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.

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

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ProcedureCash priceGross 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 (fms-related tyrosine kinase 3) (eg, acute lyeloid leukemia) internal tandem duplication (ITD) variants,… (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 rct nma lwr gi trc (0780T) $284.49 $654 2.0×
Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0576T) $30 $100 0.8×
Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator… (0579T) $30 $100 0.8×
Neuro csf prion prtn 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 sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) $4,027.92 $9,011 0.5×
Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (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×
Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (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×
Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) $590.90 $1,459 2.6×
Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups,… (0001U) $576.72 $2,160 0.8×
Removal of substernal implantable defibrillator pulse generator only (0580T) $1,298.40 $4,328 0.3×
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×
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×
Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter… (0339T) $4,072.62 $9,111 0.7×
Trauma respons w/hosp criti (G0390) $2,374.60 $7,660 1.7×
Trgt gen seq DNA 324 genes (0037U) $4,536 $10,500 1.3×
Trluml perip athrc brchiocph (0237T)
unusually low — confirm this is the full procedure
$5,014.89 $11,219 0.4×
Trluml perip athrc iliac art (0238T)
unusually low — confirm this is the full procedure
$5,949.12 $13,309 0.3×
Trluml perip athrc renal art (0234T)
unusually low — confirm this is the full procedure
$5,014.89 $11,219 0.4×
Trnscth renal symp denrv unl (0338T)
unusually low — confirm this is the full procedure
$2,715.08 $6,074 0.5×
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×