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 |
|---|---|---|---|---|
| Culture bacteria anaerobic CPT 87073 | $5.34 | $29.00 | $9.66 – $21.75 | 28 |
| Culture bact stool aero addl path ea CPT 87046 | $11.59 | $63.00 | $9.44 – $21.75 | 28 |
| Culture body fluid CPT 87070 | $50.23 | $273.00 | $8.62 – $19.50 | 28 |
| Culture fungi definitive id mold CPT 87107 | $25.39 | $138.00 | $10.32 – $46.50 | 28 |
| Culture fungi definitive id yeast CPT 87106 | $25.02 | $136.00 | $10.32 – $46.50 | 28 |
| Culture fungi other (except blood) CPT 87102 | $14.35 | $78.00 | $8.41 – $45.00 | 28 |
| Culture fungi skin/hair/nail CPT 87101 | $10.86 | $59.00 | $7.71 – $44.25 | 28 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $11.78 | $64.00 | $14.61 – $48.00 | 28 |
| Culture mycoplasma any source CPT 87109 | $11.59 | $63.00 | $15.39 – $47.25 | 28 |
| Culture quantitative aerobic other source CPT 87071 | $11.22 | $61.00 | $9.89 – $45.75 | 28 |
| Culture screening strep group a CPT 87081 | $24.10 | $131.00 | $6.63 – $15.00 | 28 |
| Culture typing glc/hplc CPT 87143 | $6.99 | $38.00 | $12.52 – $28.50 | 28 |
| Culture typing immunologic CPT 87147 | $15.64 | $85.00 | $5.18 – $12.00 | 28 |
| Culture urine each isolate CPT 87088 | $4.60 | $25.00 | $8.09 – $18.75 | 28 |
| Cutter lead HCPCS C1773 | $6,770.38 | $31,759.00 | $226.40 – $849.00 | 17 |
| Cv line/pic reposition CPT 36597 | $375.44 | $1,976.00 | $691.60 – $2,483.53 | 28 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $12.54 | $66.00 | $14.32 – $49.50 | 28 |
| Cyclic citrullinated peptide antibody CPT 86200 | $17.76 | $59.00 | $12.95 – $44.25 | 28 |
| Cyclosporine 2 hour CPT 80158 | $11.02 | $58.00 | $18.05 – $41.25 | 28 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $14,006.78 | $65,704.00 | $168.80 – $28,020.96 | 17 |
| Cyp2c19 gene com variants CPT 81225 | $186.53 | $875.00 | $291.36 – $656.25 | 28 |
| Cyp2c9 gene com variants CPT 81227 | $111.92 | $525.00 | $174.81 – $393.75 | 28 |
| Cyp2d6 gene com variants CPT 81226 | $288.43 | $1,353.00 | $450.91 – $1,014.75 | 28 |
| Cyp3a4 gene common variants CPT 81230 | $111.92 | $525.00 | $174.81 – $393.75 | 28 |
| Cyp3a5 gene common variants CPT 81231 | $111.92 | $525.00 | $174.81 – $393.75 | 28 |
| Cystatin c CPT 82610 | $10.64 | $56.00 | $18.52 – $42.00 | 28 |
| Cystine urine quantitative CPT 82131 | $17.29 | $91.00 | $22.98 – $68.25 | 28 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $193.42 | $1,018.00 | $66.67 – $763.50 | 28 |
| Cytogenetics 25-99 CPT 88274 | $43.70 | $205.00 | $42.38 – $96.00 | 28 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $18.06 | $60.00 | $14.39 – $42.00 | 28 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $18.36 | $61.00 | $16.85 – $38.25 | 28 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $39.65 | $186.00 | $36.08 – $139.50 | 28 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $32.62 | $153.00 | $26.61 – $114.75 | 28 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $24.94 | $117.00 | $20.26 – $87.75 | 28 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $67.15 | $315.00 | $24.53 – $236.25 | 28 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $10.02 | $47.00 | $9.40 – $35.25 | 17 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $77.81 | $365.00 | $37.48 – $273.96 | 28 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $87.19 | $409.00 | $36.08 – $144.00 | 28 |
| Cytopath smear oth prep screen & interp CPT 88161 | $46.47 | $218.00 | $17.89 – $163.50 | 28 |
| Cytotoxic antibody screening CPT 86808 | $27.09 | $90.00 | $29.68 – $67.50 | 28 |
| Dch pulmonary stress test CPT 94621 | $30.46 | $1,269.00 | $191.73 – $951.75 | 28 |
| Dch validity tests CPT 81002 | $2.60 | $11.00 | $3.48 – $8.25 | 28 |
| Deamidated gliadin antibody iga CPT 86258 | $17.76 | $59.00 | $11.53 – $27.75 | 28 |
| Decalcification CPT 88311 | $9.17 | $43.00 | $8.60 – $32.25 | 17 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $99.94 | $526.00 | $184.10 – $530.28 | 28 |
| Delivery of placenta 59414 CPT 59414 | $704.52 | $3,420.00 | $932.00 – $5,083.22 | 28 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $84.00 | $350.00 | $54.28 – $325.17 | 28 |
| Desoxycorticosterone CPT 82633 | $17.67 | $93.00 | $30.98 – $69.75 | 28 |
| Developmental screen/score/document 96110 CPT 96110 | $86.76 | $407.00 | $44.94 – $305.25 | 17 |
| Device ablt adv novasure HCPCS C1886 | $2,468.62 | $11,580.00 | $1,221.00 – $4,578.75 | 17 |
| Device sut capio slim opn HCPCS C2631 | $2,468.62 | $11,580.00 | $484.20 – $1,815.75 | 17 |
| Device tiss remov myosure reach HCPCS C1782 | $2,962.14 | $13,895.00 | $538.00 – $2,017.50 | 17 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $12.73 | $67.00 | $22.23 – $50.25 | 28 |
| Diabetes (HbA1c) Test CPT 83036 | $33.63 | $177.00 | $9.71 – $132.75 | 28 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $87.97 | $463.00 | $119.18 – $347.25 | 28 |
| Digoxin total therapeutic drug level CPT 80162 | $10.07 | $53.00 | $13.28 – $39.75 | 28 |
| Dilator fascial 10fx20cm HCPCS C2627 | $459.83 | $2,157.00 | $50.20 – $188.25 | 17 |
| Disaccharidases CPT 82657 | $68.78 | $362.00 | $22.17 – $50.25 | 28 |
| Discography cerv/thor spine CPT 72285 | $675.26 | $3,554.00 | $195.15 – $3,121.95 | 28 |
| Dna antibody native/double stranded CPT 86225 | $18.66 | $62.00 | $13.74 – $31.50 | 28 |
| Dna gardnerella CPT 87510 | $11.22 | $61.00 | $20.05 – $45.75 | 28 |
| Dna trichomonas CPT 87660 | $11.22 | $61.00 | $20.05 – $45.75 | 28 |
| Doppler echo complete CPT 93320 | $208.94 | $1,148.00 | $137.71 – $2,128.00 | 16 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $192.38 | $1,152.00 | $81.16 – $864.00 | 28 |
| Dornhoffer fixed part w/window HCPCS L8614 | $46,687.27 | $219,004.00 | $10,074.00 – $66,405.39 | 17 |
| Dpyd gene common variants CPT 81232 | $179.71 | $843.00 | $174.81 – $393.75 | 28 |
| Drainage lymph node lesion 38300 CPT 38300 | $749.74 | $3,946.00 | $1,170.00 – $4,575.65 | 28 |
| Drainage of kidney lesion CPT 50390 | $290.51 | $1,529.00 | $203.80 – $4,018.00 | 17 |
| Drain bladder by trocar/cath CPT 51101 | $341.81 | $1,799.00 | $205.81 – $1,626.53 | 28 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $194.94 | $1,026.00 | $359.10 – $1,107.15 | 28 |
| Drain shoulder bursa 23031 CPT 23031 | $720.67 | $3,793.00 | $758.60 – $5,307.00 | 17 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,975.11 | $9,265.00 | $170.00 – $637.50 | 17 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $89.96 | $422.00 | $18.78 – $169.56 | 17 |
| Drug assay caffeine CPT 80155 | $22.04 | $116.00 | $38.57 – $87.00 | 28 |
| Drug assay posaconazole CPT 80187 | $22.42 | $118.00 | $27.11 – $88.50 | 28 |
| Drug assay voriconazole CPT 80285 | $24.13 | $127.00 | $27.11 – $95.25 | 28 |
| Drug asy hydroxychloroquine CPT 80220 | $55.29 | $291.00 | $18.64 – $218.25 | 28 |
| Drug of abuse screen urine CPT 80305 | $12.16 | $64.00 | $12.60 – $48.00 | 28 |
| Drug screening tapentadol CPT 80372 | $10.64 | $56.00 | $11.20 – $42.00 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $85.31 | $449.00 | $62.14 – $140.25 | 28 |
| Ductogram sgl duct CPT 77053 | $151.81 | $799.00 | $108.35 – $987.59 | 17 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $135.27 | $810.00 | $79.00 – $607.50 | 28 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $204.58 | $1,225.00 | $166.76 – $918.75 | 28 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $341.52 | $2,045.00 | $166.84 – $1,533.75 | 28 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $40.80 | $200.00 | $15.03 – $150.00 | 28 |
| Ecg external < 48 hours recording CPT 93225 | $90.60 | $425.00 | $50.65 – $318.75 | 28 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $124.28 | $583.00 | $63.31 – $437.25 | 28 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $487.40 | $2,678.00 | $350.10 – $2,008.50 | 28 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $188.01 | $1,033.00 | $166.84 – $774.75 | 28 |
| Echocardiography doppler color flow mapping CPT 93325 | $111.02 | $610.00 | $63.52 – $2,128.00 | 16 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $609.34 | $3,348.00 | $518.51 – $2,511.00 | 28 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $235.14 | $1,292.00 | $266.89 – $969.00 | 28 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $104.65 | $575.00 | $68.22 – $2,128.00 | 16 |
| Echo exam of fetal heart CPT 76825 | $257.21 | $1,445.00 | $350.10 – $1,083.75 | 28 |
| Echo exam of fetal heart CPT 76826 | $122.46 | $688.00 | $166.84 – $516.00 | 28 |
| Echo exam of fetal heart CPT 76827 | $136.70 | $768.00 | $79.00 – $576.00 | 28 |
| Echo exam of fetal heart CPT 76828 | $107.33 | $603.00 | $57.39 – $452.25 | 28 |
| Echo exam uterus 76831- CPT 76831 | $122.46 | $688.00 | $166.84 – $516.00 | 28 |
| Echograp trans r pros study CPT 76873 | $93.98 | $528.00 | $79.00 – $396.00 | 28 |
| Echo guidance radiotherapy CPT 76965 | $206.84 | $1,162.00 | $70.05 – $871.50 | 16 |
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.