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 |
|---|---|---|---|---|
| T cells absolute cd 4 count CPT 86361 | $63.94 | $111.00 | $28.86 – $106.56 | 13 |
| T cells total count CPT 86359 | $65.66 | $114.00 | $29.64 – $109.44 | 13 |
| Telehealth original site facility fee HCPCS Q3014 | $23.86 | $42.00 | $10.92 – $40.32 | 13 |
| Testicular imaging w/vasc flow CPT 78761 | $404.46 | $749.00 | $194.74 – $719.04 | 13 |
| Test stress cardiovascular tracing only CPT 93017 | $833.38 | $1,647.00 | $428.22 – $1,581.12 | 13 |
| Theophylline therapeutic drug level CPT 80198 | $20.73 | $43.00 | $11.18 – $41.28 | 13 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $69.31 | $114.00 | $29.64 – $109.44 | 13 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $70.53 | $116.00 | $30.16 – $111.36 | 13 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $36.52 | $44.00 | $11.44 – $42.24 | 13 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $34.86 | $42.00 | $10.92 – $40.32 | 13 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $523.14 | $976.00 | $253.76 – $936.96 | 13 |
| Ther/proph/diag inj ia CPT 96373 | $65.99 | $141.00 | $36.66 – $135.36 | 13 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $197.78 | $369.00 | $95.94 – $354.24 | 13 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $488.05 | $1,511.00 | $261.82 – $966.72 | 13 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,340.82 | $2,483.00 | $645.58 – $2,383.68 | 13 |
| Thrombin time CPT 85670 | $26.99 | $56.00 | $4.68 – $17.28 | 13 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $49.65 | $103.00 | $26.78 – $98.88 | 13 |
| Thyroglobulin antibody CPT 86800 | $55.30 | $96.00 | $14.82 – $54.72 | 13 |
| Thyroid imaging CPT 78013 | $420.66 | $779.00 | $202.54 – $747.84 | 13 |
| Thyroid (TSH) Test CPT 84443 | $53.50 | $111.00 | $14.30 – $52.80 | 13 |
| Thyroid Ultrasound CPT 76536 | $582.13 | $834.00 | $216.84 – $800.64 | 13 |
| Thyroid uptake measurement CPT 78012 | $265.68 | $492.00 | $127.92 – $472.32 | 13 |
| Thyroxine binding globulin (tbg) CPT 84442 | $21.69 | $45.00 | $11.70 – $43.20 | 13 |
| Tissue culture placenta CPT 88235 | $97.42 | $451.00 | $117.26 – $432.96 | 13 |
| Tissue culture skin/biopsy CPT 88233 | $91.37 | $423.00 | $109.98 – $406.08 | 13 |
| Tissue exam koh skin/hair/nails CPT 87220 | $114.17 | $215.00 | $16.64 – $61.44 | 13 |
| Tissue transglutaminase iga CPT 86364 | $33.98 | $59.00 | $9.10 – $33.60 | 13 |
| Tobramycin peak therapeutic drug level CPT 80200 | $23.62 | $49.00 | $12.74 – $47.04 | 13 |
| Toe X-ray (both feet) CPT 73660 | $131.32 | $245.00 | $63.70 – $235.20 | 13 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $36.37 | $58.00 | $15.08 – $55.68 | 13 |
| Tomosynthesis breast screen bilateral CPT 77063 | $37.93 | $58.00 | $15.08 – $55.68 | 13 |
| Total tau CPT 84394 | $217.38 | $451.00 | $117.26 – $432.96 | 13 |
| Toxoplasma antibody igg CPT 86777 | $36.29 | $63.00 | $11.44 – $42.24 | 13 |
| Toxoplasma antibody igm CPT 86778 | $34.56 | $60.00 | $11.44 – $42.24 | 13 |
| Tpmt gene com vrnts CPT 81335 | $255.15 | $525.00 | $136.50 – $504.00 | 13 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $86.32 | $104.00 | $27.04 – $99.84 | 13 |
| Transferrin CPT 84466 | $18.80 | $39.00 | $10.14 – $37.44 | 13 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $580.74 | $832.00 | $216.32 – $798.72 | 13 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $490.00 | $702.00 | $182.52 – $673.92 | 13 |
| Treponema pallidum antibody CPT 86780 | $42.62 | $74.00 | $10.40 – $38.40 | 13 |
| Trg gene rearrangement anal CPT 81342 | $294.03 | $605.00 | $157.30 – $580.80 | 13 |
| Trichinella antibody CPT 86784 | $39.74 | $69.00 | $17.94 – $66.24 | 13 |
| #tricyclicantidprssnt CPT 80337 | $41.93 | $87.00 | $22.62 – $83.52 | 13 |
| Triglycerides CPT 84478 | $26.03 | $54.00 | $11.18 – $41.28 | 13 |
| Troponin quantitative CPT 84484 | $66.52 | $138.00 | $35.88 – $132.48 | 13 |
| Ugt1a1 gene analy common variants CPT 81350 | $341.17 | $702.00 | $182.52 – $673.92 | 13 |
| Ultrasound breast complete CPT 76641 | $663.80 | $951.00 | $164.84 – $608.64 | 13 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $544.44 | $780.00 | $135.20 – $499.20 | 13 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $282.69 | $405.00 | $105.30 – $388.80 | 13 |
| Ultrasound encephalogram CPT 76506 | $429.97 | $616.00 | $160.16 – $591.36 | 13 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $369.94 | $530.00 | $137.80 – $508.80 | 13 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $422.29 | $605.00 | $157.30 – $580.80 | 13 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $342.02 | $490.00 | $127.40 – $470.40 | 13 |
| Ultrasound guidance for vascular access CPT 76937 | $182.88 | $262.00 | $68.12 – $251.52 | 13 |
| Ultrasound guide intraoperative CPT 76998 | $159.14 | $228.00 | $59.28 – $218.88 | 13 |
| Ultrasound hips infant dynamic CPT 76885 | $270.82 | $388.00 | $100.88 – $372.48 | 13 |
| Ultrasound infant hips ltd without stress CPT 76886 | $164.03 | $235.00 | $61.10 – $225.60 | 13 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $493.49 | $707.00 | $183.82 – $678.72 | 13 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $270.82 | $388.00 | $100.88 – $372.48 | 13 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $598.88 | $858.00 | $223.08 – $823.68 | 13 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $506.05 | $725.00 | $188.50 – $696.00 | 13 |
| Ultrasound prostate/transrectal CPT 76872 | $313.40 | $449.00 | $116.74 – $431.04 | 13 |
| Ultrasound spinal canal and contents CPT 76800 | $249.19 | $357.00 | $92.82 – $342.72 | 13 |
| Ultrasound transabd ea addl gest CPT 76812 | $669.38 | $959.00 | $249.34 – $920.64 | 13 |
| Unlisted hematology&coagj px CPT 85999 | $27.47 | $57.00 | $14.82 – $54.72 | 13 |
| Unlisted transfusion med px CPT 86999 | $202.88 | $268.00 | $69.68 – $257.28 | 13 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $181.70 | $339.00 | $88.14 – $325.44 | 13 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,036.35 | $2,115.00 | $549.90 – $2,030.40 | 13 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $829.08 | $1,692.00 | $439.92 – $1,624.32 | 13 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,710.79 | $3,234.00 | $840.84 – $3,104.64 | 13 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,425.65 | $2,695.00 | $700.70 – $2,587.20 | 13 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,140.52 | $2,156.00 | $560.56 – $2,069.76 | 13 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $278.72 | $520.00 | $135.20 – $499.20 | 13 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $296.41 | $553.00 | $143.78 – $530.88 | 13 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $643.20 | $1,200.00 | $312.00 – $1,152.00 | 13 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $602.46 | $1,124.00 | $292.24 – $1,079.04 | 13 |
| Urea nitrogen CPT 84520 | $20.73 | $43.00 | $11.18 – $41.28 | 13 |
| Urea nitrogen 24 hour urine CPT 84540 | $25.06 | $52.00 | $13.52 – $49.92 | 13 |
| Urea nitrogen clearance CPT 84545 | $34.22 | $71.00 | $18.46 – $68.16 | 13 |
| Ureteral reflux study CPT 78740 | $447.12 | $828.00 | $215.28 – $794.88 | 13 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $404.68 | $755.00 | $196.30 – $724.80 | 13 |
| Urethrocystography void s&i CPT 74455 | $462.03 | $862.00 | $224.12 – $827.52 | 13 |
| Uric acid blood CPT 84550 | $6.75 | $14.00 | $3.64 – $13.44 | 13 |
| Uric acid urine CPT 84560 | $34.70 | $72.00 | $14.56 – $53.76 | 13 |
| Urinalysis microscopic only CPT 81015 | $4.81 | $10.00 | $2.60 – $9.60 | 13 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $3.37 | $7.00 | $1.82 – $6.72 | 13 |
| Urinalysis (with microscopy) CPT 81001 | $26.45 | $55.00 | $14.30 – $52.80 | 13 |
| Urinalysis (without microscopy) CPT 81003 | $25.49 | $53.00 | $1.82 – $6.72 | 13 |
| Urine Culture Test CPT 87086 | $35.05 | $66.00 | $17.16 – $63.36 | 13 |
| Urine pregnancy test CPT 81025 | $27.90 | $58.00 | $15.08 – $55.68 | 13 |
| Urography, antegrade CPT 74425 | $462.57 | $863.00 | $224.38 – $828.48 | 13 |
| Vaccine Administration (one shot) CPT 90471 | $57.23 | $105.00 | $27.30 – $100.80 | 13 |
| Valproic acid total therapeutic drug level CPT 80164 | $31.81 | $66.00 | $13.78 – $50.88 | 13 |
| Vancomycin peak therapeutic drug level CPT 80202 | $19.76 | $41.00 | $10.66 – $39.36 | 13 |
| Varicella zoster antibody igg CPT 86787 | $30.53 | $53.00 | $10.14 – $37.44 | 13 |
| Venogram ext bil s&i CPT 75822 | $486.15 | $907.00 | $235.82 – $870.72 | 13 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $323.74 | $604.00 | $157.04 – $579.84 | 13 |
| Ventilator each subsequent day CPT 94003 | $429.75 | $1,125.00 | $292.50 – $1,080.00 | 13 |
| Ventilator Management (first day) CPT 94002 | $550.46 | $1,441.00 | $374.66 – $1,383.36 | 13 |
| Version cephalic external CPT 59412 | $423.27 | $745.00 | $193.70 – $715.20 | 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.