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 |
|---|---|---|---|---|
| Phenytoin total therapeutic drug level CPT 80185 | $28.44 | $59.00 | $15.34 – $56.64 | 13 |
| Phlebotomy therapeutic CPT 99195 | $94.07 | $201.00 | $52.26 – $192.96 | 13 |
| Phosphorus CPT 84100 | $22.65 | $47.00 | $12.22 – $45.12 | 13 |
| Phosphorus 24 hour urine CPT 84105 | $35.67 | $74.00 | $4.68 – $17.28 | 13 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $194.11 | $329.00 | $85.54 – $315.84 | 13 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $135.11 | $229.00 | $59.54 – $219.84 | 13 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $178.77 | $303.00 | $78.78 – $290.88 | 13 |
| Physical Therapy Re-Evaluation CPT 97164 | $135.11 | $229.00 | $59.54 – $219.84 | 13 |
| Pik3ca gene trgt seq alys CPT 81309 | $400.95 | $825.00 | $214.50 – $792.00 | 13 |
| Pin caspar distraction 12mm HCPCS C1821 | $20,150.30 | $35,044.00 | $1,270.10 – $4,689.60 | 13 |
| Pinworm exam CPT 87172 | $6.90 | $13.00 | $3.38 – $12.48 | 13 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $274.55 | $850.00 | $221.00 – $816.00 | 13 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $164.41 | $509.00 | $132.34 – $488.64 | 13 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $368.87 | $1,142.00 | $296.92 – $1,096.32 | 13 |
| Platelet aggregation each agent teg CPT 85576 | $36.15 | $75.00 | $19.50 – $72.00 | 13 |
| Platelet automated CPT 85049 | $27.96 | $58.00 | $3.64 – $13.44 | 13 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $220.03 | $731.00 | $190.06 – $701.76 | 13 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $236.89 | $787.00 | $204.62 – $755.52 | 13 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $527.35 | $1,752.00 | $455.52 – $1,681.92 | 13 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $504.20 | $1,561.00 | $405.86 – $1,498.56 | 13 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $233.85 | $724.00 | $188.24 – $695.04 | 13 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $114.99 | $356.00 | $92.56 – $341.76 | 13 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $132.43 | $356.00 | $92.56 – $341.76 | 13 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $38.08 | $79.00 | $20.54 – $75.84 | 13 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $7,133.98 | $6,563.00 | $1,706.38 – $6,300.48 | 13 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,575.85 | $5,123.00 | $1,331.98 – $4,918.08 | 13 |
| Potassium 24 hour urine CPT 84133 | $33.74 | $70.00 | $14.30 – $52.80 | 13 |
| Potassium serum/plasma/whole blood CPT 84132 | $39.52 | $82.00 | $10.14 – $37.44 | 13 |
| Prealbumin CPT 84134 | $26.03 | $54.00 | $14.04 – $51.84 | 13 |
| Pregabalin - sendout CPT 80366 | $45.79 | $95.00 | $24.70 – $91.20 | 13 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $748.95 | $1,073.00 | $278.98 – $1,030.08 | 13 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $651.23 | $933.00 | $242.58 – $895.68 | 13 |
| Pregnancy Ultrasound (limited) CPT 76815 | $427.18 | $612.00 | $159.12 – $587.52 | 13 |
| Pretreat rbc absorption reference CPT 86978 | $159.55 | $277.00 | $72.02 – $265.92 | 13 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $113.55 | $150.00 | $39.00 – $144.00 | 13 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $329.77 | $490.00 | $127.40 – $470.40 | 13 |
| Procalcitonin CPT 84145 | $67.96 | $141.00 | $36.66 – $135.36 | 13 |
| Progesterone CPT 84144 | $30.37 | $63.00 | $16.38 – $60.48 | 13 |
| Prolactin CPT 84146 | $28.44 | $59.00 | $15.34 – $56.64 | 13 |
| _propoxygc/msur CPT 80367 | $26.99 | $56.00 | $14.56 – $53.76 | 13 |
| Protein c activity CPT 85303 | $20.24 | $42.00 | $10.92 – $40.32 | 13 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $27.47 | $57.00 | $14.56 – $53.76 | 13 |
| Protein s total CPT 85305 | $30.85 | $64.00 | $15.08 – $55.68 | 13 |
| Protein total 24 hour urine CPT 84156 | $28.44 | $59.00 | $3.12 – $11.52 | 13 |
| Protein total body fluid CPT 84157 | $26.99 | $56.00 | $13.52 – $49.92 | 13 |
| Protein total serum plasma whole blood CPT 84155 | $26.99 | $56.00 | $13.78 – $50.88 | 13 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $27.96 | $58.00 | $15.08 – $55.68 | 13 |
| Pr removal intrauterine device CPT 58301 | $222.40 | $556.00 | $144.56 – $533.76 | 13 |
| PSA (Prostate) Test CPT 84153 | $26.99 | $56.00 | $14.56 – $53.76 | 13 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $31.62 | $52.00 | $13.52 – $49.92 | 13 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $60.80 | $100.00 | $26.00 – $96.00 | 13 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $68.10 | $112.00 | $29.12 – $107.52 | 13 |
| Pt application of modality traction mechanical CPT 97012 | $74.78 | $123.00 | $31.98 – $118.08 | 13 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $107.62 | $177.00 | $46.02 – $169.92 | 13 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $44.99 | $74.00 | $19.24 – $71.04 | 13 |
| Pt wheelchair management each 15 minutes CPT 97542 | $49.25 | $81.00 | $21.06 – $77.76 | 13 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $52.99 | $70.00 | $18.20 – $67.20 | 13 |
| Puncture spinal lumbar diagnostic CPT 62270 | $214.15 | $663.00 | $172.38 – $636.48 | 13 |
| Quest t3 uptake CPT 84479 | $26.99 | $56.00 | $14.56 – $53.76 | 13 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $665.28 | $1,232.00 | $320.32 – $1,182.72 | 13 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,165.32 | $2,158.00 | $561.08 – $2,071.68 | 13 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $793.26 | $1,469.00 | $381.94 – $1,410.24 | 13 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $806.22 | $1,493.00 | $388.18 – $1,433.28 | 13 |
| Radphm lcl tumor plr sgl day CPT 78800 | $396.36 | $734.00 | $190.84 – $704.64 | 13 |
| Rapid Strep Test CPT 87880 | $26.55 | $50.00 | $13.00 – $48.00 | 13 |
| Rbc count only automated CPT 85041 | $30.37 | $63.00 | $16.12 – $59.52 | 13 |
| Rbc serum pretx incubj drugs CPT 86975 | $488.45 | $848.00 | $220.48 – $814.08 | 13 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $214.91 | $714.00 | $76.44 – $282.24 | 13 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $105.35 | $350.00 | $91.00 – $336.00 | 13 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $105.79 | $174.00 | $45.24 – $167.04 | 13 |
| Removal sutr and stapl no anes CPT 15854 | $51.60 | $129.00 | $33.54 – $123.84 | 13 |
| Removal sutr or stapl no anes CPT 15853 | $51.60 | $129.00 | $33.54 – $123.84 | 13 |
| Renal function panel CPT 80069 | $75.19 | $156.00 | $40.56 – $149.76 | 13 |
| Reptilase test CPT 85635 | $14.46 | $30.00 | $7.80 – $28.80 | 13 |
| Resp virus 6-11 targets CPT 87632 | $347.80 | $655.00 | $170.30 – $628.80 | 13 |
| Reticulated platelet assay CPT 85055 | $52.06 | $108.00 | $28.08 – $103.68 | 13 |
| Reticulocyte direct measurement automated CPT 85046 | $53.98 | $112.00 | $29.12 – $107.52 | 13 |
| Rheumatoid factor qualitative CPT 86430 | $40.32 | $70.00 | $18.20 – $67.20 | 13 |
| Rheumatoid factor quantitative CPT 86431 | $31.68 | $55.00 | $4.68 – $17.28 | 13 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $267.46 | $499.00 | $129.74 – $479.04 | 13 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $336.61 | $628.00 | $163.28 – $602.88 | 13 |
| Rib X-ray (3 views, both sides) CPT 71110 | $281.40 | $525.00 | $136.50 – $504.00 | 13 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $525.42 | $973.00 | $252.98 – $934.08 | 13 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $871.02 | $1,613.00 | $419.38 – $1,548.48 | 13 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $871.02 | $1,613.00 | $419.38 – $1,548.48 | 13 |
| Rsv assay w/optic CPT 87807 | $21.24 | $40.00 | $10.40 – $38.40 | 13 |
| Rubella antibody igg CPT 86762 | $32.26 | $56.00 | $14.56 – $53.76 | 13 |
| Rubeola antibody igg CPT 86765 | $34.56 | $60.00 | $10.14 – $37.44 | 13 |
| Russell viper venom diluted CPT 85613 | $28.92 | $60.00 | $15.60 – $57.60 | 13 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $1,337.47 | $2,752.00 | $715.52 – $2,641.92 | 13 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $251.92 | $470.00 | $122.20 – $451.20 | 13 |
| Salmonella antibody CPT 86768 | $42.05 | $73.00 | $18.98 – $70.08 | 13 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $387.20 | $805.00 | $209.30 – $772.80 | 13 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $345.36 | $718.00 | $186.68 – $689.28 | 13 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $561.81 | $1,168.00 | $303.68 – $1,121.28 | 13 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $407.89 | $848.00 | $220.48 – $814.08 | 13 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $454.06 | $944.00 | $245.44 – $906.24 | 13 |
| Screening Mammogram CPT 77067 | $225.63 | $345.00 | $59.80 – $220.80 | 13 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $75,557.30 | $131,404.00 | $18.20 – $67.20 | 13 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $613.54 | $879.00 | $228.54 – $843.84 | 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.