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 |
|---|---|---|---|---|
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $149.91 | $789.00 | $10.56 – $591.75 | 28 |
| Methotrexate therapeutic drug level CPT 80204 | $22.04 | $116.00 | $38.57 – $87.00 | 28 |
| Methylphenidate CPT 80360 | $12.73 | $67.00 | $13.40 – $50.25 | 16 |
| Microdissection laser CPT 88380 | $43.06 | $202.00 | $40.40 – $176.01 | 16 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $64.98 | $342.00 | $58.65 – $256.50 | 28 |
| Middle cerebral artery echo CPT 76821 | $71.02 | $399.00 | $79.00 – $299.25 | 28 |
| Mlh1 gene CPT 81288 | $197.62 | $927.00 | $192.32 – $695.25 | 28 |
| Mnl appl strs jt radiography CPT 77071 | $59.85 | $315.00 | $58.65 – $236.25 | 28 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $5,323.10 | $24,970.00 | $1,221.00 – $18,750.82 | 17 |
| Mopath procedure level 3 CPT 81402 | $154.56 | $725.00 | $150.33 – $543.75 | 28 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $270.31 | $1,268.00 | $108.14 – $951.00 | 28 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $162.44 | $762.00 | $126.04 – $575.10 | 28 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $99.77 | $468.00 | $108.14 – $273.96 | 28 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $42.85 | $201.00 | $40.20 – $150.75 | 16 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $325.95 | $1,529.00 | $108.14 – $1,146.75 | 28 |
| M/phmtrc alysishquant/semiq CPT 88369 | $79.52 | $373.00 | $74.60 – $279.75 | 16 |
| M/phmtrc alys skeletal musc CPT 88355 | $77.81 | $365.00 | $105.60 – $273.96 | 28 |
| Mthfr gene analy common variants CPT 81291 | $67.15 | $315.00 | $65.34 – $236.25 | 28 |
| Mumps antibody igg CPT 86735 | $18.66 | $62.00 | $13.05 – $42.00 | 28 |
| Mycoplasma antibody igm CPT 86738 | $16.56 | $55.00 | $13.24 – $41.25 | 28 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $180.35 | $846.00 | $175.40 – $634.50 | 28 |
| Myelogphy 2/> spine regions CPT 72270 | $513.57 | $2,703.00 | $223.88 – $2,027.25 | 28 |
| Myelography l-s spine CPT 72265 | $406.41 | $2,139.00 | $176.55 – $1,604.25 | 28 |
| Myelography neck spine CPT 72240 | $406.41 | $2,139.00 | $174.88 – $1,604.25 | 28 |
| Myelography thoracic spine CPT 72255 | $406.79 | $2,141.00 | $164.73 – $1,605.75 | 28 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $607.05 | $3,195.00 | $412.82 – $2,396.25 | 28 |
| Myelography via inj w/s&i cervical CPT 62302 | $433.01 | $2,279.00 | $412.82 – $1,709.25 | 28 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $404.13 | $2,127.00 | $412.82 – $1,595.25 | 28 |
| Myelography via inj w/s&i thoracic CPT 62303 | $481.46 | $2,534.00 | $412.82 – $1,900.50 | 28 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $25.65 | $135.00 | $11.53 – $26.25 | 28 |
| Natriuretic peptide CPT 83880 | $72.39 | $381.00 | $39.26 – $88.50 | 28 |
| Natural killer cells total count CPT 86357 | $34.31 | $114.00 | $37.73 – $85.50 | 28 |
| Ndl round specialty proguide HCPCS C1715 | $125.35 | $588.00 | $33.20 – $334.65 | 17 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $58.71 | $309.00 | $57.39 – $231.75 | 28 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $701.45 | $3,963.00 | $129.45 – $2,972.25 | 28 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $584.63 | $3,303.00 | $266.89 – $2,477.25 | 28 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $467.63 | $2,642.00 | $79.00 – $1,981.50 | 28 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $70.30 | $370.00 | $58.65 – $277.50 | 28 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $76.38 | $402.00 | $79.00 – $301.50 | 28 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $101.84 | $536.00 | $79.00 – $402.00 | 28 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $365.39 | $2,228.00 | $129.45 – $1,671.00 | 28 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $304.55 | $1,857.00 | $129.45 – $1,392.75 | 28 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $243.54 | $1,485.00 | $79.00 – $1,113.75 | 28 |
| Nerve teasing preparations CPT 88362 | $364.96 | $1,712.00 | $209.47 – $1,306.01 | 28 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | $91.77 | $430.50 | $62.04 – $617.49 | 15 |
| Nintedanib 150 mg capsule HCPCS J8999 | $24.66 | $115.70 | $16.67 – $86.78 | 14 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $57.19 | $301.00 | $58.65 – $225.75 | 28 |
| Nudt15 gene common variants CPT 81306 | $299.30 | $1,404.00 | $291.36 – $656.25 | 28 |
| Observation direct referral from physician office for admission HCPCS G0379 | $139.42 | $654.00 | $30.00 – $980.17 | 28 |
| Observation per hour HCPCS G0378 | $27.56 | $130.00 | $26.00 – $10,759.00 | 17 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $79.21 | $445.00 | $79.00 – $333.75 | 28 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $56.43 | $317.00 | $62.26 – $237.75 | 16 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $89.26 | $522.00 | $81.00 – $391.50 | 16 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $53.69 | $314.00 | $62.80 – $243.16 | 16 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $71.31 | $417.00 | $81.00 – $312.75 | 16 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $28.47 | $632.60 | $168.66 – $474.45 | 28 |
| Onco (ovar) five proteins CPT 81503 | $573.67 | $2,691.00 | $387.77 – $2,018.25 | 28 |
| Oncoprotein dcp CPT 83951 | $36.86 | $194.00 | $64.41 – $145.50 | 28 |
| Organic acids total quant ea spec CPT 83918 | $19.19 | $101.00 | $23.60 – $53.25 | 28 |
| Orthopantogram CPT 70355 | $55.48 | $292.00 | $21.89 – $219.00 | 28 |
| Osmolality blood CPT 83930 | $10.64 | $56.00 | $6.61 – $42.00 | 28 |
| Osmolality urine CPT 83935 | $10.64 | $56.00 | $6.82 – $42.00 | 28 |
| Other immunoelectrophoresis CPT 86325 | $21.07 | $70.00 | $23.13 – $52.50 | 28 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $28.62 | $141.00 | $28.20 – $241.00 | 16 |
| Ot re-evaluation patient/family CPT 97168 | $46.51 | $272.00 | $54.40 – $241.00 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $26.86 | $126.00 | $25.20 – $241.00 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $30.27 | $142.00 | $28.40 – $241.00 | 16 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $0.06 | $2.00 | $0.09 – $1.50 | 17 |
| Parathormone (pth) intact CPT 83970 | $23.56 | $124.00 | $41.28 – $93.00 | 28 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $519.67 | $2,936.00 | $129.45 – $2,202.00 | 28 |
| Pelvic CT scan (with contrast) CPT 72193 | $433.12 | $2,447.00 | $129.45 – $1,835.25 | 28 |
| Pelvic CT scan (without contrast) CPT 72192 | $346.39 | $1,957.00 | $79.00 – $1,467.75 | 28 |
| Pelvic Ultrasound (complete) CPT 76856 | $137.77 | $774.00 | $79.00 – $580.50 | 28 |
| Pelvic Ultrasound (limited) CPT 76857 | $116.41 | $654.00 | $66.67 – $490.50 | 28 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $67.64 | $356.00 | $49.77 – $267.00 | 28 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $83.79 | $441.00 | $76.82 – $330.75 | 28 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $7,003.82 | $32,854.00 | $977.00 – $9,220.90 | 17 |
| Penile vascular study CPT 93980 | $168.00 | $1,006.00 | $79.00 – $754.50 | 28 |
| Penile vascular study CPT 93981 | $143.95 | $862.00 | $79.00 – $646.50 | 28 |
| Penis study CPT 54240 | $89.87 | $473.00 | $165.55 – $497.85 | 28 |
| Pericardiocentesis wwo imaging CPT 33016 | $514.18 | $2,496.00 | $873.60 – $2,483.53 | 28 |
| Peritoneogram rs&i CPT 74190 | $157.13 | $827.00 | $277.87 – $876.59 | 28 |
| Pertussis ag if CPT 87265 | $6.62 | $36.00 | $11.98 – $27.00 | 28 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $28,946.43 | $135,784.00 | $62.60 – $3,351.89 | 17 |
| Ph body fluid CPT 83986 | $19.76 | $104.00 | $3.58 – $38.25 | 28 |
| Phencyclidine (pcp) CPT 83992 | $12.73 | $67.00 | $1.94 – $76.42 | 17 |
| Phenobarbital therapeutic drug level CPT 80184 | $11.21 | $59.00 | $15.30 – $39.75 | 28 |
| Phenytoin total therapeutic drug level CPT 80185 | $10.07 | $53.00 | $13.25 – $39.75 | 28 |
| Phlebotomy therapeutic CPT 99195 | $153.66 | $780.00 | $81.16 – $585.00 | 28 |
| Phosphorus CPT 84100 | $22.99 | $121.00 | $4.74 – $90.75 | 28 |
| Phosphorus 24 hour urine CPT 84105 | $14.06 | $74.00 | $5.78 – $13.50 | 28 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $103.88 | $522.00 | $81.00 – $391.50 | 16 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $62.49 | $314.00 | $62.80 – $250.90 | 16 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $82.98 | $417.00 | $81.00 – $312.75 | 16 |
| Physical Therapy Re-Evaluation CPT 97164 | $54.13 | $272.00 | $54.40 – $241.00 | 16 |
| Pik3ca gene trgt seq alys CPT 81309 | $175.87 | $825.00 | $274.83 – $618.75 | 28 |
| Pin caspar distraction 12mm HCPCS C1821 | $7,470.68 | $35,044.00 | $667.24 – $3,663.75 | 17 |
| Pinworm exam CPT 87172 | $2.39 | $13.00 | $4.27 – $9.75 | 28 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $64.97 | $442.00 | $47.63 – $331.50 | 28 |
| Platelet aggregation each agent teg CPT 85576 | $47.44 | $227.00 | $24.91 – $56.25 | 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.