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 |
|---|---|---|---|---|
| Homocysteine CPT 83090 | $27.96 | $58.00 | $15.08 – $55.68 | 13 |
| Homovanillic acid (hva) CPT 83150 | $32.78 | $68.00 | $17.68 – $65.28 | 13 |
| H pylori (c-13) breath CPT 83013 | $97.85 | $203.00 | $52.78 – $194.88 | 13 |
| Human epididymis protein 4 (he4) CPT 86305 | $55.87 | $97.00 | $25.22 – $93.12 | 13 |
| Hysterosalpingography s&i CPT 74740 | $428.80 | $800.00 | $208.00 – $768.00 | 13 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $58.08 | $110.00 | $28.60 – $105.60 | 13 |
| Iaadi respiratory synctial virus CPT 87280 | $31.86 | $60.00 | $15.60 – $57.60 | 13 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $56.29 | $106.00 | $27.56 – $101.76 | 13 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $78.34 | $136.00 | $35.36 – $130.56 | 13 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $74,657.18 | $131,404.00 | $17,083.04 – $63,075.84 | 13 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $70,520.30 | $122,644.00 | $15,943.20 – $58,867.20 | 13 |
| Icd crtp serena MRI HCPCS C2621 | $24,887.24 | $43,804.00 | $1,587.30 – $5,860.80 | 13 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $18,891.05 | $32,854.00 | $700.70 – $2,587.20 | 13 |
| Ifnl3 gene CPT 81283 | $107.41 | $221.00 | $57.46 – $212.16 | 13 |
| Igh gene rearrange amp meth CPT 81261 | $288.68 | $594.00 | $154.44 – $570.24 | 13 |
| Igh@ var region somatic mutation analy CPT 81263 | $429.62 | $884.00 | $229.84 – $848.64 | 13 |
| Igk rearrangeabn clonal pop CPT 81264 | $252.23 | $519.00 | $134.94 – $498.24 | 13 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $60.28 | $137.00 | $35.62 – $131.52 | 13 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $160.60 | $365.00 | $94.90 – $350.40 | 13 |
| Immune complex assay CPT 86332 | $42.62 | $74.00 | $19.24 – $71.04 | 13 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $36.29 | $63.00 | $16.38 – $60.48 | 13 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $36.29 | $63.00 | $16.38 – $60.48 | 13 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $32.26 | $56.00 | $14.56 – $53.76 | 13 |
| Immunodiffusion nes CPT 86329 | $31.68 | $55.00 | $14.30 – $52.80 | 13 |
| Immunofixation electrophoresis serum CPT 86334 | $81.79 | $142.00 | $17.68 – $65.28 | 13 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $83.16 | $189.00 | $49.14 – $181.44 | 13 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $160.60 | $365.00 | $94.90 – $350.40 | 13 |
| Immunoglobulin assay CPT 86023 | $135.94 | $236.00 | $61.36 – $226.56 | 13 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $55,409.30 | $96,364.00 | $41.34 – $152.64 | 13 |
| Implant ureth bulk agent HCPCS L8606 | $1,769.85 | $3,078.00 | $43.16 – $159.36 | 13 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $51.74 | $98.00 | $25.48 – $94.08 | 13 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,065.50 | $2,018.00 | $524.68 – $1,937.28 | 13 |
| In-111 pentetreotide HCPCS A9572 | $2,283.60 | $4,325.00 | $1,124.50 – $4,152.00 | 13 |
| Infect ag eia influenza a or b ea CPT 87400 | $22.83 | $43.00 | $11.18 – $41.28 | 13 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $410.46 | $773.00 | $200.98 – $742.08 | 13 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $410.46 | $773.00 | $200.98 – $742.08 | 13 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $205.50 | $387.00 | $100.62 – $371.52 | 13 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $410.46 | $773.00 | $200.98 – $742.08 | 13 |
| Infect ag ia optc obs influenza CPT 87804 | $26.55 | $50.00 | $13.00 – $48.00 | 13 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $31.86 | $60.00 | $15.60 – $57.60 | 13 |
| Infect ag if hep delta agent CPT 87380 | $92.93 | $175.00 | $45.50 – $168.00 | 13 |
| Infect ag if influenza a CPT 87276 | $31.86 | $60.00 | $15.60 – $57.60 | 13 |
| Infect ag if influenza b CPT 87275 | $31.86 | $60.00 | $15.60 – $57.60 | 13 |
| Infect ag if pneumocystis carinii CPT 87281 | $40.36 | $76.00 | $9.36 – $34.56 | 13 |
| Infect ag if varicella zoster CPT 87290 | $31.86 | $60.00 | $15.60 – $57.60 | 13 |
| Infect ag na hep b amp CPT 87516 | $71.68 | $135.00 | $35.10 – $129.60 | 13 |
| Infect ag na herpes simplex quant CPT 87530 | $68.50 | $129.00 | $33.54 – $123.84 | 13 |
| Infect ag na hpv high-risk types CPT 87624 | $56.29 | $106.00 | $27.56 – $101.76 | 13 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $152.93 | $288.00 | $74.88 – $276.48 | 13 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $81.77 | $154.00 | $40.04 – $147.84 | 13 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $664.28 | $1,251.00 | $325.26 – $1,200.96 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $31.86 | $60.00 | $15.60 – $57.60 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $22.30 | $42.00 | $10.92 – $40.32 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $35.05 | $66.00 | $9.36 – $34.56 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $39.83 | $75.00 | $11.44 – $42.24 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $122.66 | $231.00 | $11.70 – $43.20 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $45.14 | $85.00 | $15.08 – $55.68 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $46.20 | $87.00 | $22.62 – $83.52 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $83.37 | $157.00 | $9.36 – $34.56 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $19.12 | $36.00 | $9.36 – $34.56 | 13 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $33.98 | $64.00 | $16.64 – $61.44 | 13 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $275.06 | $518.00 | $27.56 – $101.76 | 13 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $61.07 | $115.00 | $27.56 – $101.76 | 13 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $59.47 | $112.00 | $29.12 – $107.52 | 13 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $664.28 | $1,251.00 | $325.26 – $1,200.96 | 13 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $56.29 | $106.00 | $27.56 – $101.76 | 13 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $56.29 | $106.00 | $27.56 – $101.76 | 13 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $66.91 | $126.00 | $32.76 – $120.96 | 13 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $56.29 | $106.00 | $27.56 – $101.76 | 13 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $81.77 | $154.00 | $40.04 – $147.84 | 13 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $50.98 | $96.00 | $24.96 – $92.16 | 13 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $56.29 | $106.00 | $27.56 – $101.76 | 13 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $58.94 | $111.00 | $27.56 – $101.76 | 13 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $664.28 | $1,251.00 | $325.26 – $1,200.96 | 13 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $146.02 | $275.00 | $33.54 – $123.84 | 13 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $68.50 | $129.00 | $33.54 – $123.84 | 13 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $78.06 | $147.00 | $33.54 – $123.84 | 13 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $135.94 | $256.00 | $66.56 – $245.76 | 13 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $227.27 | $428.00 | $111.28 – $410.88 | 13 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $118.22 | $366.00 | $63.44 – $234.24 | 13 |
| Inj dx for sinogram CPT 20501 | $63.63 | $197.00 | $51.22 – $189.12 | 13 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $753.56 | $2,333.00 | $404.30 – $1,492.80 | 13 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $122.09 | $378.00 | $65.52 – $241.92 | 13 |
| Injection epidural blood patch or clot CPT 62273 | $337.60 | $844.00 | $219.44 – $810.24 | 13 |
| Injection for arthrography wrist (both sides) CPT 25246 | $158.92 | $492.00 | $85.28 – $314.88 | 13 |
| Injection for bladder x-ray CPT 51600 | $139.54 | $432.00 | $112.32 – $414.72 | 13 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $164.73 | $510.00 | $88.40 – $326.40 | 13 |
| Injection into brain canal CPT 61055 | $374.68 | $1,160.00 | $301.60 – $1,113.60 | 13 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $232.24 | $719.00 | $124.54 – $459.84 | 13 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $349.81 | $1,083.00 | $187.72 – $693.12 | 13 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $957.37 | $2,964.00 | $513.76 – $1,896.96 | 13 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $417.32 | $1,292.00 | $223.86 – $826.56 | 13 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $883.73 | $2,736.00 | $474.24 – $1,751.04 | 13 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $800.39 | $2,478.00 | $644.28 – $2,378.88 | 13 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $490.31 | $1,518.00 | $394.68 – $1,457.28 | 13 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $36.97 | $79.00 | $20.54 – $75.84 | 13 |
| Inject sacroiliac joint CPT 27096 | $642.12 | $1,988.00 | $344.50 – $1,272.00 | 13 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $448.32 | $1,388.00 | $360.88 – $1,332.48 | 13 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $336.24 | $1,041.00 | $270.66 – $999.36 | 13 |
| Inj for ext venography CPT 36005 | $115.96 | $359.00 | $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.