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 |
|---|---|---|---|---|
| Sulfonylurea screen qn-sendout CPT 80377 | $109.65 | $178.00 | $75.01 – $172.66 | 20 |
| Surgical pathology level 1 gross examination only CPT 88300 | $30.80 | $50.00 | $21.07 – $48.50 | 20 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $48.66 | $79.00 | $33.29 – $76.63 | 20 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $66.53 | $108.00 | $45.51 – $104.76 | 20 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $66.53 | $108.00 | $45.51 – $104.76 | 20 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $442.29 | $718.00 | $302.57 – $696.46 | 20 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $994.22 | $1,614.00 | $680.14 – $1,565.58 | 20 |
| Susceptibility agar dilution per agent CPT 87181 | $170.34 | $255.00 | $36.58 – $247.35 | 20 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $37.41 | $56.00 | $23.60 – $54.32 | 20 |
| Susceptibility mic per plate CPT 87186 | $176.20 | $200.00 | $10.96 – $25.22 | 20 |
| Suscept studies macrobroth dilution ea CPT 87188 | $38.74 | $58.00 | $24.44 – $56.26 | 20 |
| Swallowing Evaluation (Bedside) CPT 92610 | $132.34 | $233.00 | $98.19 – $226.01 | 20 |
| Swallowing Therapy Session CPT 92526 | $126.10 | $213.00 | $89.76 – $206.61 | 20 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $38.43 | $52.00 | $21.91 – $50.44 | 20 |
| System pacing micra av HCPCS C1786 | $24,502.41 | $35,044.00 | $4,877.70 – $11,227.75 | 20 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $76,564.10 | $109,504.00 | $7,382.93 – $16,994.40 | 20 |
| T3 (triiodothyronine) free CPT 84481 | $43.74 | $71.00 | $22.76 – $52.38 | 20 |
| T3 (triiodothyronine) total CPT 84480 | $26.49 | $43.00 | $18.12 – $41.71 | 20 |
| T4 (thyroxine) free CPT 84439 | $40.66 | $66.00 | $11.80 – $27.16 | 20 |
| T4 (thyroxine) total CPT 84436 | $34.50 | $56.00 | $23.60 – $54.32 | 20 |
| Tacrolimus therapeutic drug level CPT 80197 | $39.42 | $64.00 | $24.02 – $55.29 | 20 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $211.15 | $318.00 | $8.01 – $18.43 | 20 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,513.64 | $2,395.00 | $960.37 – $2,210.63 | 20 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $5,535.69 | $8,759.00 | $3,691.04 – $8,496.23 | 20 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $221.70 | $300.00 | $126.42 – $291.00 | 20 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $137.45 | $186.00 | $78.38 – $180.42 | 20 |
| Tc-99m labeled rbc HCPCS A9560 | $82.15 | $139.00 | $58.57 – $134.83 | 20 |
| Tc-99m maa HCPCS A9540 | $49.64 | $84.00 | $35.40 – $81.48 | 20 |
| Tc-99m mebrofenin HCPCS A9537 | $72.10 | $122.00 | $51.41 – $118.34 | 20 |
| Tc-99m medronate HCPCS A9503 | $209.39 | $354.30 | $149.30 – $343.67 | 20 |
| Tc-99m mertiatide HCPCS A9562 | $219.85 | $372.00 | $156.76 – $360.84 | 20 |
| Tc-99m pentetate dtpa HCPCS A9539 | $72.10 | $122.00 | $51.41 – $118.34 | 20 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $337.46 | $571.00 | $240.62 – $553.87 | 20 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $4.14 | $7.00 | $2.95 – $6.79 | 20 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $164.24 | $277.90 | $117.11 – $269.56 | 20 |
| Tc-99m sulfur colloid HCPCS A9541 | $82.15 | $139.00 | $58.57 – $134.83 | 20 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $104.20 | $141.00 | $59.42 – $136.77 | 20 |
| T cells absolute cd 4 count CPT 86361 | $82.03 | $111.00 | $46.78 – $107.67 | 20 |
| T cells total count CPT 86359 | $84.25 | $114.00 | $48.04 – $110.58 | 20 |
| Testicular imaging w/vasc flow CPT 78761 | $533.60 | $920.00 | $30.76 – $70.81 | 20 |
| Test stress cardiovascular tracing only CPT 93017 | $1,028.53 | $1,630.00 | $686.88 – $1,581.10 | 20 |
| Theophylline therapeutic drug level CPT 80198 | $26.49 | $43.00 | $18.12 – $41.71 | 20 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $66.02 | $95.00 | $40.03 – $92.15 | 20 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $88.26 | $127.00 | $53.52 – $123.19 | 20 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $183.26 | $276.00 | $8.01 – $18.43 | 20 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,235.79 | $1,743.00 | $98.19 – $226.01 | 20 |
| Thoracotomy w/expl CPT 32100 | $849.57 | $1,689.00 | $711.74 – $1,638.33 | 20 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,608.34 | $2,773.00 | $43.83 – $100.88 | 20 |
| Thrombin time CPT 85670 | $34.89 | $56.00 | $7.59 – $17.46 | 20 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $64.17 | $103.00 | $43.40 – $99.91 | 20 |
| Thyroglobulin antibody CPT 86800 | $70.94 | $96.00 | $24.02 – $55.29 | 20 |
| Thyroid imaging CPT 78013 | $563.76 | $972.00 | $15.59 – $35.89 | 20 |
| Thyroid (TSH) Test CPT 84443 | $68.38 | $111.00 | $21.49 – $49.47 | 20 |
| Thyroid Ultrasound CPT 76536 | $725.25 | $931.00 | $24.44 – $56.26 | 20 |
| Thyroxine binding globulin (tbg) CPT 84442 | $27.72 | $45.00 | $18.96 – $43.65 | 20 |
| Tissue culture skin/biopsy CPT 88233 | $275.80 | $423.00 | $178.25 – $410.31 | 20 |
| Tissue exam koh skin/hair/nails CPT 87220 | $143.62 | $215.00 | $26.97 – $62.08 | 20 |
| Tissue transglutaminase iga CPT 86364 | $43.60 | $59.00 | $14.75 – $33.95 | 20 |
| Tobramycin peak therapeutic drug level CPT 80200 | $30.18 | $49.00 | $20.65 – $47.53 | 20 |
| Toe X-ray (both feet) CPT 73660 | $170.65 | $257.00 | $5.90 – $13.58 | 20 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $43.74 | $62.00 | $23.60 – $54.32 | 20 |
| Tomosynthesis breast screen bilateral CPT 77063 | $39.98 | $62.00 | $20.65 – $47.53 | 20 |
| Total tau CPT 84394 | $277.82 | $451.00 | $190.05 – $437.47 | 20 |
| Toxoplasma antibody igg CPT 86777 | $46.56 | $63.00 | $18.54 – $42.68 | 20 |
| Toxoplasma antibody igm CPT 86778 | $44.34 | $60.00 | $18.54 – $42.68 | 20 |
| Tpmt gene com vrnts CPT 81335 | $331.80 | $525.00 | $221.24 – $509.25 | 20 |
| Transferrin CPT 84466 | $24.02 | $39.00 | $16.43 – $37.83 | 20 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $636.44 | $817.00 | $29.92 – $68.87 | 20 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $536.73 | $689.00 | $32.45 – $74.69 | 20 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $2,772.29 | $3,965.00 | $1,112.50 – $2,560.80 | 20 |
| Treat elbow dislocation CPT 24605 | $742.93 | $1,477.00 | $415.08 – $955.45 | 20 |
| Treat finger fracture each CPT 26742 | $350.09 | $696.00 | $293.29 – $675.12 | 20 |
| Treat foot dislocation CPT 28600 | $192.65 | $383.00 | $161.40 – $371.51 | 20 |
| Treat fracture of radius CPT 25505 | $719.79 | $1,431.00 | $402.02 – $925.38 | 20 |
| Treat hip dislocation CPT 27252 | $1,188.59 | $2,363.00 | $663.71 – $1,527.75 | 20 |
| Treat hip socket fracture CPT 27222 | $1,532.14 | $3,046.00 | $855.86 – $1,970.07 | 20 |
| Treat humerus fracture CPT 24535 | $890.31 | $1,770.00 | $497.25 – $1,144.60 | 20 |
| Treat knee dislocation CPT 27552 | $987.89 | $1,964.00 | $552.03 – $1,270.70 | 20 |
| Treat knee fracture 27530 CPT 27530 | $444.15 | $883.00 | $248.20 – $571.33 | 20 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $319.41 | $635.00 | $267.59 – $615.95 | 20 |
| Treatment of ankle fracture 27786 CPT 27786 | $449.68 | $894.00 | $251.15 – $578.12 | 20 |
| Treatment of fibula fracture 27780 CPT 27780 | $440.12 | $875.00 | $246.10 – $566.48 | 20 |
| Treatment of heel fracture 28400 CPT 28400 | $357.13 | $710.00 | $199.32 – $458.81 | 20 |
| Treatment of thigh fracture CPT 27510 | $1,069.88 | $2,127.00 | $597.55 – $1,375.46 | 20 |
| Treat midfoot fracture each CPT 28455 | $269.10 | $535.00 | $225.45 – $518.95 | 20 |
| Treat thigh fracture CPT 27230 | $745.45 | $1,482.00 | $416.34 – $958.36 | 20 |
| Treat thigh fx growth plate CPT 27516 | $753.49 | $1,498.00 | $420.98 – $969.03 | 20 |
| Treat ulnar fracture CPT 24675 | $653.40 | $1,299.00 | $364.93 – $840.02 | 20 |
| Treponema pallidum antibody CPT 86780 | $54.69 | $74.00 | $16.86 – $38.80 | 20 |
| Trg gene rearrangement anal CPT 81342 | $382.36 | $605.00 | $254.95 – $586.85 | 20 |
| Trichinella antibody CPT 86784 | $50.99 | $69.00 | $29.08 – $66.93 | 20 |
| Triglycerides CPT 84478 | $33.26 | $54.00 | $18.12 – $41.71 | 20 |
| Troponin quantitative CPT 84484 | $85.01 | $138.00 | $16.01 – $36.86 | 20 |
| Tte w or without fol w/cont, com HCPCS C8921 | $841.43 | $1,342.00 | $565.52 – $1,301.74 | 20 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $648.32 | $1,034.00 | $435.73 – $1,002.98 | 20 |
| Tx closed hip disl traumatic without anes CPT 27250 | $290.73 | $578.00 | $162.24 – $373.45 | 20 |
| Tx closed tib shaft fx without manip CPT 27750 | $499.98 | $994.00 | $279.39 – $643.11 | 20 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $198.68 | $395.00 | $166.45 – $383.15 | 20 |
| Ugt1a1 gene analy common variants CPT 81350 | $443.66 | $702.00 | $295.82 – $680.94 | 20 |
| Ultrasound breast complete CPT 76641 | $827.30 | $1,062.00 | $31.61 – $72.75 | 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.