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 |
|---|---|---|---|---|
| Inj for mammo ductogram CPT 19030 | $125.00 | $387.00 | $67.08 – $247.68 | 13 |
| Inj peritoneal venous shunt CPT 49427 | $76.23 | $236.00 | $61.36 – $226.56 | 13 |
| Inj proc ankle arthr CPT 27648 | $121.77 | $377.00 | $65.26 – $240.96 | 13 |
| Inj proc elbow arthro CPT 24220 | $153.10 | $474.00 | $82.16 – $303.36 | 13 |
| Inj proc myelogram lumbar CPT 62284 | $182.17 | $564.00 | $146.64 – $541.44 | 13 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $3.30 | $5.80 | $0.13 – $0.48 | 13 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $0.91 | $2.58 | $0.67 – $2.48 | 13 |
| Ins cerv dilator (sep proc) CPT 59200 | $290.32 | $511.00 | $132.86 – $490.56 | 13 |
| Insert cath pleura with image CPT 32557 | $886.31 | $2,744.00 | $475.54 – $1,755.84 | 13 |
| Insertion catheter bladder non indwelling CPT 51701 | $57.20 | $143.00 | $37.18 – $137.28 | 13 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $748.84 | $1,930.00 | $501.80 – $1,852.80 | 13 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $678.61 | $1,749.00 | $454.74 – $1,679.04 | 13 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $661.93 | $1,706.00 | $443.56 – $1,637.76 | 13 |
| Insulin total CPT 83525 | $27.47 | $57.00 | $14.82 – $54.72 | 13 |
| Intrinsic factor antibody CPT 86340 | $33.98 | $59.00 | $15.34 – $56.64 | 13 |
| Intro long gi tube w/mult fluo CPT 74340 | $161.87 | $302.00 | $78.52 – $289.92 | 13 |
| Ionm in operatng room 15 min CPT 95940 | $165.22 | $152.00 | $39.52 – $145.92 | 13 |
| Iron CPT 83540 | $100.26 | $208.00 | $5.20 – $19.20 | 13 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $109.04 | $233.00 | $60.58 – $223.68 | 13 |
| IV Fluids (each additional hour) CPT 96361 | $37.30 | $72.00 | $18.72 – $69.12 | 13 |
| IV Fluids (first hour) CPT 96360 | $193.21 | $373.00 | $96.98 – $358.08 | 13 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $71.48 | $138.00 | $35.88 – $132.48 | 13 |
| IV Medicine Infusion (additional drug) CPT 96367 | $81.84 | $158.00 | $41.08 – $151.68 | 13 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $43.51 | $84.00 | $21.84 – $80.64 | 13 |
| IV Medicine Infusion (first hour) CPT 96365 | $233.10 | $450.00 | $117.00 – $432.00 | 13 |
| IV Push Injection (each additional drug) CPT 96375 | $49.61 | $106.00 | $27.56 – $101.76 | 13 |
| IV Push Injection (first drug) CPT 96374 | $212.00 | $453.00 | $117.78 – $434.88 | 13 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $504.38 | $941.00 | $244.66 – $903.36 | 13 |
| Jak2 targeted sequence analysis CPT 81279 | $270.22 | $556.00 | $144.56 – $533.76 | 13 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $307.13 | $573.00 | $148.98 – $550.08 | 13 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $202.61 | $378.00 | $98.28 – $362.88 | 13 |
| John cunningham antibody CPT 86711 | $834.05 | $1,448.00 | $376.48 – $1,390.08 | 13 |
| Ketamine and metabolite screen - quest CPT 80357 | $69.89 | $145.00 | $37.70 – $139.20 | 13 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $29.40 | $61.00 | $6.50 – $24.00 | 13 |
| Kidney imaging morphology CPT 78700 | $324.54 | $601.00 | $156.26 – $576.96 | 13 |
| Kidney imag w/bld flow multi CPT 78709 | $801.90 | $1,485.00 | $386.10 – $1,425.60 | 13 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $505.98 | $937.00 | $243.62 – $899.52 | 13 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $683.34 | $979.00 | $254.54 – $939.84 | 13 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $355.28 | $509.00 | $132.34 – $488.64 | 13 |
| Kit lead specify 5-6-5 HCPCS C1778 | $17,631.80 | $30,664.00 | $1,807.00 – $6,672.00 | 13 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,549.62 | $2,695.00 | $419.64 – $1,549.44 | 13 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $3,510.37 | $6,105.00 | $700.70 – $2,587.20 | 13 |
| Knee MRI (with and without contrast) CPT 73723 | $2,314.72 | $4,611.00 | $1,198.86 – $4,426.56 | 13 |
| Knee MRI (with contrast) CPT 73722 | $1,929.19 | $3,843.00 | $999.18 – $3,689.28 | 13 |
| Knee MRI (without contrast) CPT 73721 | $1,543.15 | $3,074.00 | $799.24 – $2,951.04 | 13 |
| Knee X-ray CPT 73564 | $280.33 | $523.00 | $135.98 – $502.08 | 13 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $136.68 | $255.00 | $66.30 – $244.80 | 13 |
| Knee X-ray (3 views, both knees) CPT 73562 | $166.16 | $310.00 | $80.60 – $297.60 | 13 |
| Knee X-ray (standing, both knees) CPT 73565 | $248.17 | $463.00 | $120.38 – $444.48 | 13 |
| Kras gene addl variants CPT 81276 | $281.88 | $580.00 | $150.80 – $556.80 | 13 |
| Kras gene variants exon 2 CPT 81275 | $281.88 | $580.00 | $150.80 – $556.80 | 13 |
| Lactate dehydrogenase (ldh) CPT 83615 | $27.47 | $57.00 | $4.94 – $18.24 | 13 |
| Lactic acid CPT 83605 | $62.18 | $129.00 | $22.88 – $84.48 | 13 |
| Lactoferrin fecal qualitative CPT 83630 | $47.24 | $98.00 | $25.48 – $94.08 | 13 |
| Lactoferrin fecal quant CPT 83631 | $98.33 | $204.00 | $53.04 – $195.84 | 13 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $346.58 | $1,073.00 | $185.90 – $686.40 | 13 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $17,631.80 | $30,664.00 | $2,408.90 – $8,894.40 | 13 |
| Lead capillary CPT 83655 | $38.08 | $79.00 | $9.62 – $35.52 | 13 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $17,631.80 | $30,664.00 | $700.70 – $2,587.20 | 13 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $11,335.55 | $19,714.00 | $700.70 – $2,587.20 | 13 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $552.19 | $1,148.00 | $298.48 – $1,102.08 | 13 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $765.87 | $1,563.00 | $406.38 – $1,500.48 | 13 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $612.50 | $1,250.00 | $325.00 – $1,200.00 | 13 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $650.31 | $1,352.00 | $351.52 – $1,297.92 | 13 |
| Lens, intraocular (new tech) HCPCS C1780 | $566.61 | $1,413.00 | $367.38 – $1,356.48 | 13 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,545.05 | $3,853.00 | $154.44 – $570.24 | 13 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $864.96 | $2,157.00 | $154.44 – $570.24 | 13 |
| Levetiracetam therapeutic drug level CPT 80177 | $30.37 | $63.00 | $16.38 – $60.48 | 13 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $2,135,962.20 | $3,759,504.00 | $977,471.04 – $3,609,123.84 | 13 |
| Lipase CPT 83690 | $41.45 | $86.00 | $13.52 – $49.92 | 13 |
| Lipoprotein blood high res frac & quant CPT 83701 | $49.16 | $102.00 | $26.52 – $97.92 | 13 |
| Lipoprotein blood quant CPT 83704 | $49.65 | $103.00 | $26.78 – $98.88 | 13 |
| Lipoprotein direct measurement hdl CPT 83718 | $30.85 | $64.00 | $16.64 – $61.44 | 13 |
| Lipoprotein direct measurement ldl CPT 83721 | $45.31 | $94.00 | $8.32 – $30.72 | 13 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $49.65 | $103.00 | $26.78 – $98.88 | 13 |
| Lithium therapeutic drug level CPT 80178 | $25.06 | $52.00 | $13.52 – $49.92 | 13 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $257.09 | $529.00 | $137.54 – $507.84 | 13 |
| Liver Function Test CPT 80076 | $52.06 | $108.00 | $28.08 – $103.68 | 13 |
| Liver imaging CPT 78201 | $414.18 | $767.00 | $199.42 – $736.32 | 13 |
| Liver imag w/vasclr flow CPT 78202 | $606.96 | $1,124.00 | $292.24 – $1,079.04 | 13 |
| Liver/spleen imag static only CPT 78215 | $565.38 | $1,047.00 | $272.22 – $1,005.12 | 13 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $490.32 | $908.00 | $236.08 – $871.68 | 13 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $1.27 | $2.24 | $0.58 – $2.15 | 13 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $599.76 | $1,224.00 | $318.24 – $1,175.04 | 13 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,495.97 | $3,053.00 | $793.78 – $2,930.88 | 13 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,246.56 | $2,544.00 | $661.44 – $2,442.24 | 13 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $997.15 | $2,035.00 | $529.10 – $1,953.60 | 13 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,926.43 | $5,532.00 | $1,438.32 – $5,310.72 | 13 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,438.69 | $4,610.00 | $1,198.60 – $4,425.60 | 13 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,950.95 | $3,688.00 | $958.88 – $3,540.48 | 13 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $319.99 | $597.00 | $155.22 – $573.12 | 13 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $448.63 | $837.00 | $217.62 – $803.52 | 13 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $511.88 | $955.00 | $248.30 – $916.80 | 13 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $121.14 | $226.00 | $58.76 – $216.96 | 13 |
| Low frequency non-thermal Ultrasound CPT 97610 | $161.73 | $266.00 | $69.16 – $255.36 | 13 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $215.76 | $580.00 | $150.80 – $556.80 | 13 |
| Lung function test (mbc/mvv) CPT 94200 | $49.85 | $134.00 | $34.84 – $128.64 | 13 |
| Lung Function Test (Spirometry) CPT 94010 | $150.29 | $404.00 | $105.04 – $387.84 | 13 |
| Lung perfusion imaging CPT 78580 | $609.12 | $1,128.00 | $293.28 – $1,082.88 | 13 |
| Lymphatics/lymph node imaging CPT 78195 | $911.52 | $1,688.00 | $438.88 – $1,620.48 | 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.