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 |
|---|---|---|---|---|
| MRI breast without cont bi CPT 77047 | $897.07 | $1,787.00 | $464.62 – $1,715.52 | 13 |
| MRI breast w IV cont bi CPT 77049 | $1,345.86 | $2,681.00 | $697.06 – $2,573.76 | 13 |
| MRI chest without contrast CPT 71550 | $1,080.30 | $2,152.00 | $559.52 – $2,065.92 | 13 |
| MRI chest without & w/contrast CPT 71552 | $1,620.46 | $3,228.00 | $839.28 – $3,098.88 | 13 |
| MRI chest w IV cont CPT 71551 | $1,350.38 | $2,690.00 | $699.40 – $2,582.40 | 13 |
| MRI guid ndl plc s&i CPT 77021 | $493.47 | $983.00 | $255.58 – $943.68 | 13 |
| MRI loex nonjt w IV cont CPT 73719 | $931.21 | $1,855.00 | $482.30 – $1,780.80 | 13 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $744.97 | $1,484.00 | $385.84 – $1,424.64 | 13 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,117.45 | $2,226.00 | $578.76 – $2,136.96 | 13 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,064.53 | $3,888.00 | $1,010.88 – $3,732.48 | 13 |
| MRI tmj CPT 70336 | $696.27 | $1,387.00 | $319.80 – $1,180.80 | 13 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $899.08 | $1,791.00 | $465.66 – $1,719.36 | 13 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,348.87 | $2,687.00 | $698.62 – $2,579.52 | 13 |
| MRI upper extremity w/dye CPT 73219 | $1,123.98 | $2,239.00 | $582.14 – $2,149.44 | 13 |
| Mr safety determination physician/other qhp CPT 76016 | $57.89 | $108.00 | $28.08 – $103.68 | 13 |
| Mr safety implant elec prepj CPT 76018 | $101.84 | $190.00 | $49.40 – $182.40 | 13 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $98.09 | $183.00 | $47.58 – $175.68 | 13 |
| Mr safety implt pos&/immoblj CPT 76019 | $155.44 | $290.00 | $75.40 – $278.40 | 13 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $20.37 | $38.00 | $9.88 – $36.48 | 13 |
| Mr sfty med physics xm cstmz CPT 76017 | $241.74 | $451.00 | $117.26 – $432.96 | 13 |
| Msh2 gene full seq CPT 81295 | $556.96 | $1,146.00 | $297.96 – $1,100.16 | 13 |
| Mthfr gene analy common variants CPT 81291 | $95.74 | $197.00 | $51.22 – $189.12 | 13 |
| Multiple sleep latency test CPT 95805 | $3,791.46 | $3,488.00 | $906.88 – $3,348.48 | 13 |
| Mumps antibody igg CPT 86735 | $35.71 | $62.00 | $14.56 – $53.76 | 13 |
| Mycobacteria dna amp probe CPT 87551 | $195.94 | $369.00 | $95.94 – $354.24 | 13 |
| Mycoplasma antibody igm CPT 86738 | $31.68 | $55.00 | $14.30 – $52.80 | 13 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $256.12 | $527.00 | $137.02 – $505.92 | 13 |
| Myelogphy 2/> spine regions CPT 72270 | $888.69 | $1,658.00 | $431.08 – $1,591.68 | 13 |
| Myelography l-s spine CPT 72265 | $1,418.79 | $2,647.00 | $688.22 – $2,541.12 | 13 |
| Myelography neck spine CPT 72240 | $1,123.99 | $2,097.00 | $545.22 – $2,013.12 | 13 |
| Myelography thoracic spine CPT 72255 | $1,120.24 | $2,090.00 | $543.40 – $2,006.40 | 13 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $409.24 | $1,267.00 | $329.42 – $1,216.32 | 13 |
| Myelography via inj w/s&i cervical CPT 62302 | $226.75 | $702.00 | $182.52 – $673.92 | 13 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $387.92 | $1,201.00 | $312.26 – $1,152.96 | 13 |
| Myelography via inj w/s&i thoracic CPT 62303 | $232.24 | $719.00 | $186.94 – $690.24 | 13 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $86.30 | $135.00 | $9.10 – $33.60 | 13 |
| Natriuretic peptide CPT 83880 | $88.21 | $183.00 | $47.58 – $175.68 | 13 |
| Natural killer cells total count CPT 86357 | $65.66 | $114.00 | $29.64 – $109.44 | 13 |
| Ndl round specialty proguide HCPCS C1715 | $284.00 | $588.00 | $43.16 – $159.36 | 13 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $186.53 | $348.00 | $90.48 – $334.08 | 13 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,187.76 | $2,424.00 | $630.24 – $2,327.04 | 13 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $989.80 | $2,020.00 | $525.20 – $1,939.20 | 13 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $791.84 | $1,616.00 | $420.16 – $1,551.36 | 13 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $1,697.56 | $3,209.00 | $834.34 – $3,080.64 | 13 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,414.55 | $2,674.00 | $695.24 – $2,567.04 | 13 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,131.53 | $2,139.00 | $556.14 – $2,053.44 | 13 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $226.19 | $422.00 | $109.72 – $405.12 | 13 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $310.34 | $579.00 | $150.54 – $555.84 | 13 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $368.77 | $688.00 | $178.88 – $660.48 | 13 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,466.40 | $5,013.00 | $1,303.38 – $4,812.48 | 13 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,055.58 | $4,178.00 | $1,086.28 – $4,010.88 | 13 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,644.26 | $3,342.00 | $868.92 – $3,208.32 | 13 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $905.52 | $2,156.00 | $560.56 – $2,069.76 | 13 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $754.74 | $1,797.00 | $467.22 – $1,725.12 | 13 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $603.54 | $1,437.00 | $373.62 – $1,379.52 | 13 |
| New Patient Office Visit (level 2) CPT 99202 | $1,447.67 | $1,545.00 | $37.70 – $139.20 | 13 |
| New Patient Office Visit (level 3) CPT 99203 | $2,173.84 | $2,320.00 | $93.60 – $345.60 | 13 |
| New Patient Office Visit (level 4) CPT 99204 | $2,609.54 | $2,785.00 | $127.40 – $470.40 | 13 |
| New Patient Office Visit (level 5) CPT 99205 | $3,495.01 | $3,730.00 | $145.60 – $537.60 | 13 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,240.38 | $2,297.00 | $597.22 – $2,205.12 | 13 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,017.90 | $1,885.00 | $490.10 – $1,809.60 | 13 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $385.56 | $714.00 | $185.64 – $685.44 | 13 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $586.44 | $1,086.00 | $282.36 – $1,042.56 | 13 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $545.40 | $1,010.00 | $262.60 – $969.60 | 13 |
| Non-card vasc flow imaging CPT 78445 | $342.36 | $634.00 | $164.84 – $608.64 | 13 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $152.22 | $284.00 | $73.84 – $272.64 | 13 |
| Npm1 gene CPT 81310 | $359.64 | $740.00 | $192.40 – $710.40 | 13 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,220.02 | $5,963.00 | $1,550.38 – $5,724.48 | 13 |
| Nudt15 gene common variants CPT 81306 | $425.25 | $875.00 | $227.50 – $840.00 | 13 |
| Observation direct referral from physician office for admission HCPCS G0379 | $548.05 | $654.00 | $170.04 – $627.84 | 13 |
| Observation per hour HCPCS G0378 | $67.94 | $215.00 | $28.08 – $103.68 | 13 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $457.89 | $656.00 | $170.56 – $629.76 | 13 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $267.33 | $383.00 | $99.58 – $367.68 | 13 |
| Oncoprotein dcp CPT 83951 | $93.51 | $194.00 | $50.44 – $186.24 | 13 |
| Organic acids total quant ea spec CPT 83918 | $48.68 | $101.00 | $18.46 – $68.16 | 13 |
| Osmolality blood CPT 83930 | $26.99 | $56.00 | $14.56 – $53.76 | 13 |
| Osmolality urine CPT 83935 | $26.99 | $56.00 | $14.56 – $53.76 | 13 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $69.92 | $115.00 | $29.90 – $110.40 | 13 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $50.00 | $88.00 | $22.88 – $84.48 | 13 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $50.00 | $88.00 | $22.88 – $84.48 | 13 |
| Parathormone (pth) intact CPT 83970 | $59.77 | $124.00 | $32.24 – $119.04 | 13 |
| Parathyroid planar imaging CPT 78070 | $483.30 | $895.00 | $232.70 – $859.20 | 13 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,962.45 | $4,005.00 | $1,041.30 – $3,844.80 | 13 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,635.62 | $3,338.00 | $867.88 – $3,204.48 | 13 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,308.30 | $2,670.00 | $694.20 – $2,563.20 | 13 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,605.40 | $3,198.00 | $831.48 – $3,070.08 | 13 |
| Pelvic MRI (with contrast) CPT 72196 | $1,337.83 | $2,665.00 | $692.90 – $2,558.40 | 13 |
| Pelvic MRI (without contrast) CPT 72195 | $1,070.26 | $2,132.00 | $554.32 – $2,046.72 | 13 |
| Pelvic Ultrasound (complete) CPT 76856 | $662.40 | $949.00 | $246.74 – $911.04 | 13 |
| Pelvic Ultrasound (limited) CPT 76857 | $582.83 | $835.00 | $217.10 – $801.60 | 13 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $199.93 | $373.00 | $96.98 – $358.08 | 13 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $222.44 | $415.00 | $107.90 – $398.40 | 13 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $12,594.80 | $21,904.00 | $1,270.10 – $4,689.60 | 13 |
| Pericardiocentesis wwo imaging CPT 33016 | $582.80 | $1,457.00 | $378.82 – $1,398.72 | 13 |
| Perit-vens shunt pat tst CPT 78291 | $448.20 | $830.00 | $215.80 – $796.80 | 13 |
| Pertussis ag if CPT 87265 | $19.12 | $36.00 | $9.36 – $34.56 | 13 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $78,075.80 | $135,784.00 | $154.44 – $570.24 | 13 |
| Ph body fluid CPT 83986 | $50.13 | $104.00 | $13.26 – $48.96 | 13 |
| Phencyclidine (pcp) CPT 83992 | $77.12 | $160.00 | $14.56 – $53.76 | 13 |
| Phenobarbital therapeutic drug level CPT 80184 | $28.44 | $59.00 | $14.04 – $51.84 | 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.