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 |
|---|---|---|---|---|
| Electron microscopy diagnostic CPT 88348 | $994.22 | $1,614.00 | $680.14 – $1,565.58 | 20 |
| Encephalitis, california igg/igm CPT 86651 | $48.03 | $65.00 | $27.39 – $63.05 | 20 |
| Encephalitis, st louis igg/igm CPT 86653 | $48.03 | $65.00 | $27.39 – $63.05 | 20 |
| Encephalitis, western equine igg/igm CPT 86654 | $48.03 | $65.00 | $27.39 – $63.05 | 20 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $48.76 | $73.00 | $30.76 – $70.81 | 20 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,684.58 | $2,376.00 | $100.71 – $231.83 | 20 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $18.60 | $26.60 | $0.35 – $0.81 | 20 |
| Epstein barr early antigen antibody CPT 86663 | $40.64 | $55.00 | $23.18 – $53.35 | 20 |
| Epstein barr nuclear antigen antibody CPT 86664 | $39.91 | $54.00 | $19.38 – $44.62 | 20 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $45.82 | $62.00 | $23.18 – $53.35 | 20 |
| ER Visit (level 1, minor) CPT 99281 | $254.58 | $190.00 | $42.98 – $98.94 | 20 |
| ER Visit (level 2) CPT 99282 | $324.72 | $350.00 | $82.59 – $190.12 | 20 |
| ER Visit (level 3) CPT 99283 | $668.99 | $615.00 | $123.47 – $284.21 | 20 |
| ER Visit (level 4) CPT 99284 | $1,665.19 | $1,005.00 | $226.29 – $520.89 | 20 |
| ER Visit (level 5, high severity) CPT 99285 | $2,627.34 | $1,460.00 | $328.69 – $756.60 | 20 |
| Established Patient Office Visit (level 1) CPT 99211 | $96.70 | $125.00 | $44.25 – $101.85 | 20 |
| Established Patient Office Visit (level 2) CPT 99212 | $261.56 | $284.00 | $96.92 – $223.10 | 20 |
| Established Patient Office Visit (level 3) CPT 99213 | $513.00 | $557.00 | $124.31 – $286.15 | 20 |
| Established Patient Office Visit (level 4) CPT 99214 | $788.38 | $856.00 | $166.45 – $383.15 | 20 |
| Established Patient Office Visit (level 5) CPT 99215 | $1,112.57 | $1,208.00 | $191.74 – $441.35 | 20 |
| Estradiol total CPT 82670 | $51.74 | $84.00 | $35.40 – $81.48 | 20 |
| Estrogens total-sendout CPT 82672 | $40.66 | $66.00 | $27.81 – $64.02 | 20 |
| Ethylene glycol -sendout CPT 82693 | $57.90 | $94.00 | $34.13 – $78.57 | 20 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $215.84 | $380.00 | $160.13 – $368.60 | 20 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $181.72 | $295.00 | $124.31 – $286.15 | 20 |
| Evaluation of speech fluency 92521 CPT 92521 | $198.32 | $335.00 | $141.17 – $324.95 | 20 |
| Event monitor CPT 93270 | $253.79 | $410.00 | $172.77 – $397.70 | 20 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $158.02 | $226.00 | $95.24 – $219.22 | 20 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $153.92 | $306.00 | $128.95 – $296.82 | 20 |
| Exchange nephrostomy cath CPT 50435 | $3,547.84 | $5,004.00 | $87.65 – $201.76 | 20 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $257.54 | $512.00 | $215.76 – $496.64 | 20 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $201.70 | $401.00 | $112.94 – $259.96 | 20 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $117.20 | $233.00 | $98.19 – $226.01 | 20 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $4,956.78 | $9,265.00 | $1,135.67 – $2,614.15 | 20 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $363.67 | $723.00 | $304.67 – $701.31 | 20 |
| Explore wound neck 20100 CPT 20100 | $951.68 | $1,892.00 | $531.39 – $1,223.17 | 20 |
| External newborn metabolic screening panel HCPCS S3620 | $138.32 | $157.00 | $66.16 – $152.29 | 20 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $36.95 | $50.00 | $21.07 – $48.50 | 20 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $96.07 | $130.00 | $23.18 – $53.35 | 20 |
| Eye Socket (Orbit) X-ray CPT 70200 | $345.28 | $520.00 | $12.22 – $28.13 | 20 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $2,083.42 | $3,668.00 | $54.78 – $126.10 | 20 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,736.38 | $3,057.00 | $48.88 – $112.52 | 20 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,388.76 | $2,445.00 | $55.20 – $127.07 | 20 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $2,950.70 | $4,464.00 | $92.29 – $212.43 | 20 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $1,967.14 | $2,976.00 | $58.15 – $133.86 | 20 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $260.29 | $392.00 | $8.85 – $20.37 | 20 |
| Facial Bones X-ray (complete) CPT 70150 | $304.11 | $458.00 | $11.80 – $27.16 | 20 |
| Factor ix CPT 85250 | $49.22 | $79.00 | $31.61 – $72.75 | 20 |
| Factor viii CPT 85240 | $41.12 | $66.00 | $27.81 – $64.02 | 20 |
| Fat/lipids feces qualitative CPT 82705 | $41.89 | $68.00 | $28.66 – $65.96 | 20 |
| Fatty acids nonesterified CPT 82725 | $42.50 | $69.00 | $29.08 – $66.93 | 20 |
| #fecal-sodium CPT 84302 | $35.73 | $58.00 | $6.32 – $14.55 | 20 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $45.58 | $74.00 | $31.18 – $71.78 | 20 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $0.90 | $3.00 | $1.26 – $2.91 | 20 |
| Fern test HCPCS Q0114 | $40.66 | $66.00 | $27.81 – $64.02 | 20 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1.71 | $3.60 | $1.52 – $3.49 | 20 |
| Ferritin CPT 82728 | $36.96 | $60.00 | $25.28 – $58.20 | 20 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $660.59 | $848.00 | $45.09 – $103.79 | 20 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $651.23 | $752.00 | $316.89 – $729.44 | 20 |
| Fetal fibronectin CPT 82731 | $119.50 | $194.00 | $81.75 – $188.18 | 20 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $36.76 | $59.00 | $24.86 – $57.23 | 20 |
| Fetal hemoglobin rosette CPT 85461 | $18.07 | $29.00 | $12.22 – $28.13 | 20 |
| Fetal non stress test CPT 59025 | $559.44 | $646.00 | $25.71 – $59.17 | 20 |
| #_fet/norfentcnfrmur CPT 80354 | $41.27 | $67.00 | $23.60 – $54.32 | 20 |
| Fibrin degradation d dimer quantitative CPT 85379 | $19.31 | $31.00 | $13.06 – $30.07 | 20 |
| Fibrin degradation products CPT 85362 | $49.84 | $80.00 | $8.85 – $20.37 | 20 |
| Fibrinogen activity CPT 85384 | $18.69 | $30.00 | $12.64 – $29.10 | 20 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $29.28 | $47.00 | $19.81 – $45.59 | 20 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $44.23 | $71.00 | $24.02 – $55.29 | 20 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $6,195.30 | $11,580.00 | $2,469.83 – $5,685.17 | 20 |
| Filter vena cava fem denali HCPCS C1880 | $4,956.78 | $9,265.00 | $592.91 – $1,364.79 | 20 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $99.84 | $195.00 | $82.17 – $189.15 | 20 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $65.54 | $128.00 | $53.94 – $124.16 | 20 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $934.46 | $1,318.00 | $43.40 – $99.91 | 20 |
| Finger X-ray (both hands) CPT 73140 | $173.97 | $262.00 | $6.32 – $14.55 | 20 |
| Flecainide (tambocor)-sendout CPT 80181 | $41.89 | $68.00 | $28.66 – $65.96 | 20 |
| Flow cytometry marker each additional CPT 88185 | $82.15 | $126.00 | $50.15 – $115.43 | 20 |
| Flow cytometry one marker technical component CPT 88184 | $468.14 | $718.00 | $302.57 – $696.46 | 20 |
| Flt3 gene CPT 81245 | $314.10 | $497.00 | $209.44 – $482.09 | 20 |
| Flt3 gene analysis CPT 81246 | $157.37 | $249.00 | $104.93 – $241.53 | 20 |
| Fluidotherapy charges pt CPT 97022 | $82.70 | $119.00 | $50.15 – $115.43 | 20 |
| Fluid pressure muscle 20950 CPT 20950 | $488.24 | $963.00 | $77.96 – $179.45 | 20 |
| Fluorescent antibody titer dna CPT 86256 | $618.54 | $837.00 | $15.59 – $35.89 | 20 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $322.70 | $486.00 | $56.89 – $130.95 | 20 |
| Fluoroguide needle placement CPT 77002 | $448.20 | $675.00 | $53.10 – $122.22 | 20 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $498.00 | $750.00 | $13.48 – $31.04 | 20 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,100.77 | $2,963.00 | $99.87 – $229.89 | 20 |
| Fna bx w/ct gdn ea addl CPT 10010 | $1,227.99 | $1,732.00 | $72.48 – $166.84 | 20 |
| Folic acid CPT 82746 | $27.72 | $45.00 | $18.96 – $43.65 | 20 |
| Foot X-ray CPT 73630 | $294.82 | $444.00 | $7.59 – $17.46 | 20 |
| Foot X-ray (2 views, both feet) CPT 73620 | $205.84 | $310.00 | $6.74 – $15.52 | 20 |
| Forearm X-ray (both sides) CPT 73090 | $213.81 | $322.00 | $7.59 – $17.46 | 20 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $53.38 | $93.00 | $39.19 – $90.21 | 20 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $53.38 | $93.00 | $39.19 – $90.21 | 20 |
| Fructosamine glycated protein CPT 82985 | $32.65 | $53.00 | $22.33 – $51.41 | 20 |
| Ftl cgen abnor two proteins CPT 81508 | $164.32 | $260.00 | $109.56 – $252.20 | 20 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $330.67 | $498.00 | $14.33 – $32.98 | 20 |
| Gabapentin non-blood CPT 80355 | $34.50 | $56.00 | $23.60 – $54.32 | 20 |
| Galactose transferase test CPT 82776 | $22.18 | $36.00 | $15.17 – $34.92 | 20 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,097.36 | $1,892.00 | $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.