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 |
|---|---|---|---|---|
| Esophageal motility CPT 78258 | $523.80 | $970.00 | $252.20 – $931.20 | 13 |
| Established Patient Office Visit (level 1) CPT 99211 | $285.79 | $305.00 | $35.10 – $129.60 | 13 |
| Established Patient Office Visit (level 2) CPT 99212 | $721.49 | $770.00 | $63.70 – $235.20 | 13 |
| Established Patient Office Visit (level 3) CPT 99213 | $1,447.67 | $1,545.00 | $81.90 – $302.40 | 13 |
| Established Patient Office Visit (level 4) CPT 99214 | $2,234.75 | $2,385.00 | $110.50 – $408.00 | 13 |
| Established Patient Office Visit (level 5) CPT 99215 | $3,148.32 | $3,360.00 | $127.40 – $470.40 | 13 |
| Estradiol total CPT 82670 | $40.49 | $84.00 | $21.84 – $80.64 | 13 |
| Estrogens total-sendout CPT 82672 | $31.81 | $66.00 | $17.16 – $63.36 | 13 |
| Ethylene glycol -sendout CPT 82693 | $39.04 | $81.00 | $21.06 – $77.76 | 13 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $142.19 | $295.00 | $76.70 – $283.20 | 13 |
| Event monitor CPT 93270 | $177.35 | $359.00 | $93.34 – $344.64 | 13 |
| Evoked oa emissions ltd CPT 92587 | $95.45 | $168.00 | $43.68 – $161.28 | 13 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $5,327.38 | $9,265.00 | $700.70 – $2,587.20 | 13 |
| External newborn metabolic screening panel HCPCS S3620 | $118.85 | $157.00 | $40.82 – $150.72 | 13 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $74.88 | $130.00 | $14.30 – $52.80 | 13 |
| Eye Socket (Orbit) X-ray CPT 70200 | $212.79 | $397.00 | $103.22 – $381.12 | 13 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $864.36 | $2,058.00 | $535.08 – $1,975.68 | 13 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $720.30 | $1,715.00 | $445.90 – $1,646.40 | 13 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $576.24 | $1,372.00 | $356.72 – $1,317.12 | 13 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $2,477.12 | $4,665.00 | $1,212.90 – $4,478.40 | 13 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $1,651.41 | $3,110.00 | $808.60 – $2,985.60 | 13 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $134.54 | $251.00 | $65.26 – $240.96 | 13 |
| Facial Bones X-ray (complete) CPT 70150 | $229.41 | $428.00 | $111.28 – $410.88 | 13 |
| Factor ix CPT 85250 | $38.08 | $79.00 | $19.50 – $72.00 | 13 |
| Factor viii CPT 85240 | $54.95 | $114.00 | $17.16 – $63.36 | 13 |
| Fat/lipids feces qualitative CPT 82705 | $32.78 | $68.00 | $17.68 – $65.28 | 13 |
| Fatty acids nonesterified CPT 82725 | $33.26 | $69.00 | $17.94 – $66.24 | 13 |
| #fecal-sodium CPT 84302 | $27.96 | $58.00 | $3.90 – $14.40 | 13 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $35.67 | $74.00 | $19.24 – $71.04 | 13 |
| Fern test HCPCS Q0114 | $31.81 | $66.00 | $17.16 – $63.36 | 13 |
| Ferritin CPT 82728 | $28.92 | $60.00 | $15.60 – $57.60 | 13 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $535.37 | $767.00 | $199.42 – $736.32 | 13 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,107.11 | $2,278.00 | $592.28 – $2,186.88 | 13 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $717.42 | $660.00 | $171.60 – $633.60 | 13 |
| Fetal fibronectin CPT 82731 | $93.51 | $194.00 | $50.44 – $186.24 | 13 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $28.44 | $59.00 | $15.34 – $56.64 | 13 |
| Fetal hemoglobin rosette CPT 85461 | $13.98 | $29.00 | $7.54 – $27.84 | 13 |
| Fetal non stress test CPT 59025 | $700.03 | $644.00 | $167.44 – $618.24 | 13 |
| #_fet/norfentcnfrmur CPT 80354 | $32.29 | $67.00 | $14.56 – $53.76 | 13 |
| Fibrin degradation d dimer quantitative CPT 85379 | $14.94 | $31.00 | $8.06 – $29.76 | 13 |
| Fibrin degradation products CPT 85362 | $38.56 | $80.00 | $20.80 – $76.80 | 13 |
| Fibrinogen activity CPT 85384 | $14.46 | $30.00 | $7.80 – $28.80 | 13 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $22.65 | $47.00 | $12.22 – $45.12 | 13 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $34.22 | $71.00 | $14.82 – $54.72 | 13 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $6,658.50 | $11,580.00 | $1,523.86 – $5,626.56 | 13 |
| Filter vena cava fem denali HCPCS C1880 | $5,327.38 | $9,265.00 | $699.40 – $2,582.40 | 13 |
| Finger X-ray (both hands) CPT 73140 | $157.05 | $293.00 | $76.18 – $281.28 | 13 |
| Fl exam g/colon tube w contrast CPT 49465 | $90.44 | $280.00 | $72.80 – $268.80 | 13 |
| Flow cytometry marker each additional CPT 88185 | $27.22 | $126.00 | $30.94 – $114.24 | 13 |
| Flow cytometry one marker technical component CPT 88184 | $164.59 | $762.00 | $198.12 – $731.52 | 13 |
| Flt3 gene CPT 81245 | $241.54 | $497.00 | $129.22 – $477.12 | 13 |
| Flt3 gene analysis CPT 81246 | $121.01 | $249.00 | $64.74 – $239.04 | 13 |
| Fluidotherapy charges pt CPT 97022 | $42.56 | $70.00 | $18.20 – $67.20 | 13 |
| Fluid pressure muscle 20950 CPT 20950 | $387.60 | $969.00 | $251.94 – $930.24 | 13 |
| Fluorescent antibody titer dna CPT 86256 | $482.11 | $837.00 | $14.30 – $52.80 | 13 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $247.10 | $461.00 | $119.86 – $442.56 | 13 |
| Fluoroguide needle placement CPT 77002 | $448.63 | $837.00 | $217.62 – $803.52 | 13 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $360.19 | $672.00 | $174.72 – $645.12 | 13 |
| Folic acid CPT 82746 | $21.69 | $45.00 | $11.70 – $43.20 | 13 |
| Foot X-ray CPT 73630 | $216.01 | $403.00 | $104.78 – $386.88 | 13 |
| Foot X-ray (2 views, both feet) CPT 73620 | $101.30 | $189.00 | $49.14 – $181.44 | 13 |
| Forearm X-ray (both sides) CPT 73090 | $108.81 | $203.00 | $52.78 – $194.88 | 13 |
| Fracture assessment via dxa CPT 77086 | $117.38 | $219.00 | $56.94 – $210.24 | 13 |
| _fragile x methylation-sendout CPT 81244 | $65.61 | $135.00 | $35.10 – $129.60 | 13 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $27.99 | $93.00 | $24.18 – $89.28 | 13 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $27.99 | $93.00 | $24.18 – $89.28 | 13 |
| Fresh frozen plasma thawing ea un CPT 86927 | $276.30 | $365.00 | $94.90 – $350.40 | 13 |
| Fructosamine glycated protein CPT 82985 | $25.55 | $53.00 | $13.78 – $50.88 | 13 |
| Ftl cgen abnor two proteins CPT 81508 | $126.36 | $260.00 | $67.60 – $249.60 | 13 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $233.70 | $436.00 | $113.36 – $418.56 | 13 |
| Gabapentin non-blood CPT 80355 | $26.99 | $56.00 | $14.56 – $53.76 | 13 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $83.39 | $173.00 | $44.98 – $166.08 | 13 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $498.42 | $923.00 | $239.98 – $886.08 | 13 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,252.26 | $2,319.00 | $602.94 – $2,226.24 | 13 |
| Gammaglobulin iga CPT 82784 | $30.37 | $63.00 | $13.52 – $49.92 | 13 |
| Gammaglobulin ige CPT 82785 | $27.96 | $58.00 | $15.08 – $55.68 | 13 |
| Gamma glutamyltransferase CPT 82977 | $29.88 | $62.00 | $5.72 – $21.12 | 13 |
| Gastroesophageal reflux study CPT 78262 | $716.58 | $1,327.00 | $345.02 – $1,273.92 | 13 |
| Gated heart multiple CPT 78473 | $1,496.88 | $2,772.00 | $720.72 – $2,661.12 | 13 |
| Generator barostim neo2 2014 HCPCS C1767 | $62,964.80 | $109,504.00 | $7,402.20 – $27,331.20 | 13 |
| Generator emblem MRI sicd subq HCPCS C1722 | $49,772.21 | $87,604.00 | $11,388.00 – $42,048.00 | 13 |
| Gentamicin peak therapeutic drug level CPT 80170 | $39.52 | $82.00 | $21.32 – $78.72 | 13 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,351.62 | $1,849.00 | $480.74 – $1,775.04 | 13 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $28.44 | $59.00 | $15.34 – $56.64 | 13 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $88.69 | $184.00 | $47.84 – $176.64 | 13 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $403.38 | $830.00 | $215.80 – $796.80 | 13 |
| Ghs antibodies (torch) igm CPT 86694 | $25.34 | $44.00 | $11.44 – $42.24 | 13 |
| Ghs bladder cath - complex-foley CPT 51703 | $85.27 | $264.00 | $68.64 – $253.44 | 13 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $407.95 | $1,263.00 | $218.92 – $808.32 | 13 |
| Ghs chemo >8 hrs CPT 96416 | $104.81 | $373.00 | $96.98 – $358.08 | 13 |
| Ghs chemo IV push, ea addtl CPT 96411 | $75.81 | $210.00 | $54.60 – $201.60 | 13 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $174.17 | $328.00 | $85.28 – $314.88 | 13 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $36.29 | $63.00 | $16.38 – $60.48 | 13 |
| Ghs fat & muscle CPT 89160 | $117.34 | $155.00 | $40.30 – $148.80 | 13 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $12.10 | $21.00 | $5.46 – $20.16 | 13 |
| Ghs fish cytogen CPT 88271 | $58.75 | $272.00 | $16.90 – $62.40 | 13 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $33.26 | $154.00 | $40.04 – $147.84 | 13 |
| Ghs flow volume loop CPT 94375 | $93.74 | $252.00 | $65.52 – $241.92 | 13 |
| Ghs hcv amplificaiton CPT 87521 | $56.29 | $106.00 | $27.56 – $101.76 | 13 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $137.66 | $239.00 | $62.14 – $229.44 | 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.