Banner Goldfield Medical Center
2050 West Southern Avenue, Apache Junction, AZ · Banner Health · · NPI 1932543428
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 |
|---|---|---|---|---|
| Lead capillary CPT 83655 | $15.01 | $79.00 | $12.11 – $27.75 | 28 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $6,536.95 | $30,664.00 | $539.00 – $2,021.25 | 17 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $4,202.63 | $19,714.00 | $539.00 – $4,719.68 | 17 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $346.19 | $2,073.00 | $166.84 – $1,554.75 | 28 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $361.08 | $2,040.00 | $129.45 – $1,530.00 | 17 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $288.86 | $1,632.00 | $79.00 – $1,224.00 | 17 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $347.36 | $2,080.00 | $166.84 – $1,560.00 | 28 |
| Leishmania antibody CPT 86717 | $11.14 | $37.00 | $12.25 – $27.75 | 28 |
| Lens, intraocular (new tech) HCPCS C1780 | $301.22 | $1,413.00 | $282.60 – $1,140.19 | 17 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $459.83 | $2,157.00 | $118.80 – $445.50 | 16 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $459.83 | $2,157.00 | $118.80 – $445.50 | 16 |
| Levetiracetam therapeutic drug level CPT 80177 | $11.97 | $63.00 | $13.25 – $30.00 | 28 |
| Lidocaine therapeutic drug level CPT 80176 | $8.55 | $45.00 | $14.69 – $33.75 | 28 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $801,451.06 | $3,759,504.00 | $2.99 – $2,819,628.00 | 13 |
| Lipase CPT 83690 | $47.31 | $249.00 | $6.89 – $39.00 | 28 |
| Lipoprotein blood high res frac & quant CPT 83701 | $19.38 | $102.00 | $33.86 – $76.50 | 28 |
| Lipoprotein blood quant CPT 83704 | $19.57 | $103.00 | $34.19 – $77.25 | 28 |
| Lipoprotein direct measurement hdl CPT 83718 | $23.37 | $123.00 | $8.19 – $18.75 | 28 |
| Lipoprotein direct measurement ldl CPT 83721 | $17.86 | $94.00 | $10.50 – $24.00 | 28 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $19.57 | $103.00 | $34.19 – $77.25 | 28 |
| Lithium therapeutic drug level CPT 80178 | $9.88 | $52.00 | $6.61 – $39.00 | 28 |
| Liver Function Test CPT 80076 | $54.53 | $287.00 | $8.17 – $215.25 | 28 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $82.66 | $467.00 | $79.00 – $350.25 | 28 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $688.53 | $3,890.00 | $129.45 – $2,917.50 | 28 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $573.83 | $3,242.00 | $266.89 – $2,431.50 | 28 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $458.96 | $2,593.00 | $79.00 – $1,944.75 | 28 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $83.79 | $441.00 | $74.29 – $330.75 | 28 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $95.57 | $503.00 | $79.00 – $377.25 | 28 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $113.24 | $596.00 | $79.00 – $447.00 | 28 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $60.04 | $316.00 | $58.65 – $347.17 | 17 |
| Low frequency non-thermal Ultrasound CPT 97610 | $60.49 | $298.00 | $42.94 – $241.00 | 15 |
| Lumbar diskogram s&i CPT 72295 | $682.48 | $3,592.00 | $183.30 – $3,121.95 | 28 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $15.41 | $642.00 | $159.98 – $497.85 | 28 |
| Lung function test (mbc/mvv) CPT 94200 | $5.42 | $226.00 | $40.35 – $169.50 | 28 |
| Lung Function Test (Spirometry) CPT 94010 | $12.19 | $508.00 | $90.95 – $381.00 | 28 |
| Lymphocyte transformation mitogen CPT 86353 | $44.55 | $148.00 | $49.03 – $111.00 | 28 |
| Macroscopic exam arthropod CPT 87168 | $2.39 | $13.00 | $4.27 – $9.75 | 28 |
| Macroscopic exam parasite CPT 87169 | $10.67 | $58.00 | $4.31 – $43.50 | 28 |
| Magnesium CPT 83735 | $25.08 | $132.00 | $6.70 – $15.75 | 28 |
| Mammosite ced HCPCS C1728 | $2,962.14 | $13,895.00 | $282.60 – $1,059.75 | 17 |
| Marker biop eviva buckle ss HCPCS A4648 | $715.22 | $3,355.00 | $62.60 – $386.63 | 17 |
| Mastoids complete CPT 70130 | $158.84 | $836.00 | $79.00 – $627.00 | 17 |
| M.avium-intra dna amp prob CPT 87561 | $19.50 | $106.00 | $35.09 – $79.50 | 28 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $11.97 | $63.00 | $14.46 – $47.25 | 28 |
| Mayo aathr protein s free CPT 85306 | $13.79 | $66.00 | $15.32 – $45.00 | 28 |
| Mayo activated protein c resistance assay CPT 85307 | $13.79 | $66.00 | $15.32 – $49.50 | 28 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $57.00 | $300.00 | $38.57 – $225.00 | 28 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $30.02 | $158.00 | $22.00 – $82.50 | 16 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $79.04 | $416.00 | $12.20 – $46.94 | 16 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $10.83 | $57.00 | $14.78 – $42.75 | 28 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $30.40 | $160.00 | $32.00 – $120.00 | 16 |
| Mayo alpha 1 antitrypsin CPT 82103 | $11.21 | $59.00 | $13.44 – $30.75 | 28 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $11.78 | $62.00 | $15.08 – $34.50 | 28 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $29.64 | $156.00 | $11.20 – $42.00 | 16 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $124.92 | $586.00 | $121.63 – $439.50 | 28 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $94.23 | $442.00 | $91.66 – $331.50 | 28 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,191.46 | $5,589.00 | $1,160.00 – $4,191.75 | 28 |
| Mayo androstenedione CPT 82157 | $16.72 | $88.00 | $29.28 – $66.00 | 28 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $11.59 | $61.00 | $14.60 – $45.75 | 28 |
| Mayo antithrombin iii antigen CPT 85301 | $14.42 | $69.00 | $10.81 – $51.75 | 28 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $16.56 | $55.00 | $15.05 – $41.25 | 28 |
| Mayo avwpr vw factor activity CPT 85397 | $34.28 | $164.00 | $30.86 – $123.00 | 28 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $33.06 | $174.00 | $11.20 – $42.00 | 16 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $18.66 | $62.00 | $10.18 – $46.50 | 28 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $220.64 | $1,035.00 | $214.62 – $776.25 | 28 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $23.48 | $78.00 | $12.90 – $58.50 | 28 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $10.64 | $56.00 | $11.20 – $42.00 | 16 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $21.07 | $70.00 | $13.19 – $52.50 | 28 |
| Mayo brcmg brucella antibody igm CPT 86622 | $20.17 | $67.00 | $8.93 – $50.25 | 28 |
| Mayo c1 esterase inhibitor CPT 83883 | $13.68 | $72.00 | $13.60 – $30.75 | 28 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $15.96 | $84.00 | $11.20 – $42.00 | 16 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $21.85 | $115.00 | $16.87 – $38.25 | 28 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $24.38 | $81.00 | $26.78 – $60.75 | 28 |
| Mayo ceruloplasmin CPT 82390 | $10.07 | $53.00 | $10.74 – $39.75 | 28 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $13.30 | $70.00 | $14.12 – $32.25 | 28 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $72.24 | $240.00 | $12.88 – $49.50 | 28 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $24.38 | $81.00 | $11.82 – $45.75 | 28 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $18.36 | $61.00 | $12.68 – $45.75 | 28 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $119.81 | $562.00 | $116.49 – $421.50 | 28 |
| Mayo chromium CPT 82495 | $11.59 | $61.00 | $20.28 – $45.75 | 28 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $28.31 | $149.00 | $11.20 – $42.00 | 16 |
| Mayo coccidioides antibody CPT 86635 | $45.75 | $152.00 | $11.47 – $41.25 | 28 |
| Mayo cocou cortisone urine CPT 82542 | $172.71 | $909.00 | $24.09 – $54.75 | 28 |
| Mayo cortisol free CPT 82530 | $10.45 | $55.00 | $16.71 – $41.25 | 28 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $38.23 | $127.00 | $42.13 – $95.25 | 28 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $17.16 | $57.00 | $12.12 – $42.75 | 28 |
| Mayo cyanide CPT 82600 | $14.82 | $78.00 | $19.40 – $58.50 | 28 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $128.55 | $603.00 | $108.14 – $452.25 | 28 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $12.04 | $40.00 | $13.25 – $30.00 | 28 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $14.44 | $76.00 | $25.27 – $57.00 | 28 |
| Mayo dihydrotestosterone CPT 82642 | $16.72 | $88.00 | $12.68 – $66.00 | 28 |
| Mayo efpo chloride stool CPT 82438 | $11.02 | $58.00 | $5.00 – $11.25 | 28 |
| Mayo estriol CPT 82677 | $13.87 | $73.00 | $24.18 – $54.75 | 28 |
| Mayo estrone CPT 82679 | $14.25 | $75.00 | $24.95 – $56.25 | 28 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $20.33 | $107.00 | $16.34 – $80.25 | 28 |
| Mayo everolimus therapeutic drug level CPT 80169 | $11.40 | $60.00 | $13.73 – $45.00 | 28 |
| Mayo factor ii CPT 85210 | $13.38 | $64.00 | $12.98 – $48.00 | 28 |
| Mayo factor v CPT 85220 | $15.67 | $75.00 | $17.65 – $56.25 | 28 |
| Mayo factor vii CPT 85230 | $15.88 | $76.00 | $17.90 – $57.00 | 28 |
| Mayo factor viii vw factor antigen CPT 85246 | $15.47 | $74.00 | $22.94 – $55.50 | 28 |
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.