Banner Churchill Community Hospital
801 East Williams Avenue, Fallon, NV · Banner Health · · NPI 1265811251
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $42.42 | $88.00 | $22.88 – $84.48 | 13 |
| 17-hydroxypregnenolone CPT 84143 | $33.26 | $69.00 | $17.94 – $66.24 | 13 |
| 17-ketosteroids CPT 83586 | $38.56 | $80.00 | $20.80 – $76.80 | 13 |
| 3d recon without postprocess indpndt CPT 76376 | $171.01 | $245.00 | $63.70 – $235.20 | 13 |
| 5' nucleotidase - sendout CPT 83915 | $47.72 | $99.00 | $25.74 – $95.04 | 13 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $40.90 | $71.00 | $18.46 – $68.16 | 13 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $569.02 | $1,183.00 | $307.58 – $1,135.68 | 13 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $187.11 | $389.00 | $101.14 – $373.44 | 13 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,675.80 | $3,420.00 | $889.20 – $3,283.20 | 13 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,396.50 | $2,850.00 | $741.00 – $2,736.00 | 13 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,117.20 | $2,280.00 | $592.80 – $2,188.80 | 13 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,145.55 | $4,274.00 | $1,111.24 – $4,103.04 | 13 |
| Abdominal MRI (with contrast) CPT 74182 | $1,788.12 | $3,562.00 | $926.12 – $3,419.52 | 13 |
| Abdominal MRI (without contrast) CPT 74181 | $1,430.20 | $2,849.00 | $740.74 – $2,735.04 | 13 |
| Abdominal paracentesis w/image guidance CPT 49083 | $281.01 | $870.00 | $226.20 – $835.20 | 13 |
| Abdominal Ultrasound (complete) CPT 76700 | $739.88 | $1,060.00 | $275.60 – $1,017.60 | 13 |
| Abdominal Ultrasound (limited) CPT 76705 | $557.70 | $799.00 | $207.74 – $767.04 | 13 |
| Abdominal X-ray (2 views) CPT 74019 | $143.65 | $268.00 | $69.68 – $257.28 | 13 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $225.12 | $420.00 | $109.20 – $403.20 | 13 |
| Abdominal X-ray (single view) CPT 74018 | $99.16 | $185.00 | $48.10 – $177.60 | 13 |
| Abl1 gene CPT 81170 | $437.40 | $900.00 | $234.00 – $864.00 | 13 |
| Abscess drain retroperitoneal surg code CPT 49406 | $980.31 | $3,035.00 | $789.10 – $2,913.60 | 13 |
| Acetylcholine receptor modulating antibody CPT 86043 | $44.93 | $78.00 | $20.28 – $74.88 | 13 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $31.54 | $38.00 | $9.88 – $36.48 | 13 |
| Acute hepatitis panel CPT 80074 | $120.98 | $251.00 | $65.26 – $240.96 | 13 |
| Acyclovir 400 mg tablet HCPCS J8499 | $3.91 | $44.40 | $0.01 – $0.04 | 13 |
| #acylcarnitineprfl CPT 82017 | $55.43 | $115.00 | $29.90 – $110.40 | 13 |
| Adapter b 8 channel 10cm HCPCS C1883 | $4,262.47 | $7,413.00 | $292.76 – $1,080.96 | 13 |
| Adenovirus antibody,serum - quest CPT 86603 | $35.14 | $61.00 | $15.86 – $58.56 | 13 |
| Adh-sendout CPT 84588 | $49.16 | $102.00 | $26.52 – $97.92 | 13 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $21.92 | $78.00 | $20.28 – $74.88 | 13 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $49.18 | $175.00 | $45.50 – $168.00 | 13 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $100.32 | $357.00 | $92.82 – $342.72 | 13 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $122.38 | $339.00 | $88.14 – $325.44 | 13 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $137.18 | $380.00 | $98.80 – $364.80 | 13 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $209.38 | $580.00 | $150.80 – $556.80 | 13 |
| Administration immunization each additional vaccine CPT 90472 | $20.17 | $37.00 | $9.62 – $35.52 | 13 |
| Administration vaccine hepatitis b HCPCS G0010 | $57.23 | $105.00 | $27.30 – $100.80 | 13 |
| Administration vaccine influenza virus HCPCS G0008 | $57.23 | $105.00 | $27.30 – $100.80 | 13 |
| Administration vaccine pneumococcal HCPCS G0009 | $57.23 | $105.00 | $27.30 – $100.80 | 13 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $184.26 | $347.00 | $90.22 – $333.12 | 13 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $104.90 | $282.00 | $73.32 – $270.72 | 13 |
| Albumin body fluid quantitative each specimen CPT 82042 | $27.96 | $58.00 | $6.24 – $23.04 | 13 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $32.78 | $68.00 | $14.56 – $53.76 | 13 |
| Albumin serum plasma or whole blood CPT 82040 | $30.37 | $63.00 | $10.14 – $37.44 | 13 |
| Alkaline phosphatase CPT 84075 | $27.47 | $57.00 | $12.74 – $47.04 | 13 |
| Allergen alpha lactalbumin ige CPT 86008 | $46.08 | $80.00 | $16.64 – $61.44 | 13 |
| Allergen egg white ige CPT 86003 | $32.26 | $56.00 | $14.30 – $52.80 | 13 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $33.98 | $59.00 | $14.56 – $53.76 | 13 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $483.58 | $841.00 | $218.66 – $807.36 | 13 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $2,215.48 | $3,853.00 | $700.70 – $2,587.20 | 13 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $93.51 | $194.00 | $50.44 – $186.24 | 13 |
| Alpha-fetoprotein amniotic CPT 82106 | $24.58 | $51.00 | $13.26 – $48.96 | 13 |
| Alpha-fetoprotein tumor marker CPT 82105 | $24.58 | $51.00 | $13.26 – $48.96 | 13 |
| Als 1 HCPCS A0426 | $883.92 | $2,032.00 | $528.32 – $1,950.72 | 13 |
| Als1-emergency HCPCS A0427 | $960.04 | $2,207.00 | $573.82 – $2,118.72 | 13 |
| Als 2 HCPCS A0433 | $1,304.13 | $2,998.00 | $779.48 – $2,878.08 | 13 |
| Alt/sgpt CPT 84460 | $28.44 | $59.00 | $13.00 – $48.00 | 13 |
| Aluminum - quest CPT 82108 | $37.11 | $77.00 | $20.02 – $73.92 | 13 |
| Amantadine (symmetrel)-sendout CPT 80375 | $156.17 | $324.00 | $38.22 – $141.12 | 13 |
| Aminolevulinic acid delta CPT 82135 | $36.15 | $75.00 | $19.50 – $72.00 | 13 |
| Amitriptyline (elavil) -sendout CPT 80335 | $32.78 | $68.00 | $8.06 – $29.76 | 13 |
| Ammonia CPT 82140 | $55.43 | $115.00 | $11.44 – $42.24 | 13 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $268.09 | $830.00 | $215.80 – $796.80 | 13 |
| Amphetamine confirm urine -sendout CPT 80324 | $40.01 | $83.00 | $14.56 – $53.76 | 13 |
| Amylase CPT 82150 | $164.36 | $341.00 | $5.20 – $19.20 | 13 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $74.23 | $154.00 | $14.82 – $54.72 | 13 |
| Analysis gene f2 20210g>a variant CPT 81240 | $96.23 | $198.00 | $51.48 – $190.08 | 13 |
| Analysis gene f5 leiden variant CPT 81241 | $107.41 | $221.00 | $57.46 – $212.16 | 13 |
| Anca screen with reflex to titer -quest CPT 86021 | $31.68 | $55.00 | $14.04 – $51.84 | 13 |
| An cholangiogram percutaneous compl CPT 47531 | $211.24 | $654.00 | $170.04 – $627.84 | 13 |
| An fluoro guide for cvp CPT 77001 | $217.62 | $406.00 | $105.56 – $389.76 | 13 |
| Angiotensin ii CPT 82163 | $42.90 | $89.00 | $23.14 – $85.44 | 13 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $2,987.62 | $5,258.50 | $0.81 – $2.98 | 13 |
| Ankle X-ray CPT 73610 | $130.78 | $244.00 | $63.44 – $234.24 | 13 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $121.67 | $227.00 | $59.02 – $217.92 | 13 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $88.13 | $153.00 | $39.78 – $146.88 | 13 |
| Antibody elution rbc reference CPT 86860 | $210.24 | $365.00 | $94.90 – $350.40 | 13 |
| Antibody htlv/hiv confirm test CPT 86689 | $289.73 | $503.00 | $122.72 – $453.12 | 13 |
| Antibody htlv-i CPT 86687 | $16.13 | $28.00 | $7.28 – $26.88 | 13 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $137.66 | $239.00 | $37.70 – $139.20 | 13 |
| Antibody id rbc panel CPT 86870 | $576.83 | $762.00 | $198.12 – $731.52 | 13 |
| Antibody influenza virus CPT 86710 | $39.17 | $68.00 | $17.68 – $65.28 | 13 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $35.71 | $62.00 | $16.12 – $59.52 | 13 |
| Antibody screen rbc CPT 86850 | $86.30 | $114.00 | $29.64 – $109.44 | 13 |
| Antibody tetanus CPT 86774 | $36.29 | $63.00 | $16.38 – $60.48 | 13 |
| Antidepressant not specified CPT 80338 | $33.74 | $70.00 | $13.52 – $49.92 | 13 |
| Antidepressants class 3-5 CPT 80333 | $46.75 | $97.00 | $25.22 – $93.12 | 13 |
| Anti mog serum - sendout CPT 86362 | $482.11 | $837.00 | $22.36 – $82.56 | 13 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $31.10 | $54.00 | $14.04 – $51.84 | 13 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $35.71 | $62.00 | $16.12 – $59.52 | 13 |
| Antinuclear antibodies CPT 86038 | $30.53 | $53.00 | $13.78 – $50.88 | 13 |
| Antinuclear antibodies titer CPT 86039 | $66.24 | $115.00 | $15.34 – $56.64 | 13 |
| Antiphosphatidylserine antibody CPT 86148 | $32.83 | $57.00 | $14.82 – $54.72 | 13 |
| Antipsychotics nos 1-3 CPT 80342 | $25.06 | $52.00 | $13.52 – $49.92 | 13 |
| Antistreptolysin o titer CPT 86060 | $32.83 | $57.00 | $14.82 – $54.72 | 13 |
| Antithrombin iii activity CPT 85300 | $30.37 | $63.00 | $16.38 – $60.48 | 13 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $240.11 | $344.00 | $89.44 – $330.24 | 13 |
| Application of paste boot 29580 CPT 29580 | $185.44 | $305.00 | $52.78 – $194.88 | 13 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $26.75 | $44.00 | $11.44 – $42.24 | 13 |
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.