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 |
|---|---|---|---|---|
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $121.40 | $682.00 | $79.00 – $511.50 | 28 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $102.17 | $574.00 | $79.00 – $430.50 | 28 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $126.63 | $594.00 | $85.60 – $445.50 | 15 |
| Treat spinal cord lesion CPT 62280 | $254.22 | $1,338.00 | $468.30 – $1,423.34 | 28 |
| Treat spinal cord lesion CPT 62281 | $256.31 | $1,349.00 | $472.15 – $1,423.34 | 28 |
| Treponema pallidum antibody CPT 86780 | $22.27 | $74.00 | $13.24 – $30.00 | 28 |
| Trichinella antibody CPT 86784 | $20.77 | $69.00 | $12.56 – $51.75 | 28 |
| #tricyclicantidprssnt CPT 80337 | $17.48 | $92.00 | $18.40 – $69.00 | 16 |
| Triglycerides CPT 84478 | $30.02 | $158.00 | $5.74 – $67.50 | 28 |
| Troponin quantitative CPT 84484 | $62.89 | $331.00 | $12.47 – $28.50 | 28 |
| Tte w or without fol w/con,stres HCPCS C8928 | $446.63 | $2,454.00 | $518.51 – $1,840.50 | 28 |
| Tte w or without fol w/cont, com HCPCS C8921 | $461.01 | $2,533.00 | $518.51 – $1,899.75 | 28 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $244.79 | $1,345.00 | $388.72 – $1,263.09 | 28 |
| Ugt1a1 gene analy common variants CPT 81350 | $149.65 | $702.00 | $234.00 – $526.50 | 28 |
| Ultrasound breast complete CPT 76641 | $112.14 | $630.00 | $79.00 – $315.00 | 16 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $86.33 | $485.00 | $58.65 – $242.25 | 16 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $69.42 | $390.00 | $53.98 – $292.50 | 28 |
| Ultrasound dx ophth b-scan CPT 76512 | $65.86 | $370.00 | $45.53 – $277.50 | 16 |
| Ultrasound encephalogram CPT 76506 | $132.08 | $742.00 | $79.00 – $556.50 | 28 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $99.32 | $558.00 | $79.00 – $418.50 | 28 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $113.21 | $636.00 | $79.00 – $477.00 | 28 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $138.84 | $780.00 | $71.06 – $585.00 | 16 |
| Ultrasound guidance for vascular access CPT 76937 | $108.94 | $612.00 | $42.55 – $459.00 | 16 |
| Ultrasound guide intraoperative CPT 76998 | $120.86 | $679.00 | $78.71 – $509.25 | 16 |
| Ultrasound guide tissue ablation CPT 76940 | $86.51 | $486.00 | $97.20 – $364.50 | 16 |
| Ultrasound hips infant dynamic CPT 76885 | $100.04 | $562.00 | $58.65 – $421.50 | 28 |
| Ultrasound infant hips ltd without stress CPT 76886 | $73.16 | $411.00 | $58.65 – $308.25 | 28 |
| Ultrasound joint complete left CPT 76881 | $83.30 | $468.00 | $27.80 – $351.00 | 28 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $94.16 | $529.00 | $95.77 – $396.75 | 16 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $61.94 | $348.00 | $53.27 – $261.00 | 16 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $155.39 | $873.00 | $166.84 – $654.75 | 28 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $90.42 | $508.00 | $79.00 – $381.00 | 28 |
| Ultrasound prostate/transrectal CPT 76872 | $96.48 | $542.00 | $79.00 – $406.50 | 28 |
| Ultrasound spinal canal and contents CPT 76800 | $139.55 | $784.00 | $79.00 – $588.00 | 28 |
| Ultrasound transabd ea addl gest CPT 76812 | $130.47 | $733.00 | $62.26 – $549.75 | 16 |
| Unlisted hematology&coagj px CPT 85999 | $11.91 | $57.00 | $11.40 – $81.57 | 16 |
| Unlisted transfusion med px CPT 86999 | $49.31 | $268.00 | $17.81 – $39.75 | 28 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $66.88 | $352.00 | $58.65 – $347.17 | 17 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $582.15 | $3,289.00 | $129.45 – $2,466.75 | 28 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $465.69 | $2,631.00 | $79.00 – $1,973.25 | 28 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $61.94 | $326.00 | $59.06 – $244.50 | 28 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $71.44 | $376.00 | $73.45 – $282.00 | 28 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $586.96 – $1,540.67 | 7 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $116.85 | $615.00 | $129.45 – $461.25 | 28 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $115.14 | $606.00 | $129.45 – $454.50 | 28 |
| Urea nitrogen CPT 84520 | $25.65 | $135.00 | $3.95 – $83.25 | 28 |
| Urea nitrogen 24 hour urine CPT 84540 | $9.88 | $52.00 | $5.56 – $39.00 | 28 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $201.78 | $1,062.00 | $166.84 – $796.50 | 28 |
| Urethrocystography void s&i CPT 74455 | $130.72 | $688.00 | $166.84 – $516.00 | 28 |
| Uric acid blood CPT 84550 | $26.60 | $140.00 | $4.52 – $105.00 | 28 |
| Uric acid urine CPT 84560 | $13.68 | $72.00 | $5.08 – $12.00 | 28 |
| Urinalysis microscopic only CPT 81015 | $2.36 | $10.00 | $3.05 – $7.50 | 28 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $1.65 | $7.00 | $2.17 – $5.25 | 28 |
| Urinalysis (with microscopy) CPT 81001 | $28.56 | $121.00 | $3.17 – $90.75 | 28 |
| Urinalysis (without microscopy) CPT 81003 | $25.25 | $107.00 | $2.25 – $5.25 | 28 |
| Urine Culture Test CPT 87086 | $49.13 | $267.00 | $8.07 – $200.25 | 28 |
| Urine pregnancy test CPT 81025 | $46.26 | $196.00 | $8.61 – $43.50 | 28 |
| Urography, antegrade CPT 74425 | $257.07 | $1,353.00 | $241.82 – $1,014.75 | 28 |
| Urography inf drip &/or bolus CPT 74410 | $444.41 | $2,339.00 | $129.45 – $1,754.25 | 28 |
| Vaccine Administration (one shot) CPT 90471 | $16.63 | $126.00 | $23.26 – $113.78 | 28 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $3.53 | $121.60 | $24.32 – $156.22 | 17 |
| Vaccine tdap >=7 years im CPT 90715 | $6.19 | $213.60 | $39.71 – $166.76 | 17 |
| Valproic acid total therapeutic drug level CPT 80164 | $10.07 | $53.00 | $13.54 – $39.75 | 28 |
| Vancomycin peak therapeutic drug level CPT 80202 | $38.38 | $202.00 | $13.54 – $30.75 | 28 |
| Varicella zoster antibody igg CPT 86787 | $15.95 | $53.00 | $12.88 – $29.25 | 28 |
| Venogram ext bil s&i CPT 75822 | $433.58 | $2,282.00 | $166.40 – $2,483.53 | 28 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $370.50 | $1,950.00 | $150.34 – $6,035.47 | 17 |
| Ventilator each subsequent day CPT 94003 | $727.92 | $3,033.00 | $243.46 – $2,274.75 | 28 |
| Ventilator Management (first day) CPT 94002 | $909.36 | $3,789.00 | $336.59 – $2,841.75 | 28 |
| Very long chain fatty acids CPT 82726 | $38.95 | $205.00 | $19.75 – $153.75 | 28 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $117.61 | $619.00 | $129.45 – $464.25 | 28 |
| Virus isolation addl studies ea CPT 87253 | $11.96 | $65.00 | $20.20 – $45.75 | 28 |
| Vital capacity test CPT 94150 | $5.57 | $232.00 | $68.32 – $250.14 | 28 |
| Vitamin b-12 CPT 82607 | $31.16 | $164.00 | $15.08 – $123.00 | 28 |
| Vitamin D Test CPT 82306 | $16.91 | $89.00 | $29.60 – $66.75 | 28 |
| Vkorc1 gene CPT 81355 | $56.49 | $265.00 | $88.20 – $198.75 | 28 |
| Volume measurement urine timed CPT 81050 | $2.60 | $11.00 | $3.64 – $8.25 | 28 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $27.20 | $134.00 | $26.80 – $241.00 | 16 |
| Warde 1003990 aldosterone CPT 82088 | $51.30 | $270.00 | $40.75 – $92.25 | 28 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $33.06 | $174.00 | $27.80 – $63.00 | 28 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $11.59 | $61.00 | $12.90 – $45.75 | 28 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $14.44 | $76.00 | $25.25 – $57.00 | 28 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $15.58 | $82.00 | $15.50 – $61.50 | 28 |
| Warde 1015200 kappa light chain free CPT 83521 | $13.11 | $69.00 | $17.27 – $45.75 | 28 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $11.21 | $59.00 | $8.02 – $44.25 | 28 |
| Warde 3008005 oligoclonal bands CPT 83916 | $15.77 | $83.00 | $27.39 – $62.25 | 28 |
| Warde 3016000 west nile virus antibody CPT 86788 | $21.67 | $72.00 | $16.85 – $54.00 | 28 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $21.67 | $72.00 | $14.39 – $54.00 | 28 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $16.56 | $55.00 | $12.25 – $41.25 | 28 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $4.97 | $27.00 | $8.90 – $20.25 | 28 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $13.06 | $71.00 | $17.98 – $53.25 | 28 |
| Warde 3400852 arsenic CPT 82175 | $18.05 | $95.00 | $18.97 – $47.25 | 28 |
| Warde 3708165 mercury urine CPT 83825 | $16.72 | $88.00 | $16.26 – $36.75 | 28 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $29.80 | $99.00 | $18.40 – $74.25 | 28 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $18.06 | $60.00 | $11.53 – $42.00 | 28 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $29.83 | $157.00 | $8.10 – $18.75 | 28 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $22.04 | $116.00 | $38.62 – $87.00 | 28 |
| Warde aldolase CPT 82085 | $10.07 | $53.00 | $9.71 – $39.75 | 28 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $26.79 | $141.00 | $16.87 – $38.25 | 28 |
| Warde amiodarone therapeutic drug level CPT 80151 | $17.10 | $90.00 | $18.64 – $67.50 | 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.