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 |
|---|---|---|---|---|
| Ghs ot group caregiver training CPT 97552 | $45.17 | $65.00 | $27.39 – $63.05 | 20 |
| Ghs ot prosthetic training/15 min CPT 97761 | $72.97 | $105.00 | $44.25 – $101.85 | 20 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $92.43 | $133.00 | $56.05 – $129.01 | 20 |
| Ghs ot work hardening-additional hours CPT 97546 | $96.60 | $139.00 | $58.57 – $134.83 | 20 |
| Ghs pacing - transcutaneous CPT 92953 | $500.41 | $987.00 | $1.26 – $2.91 | 20 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,943.37 | $2,741.00 | $101.14 – $232.80 | 20 |
| Ghs peritonsillar abscess i andd CPT 42700 | $140.34 | $279.00 | $117.57 – $270.63 | 20 |
| Ghs phenylketonurid CPT 84030 | $10.47 | $17.00 | $7.16 – $16.49 | 20 |
| Ghs picc line insert < 5 CPT 36568 | $1,369.08 | $1,931.00 | $81.75 – $188.18 | 20 |
| Ghs plngl fx pm cl CPT 26725 | $317.39 | $631.00 | $265.90 – $612.07 | 20 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $36.96 | $60.00 | $25.28 – $58.20 | 20 |
| Ghs protoporphyrins fract CPT 84202 | $68.38 | $111.00 | $46.78 – $107.67 | 20 |
| Ghs pr without cont pulse ox CPT 94625 | $127.39 | $239.00 | $100.71 – $231.83 | 20 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $192.51 | $277.00 | $116.73 – $268.69 | 20 |
| Ghs quinidine CPT 80194 | $36.96 | $60.00 | $25.28 – $58.20 | 20 |
| Ghs removal intranasal foreign body CPT 30300 | $117.70 | $234.00 | $98.61 – $226.98 | 20 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $601.59 | $1,196.00 | $503.99 – $1,160.12 | 20 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $515.58 | $1,025.00 | $431.94 – $994.25 | 20 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $53.21 | $72.00 | $30.34 – $69.84 | 20 |
| Ghs reticulocyte count CPT 85044 | $8.10 | $13.00 | $5.48 – $12.61 | 20 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $28.06 | $42.00 | $17.70 – $40.74 | 20 |
| Ghs sedimentation rate CPT 85651 | $8.10 | $13.00 | $5.48 – $12.61 | 20 |
| Ghs sensitivity (per antimicro) CPT 87184 | $15.36 | $23.00 | $9.69 – $22.31 | 20 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $102.11 | $203.00 | $85.54 – $196.91 | 20 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $137.32 | $273.00 | $115.04 – $264.81 | 20 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $124.74 | $248.00 | $104.51 – $240.56 | 20 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $162.97 | $324.00 | $136.53 – $314.28 | 20 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $79.98 | $159.00 | $67.00 – $154.23 | 20 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $78.47 | $156.00 | $65.74 – $151.32 | 20 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $101.10 | $201.00 | $84.70 – $194.97 | 20 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $153.92 | $306.00 | $128.95 – $296.82 | 20 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $184.60 | $367.00 | $154.65 – $355.99 | 20 |
| Ghs sleep study unattended CPT 95800 | $541.25 | $625.00 | $263.38 – $606.25 | 20 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $69.86 | $123.00 | $51.83 – $119.31 | 20 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $153.92 | $260.00 | $109.56 – $252.20 | 20 |
| Ghs strapping shoulder - 29240 CPT 29240 | $29.68 | $59.00 | $16.43 – $37.83 | 20 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $341.46 | $630.00 | $165.19 – $380.24 | 20 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $338.02 | $672.00 | $283.18 – $651.84 | 20 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $286.21 | $569.00 | $239.78 – $551.93 | 20 |
| Ghs urine, porphyrins quant CPT 84120 | $38.19 | $62.00 | $26.13 – $60.14 | 20 |
| Ghs vaginal delivery only CPT 59409 | $854.60 | $1,699.00 | $715.96 – $1,648.03 | 20 |
| Giardia lamblia antibody CPT 86674 | $49.51 | $67.00 | $28.23 – $64.99 | 20 |
| Gi inhouse confirmation CPT 87045 | $42.08 | $63.00 | $12.22 – $28.13 | 20 |
| Glucagon plasma - sendout CPT 82943 | $41.27 | $67.00 | $28.23 – $64.99 | 20 |
| Glucose 1 hr post dose CPT 82950 | $9.24 | $15.00 | $6.32 – $14.55 | 20 |
| Glucose body fluid CPT 82945 | $34.50 | $56.00 | $5.06 – $11.64 | 20 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $24.02 | $39.00 | $16.43 – $37.83 | 20 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $7.39 | $12.00 | $5.06 – $11.64 | 20 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $35.73 | $58.00 | $23.60 – $54.32 | 20 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $35.73 | $58.00 | $24.02 – $55.29 | 20 |
| Graft axiofill 1000mg HCPCS J3590 | $33.00 | $47.20 | $2.85 – $6.56 | 20 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $25,778.44 | $48,184.00 | $1,135.67 – $2,614.15 | 20 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $29,293.39 | $54,754.00 | $250.31 – $576.18 | 20 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $248.94 | $465.30 | $196.08 – $451.34 | 20 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $19,920.19 | $37,234.00 | $131.90 – $303.61 | 20 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,874.56 | $5,373.00 | $358.19 – $824.50 | 20 |
| Great toe with reduction 28495 CPT 28495 | $231.88 | $461.00 | $129.37 – $297.79 | 20 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $6,905.81 | $13,895.00 | $69.95 – $161.02 | 20 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $2,185.31 | $4,397.00 | $131.90 – $303.61 | 20 |
| Gw stiffened micro access kit HCPCS C1894 | $3,914.37 | $7,876.00 | $40.45 – $93.12 | 20 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $105.64 | $152.00 | $64.05 – $147.44 | 20 |
| Hand X-ray CPT 73130 | $236.38 | $356.00 | $8.01 – $18.43 | 20 |
| Hand X-ray (2 views, both hands) CPT 73120 | $152.06 | $229.00 | $7.59 – $17.46 | 20 |
| Haptoglobin quantitative CPT 83010 | $36.34 | $59.00 | $22.33 – $51.41 | 20 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,137.60 | $1,800.00 | $758.52 – $1,746.00 | 20 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $384.26 | $608.00 | $256.21 – $589.76 | 20 |
| Hcg qualitative CPT 84703 | $14.17 | $23.00 | $9.69 – $22.31 | 20 |
| Hcg quantitative CPT 84702 | $41.27 | $67.00 | $19.38 – $44.62 | 20 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $29.55 | $50.00 | $21.07 – $48.50 | 20 |
| Head CT scan (with and without contrast) CPT 70470 | $1,277.43 | $2,249.00 | $54.78 – $126.10 | 20 |
| Head CT scan (with contrast) CPT 70460 | $1,064.43 | $1,874.00 | $48.88 – $112.52 | 20 |
| Head CT scan (without contrast) CPT 70450 | $851.43 | $1,499.00 | $37.08 – $85.36 | 20 |
| Heart infarct image CPT 78466 | $588.70 | $1,015.00 | $30.76 – $70.81 | 20 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $155.38 | $234.00 | $7.16 – $16.49 | 20 |
| Helicobacter pylori antibody igm CPT 86677 | $57.64 | $78.00 | $32.87 – $75.66 | 20 |
| Hematocrit CPT 85014 | $42.99 | $69.00 | $3.37 – $7.76 | 20 |
| Hemoglobin CPT 85018 | $37.38 | $60.00 | $3.37 – $7.76 | 20 |
| Hemoglobin plasma CPT 83051 | $36.34 | $59.00 | $24.86 – $57.23 | 20 |
| Hemolysins/agglutinins auto CPT 86940 | $362.11 | $490.00 | $67.53 – $475.30 | 20 |
| Hemophilus influenza antibdy CPT 86684 | $45.82 | $62.00 | $26.13 – $60.14 | 20 |
| Heparin assay CPT 85520 | $40.49 | $65.00 | $27.39 – $63.05 | 20 |
| Heparin bolus from bag HCPCS J1644 | $0.72 | $2.41 | $0.84 – $1.94 | 20 |
| Hepatitis a antibody igm CPT 86709 | $63.55 | $86.00 | $36.24 – $83.42 | 20 |
| Hepatitis b core antibody igm CPT 86705 | $70.94 | $96.00 | $40.45 – $93.12 | 20 |
| Hepatitis b core antibody total CPT 86704 | $40.64 | $55.00 | $15.59 – $35.89 | 20 |
| Hepatitis b surface antibody CPT 86706 | $40.64 | $55.00 | $23.18 – $53.35 | 20 |
| Hepatitis c antibody CPT 86803 | $188.44 | $255.00 | $40.03 – $92.15 | 20 |
| Herpes simplex 1 ag if CPT 87274 | $40.08 | $60.00 | $25.28 – $58.20 | 20 |
| Herpes simplex 2 ag if CPT 87273 | $40.08 | $60.00 | $25.28 – $58.20 | 20 |
| Herpes simplex type 1 antibody igg CPT 86695 | $39.17 | $53.00 | $16.86 – $38.80 | 20 |
| Herpes simplex type 2 antibody igg CPT 86696 | $43.60 | $59.00 | $24.86 – $57.23 | 20 |
| Herpes simplex virus isolation CPT 87255 | $68.14 | $102.00 | $42.98 – $98.94 | 20 |
| Heterophile antibodies screening CPT 86308 | $11.82 | $16.00 | $6.74 – $15.52 | 20 |
| Hhv-6 dna quant CPT 87533 | $84.17 | $126.00 | $53.10 – $122.22 | 20 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $181.27 | $273.00 | $10.11 – $23.28 | 20 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $295.48 | $445.00 | $13.06 – $30.07 | 20 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $146.74 | $221.00 | $8.43 – $19.40 | 20 |
| Hip X-ray CPT 73502 | $275.56 | $415.00 | $10.11 – $23.28 | 20 |
| Hla class i&ii antibody qual CPT 86828 | $243.87 | $330.00 | $139.06 – $320.10 | 20 |
| Hla i & ii type verify lr CPT 81371 | $767.25 | $1,214.00 | $511.58 – $1,177.58 | 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.