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 |
|---|---|---|---|---|
| Sinus CT scan (with and without contrast) CPT 70488 | $374.74 | $2,285.00 | $129.45 – $1,713.75 | 28 |
| Sinus CT scan (with contrast) CPT 70487 | $312.26 | $1,904.00 | $129.45 – $1,428.00 | 28 |
| Sinus CT scan (without contrast) CPT 70486 | $249.77 | $1,523.00 | $79.00 – $1,142.25 | 28 |
| Sinus X-ray (complete) CPT 70220 | $64.41 | $339.00 | $58.65 – $254.25 | 28 |
| Sinus X-ray (limited) CPT 70210 | $54.15 | $285.00 | $58.65 – $213.75 | 28 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $29.26 | $154.00 | $30.80 – $115.50 | 16 |
| Skull X-ray (1 to 3 views) CPT 70250 | $64.22 | $338.00 | $69.21 – $253.50 | 28 |
| Skull X-ray (complete) CPT 70260 | $81.70 | $430.00 | $79.00 – $322.50 | 28 |
| Slco1b1 gene com variants CPT 81328 | $111.92 | $525.00 | $174.81 – $393.75 | 28 |
| Sling suprapubic suburetheral HCPCS C1771 | $5,603.22 | $26,284.00 | $538.00 – $6,910.22 | 17 |
| Slp eval non-spch gen comm dev CPT 92605 | $84.83 | $482.00 | $81.00 – $361.50 | 15 |
| Slp ther svc non-spch gen CPT 92606 | $81.65 | $383.00 | $76.60 – $287.25 | 15 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $104.31 | $549.00 | $129.45 – $411.75 | 28 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $12.51 | $68.00 | $5.39 – $42.75 | 28 |
| Smear gram stain CPT 87205 | $23.37 | $127.00 | $4.27 – $9.75 | 28 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $13.25 | $72.00 | $5.99 – $48.00 | 28 |
| Smear wet mount CPT 87210 | $9.75 | $53.00 | $5.82 – $13.50 | 28 |
| Sodium 24 hour urine CPT 84300 | $13.68 | $72.00 | $5.06 – $12.00 | 28 |
| Sodium serum/plasma/whole blood CPT 84295 | $19.38 | $102.00 | $4.81 – $67.50 | 28 |
| Specific gravity body fluid CPT 84315 | $1.90 | $10.00 | $3.28 – $7.50 | 28 |
| Specimen fat stain CPT 89125 | $3.31 | $18.00 | $5.88 – $13.50 | 28 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $122.58 | $575.00 | $81.00 – $662.58 | 16 |
| Speech evaluation complex CPT 70371 | $141.93 | $747.00 | $166.84 – $560.25 | 28 |
| Speech Therapy Session (one-on-one) CPT 92507 | $83.35 | $391.00 | $78.20 – $293.25 | 16 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $348.08 | $1,832.00 | $460.08 – $1,374.00 | 28 |
| Spine X-ray (single view, one level) CPT 72020 | $46.17 | $243.00 | $42.16 – $182.25 | 28 |
| Split blood or products CPT 86985 | $67.16 | $365.00 | $1.30 – $273.96 | 28 |
| Sputum specimen collection CPT 89220 | $67.16 | $365.00 | $32.35 – $273.96 | 28 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $120.66 | $566.00 | $81.00 – $424.50 | 16 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $11,205.59 | $52,564.00 | $118.80 – $8,246.78 | 17 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $1,975.11 | $9,265.00 | $33.20 – $185.42 | 17 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $7,470.68 | $35,044.00 | $118.80 – $2,985.80 | 17 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $1,975.11 | $9,265.00 | $282.60 – $1,648.16 | 17 |
| St evaluate speech sound production CPT 92522 | $100.62 | $472.00 | $81.00 – $354.00 | 16 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $126.72 | $720.00 | $81.00 – $540.00 | 16 |
| Stimulants synthetic CPT 80371 | $30.40 | $160.00 | $32.00 – $120.00 | 16 |
| Strep a ag ia CPT 87430 | $9.38 | $51.00 | $16.81 – $38.25 | 28 |
| Strep b dna amp probe CPT 87653 | $19.50 | $106.00 | $35.09 – $79.50 | 28 |
| Stress test pulmonary CPT 94618 | $13.01 | $542.00 | $40.16 – $406.50 | 28 |
| Stress tte complete CPT 93351 | $442.08 | $2,429.00 | $350.10 – $1,821.75 | 28 |
| Str markers specimen anal CPT 81265 | $304.21 | $1,427.00 | $233.07 – $842.25 | 28 |
| Sulfonylurea screen qn-sendout CPT 80377 | $33.82 | $178.00 | $34.40 – $133.50 | 16 |
| Surgical pathology level 1 gross examination only CPT 88300 | $11.94 | $56.00 | $17.89 – $42.00 | 28 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $27.50 | $129.00 | $17.89 – $96.75 | 28 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $70.99 | $333.00 | $36.08 – $249.75 | 28 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $108.30 | $508.00 | $36.08 – $282.00 | 28 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $242.17 | $1,136.00 | $211.16 – $852.00 | 28 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $364.96 | $1,712.00 | $475.71 – $1,306.01 | 28 |
| Susceptibility agar dilution per agent CPT 87181 | $12.14 | $66.00 | $4.75 – $11.25 | 28 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $10.30 | $56.00 | $4.75 – $42.00 | 28 |
| Susceptibility mic per plate CPT 87186 | $39.74 | $216.00 | $8.65 – $45.00 | 28 |
| Suscept studies macrobroth dilution ea CPT 87188 | $21.16 | $115.00 | $6.64 – $43.50 | 28 |
| Svc venogram s&i CPT 75827 | $243.58 | $1,282.00 | $167.23 – $2,483.53 | 28 |
| Swallowing Evaluation (Bedside) CPT 92610 | $74.45 | $423.00 | $81.00 – $317.25 | 16 |
| Swallowing Therapy Session CPT 92526 | $70.35 | $330.00 | $66.00 – $247.50 | 16 |
| Sweat collection by iontophoresis CPT 89230 | $20.98 | $114.00 | $5.10 – $85.50 | 28 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $15.65 | $52.00 | $4.40 – $39.00 | 28 |
| System pacing micra av HCPCS C1786 | $7,470.68 | $35,044.00 | $2,315.00 – $18,750.82 | 17 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $23,344.06 | $109,504.00 | $3,504.00 – $18,750.82 | 17 |
| T3 (triiodothyronine) free CPT 84481 | $13.49 | $71.00 | $16.94 – $40.50 | 28 |
| T3 (triiodothyronine) total CPT 84480 | $8.17 | $43.00 | $14.18 – $32.25 | 28 |
| T4 (thyroxine) free CPT 84439 | $40.28 | $212.00 | $9.02 – $49.50 | 28 |
| T4 (thyroxine) total CPT 84436 | $10.64 | $56.00 | $6.87 – $42.00 | 28 |
| Tacrolimus therapeutic drug level CPT 80197 | $12.16 | $64.00 | $13.73 – $42.75 | 28 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $68.97 | $363.00 | $58.65 – $272.25 | 28 |
| Target gsa panel hmtlmph neop CPT 81450 | $780.24 | $3,660.00 | $759.53 – $2,745.00 | 28 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $2,998.80 | $14,067.00 | $2,027.05 – $10,550.25 | 28 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $90.30 | $300.00 | $100.00 – $225.00 | 28 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $55.99 | $186.00 | $61.98 – $139.50 | 28 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $42.44 | $141.00 | $46.98 – $105.75 | 28 |
| T cells absolute cd 4 count CPT 86361 | $24.38 | $81.00 | $26.78 – $60.75 | 28 |
| T cells total count CPT 86359 | $34.31 | $114.00 | $37.73 – $85.50 | 28 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $17.95 | $399.00 | $122.49 – $299.25 | 28 |
| Test stress cardiovascular tracing only CPT 93017 | $277.99 | $1,304.00 | $92.37 – $978.00 | 28 |
| Theophylline therapeutic drug level CPT 80198 | $8.17 | $43.00 | $14.14 – $32.25 | 28 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $32.68 | $161.00 | $32.20 – $241.00 | 16 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $29.03 | $143.00 | $28.60 – $241.00 | 16 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $254.98 | $1,342.00 | $129.45 – $1,006.50 | 28 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $70.30 | $370.00 | $58.65 – $347.17 | 17 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $642.77 | $3,383.00 | $392.67 – $4,018.00 | 17 |
| Throat x-ray & fluoroscopy CPT 70370 | $100.32 | $528.00 | $58.65 – $396.00 | 28 |
| Thrombin time CPT 85670 | $11.70 | $56.00 | $5.77 – $42.00 | 28 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $21.53 | $103.00 | $6.47 – $77.25 | 28 |
| Thyroglobulin antibody CPT 86800 | $28.90 | $96.00 | $15.91 – $42.75 | 28 |
| Thyroid (TSH) Test CPT 84443 | $62.32 | $328.00 | $16.80 – $38.25 | 28 |
| Thyroid Ultrasound CPT 76536 | $105.20 | $591.00 | $79.00 – $443.25 | 28 |
| Thyroxine binding globulin (tbg) CPT 84442 | $8.55 | $45.00 | $14.78 – $33.75 | 28 |
| Tilt table study CPT 93660 | $587.31 | $2,755.00 | $274.75 – $2,066.25 | 28 |
| Tissue culture placenta CPT 88235 | $154.56 | $725.00 | $150.30 – $543.75 | 28 |
| Tissue culture skin/biopsy CPT 88233 | $144.75 | $679.00 | $140.73 – $317.25 | 28 |
| Tissue culture tumor CPT 88239 | $151.57 | $711.00 | $147.52 – $533.25 | 28 |
| Tissue exam koh skin/hair/nails CPT 87220 | $39.56 | $215.00 | $4.27 – $48.00 | 28 |
| Tissue transglutaminase iga CPT 86364 | $17.76 | $59.00 | $11.53 – $26.25 | 28 |
| Tobramycin peak therapeutic drug level CPT 80200 | $9.31 | $49.00 | $16.13 – $36.75 | 28 |
| Toe X-ray (both feet) CPT 73660 | $47.69 | $251.00 | $50.20 – $347.17 | 17 |
| Total tau CPT 84394 | $85.69 | $451.00 | $13.59 – $338.25 | 16 |
| Toxoplasma antibody igg CPT 86777 | $18.96 | $63.00 | $14.39 – $33.00 | 28 |
| Toxoplasma antibody igm CPT 86778 | $18.06 | $60.00 | $14.41 – $33.00 | 28 |
| Tpmt gene com vrnts CPT 81335 | $111.92 | $525.00 | $174.81 – $393.75 | 28 |
| Transferrin CPT 84466 | $28.31 | $149.00 | $12.76 – $29.25 | 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.