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 |
|---|---|---|---|---|
| Sedimentation rate erythrocyte automated CPT 85652 | $4.34 | $9.00 | $2.34 – $8.64 | 13 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $52.90 | $87.00 | $22.62 – $83.52 | 13 |
| Semen analysis presence/motility CPT 89321 | $28.01 | $37.00 | $9.62 – $35.52 | 13 |
| Semen analysis w/count CPT 89310 | $19.68 | $26.00 | $6.76 – $24.96 | 13 |
| Sept9 promoter methylation analysis CPT 81327 | $279.94 | $576.00 | $149.76 – $552.96 | 13 |
| Serpina1 gene CPT 81332 | $168.16 | $346.00 | $89.96 – $332.16 | 13 |
| Sertraline (zoloft) - sendout CPT 80332 | $24.58 | $51.00 | $13.26 – $48.96 | 13 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $6,711.28 | $13,895.00 | $81.38 – $300.48 | 13 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $49.61 | $106.00 | $27.56 – $101.76 | 13 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $152.76 | $285.00 | $74.10 – $273.60 | 13 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $148.47 | $277.00 | $72.02 – $265.92 | 13 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,399.07 | $2,787.00 | $724.62 – $2,675.52 | 13 |
| Shoulder MRI (with contrast) CPT 73222 | $1,166.15 | $2,323.00 | $603.98 – $2,230.08 | 13 |
| Shoulder MRI (without contrast) CPT 73221 | $932.72 | $1,858.00 | $483.08 – $1,783.68 | 13 |
| Shoulder X-ray CPT 73030 | $245.49 | $458.00 | $119.08 – $439.68 | 13 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $106.13 | $198.00 | $51.48 – $190.08 | 13 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $224.58 | $419.00 | $108.94 – $402.24 | 13 |
| Sickling rbc CPT 85660 | $43.86 | $91.00 | $14.56 – $53.76 | 13 |
| Sinus CT scan (with and without contrast) CPT 70488 | $755.58 | $1,799.00 | $467.74 – $1,727.04 | 13 |
| Sinus CT scan (with contrast) CPT 70487 | $629.58 | $1,499.00 | $389.74 – $1,439.04 | 13 |
| Sinus CT scan (without contrast) CPT 70486 | $503.58 | $1,199.00 | $311.74 – $1,151.04 | 13 |
| Sinus X-ray (complete) CPT 70220 | $170.98 | $319.00 | $82.94 – $306.24 | 13 |
| Sinus X-ray (limited) CPT 70210 | $183.85 | $343.00 | $89.18 – $329.28 | 13 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $74.23 | $154.00 | $40.04 – $147.84 | 13 |
| Skull X-ray (1 to 3 views) CPT 70250 | $157.58 | $294.00 | $76.44 – $282.24 | 13 |
| Skull X-ray (complete) CPT 70260 | $231.02 | $431.00 | $112.06 – $413.76 | 13 |
| Slco1b1 gene com variants CPT 81328 | $255.15 | $525.00 | $136.50 – $504.00 | 13 |
| Sleep Study (Polysomnography) CPT 95810 | $3,416.71 | $4,895.00 | $1,272.70 – $4,699.20 | 13 |
| Sleep study unattended CPT 95806 | $631.55 | $581.00 | $151.06 – $557.76 | 13 |
| Sling suprapubic suburetheral HCPCS C1771 | $10,328.15 | $17,962.00 | $699.40 – $2,582.40 | 13 |
| Slp eval non-spch gen comm dev CPT 92605 | $135.22 | $238.00 | $61.88 – $228.48 | 13 |
| Slp ther svc non-spch gen CPT 92606 | $65.34 | $115.00 | $29.90 – $110.40 | 13 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $212.79 | $397.00 | $103.22 – $381.12 | 13 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $36.11 | $68.00 | $4.42 – $16.32 | 13 |
| Smear gram stain CPT 87205 | $68.89 | $91.00 | $3.38 – $12.48 | 13 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $9.56 | $18.00 | $4.68 – $17.28 | 13 |
| Smear wet mount CPT 87210 | $28.14 | $53.00 | $13.78 – $50.88 | 13 |
| Sodium 24 hour urine CPT 84300 | $34.70 | $72.00 | $4.16 – $15.36 | 13 |
| Sodium serum/plasma/whole blood CPT 84295 | $14.94 | $31.00 | $8.06 – $29.76 | 13 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $200.56 | $353.00 | $91.78 – $338.88 | 13 |
| Speech evaluation complex CPT 70371 | $423.98 | $791.00 | $205.66 – $759.36 | 13 |
| Speech Therapy Session (one-on-one) CPT 92507 | $105.11 | $185.00 | $48.10 – $177.60 | 13 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $305.88 | $947.00 | $246.22 – $909.12 | 13 |
| Spine X-ray (single view, one level) CPT 72020 | $159.19 | $297.00 | $77.22 – $285.12 | 13 |
| Sputum specimen collection CPT 89220 | $276.30 | $365.00 | $94.90 – $350.40 | 13 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $151.70 | $267.00 | $69.42 – $256.32 | 13 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $155.67 | $274.00 | $71.24 – $263.04 | 13 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $25,187.30 | $43,804.00 | $154.44 – $570.24 | 13 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $5,327.38 | $9,265.00 | $43.16 – $159.36 | 13 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $20,150.30 | $35,044.00 | $154.44 – $570.24 | 13 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $5,327.38 | $9,265.00 | $367.38 – $1,356.48 | 13 |
| St evaluate speech sound production CPT 92522 | $156.24 | $275.00 | $71.50 – $264.00 | 13 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $167.60 | $295.00 | $76.70 – $283.20 | 13 |
| Stimulants synthetic CPT 80371 | $77.12 | $160.00 | $41.60 – $153.60 | 13 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,038.42 | $1,923.00 | $499.98 – $1,846.08 | 13 |
| Strep b dna amp probe CPT 87653 | $56.29 | $106.00 | $27.56 – $101.76 | 13 |
| Stress test pulmonary CPT 94618 | $199.02 | $535.00 | $139.10 – $513.60 | 13 |
| Str markers specimen anal CPT 81265 | $693.52 | $1,427.00 | $182.00 – $672.00 | 13 |
| Sulfonylurea screen qn-sendout CPT 80377 | $85.80 | $178.00 | $46.28 – $170.88 | 13 |
| Surgical pathology level 1 gross examination only CPT 88300 | $23.32 | $53.00 | $13.78 – $50.88 | 13 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $36.96 | $84.00 | $21.84 – $80.64 | 13 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $50.16 | $114.00 | $29.64 – $109.44 | 13 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $50.16 | $114.00 | $29.64 – $109.44 | 13 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $335.28 | $762.00 | $198.12 – $731.52 | 13 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $753.28 | $1,712.00 | $445.12 – $1,643.52 | 13 |
| Susceptibility agar dilution per agent CPT 87181 | $135.40 | $255.00 | $17.16 – $63.36 | 13 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $29.74 | $56.00 | $14.56 – $53.76 | 13 |
| Susceptibility mic per plate CPT 87186 | $151.40 | $200.00 | $6.76 – $24.96 | 13 |
| Suscept studies macrobroth dilution ea CPT 87188 | $61.07 | $115.00 | $15.08 – $55.68 | 13 |
| Swallowing Evaluation (Bedside) CPT 92610 | $135.79 | $239.00 | $62.14 – $229.44 | 13 |
| Swallowing Therapy Session CPT 92526 | $115.90 | $204.00 | $53.04 – $195.84 | 13 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $29.95 | $52.00 | $13.52 – $49.92 | 13 |
| System pacing micra av HCPCS C1786 | $19,910.25 | $35,044.00 | $4,555.20 – $16,819.20 | 13 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $62,214.70 | $109,504.00 | $4,555.20 – $16,819.20 | 13 |
| T3 (triiodothyronine) free CPT 84481 | $34.22 | $71.00 | $14.04 – $51.84 | 13 |
| T3 (triiodothyronine) total CPT 84480 | $20.73 | $43.00 | $11.18 – $41.28 | 13 |
| T4 (thyroxine) free CPT 84439 | $45.79 | $95.00 | $17.16 – $63.36 | 13 |
| T4 (thyroxine) total CPT 84436 | $26.99 | $56.00 | $14.56 – $53.76 | 13 |
| Tacrolimus therapeutic drug level CPT 80197 | $30.85 | $64.00 | $14.82 – $54.72 | 13 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $151.15 | $282.00 | $73.32 – $270.72 | 13 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,163.97 | $2,395.00 | $592.54 – $2,187.84 | 13 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $4,256.87 | $8,759.00 | $2,277.34 – $8,408.64 | 13 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $172.80 | $300.00 | $78.00 – $288.00 | 13 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $107.14 | $186.00 | $48.36 – $178.56 | 13 |
| Tc-99m bicisate HCPCS A9557 | $888.62 | $1,683.00 | $437.58 – $1,615.68 | 13 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $977.86 | $1,852.00 | $481.52 – $1,777.92 | 13 |
| Tc-99m exametazime diag HCPCS A9521 | $382.80 | $725.00 | $188.50 – $696.00 | 13 |
| Tc-99m labeled rbc HCPCS A9560 | $424.51 | $804.00 | $209.04 – $771.84 | 13 |
| Tc-99m maa HCPCS A9540 | $90.82 | $172.00 | $44.72 – $165.12 | 13 |
| Tc-99m mebrofenin HCPCS A9537 | $497.38 | $942.00 | $244.92 – $904.32 | 13 |
| Tc-99m medronate HCPCS A9503 | $187.07 | $354.30 | $92.12 – $340.13 | 13 |
| Tc-99m mertiatide HCPCS A9562 | $218.06 | $413.00 | $107.38 – $396.48 | 13 |
| Tc-99m pentetate dtpa HCPCS A9539 | $135.70 | $257.00 | $66.82 – $246.72 | 13 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $225.09 | $426.30 | $110.84 – $409.25 | 13 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $61.25 | $116.00 | $30.16 – $111.36 | 13 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $95.04 | $180.00 | $46.80 – $172.80 | 13 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $146.73 | $277.90 | $72.25 – $266.78 | 13 |
| Tc-99m sulfur colloid HCPCS A9541 | $90.82 | $172.00 | $44.72 – $165.12 | 13 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $105.60 | $200.00 | $52.00 – $192.00 | 13 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $81.22 | $141.00 | $36.66 – $135.36 | 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.