | $69.95 – $161.02 | 20 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $18,748.54 | $35,044.00 | $250.31 – $576.18 | 20 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $4,956.78 | $9,265.00 | $595.44 – $1,370.61 | 20 |
| St evaluate speech sound production CPT 92522 | $165.17 | $279.00 | $117.57 – $270.63 | 20 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $178.92 | $315.00 | $132.74 – $305.55 | 20 |
| Stimulants synthetic CPT 80371 | $98.56 | $160.00 | $67.42 – $155.20 | 20 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,245.84 | $2,148.00 | $33.71 – $77.60 | 20 |
| Strep b dna amp probe CPT 87653 | $70.81 | $106.00 | $44.67 – $102.82 | 20 |
| Stress test pulmonary CPT 94618 | $364.14 | $578.00 | $243.57 – $560.66 | 20 |
| Str markers specimen anal CPT 81265 | $901.86 | $1,427.00 | $294.98 – $679.00 | 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.