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 |
|---|---|---|---|---|
| Ghs histoplasma antigen CPT 87385 | $80.71 | $152.00 | $39.52 – $145.92 | 13 |
| Ghs HIV antibody CPT 86703 | $24.19 | $42.00 | $10.92 – $40.32 | 13 |
| Ghs immun0electrophoresis CPT 86320 | $51.84 | $90.00 | $23.40 – $86.40 | 13 |
| Ghs inhibitor screen CPT 85335 | $108.45 | $225.00 | $25.22 – $93.12 | 13 |
| Ghs insertion of needle - bone CPT 36680 | $157.60 | $394.00 | $102.44 – $378.24 | 13 |
| Ghs mbp CPT 83873 | $30.37 | $63.00 | $16.38 – $60.48 | 13 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $232.18 | $345.00 | $89.70 – $331.20 | 13 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $232.18 | $345.00 | $89.70 – $331.20 | 13 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $329.77 | $490.00 | $127.40 – $470.40 | 13 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $117.78 | $175.00 | $45.50 – $168.00 | 13 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $117.78 | $175.00 | $45.50 – $168.00 | 13 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $730.80 | $1,827.00 | $316.68 – $1,169.28 | 13 |
| Ghs nerve blk intercostal, single level CPT 64420 | $351.60 | $879.00 | $152.36 – $562.56 | 13 |
| Ghs ng placement w fluoro guidance CPT 43752 | $109.17 | $338.00 | $87.88 – $324.48 | 13 |
| Ghs o2 uptake rest & indirect CPT 94690 | $128.34 | $345.00 | $89.70 – $331.20 | 13 |
| Ghs ot group caregiver training CPT 97552 | $52.29 | $86.00 | $22.36 – $82.56 | 13 |
| Ghs ot prosthetic training/15 min CPT 97761 | $60.80 | $100.00 | $26.00 – $96.00 | 13 |
| Ghs pacing - transcutaneous CPT 92953 | $383.20 | $958.00 | $249.08 – $919.68 | 13 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $336.24 | $1,041.00 | $180.44 – $666.24 | 13 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $393.09 | $1,217.00 | $210.86 – $778.56 | 13 |
| Ghs phenylketonurid CPT 84030 | $8.19 | $17.00 | $4.42 – $16.32 | 13 |
| Ghs picc line insert < 5 CPT 36568 | $729.83 | $1,881.00 | $489.06 – $1,805.76 | 13 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $4,338.07 | $6,215.00 | $1,615.90 – $5,966.40 | 13 |
| Ghs ppd (tb intradermal) CPT 86580 | $30.53 | $53.00 | $13.78 – $50.88 | 13 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $28.92 | $60.00 | $15.60 – $57.60 | 13 |
| Ghs protoporphyrins fract CPT 84202 | $53.50 | $111.00 | $28.86 – $106.56 | 13 |
| Ghs pr without cont pulse ox CPT 94625 | $137.49 | $242.00 | $62.92 – $232.32 | 13 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $32.29 | $67.00 | $17.42 – $64.32 | 13 |
| Ghs quinidine CPT 80194 | $28.92 | $60.00 | $15.60 – $57.60 | 13 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $41.47 | $72.00 | $18.72 – $69.12 | 13 |
| Ghs reticulocyte count CPT 85044 | $6.27 | $13.00 | $3.38 – $12.48 | 13 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $22.30 | $42.00 | $10.92 – $40.32 | 13 |
| Ghs sedimentation rate CPT 85651 | $6.27 | $13.00 | $3.38 – $12.48 | 13 |
| Ghs sensitivity (per antimicro) CPT 87184 | $12.21 | $23.00 | $5.98 – $22.08 | 13 |
| Ghs sleep study unattended CPT 95800 | $679.38 | $625.00 | $162.50 – $600.00 | 13 |
| Ghs urine, porphyrins quant CPT 84120 | $29.88 | $62.00 | $16.12 – $59.52 | 13 |
| Giardia ag if CPT 87269 | $32.39 | $61.00 | $15.86 – $58.56 | 13 |
| Giardia lamblia antibody CPT 86674 | $38.59 | $67.00 | $17.42 – $64.32 | 13 |
| Gi inhouse confirmation CPT 87045 | $33.45 | $63.00 | $7.54 – $27.84 | 13 |
| Glucagon plasma - sendout CPT 82943 | $32.29 | $67.00 | $17.42 – $64.32 | 13 |
| Glucose 1 hr post dose CPT 82950 | $7.23 | $15.00 | $3.90 – $14.40 | 13 |
| Glucose body fluid CPT 82945 | $63.14 | $131.00 | $14.30 – $52.80 | 13 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $18.80 | $39.00 | $10.14 – $37.44 | 13 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $5.78 | $12.00 | $3.12 – $11.52 | 13 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $27.96 | $58.00 | $14.56 – $53.76 | 13 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $27.96 | $58.00 | $14.82 – $54.72 | 13 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $27,705.80 | $48,184.00 | $700.70 – $2,587.20 | 13 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $31,483.55 | $54,754.00 | $154.44 – $570.24 | 13 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $21,409.55 | $37,234.00 | $81.38 – $300.48 | 13 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $3,089.48 | $5,373.00 | $221.00 – $816.00 | 13 |
| Ground mileage HCPCS A0425 | $11.74 | $27.00 | $0.70 – $2.59 | 13 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $6,711.28 | $13,895.00 | $43.16 – $159.36 | 13 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,736.87 | $3,596.00 | $81.38 – $300.48 | 13 |
| Gw stiffened micro access kit HCPCS C1894 | $3,804.11 | $7,876.00 | $24.96 – $92.16 | 13 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $88.16 | $145.00 | $37.70 – $139.20 | 13 |
| Hand X-ray CPT 73130 | $227.26 | $424.00 | $110.24 – $407.04 | 13 |
| Hand X-ray (2 views, both hands) CPT 73120 | $185.99 | $347.00 | $90.22 – $333.12 | 13 |
| Haptoglobin quantitative CPT 83010 | $28.44 | $59.00 | $13.78 – $50.88 | 13 |
| Hba1/hba2 full gene sequence CPT 81259 | $874.80 | $1,800.00 | $468.00 – $1,728.00 | 13 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $1,277.82 | $2,384.00 | $619.84 – $2,288.64 | 13 |
| Hcg qualitative CPT 84703 | $11.09 | $23.00 | $5.98 – $22.08 | 13 |
| Hcg quantitative CPT 84702 | $32.29 | $67.00 | $11.96 – $44.16 | 13 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $339.12 | $628.00 | $163.28 – $602.88 | 13 |
| Hc nm kidney imaging with flow CPT 78701 | $415.80 | $770.00 | $200.20 – $739.20 | 13 |
| Head CT scan (with and without contrast) CPT 70470 | $700.56 | $1,668.00 | $433.68 – $1,601.28 | 13 |
| Head CT scan (with contrast) CPT 70460 | $583.80 | $1,390.00 | $361.40 – $1,334.40 | 13 |
| Head CT scan (without contrast) CPT 70450 | $467.04 | $1,112.00 | $289.12 – $1,067.52 | 13 |
| Heart image spect CPT 78494 | $844.56 | $1,564.00 | $406.64 – $1,501.44 | 13 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $120.06 | $224.00 | $58.24 – $215.04 | 13 |
| Helicobacter pylori antibody igm CPT 86677 | $44.93 | $78.00 | $20.28 – $74.88 | 13 |
| Hematocrit CPT 85014 | $33.26 | $69.00 | $2.08 – $7.68 | 13 |
| Hemoglobin CPT 85018 | $28.92 | $60.00 | $2.08 – $7.68 | 13 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $12.05 | $25.00 | $6.50 – $24.00 | 13 |
| Hemoglobin plasma CPT 83051 | $10.60 | $22.00 | $5.72 – $21.12 | 13 |
| Hemophilus influenza antibdy CPT 86684 | $35.71 | $62.00 | $16.12 – $59.52 | 13 |
| Heparin assay CPT 85520 | $44.34 | $92.00 | $16.90 – $62.40 | 13 |
| Hepatitis a antibody igm CPT 86709 | $49.54 | $86.00 | $22.36 – $82.56 | 13 |
| Hepatitis b core antibody igm CPT 86705 | $55.30 | $96.00 | $24.96 – $92.16 | 13 |
| Hepatitis b core antibody total CPT 86704 | $31.68 | $55.00 | $14.30 – $52.80 | 13 |
| Hepatitis b surface antibody CPT 86706 | $31.68 | $55.00 | $14.30 – $52.80 | 13 |
| Hepatitis c antibody CPT 86803 | $54.72 | $95.00 | $24.70 – $91.20 | 13 |
| Hereditary colon ca dsordrs CPT 81435 | $1,901.23 | $3,912.00 | $1,017.12 – $3,755.52 | 13 |
| Herpes simplex 1 ag if CPT 87274 | $31.86 | $60.00 | $15.60 – $57.60 | 13 |
| Herpes simplex 2 ag if CPT 87273 | $31.86 | $60.00 | $15.60 – $57.60 | 13 |
| Herpes simplex type 1 antibody igg CPT 86695 | $30.53 | $53.00 | $10.40 – $38.40 | 13 |
| Herpes simplex type 2 antibody igg CPT 86696 | $33.98 | $59.00 | $15.34 – $56.64 | 13 |
| Herpes simplex virus isolation CPT 87255 | $54.16 | $102.00 | $26.52 – $97.92 | 13 |
| Heterophile antibodies screening CPT 86308 | $9.22 | $16.00 | $4.16 – $15.36 | 13 |
| Hhv-6 dna quant CPT 87533 | $66.91 | $126.00 | $32.76 – $120.96 | 13 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $288.90 | $539.00 | $140.14 – $517.44 | 13 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $104.52 | $195.00 | $50.70 – $187.20 | 13 |
| Hip X-ray CPT 73502 | $248.70 | $464.00 | $120.64 – $445.44 | 13 |
| Histamine CPT 83088 | $42.90 | $89.00 | $23.14 – $85.44 | 13 |
| Hla i & ii type verify lr CPT 81371 | $590.00 | $1,214.00 | $315.64 – $1,165.44 | 13 |
| Hla ii typing 1 loc hr CPT 81382 | $180.79 | $372.00 | $96.72 – $357.12 | 13 |
| Hla i low res one antigen equiv ea CPT 81374 | $108.38 | $223.00 | $57.98 – $214.08 | 13 |
| Hla i typing complete lr CPT 81372 | $588.55 | $1,211.00 | $314.86 – $1,162.56 | 13 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $247.86 | $510.00 | $132.60 – $489.60 | 13 |
| Hla i typing low res one locus ea CPT 81373 | $186.14 | $383.00 | $99.58 – $367.68 | 13 |
| Hla typing dr/dq CPT 86816 | $52.42 | $91.00 | $23.66 – $87.36 | 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.