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 |
|---|---|---|---|---|
| Platelet automated CPT 85049 | $2.93 | $14.00 | $4.48 – $10.50 | 28 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $107.46 | $731.00 | $245.62 – $778.74 | 28 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $137.30 | $934.00 | $264.43 – $1,080.19 | 28 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $275.62 | $1,875.00 | $325.00 – $1,314.00 | 28 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $61.18 | $322.00 | $26.07 – $59.25 | 28 |
| Potassium 24 hour urine CPT 84133 | $13.30 | $70.00 | $4.73 – $41.25 | 28 |
| Potassium serum/plasma/whole blood CPT 84132 | $22.80 | $120.00 | $4.76 – $44.25 | 28 |
| Pq thr inj ext pse CPT 36002 | $146.30 | $770.00 | $154.00 – $4,018.00 | 17 |
| Pr application splint static short arm CPT 29125 | $94.30 | $521.00 | $69.40 – $260.25 | 17 |
| Prealbumin CPT 84134 | $10.26 | $54.00 | $14.59 – $40.50 | 28 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.10 | $3.60 | $0.01 – $2.70 | 17 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $127.80 | $718.00 | $79.00 – $538.50 | 28 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $95.23 | $535.00 | $79.00 – $401.25 | 28 |
| Pregnancy Ultrasound (limited) CPT 76815 | $89.89 | $505.00 | $79.00 – $378.75 | 28 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $109.86 | $365.00 | $1.78 – $273.96 | 28 |
| Pretreat rbc absorption reference CPT 86978 | $83.38 | $277.00 | $1.78 – $207.75 | 28 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $27.60 | $150.00 | $1.49 – $112.50 | 28 |
| Pretreat rbc w enzyme reference CPT 86971 | $80.41 | $437.00 | $1.19 – $327.75 | 28 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $79.92 | $555.00 | $44.97 – $416.25 | 16 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $11,205.59 | $52,564.00 | $117.60 – $1,036.79 | 17 |
| Procalcitonin CPT 84145 | $39.14 | $206.00 | $27.22 – $154.50 | 28 |
| Progesterone CPT 84144 | $11.97 | $63.00 | $20.86 – $47.25 | 28 |
| Prolactin CPT 84146 | $11.21 | $59.00 | $19.38 – $44.25 | 28 |
| _propoxygc/msur CPT 80367 | $10.64 | $56.00 | $11.20 – $42.00 | 16 |
| Prostate biopsy, any mthd HCPCS G0416 | $196.55 | $922.00 | $132.86 – $691.50 | 28 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $1,432.14 | $6,718.00 | $539.00 – $2,733.17 | 17 |
| Protein c activity CPT 85303 | $8.78 | $42.00 | $13.84 – $31.50 | 28 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $13.68 | $72.00 | $10.74 – $54.00 | 28 |
| Protein s total CPT 85305 | $13.38 | $64.00 | $11.61 – $43.50 | 28 |
| Protein total 24 hour urine CPT 84156 | $10.64 | $56.00 | $3.67 – $9.00 | 28 |
| Protein total body fluid CPT 84157 | $10.64 | $56.00 | $4.00 – $9.00 | 28 |
| Protein total serum plasma whole blood CPT 84155 | $10.64 | $56.00 | $3.67 – $42.00 | 28 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $12.12 | $58.00 | $3.94 – $43.50 | 28 |
| Pr removal intrauterine device CPT 58301 | $98.06 | $476.00 | $166.60 – $486.31 | 28 |
| PSA (Prostate) Test CPT 84153 | $10.64 | $56.00 | $18.39 – $42.00 | 28 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $12.38 | $61.00 | $8.79 – $241.00 | 15 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $35.30 | $195.00 | $39.00 – $241.00 | 16 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $24.77 | $122.00 | $24.40 – $241.00 | 16 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $56.23 | $277.00 | $55.40 – $241.00 | 16 |
| Pt wheelchair management each 15 minutes CPT 97542 | $32.68 | $161.00 | $32.20 – $241.00 | 16 |
| Punc of shunt for asp or inj CPT 61070 | $179.55 | $945.00 | $330.75 – $1,107.15 | 28 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $43.79 | $238.00 | $43.11 – $206.07 | 28 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $112.67 | $593.00 | $207.55 – $638.75 | 28 |
| Puncture spinal lumbar diagnostic CPT 62270 | $239.97 | $1,263.00 | $442.05 – $1,107.15 | 28 |
| Pyruvate CPT 84210 | $8.36 | $44.00 | $14.48 – $33.00 | 28 |
| Pyruvate kinase CPT 84220 | $35.53 | $187.00 | $9.44 – $140.25 | 28 |
| Quest t3 uptake CPT 84479 | $10.64 | $56.00 | $6.47 – $42.00 | 28 |
| Rapid Strep Test CPT 87880 | $9.20 | $50.00 | $16.53 – $37.50 | 28 |
| Rbc count only automated CPT 85041 | $2.09 | $10.00 | $3.02 – $7.50 | 28 |
| Rbc serum pretx incubj drugs CPT 86975 | $255.25 | $848.00 | $1.59 – $637.95 | 28 |
| Recon, cta for surg plan HCPCS G0288 | $382.51 | $2,638.00 | $145.92 – $1,978.50 | 14 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $102.90 | $700.00 | $188.93 – $775.98 | 28 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $104.96 | $714.00 | $98.78 – $290.97 | 28 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $51.45 | $350.00 | $117.60 – $408.96 | 28 |
| Red blood cells washed each unit HCPCS P9022 | $73.06 | $497.00 | $148.18 – $634.49 | 28 |
| Removal sutr and stapl no anes CPT 15854 | $70.25 | $341.00 | $68.20 – $2,083.00 | 18 |
| Removal sutr or stapl no anes CPT 15853 | $56.24 | $273.00 | $54.60 – $2,083.00 | 18 |
| Remove esophagus obstruction CPT 74235 | $130.72 | $688.00 | $96.23 – $516.00 | 16 |
| Remove renal tube w/fluoro CPT 50389 | $302.67 | $1,593.00 | $212.40 – $4,018.00 | 17 |
| Renal function panel CPT 80069 | $51.30 | $270.00 | $8.68 – $202.50 | 28 |
| Reptilase test CPT 85635 | $6.27 | $30.00 | $9.85 – $22.50 | 28 |
| #resp virpnl dfa-adenovirus CPT 87260 | $8.10 | $44.00 | $14.43 – $33.00 | 28 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $9.20 | $50.00 | $16.43 – $37.50 | 28 |
| Resp virus 6-11 targets CPT 87632 | $120.52 | $655.00 | $218.06 – $491.25 | 28 |
| Reticulated platelet assay CPT 85055 | $33.44 | $160.00 | $35.74 – $120.00 | 28 |
| Reticulocyte direct measurement automated CPT 85046 | $11.91 | $57.00 | $5.57 – $42.75 | 28 |
| Rheumatoid factor qualitative CPT 86430 | $21.07 | $70.00 | $6.14 – $52.50 | 28 |
| Rheumatoid factor quantitative CPT 86431 | $16.56 | $55.00 | $5.67 – $13.50 | 28 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $62.89 | $331.00 | $75.12 – $248.25 | 28 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $87.78 | $462.00 | $79.00 – $346.50 | 28 |
| Rib X-ray (3 views, both sides) CPT 71110 | $64.41 | $339.00 | $76.82 – $254.25 | 28 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $601.35 | $3,165.00 | $1,019.45 – $2,483.53 | 28 |
| Rsv assay w/optic CPT 87807 | $7.36 | $40.00 | $13.10 – $30.00 | 28 |
| Rubella antibody igg CPT 86762 | $16.86 | $56.00 | $14.39 – $33.00 | 28 |
| Rubeola antibody igg CPT 86765 | $18.06 | $60.00 | $12.88 – $29.25 | 28 |
| Russell viper venom diluted CPT 85613 | $12.54 | $60.00 | $9.58 – $45.00 | 28 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $586.67 | $2,752.00 | $396.56 – $2,064.00 | 28 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $68.78 | $362.00 | $72.58 – $271.50 | 28 |
| Salmonella antibody CPT 86768 | $21.97 | $73.00 | $13.19 – $54.75 | 28 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $214.60 | $1,285.00 | $166.84 – $963.75 | 28 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $105.71 | $633.00 | $79.00 – $474.75 | 28 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $174.68 | $1,046.00 | $79.00 – $784.50 | 28 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $215.43 | $1,290.00 | $79.00 – $967.50 | 28 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $245.82 | $1,472.00 | $79.00 – $1,104.00 | 17 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $213.43 | $1,278.00 | $79.00 – $958.50 | 17 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $28,012.70 | $131,404.00 | $33.20 – $612.09 | 17 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $127.09 | $714.00 | $79.00 – $535.50 | 28 |
| Sedimentation rate erythrocyte automated CPT 85652 | $1.88 | $9.00 | $2.70 – $6.75 | 28 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $37.95 | $178.00 | $35.60 – $241.00 | 16 |
| Semen analysis w/count CPT 89310 | $4.78 | $26.00 | $3.75 – $19.50 | 28 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $2,962.14 | $13,895.00 | $62.60 – $234.75 | 17 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $44.70 | $217.00 | $44.93 – $162.75 | 28 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $57.19 | $301.00 | $50.61 – $225.75 | 28 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $68.97 | $363.00 | $38.76 – $467.28 | 17 |
| Shoulder X-ray CPT 73030 | $73.72 | $388.00 | $58.65 – $347.17 | 17 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $53.01 | $279.00 | $36.25 – $347.17 | 17 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $61.94 | $326.00 | $79.00 – $244.50 | 28 |
| Sialography s&i CPT 70390 | $130.72 | $688.00 | $137.60 – $987.59 | 17 |
| Sickling rbc CPT 85660 | $11.70 | $56.00 | $5.51 – $42.00 | 28 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $183.80 | $901.00 | $40.35 – $675.75 | 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.