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 |
|---|---|---|---|---|
| Chromosome analysis 5 CPT 88261 | $169.26 | $794.00 | $264.34 – $595.50 | 28 |
| Chromosome analys placenta CPT 88267 | $120.66 | $566.00 | $188.57 – $424.50 | 28 |
| Chromosome count additional CPT 88285 | $27.71 | $130.00 | $26.91 – $97.50 | 28 |
| Chromosome karyotype study CPT 88280 | $34.54 | $162.00 | $33.47 – $121.50 | 28 |
| Chromosome study additional CPT 88289 | $35.39 | $166.00 | $34.43 – $124.50 | 28 |
| Chronic urticaria - sendout CPT 86343 | $19.26 | $64.00 | $12.46 – $48.00 | 28 |
| Chylomicron screen, bf - sendout CPT 82664 | $35.15 | $185.00 | $61.50 – $138.75 | 28 |
| Cine/video x-rays CPT 76120 | $430.16 | $2,264.00 | $79.00 – $1,698.00 | 28 |
| Cine/video x-rays add-on CPT 76125 | $112.29 | $591.00 | $22.42 – $443.25 | 16 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $2,962.14 | $13,895.00 | $323.80 – $2,239.95 | 17 |
| Clip ligating vesolock lg HCPCS C1760 | $4,669.49 | $21,904.00 | $62.60 – $1,048.02 | 17 |
| Clot factor fletcher fact CPT 85292 | $34.69 | $166.00 | $18.93 – $124.50 | 28 |
| Clot factor viii reltd antgn CPT 85244 | $12.96 | $62.00 | $20.42 – $46.50 | 28 |
| Clot factor xii hageman CPT 85280 | $15.88 | $76.00 | $19.35 – $57.00 | 28 |
| Clot factor xiii fibrin scrn CPT 85291 | $5.85 | $28.00 | $9.11 – $21.00 | 28 |
| Clot factor xiii fibrin stab CPT 85290 | $20.48 | $98.00 | $16.34 – $73.50 | 28 |
| #cmvcul-virus inoculation shell CPT 87254 | $19.50 | $106.00 | $19.56 – $48.00 | 28 |
| Cmv pcr-sendout CPT 87496 | $19.50 | $106.00 | $35.09 – $79.50 | 28 |
| Co2 monitor per day CPT 94681 | $18.31 | $763.00 | $191.73 – $572.25 | 28 |
| Coagulation time activated teg CPT 85347 | $2.72 | $13.00 | $4.28 – $9.75 | 28 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $126.63 | $594.00 | $62.60 – $234.75 | 17 |
| Cold agglutinin screen (arc) CPT 86156 | $7.52 | $25.00 | $8.07 – $18.75 | 28 |
| Cold agglutinin titer CPT 86157 | $7.52 | $25.00 | $8.06 – $18.75 | 28 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $4,296.00 | $20,152.00 | $339.25 – $2,021.25 | 17 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $60.80 | $320.00 | $58.65 – $347.17 | 17 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $575.40 – $2,063.19 | 7 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $67.16 | $365.00 | $1.89 – $273.96 | 28 |
| Compatibility test each unit electronic CPT 86923 | $67.16 | $365.00 | $1.43 – $273.96 | 28 |
| Compatibility test each unit immediate spin technique CPT 86920 | $67.16 | $365.00 | $1.78 – $273.96 | 28 |
| Complement antigen each component c3 CPT 86160 | $87.89 | $292.00 | $12.00 – $27.00 | 28 |
| Complement fixation each CPT 86171 | $9.33 | $31.00 | $10.01 – $23.25 | 28 |
| Concentration infection agents any type CPT 87015 | $23.55 | $128.00 | $6.68 – $15.75 | 28 |
| Connector tis 2x10mm HCPCS C9352 | $1,301.46 | $6,105.00 | $282.60 – $3,755.93 | 17 |
| Consultation pathology during surgery CPT 88329 | $44.34 | $208.00 | $24.53 – $156.00 | 28 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $23.02 | $108.00 | $12.26 – $81.00 | 17 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $77.81 | $365.00 | $69.25 – $273.96 | 28 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $69.07 | $324.00 | $36.08 – $85.50 | 28 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $104.25 | $489.00 | $24.53 – $366.75 | 28 |
| Consult comp w/report rfrd material CPT 88325 | $163.94 | $769.00 | $108.14 – $576.75 | 28 |
| Contrast x-ray gallbladder CPT 74290 | $140.03 | $737.00 | $129.45 – $552.75 | 28 |
| Contrast x-ray of ankle CPT 73615 | $234.71 | $1,101.00 | $220.20 – $1,580.51 | 17 |
| Contrast x-ray of elbow CPT 73085 | $234.71 | $1,101.00 | $189.21 – $1,580.51 | 17 |
| Contrast x-ray of hip CPT 73525 | $264.34 | $1,240.00 | $248.00 – $1,580.51 | 17 |
| Contrast x-ray of knee joint CPT 73580 | $234.71 | $1,101.00 | $203.60 – $1,580.51 | 17 |
| Contrast x-ray of wrist CPT 73115 | $232.37 | $1,090.00 | $218.00 – $1,580.51 | 17 |
| Controller infinity pt dbs HCPCS C1787 | $2,962.14 | $13,895.00 | $977.00 – $3,663.75 | 17 |
| Coombs direct CPT 86880 | $38.23 | $127.00 | $5.39 – $95.25 | 28 |
| Coombs indirect titer reference CPT 86886 | $109.86 | $365.00 | $5.18 – $273.75 | 28 |
| Cortisol total am CPT 82533 | $61.37 | $323.00 | $16.30 – $43.50 | 28 |
| Co-treatment - group 15 mins, st CPT 92508 | $27.29 | $128.00 | $25.60 – $241.00 | 16 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $2,024.36 | $9,496.00 | $33.20 – $1,178.17 | 17 |
| #covid19rsv-rsv CPT 87634 | $38.82 | $211.00 | $70.20 – $158.25 | 28 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $15.95 | $53.00 | $13.03 – $30.00 | 28 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $348.24 | $1,451.00 | $136.21 – $1,088.25 | 28 |
| C-peptide CPT 84681 | $11.97 | $63.00 | $20.81 – $47.25 | 28 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $298.32 | $1,243.00 | $191.73 – $932.25 | 28 |
| C-reactive protein CPT 86140 | $34.31 | $114.00 | $5.18 – $12.00 | 28 |
| C-reactive protein high sensitivity CPT 86141 | $39.43 | $131.00 | $12.95 – $42.75 | 28 |
| C-reactive protein, quantitative CPT 86406 | $24.38 | $81.00 | $10.64 – $44.25 | 28 |
| Creatine kinase CPT 82550 | $39.90 | $210.00 | $6.51 – $41.25 | 28 |
| Creatine kinase isoenzymes CPT 82552 | $11.21 | $59.00 | $13.39 – $44.25 | 28 |
| Creatine kinase mb CPT 82553 | $12.54 | $66.00 | $11.55 – $49.50 | 28 |
| Creatine - sendout CPT 82540 | $11.40 | $60.00 | $4.64 – $45.00 | 28 |
| Creatinine CPT 82565 | $22.80 | $120.00 | $5.12 – $85.50 | 28 |
| Creatinine 24 hour urine CPT 82570 | $29.83 | $157.00 | $5.18 – $12.00 | 28 |
| Creatinine clearance urine CPT 82575 | $5.51 | $29.00 | $9.46 – $21.75 | 28 |
| #creutz-prot.,western blot CPT 84182 | $29.45 | $155.00 | $29.21 – $66.00 | 28 |
| Critical care each additional 30 minutes CPT 99292 | $784.24 | $3,807.00 | $761.40 – $2,855.25 | 16 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $1,568.28 | $7,613.00 | $502.19 – $5,709.75 | 28 |
| Cryoprecipitate each unit HCPCS P9012 | $13.08 | $89.00 | $29.90 – $101.62 | 28 |
| Cryptococcus abs qn - sendout CPT 86641 | $13.24 | $44.00 | $14.41 – $33.00 | 28 |
| Cryptosporidium antigen CPT 87272 | $20.42 | $111.00 | $11.98 – $45.75 | 28 |
| Crystal identification light microscopy CPT 89060 | $13.25 | $72.00 | $7.33 – $54.00 | 28 |
| CT 3d report other modality w/workstation CPT 76377 | $131.36 | $738.00 | $102.92 – $553.50 | 16 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $455.07 | $2,571.00 | $129.45 – $1,928.25 | 17 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $706.23 | $3,990.00 | $241.82 – $2,992.50 | 28 |
| CT Angiogram of the Abdomen CPT 74175 | $496.31 | $2,804.00 | $129.45 – $2,103.00 | 28 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $354.67 | $2,446.00 | $129.45 – $1,834.50 | 28 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $654.55 | $3,698.00 | $129.45 – $2,773.50 | 28 |
| CT Angiogram of the Head CPT 70496 | $420.00 | $2,561.00 | $129.45 – $1,920.75 | 28 |
| CT Angiogram of the Neck CPT 70498 | $383.76 | $2,340.00 | $129.45 – $1,755.00 | 28 |
| CT angio pelvis CPT 72191 | $545.69 | $3,083.00 | $129.45 – $2,312.25 | 28 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $480.20 | $2,713.00 | $129.45 – $2,034.75 | 17 |
| CT bone density axial CPT 77078 | $63.54 | $359.00 | $58.65 – $269.25 | 28 |
| CT guidance for needle placement CPT 77012 | $264.91 | $1,827.00 | $207.04 – $1,370.25 | 16 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $198.11 | $1,113.00 | $144.42 – $834.75 | 16 |
| CT guid parench tis ablat CPT 77013 | $225.76 | $1,557.00 | $311.40 – $1,167.75 | 16 |
| CT limited or localized follow-up study CPT 76380 | $84.97 | $586.00 | $58.65 – $439.50 | 28 |
| CT lwr extremity w/o&w/dye CPT 73702 | $433.30 | $2,448.00 | $129.45 – $1,836.00 | 17 |
| CT scan for localization CPT 77011 | $292.90 | $2,020.00 | $341.00 – $1,515.00 | 16 |
| CT scan for therapy guide CPT 77014 | $111.79 | $771.00 | $154.20 – $1,013.00 | 16 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $672.60 | $3,800.00 | $241.82 – $2,850.00 | 28 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $560.56 | $3,167.00 | $241.82 – $2,375.25 | 28 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $448.34 | $2,533.00 | $166.84 – $1,899.75 | 28 |
| CT t-spine w /wo contrast CPT 72130 | $698.62 | $3,947.00 | $129.45 – $2,960.25 | 28 |
| CT uppr extremity w/o&w/dye CPT 73202 | $457.19 | $2,583.00 | $129.45 – $1,937.25 | 17 |
| Culture aerobic additional method definitive id each CPT 87077 | $18.95 | $103.00 | $5.00 – $18.75 | 28 |
| Culture afb any source CPT 87116 | $64.03 | $348.00 | $10.80 – $24.75 | 28 |
| Culture anaerobic additional method definitive id each CPT 87076 | $21.71 | $118.00 | $8.08 – $18.75 | 28 |
| Culture anaerobic except blood CPT 87075 | $68.26 | $371.00 | $9.47 – $278.25 | 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.