Visits & medical services prices at Banner Churchill Community Hospital

Fallon, NV · every code in this section with a posted price and a Medicare benchmark.

130 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Appl modality 1+lllt po pain (97037) $68.70 $113 1.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $68.10 $112 4.7×
Assessment of aphasia per hr (96105) $135.22 $238 1.4×
Bedside Swallowing Eval (92610) $135.79 $239 1.6×
Behavioral and qualitative analysis of voice and resonance (92524) $151.70 $267 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $215.76 $580 0.5×
Canalith Repositioning Procedure (95992) $107.62 $177 2.6×
Cardiac Stress Tst,Tracing Only (93017) $833.38 $1,647 3.7×
Cardiopulmonary resuscitation (92950) $220.92 $565 1.0×
Cardioversion (92960) $747.41 $1,544 1.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $75.27 $128 2.9×
Chemo Hormon Antineopl Sq/Im (96402) $137.18 $380 1.8×
Chemo IV push addl drug (96411) $75.81 $210 1.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $104.81 $373 0.3×
Chemother, IV infusion, 1 hr (96413) $100.32 $357 0.3×
Chemother, IV infusion, ea add hr (96415) $21.92 $78 0.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $209.38 $580 2.8×
Chemotherapy Administration Intralesional </7 (96405) $92.42 $256 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $49.18 $175 0.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $122.38 $339 0.4×
Color/duplex Doppler, complete (93975) $569.02 $1,183 2.3×
Color/duplex Doppler, limited (93976) $187.11 $389 1.7×
Cpap/bipap (94660) $336.92 $882 1.5×
Cpt initial (94667) $37.82 $99 0.3×
Critical care (99291) $728 $1,820 0.8×
Debridement Open Wound 20 Sq Cm< (97597) $121.60 $200 0.6×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $95.45 $168 0.4×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $387.20 $805 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $552.19 $1,148 2.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $407.89 $848 3.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $499.28 $1,038 2.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $454.06 $944 4.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $650.31 $1,352 2.6×
Dup-scan xtr veins unilateral/limited study (93971) $561.81 $1,168 5.1×
Duplex scan extracranial art compl bi study (93880) $698.89 $1,453 2.8×
Echo Heart Xthoracic,Limited (93308) $269.04 $570 1.1×
EKG rhythm strip (93041) $78.67 $151 1.3×
Electrocardiogram Tracing (93005) $214.65 $412 3.4×
Er level 1 (99281) $123.20 $180 1.4×
Er level ii (99282) $256.87 $335 1.6×
Er level iii (99283) $738.40 $595 2.6×
Er level IV (99284) $2,097.47 $975 4.8×
Er level v (99285) $2,469.72 $1,385 3.9×
Eval speech sound production (92522) $156.24 $275 1.4×
Evaluate Pt Use Of Inhaler (94664) $76.02 $199 0.3×
Exhaled Air Analysis (94690) $128.34 $345 2.1×
External Ecg Scanning Analysis Report (93226) $271.70 $550 4.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,351.62 $1,849 1.5×
Holter Monitor (93225) $182.29 $369 1.3×
Immunization Admin (90471) $57.23 $105 0.8×
Injection intra arterial (96373) $65.99 $141 0.3×
Intralesional Chemo Admin,8+ Lesn (96406) $146.57 $406 0.7×
Iontophoresis 15 min (97033) $60.80 $100 3.2×
Irrig drug delivery device (96523) $109.04 $233 1.8×
IV infusion hydration each additional hour (96361) $33.05 $72 0.7×
IV infusion hydration initial 31 min-1 hour (96360) $171.20 $373 0.8×
IV infusion ther proph addl sequential to 1 hr (96367) $72.52 $158 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $206.55 $450 0.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $38.56 $84 0.8×
IV push ea addl new drug (96375) $46 $106 0.9×
IV push initial (96374) $212 $453 0.9×
Low frequency non-thermal us (97610) $161.73 $266 0.8×
Manual therapy 15 min (97140) $88.16 $145 3.2×
Massage 15 min (97124) $44.99 $74 1.5×
Maximum voluntary ventilation (94200) $49.85 $134 0.8×
Mechanical traction (97012) $74.78 $123 5.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $34.86 $42 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $36.52 $44 1.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $31.54 $38 1.9×
Methacholine challenge (94070) $260.03 $699 0.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $167.60 $295 1.8×
Multiple Sleep Latency Test (95805) $3,791.46 $3,488 4.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $50.44 $130 0.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $81.09 $209 0.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $242.42 $504 1.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $68.70 $113 1.5×
Ot Contrast Bath Ea 15 Min (97034) $34.66 $57 2.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $69.92 $115 1.4×
Ot Prosthetic Training, Each 15 Min (97761) $60.80 $100 1.5×
Ot therapeutic activity 15 min (97530) $69.31 $114 2.0×
Paraffin bath pt (97018) $26.75 $44 4.5×
Phlebotomy therapeutic (99195) $94.07 $201 0.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $158.51 $279 2.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $137.49 $242 2.2×
Plethysmography (94726) $132.43 $356 0.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,575.85 $5,123 3.9×
Polysom <6 yrs 4/> paramtrs (95782) $4,338.07 $6,215 4.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $7,133.98 $6,563 7.9×
Pt Aquatic Therapy/Exercises (97113) $65.66 $108 1.8×
Pt Electrical Stimulation (97032) $72.96 $120 5.0×
Pt eval high complex 45 min (97163) $194.11 $329 2.0×
Pt eval low complex 20 min (97161) $135.11 $229 1.4×
Pt eval mod complex 30 min (97162) $178.77 $303 1.8×
Pt gait training 15 min (97116) $46.21 $76 1.6×
Pt group caregiver training (97552) $50.58 $86 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $77.82 $128 2.4×
Pt Physical Performance Test (97750) $51.68 $85 1.5×
Pt re-evaluation (97164) $135.11 $229 2.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $52.90 $87 1.6×
Pt Whirlpool Therapy (97022) $42.56 $70 2.7×
Pulm Funct Test Oscillometry (94728) $104.90 $282 0.8×
Pulm function test by gas (94727) $186 $500 0.8×
Pulmonary stress test simple (94618) $199.02 $535 1.4×
Refill/Maint Portable Pump (96521) $126.36 $270 0.6×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $177.35 $359 4.5×
Respiratory flow volume loop (94375) $93.74 $252 0.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $105.79 $174 0.5×
Rt Chest Wall Manipulation,Subsequent (94668) $45.46 $119 0.3×
Sleep study unattended (95806) $631.55 $581 2.8×
Slp caregiver training 1st 30 min (97550) $150.55 $256 2.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $679.38 $625 3.0×
Speech sound lang comprehen (92523) $200.56 $353 0.9×
Spirometry (94010) $150.29 $404 0.7×
Standardized Cognitive Performance Testing (96125) $155.67 $274 1.5×
Stress echo (93350) $591.42 $1,253 1.0×
Temp transcutaneous pacing (92953) $383.20 $958 0.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $50 $88 2.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $50 $88 2.4×
Therapeutic prophylactic/dx injection subq/im (96372) $46 $106 0.6×
Tte w/doppler, complete (93306) $841.10 $1,782 1.5×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $502.21 $1,064 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $105.11 $185 1.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $38.07 $67 1.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $115.90 $204 1.4×
Upr/lxtr art stdy 3+ lvls (93923) $399.95 $831.50 1.8×
Vasc Duplex Scan Extracranial,Limited (93882) $345.36 $718 3.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $242.90 $505 1.1×
Vent mgmt inpat init day (94002) $550.46 $1,441 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $429.75 $1,125 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $49.25 $81 1.6×