Supplies, drugs & other prices at Banner North Colorado Medical Center
Greeley, CO · every code in this section with a posted price and a Medicare benchmark.
61 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $595 | $1,700 | 0.7× |
| 2d tte w or w/o fol w/con,fu (C8924) | $321.65 | $919 | 0.9× |
| Admin hepatitis b vaccine (G0010) | $48.73 | $118 | 1.0× |
| Admin influenza virus vac (G0008) | $48.73 | $118 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $48.73 | $118 | 1.0× |
| Catheterize for urine spec (P9612) | $17.34 | $41 | 1.9× |
| Direct refer hospital observ (G0379) | $322.42 | $654 | 0.5× |
| Fern test (Q0114) | $15.18 | $66 | 1.6× |
| Flt3 gene itd variants quan (0046U) | $777.60 | $1,800 | 1.9× |
| Insertion of substernal implantable defibrillator electrode (0572T) unusually low: confirm this is the full procedure |
$3,810.60 | $12,702 | 0.4× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) likely a partial charge, not the full procedure |
$6,403.28 | $14,325 | 0.2× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) likely a partial charge, not the full procedure |
$4,297.50 | $14,325 | 0.1× |
| Instlj fecal microbiota ssp (0780T) | $284.49 | $654 | 2.0× |
| Interrogation dev eval icds w/ss eltrd in person (0576T) | $30 | $100 | 0.8× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $701.14 | $1,623 | 1.3× |
| NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Other Outpatient (0049U) | $982.80 | $2,275 | 2.4× |
| Oth resp proc, group (G0239) | $37.91 | $117 | 1.0× |
| Oth resp proc, indiv (G0238) | $19.76 | $61 | 0.6× |
| Pathogen test for platelets (P9100) | $101.52 | $240 | 1.6× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$7,676.39 | $23,914 | 0.4× |
| Perc d-e cor revasc t cabg s (C9604) | $6,141.37 | $19,132 | 0.5× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$7,226.67 | $22,513 | 0.4× |
| Perc drug-el cor stent sing (C9600) | $6,802.95 | $21,193 | 0.6× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T) unusually low: confirm this is the full procedure |
$4,723.45 | $10,567 | 0.3× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) unusually low: confirm this is the full procedure |
$4,723.45 | $10,567 | 0.3× |
| Perq Sacral Augmt Bilat Inj (0201T) | $4,027.92 | $9,011 | 0.5× |
| Perq Sacral Augmt Unilat Inj (0200T) unusually low: confirm this is the full procedure |
$3,611.76 | $8,080 | 0.5× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) likely a partial charge, not the full procedure |
$1,949.75 | $6,074 | 0.2× |
| Place device/marker, non pro (C9728) | $426.44 | $954 | 0.3× |
| Prgrmg dev eval icds ss ip (0575T) | $30 | $100 | 0.8× |
| Prolonged iv inf, req pump (C8957) | $189.88 | $501 | 0.8× |
| Prostate biopsy, any mthd (G0416) | $467.15 | $1,107 | 1.2× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $576.72 | $2,160 | 0.8× |
| Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) | $590.90 | $1,459 | 2.6× |
| Remote interrogation device evaluation of implantable cardioverter-defibrillator system with lead under breastbone,… (0579T) | $30 | $100 | 0.8× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $1,298.40 | $4,328 | 0.3× |
| Revasc intra lithotrip-stent (C9765) | $10,351.18 | $23,157 | 0.5× |
| Revasc intravasc lithotripsy (C9764) | $6,408.19 | $14,336 | 0.5× |
| Revasc lithotr-ather tib/per (C9774) | $10,283.24 | $23,005 | 0.5× |
| Revasc lithotr-stent tib/per (C9773) | $10,283.24 | $23,005 | 0.5× |
| Revasc lithotrip tibi/perone (C9772) | $7,433.16 | $16,629 | 0.6× |
| Rmvl substernal implantable defibrillator eltrd (0573T) | $1,919.40 | $6,398 | 0.5× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $1,298.40 | $4,328 | 0.3× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $17,210.84 | $38,503 | 0.8× |
| Tee w or w/o fol w/cont,cong (C8926) | $362.25 | $1,035 | 0.4× |
| Therapeutic procd strg endur (G0237) | $43.09 | $133 | 1.4× |
| Therapeutic ultrafiltration (0692T) | $895.85 | $2,219 | 0.5× |
| Tomosynthesis, mammo (G0279) | $22.61 | $56 | 1.8× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $4,072.62 | $9,111 | 0.7× |
| Transcatheter renal sympath denervation unilat (0338T) unusually low: confirm this is the full procedure |
$2,715.08 | $6,074 | 0.5× |
| Trauma respons w/hosp criti (G0390) | $2,374.60 | $7,660 | 1.7× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $4,536 | $10,500 | 1.3× |
| Trluml Perip Athrc Renal Art (0234T) unusually low: confirm this is the full procedure |
$5,014.89 | $11,219 | 0.4× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) unusually low: confirm this is the full procedure |
$5,014.89 | $11,219 | 0.4× |
| Trluml peripheral atherectomy iliac artery ea (0238T) unusually low: confirm this is the full procedure |
$5,949.12 | $13,309 | 0.3× |
| Tte w or w/o contr, cont ecg (C8930) | $653.45 | $1,867 | 0.8× |
| Tte w or w/o fol w/con,stres (C8928) | $430.15 | $1,229 | 0.5× |
| Tte w or w/o fol w/cont, com (C8921) | $472.50 | $1,350 | 0.6× |
| Tte w or w/o fol w/cont, f/u (C8922) | $362.25 | $1,035 | 0.4× |
| Tte w or wo fol wcon,doppler (C8929) | $840.70 | $2,402 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) | $342.54 | $1,980 | 0.5× |