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 |
|---|---|---|---|---|
| Echo guide for amniocentesis CPT 76946 | $63.01 | $354.00 | $38.76 – $265.50 | 16 |
| Echo guide for artery repair CPT 76936 | $111.43 | $626.00 | $191.73 – $497.85 | 28 |
| Echo guide for heart biopsy CPT 76932 | $101.28 | $569.00 | $60.67 – $426.75 | 16 |
| Echo guide for transfusion CPT 76941 | $110.72 | $622.00 | $109.16 – $466.50 | 16 |
| Echo guide ova aspiration CPT 76948 | $48.42 | $272.00 | $39.20 – $204.00 | 14 |
| Echo stress CPT 93350 | $357.27 | $1,963.00 | $350.10 – $1,472.25 | 28 |
| Echo transthoracic CPT 93303 | $368.73 | $2,026.00 | $350.10 – $1,519.50 | 28 |
| Echo transthoracic CPT 93304 | $195.83 | $1,076.00 | $350.10 – $876.59 | 28 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $251.89 | $1,384.00 | $166.84 – $1,038.00 | 28 |
| E equine encephalitis igg CPT 86652 | $19.56 | $65.00 | $13.19 – $48.75 | 28 |
| EKG (Tracing Only) CPT 93005 | $93.64 | $459.00 | $15.93 – $344.25 | 28 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $64.41 | $339.00 | $53.98 – $347.17 | 17 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $69.92 | $368.00 | $58.65 – $347.17 | 17 |
| Electrd sq emblem s-icd HCPCS C1896 | $4,202.63 | $19,714.00 | $539.00 – $2,674.65 | 17 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $28.22 | $139.00 | $27.80 – $241.00 | 16 |
| Electrical stimulation/unattended 97014 CPT 97014 | $21.52 | $106.00 | $21.20 – $241.00 | 16 |
| Electroconvulsive therapy 90870 CPT 90870 | $299.30 | $1,404.00 | $353.64 – $1,053.00 | 28 |
| Electrolyte panel CPT 80051 | $42.37 | $223.00 | $7.01 – $138.75 | 28 |
| Electron microscopy diagnostic CPT 88348 | $364.96 | $1,712.00 | $347.46 – $1,306.01 | 28 |
| Encephalitis, california igg/igm CPT 86651 | $19.56 | $65.00 | $13.19 – $48.75 | 28 |
| Encephalitis, st louis igg/igm CPT 86653 | $19.56 | $65.00 | $13.19 – $48.75 | 28 |
| Encephalitis, western equine igg/igm CPT 86654 | $19.56 | $65.00 | $13.19 – $48.75 | 28 |
| Endo cath bile duct s&i CPT 74328 | $178.03 | $937.00 | $39.20 – $702.75 | 16 |
| Endo cath panc duct s&i CPT 74329 | $180.69 | $951.00 | $39.80 – $713.25 | 16 |
| Enzyme histochemistry CPT 88319 | $364.96 | $1,712.00 | $158.64 – $1,306.01 | 28 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $5.67 | $26.60 | $0.77 – $6.22 | 17 |
| Epstein barr early antigen antibody CPT 86663 | $16.56 | $55.00 | $13.12 – $41.25 | 28 |
| Epstein barr nuclear antigen antibody CPT 86664 | $16.25 | $54.00 | $15.29 – $34.50 | 28 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $18.66 | $62.00 | $18.14 – $41.25 | 28 |
| Ercp biliary & pancreas CPT 74330 | $209.38 | $1,102.00 | $46.07 – $826.50 | 16 |
| ER Visit (level 1, minor) CPT 99281 | $190.96 | $657.00 | $54.54 – $492.75 | 28 |
| ER Visit (level 2) CPT 99282 | $334.19 | $1,163.00 | $88.87 – $872.25 | 28 |
| ER Visit (level 3) CPT 99283 | $643.45 | $1,669.00 | $138.24 – $1,251.75 | 28 |
| ER Visit (level 4) CPT 99284 | $1,081.35 | $2,175.00 | $221.18 – $1,631.25 | 28 |
| ER Visit (level 5, high severity) CPT 99285 | $1,479.51 | $2,675.00 | $332.40 – $2,006.25 | 28 |
| Esophageal dilat s&i CPT 74360 | $100.89 | $531.00 | $45.92 – $398.25 | 16 |
| Esophagus motility study CPT 91010 | $257.10 | $1,206.00 | $353.64 – $904.50 | 28 |
| Estradiol total CPT 82670 | $15.96 | $84.00 | $27.94 – $63.00 | 28 |
| Estrogens total-sendout CPT 82672 | $12.54 | $66.00 | $21.70 – $49.50 | 28 |
| Ethylene glycol -sendout CPT 82693 | $15.39 | $81.00 | $14.90 – $60.75 | 28 |
| Euglobulin lysis CPT 85360 | $5.43 | $26.00 | $8.41 – $19.50 | 28 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $131.47 | $747.00 | $81.00 – $560.25 | 16 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $56.05 | $295.00 | $98.11 – $221.25 | 28 |
| Evaluation of speech fluency 92521 CPT 92521 | $91.88 | $431.00 | $81.00 – $392.90 | 16 |
| Exchange drainage catheter CPT 49423 | $496.66 | $2,614.00 | $914.90 – $3,032.78 | 28 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $1,975.11 | $9,265.00 | $539.00 – $2,036.32 | 17 |
| External chromosome analysis 20-25 cells CPT 88264 | $259.23 | $1,216.00 | $144.61 – $912.00 | 28 |
| External newborn metabolic screening panel HCPCS S3620 | $43.24 | $235.00 | $47.00 – $176.25 | 16 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $15.95 | $53.00 | $1.78 – $39.75 | 28 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $281.18 | $1,319.00 | $143.75 – $989.25 | 28 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $39.13 | $130.00 | $17.93 – $40.50 | 28 |
| Eye Socket (Orbit) X-ray CPT 70200 | $82.27 | $433.00 | $79.00 – $324.75 | 28 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $468.71 | $2,858.00 | $129.45 – $2,143.50 | 28 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $390.65 | $2,382.00 | $129.45 – $1,786.50 | 28 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $312.42 | $1,905.00 | $79.00 – $1,428.75 | 28 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $60.42 | $318.00 | $57.39 – $238.50 | 28 |
| Facial Bones X-ray (complete) CPT 70150 | $66.69 | $351.00 | $79.00 – $263.25 | 28 |
| Factor ix CPT 85250 | $16.51 | $79.00 | $19.04 – $56.25 | 28 |
| Factor viii CPT 85240 | $13.79 | $66.00 | $17.90 – $49.50 | 28 |
| Fat/lipids feces qualitative CPT 82705 | $12.92 | $68.00 | $5.10 – $51.00 | 28 |
| Fatty acids nonesterified CPT 82725 | $13.11 | $69.00 | $18.77 – $51.75 | 28 |
| #fecal-sodium CPT 84302 | $11.02 | $58.00 | $4.86 – $11.25 | 28 |
| Feeding tube reposition CPT 74355 | $178.60 | $940.00 | $61.66 – $705.00 | 16 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $14.06 | $74.00 | $18.64 – $55.50 | 28 |
| Ferritin CPT 82728 | $42.18 | $222.00 | $13.63 – $166.50 | 28 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $173.19 | $973.00 | $79.00 – $729.75 | 28 |
| Fetal fibronectin CPT 82731 | $36.86 | $194.00 | $64.41 – $145.50 | 28 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $12.33 | $59.00 | $7.73 – $44.25 | 28 |
| Fetal hemoglobin rosette CPT 85461 | $6.06 | $29.00 | $9.36 – $21.75 | 28 |
| #_fet/norfentcnfrmur CPT 80354 | $12.73 | $67.00 | $11.20 – $42.00 | 16 |
| Fibrin degradation d dimer quantitative CPT 85379 | $66.88 | $320.00 | $10.18 – $240.00 | 28 |
| Fibrin degradation products CPT 85362 | $16.72 | $80.00 | $6.89 – $15.75 | 28 |
| Fibrinogen activity CPT 85384 | $44.73 | $214.00 | $9.72 – $22.50 | 28 |
| Fibrinolytic antiplasmin CPT 85410 | $5.02 | $24.00 | $7.71 – $18.00 | 28 |
| Fibrinolytic plasminogen CPT 85415 | $17.56 | $84.00 | $17.19 – $63.00 | 28 |
| Fibrinolytic plasminogen CPT 85421 | $6.48 | $31.00 | $10.18 – $23.25 | 28 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $14.84 | $71.00 | $6.53 – $42.75 | 28 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $4,669.49 | $21,904.00 | $1,172.20 – $4,395.75 | 17 |
| Filter vena cava fem denali HCPCS C1880 | $1,975.11 | $9,265.00 | $281.40 – $1,486.00 | 17 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $465.50 | $2,450.00 | $450.93 – $1,837.50 | 28 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $406.41 | $2,139.00 | $427.80 – $4,018.00 | 17 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $247.19 | $1,301.00 | $260.20 – $4,018.00 | 17 |
| Fine needle asp without image guide 10021 CPT 10021 | $270.75 | $1,425.00 | $250.73 – $1,068.75 | 28 |
| Finger X-ray (both hands) CPT 73140 | $49.40 | $260.00 | $52.00 – $347.17 | 17 |
| Flecainide (tambocor)-sendout CPT 80181 | $12.92 | $68.00 | $18.64 – $51.00 | 28 |
| Flow cytometry marker each additional CPT 88185 | $62.46 | $293.00 | $12.26 – $219.75 | 17 |
| Flow cytometry one marker technical component CPT 88184 | $162.44 | $762.00 | $132.84 – $575.10 | 28 |
| Fluidotherapy charges pt CPT 97022 | $27.00 | $133.00 | $26.60 – $241.00 | 16 |
| Fluid pressure muscle 20950 CPT 20950 | $196.94 | $956.00 | $278.66 – $1,124.85 | 28 |
| Fluorescent antibody titer dna CPT 86256 | $251.94 | $837.00 | $12.05 – $27.75 | 28 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $130.72 | $688.00 | $48.31 – $516.00 | 28 |
| Fna bx w/ct gdn 1st les CPT 10009 | $564.30 | $2,970.00 | $450.93 – $2,227.50 | 28 |
| Fna bx w/ct gdn ea addl CPT 10010 | $411.92 | $2,168.00 | $433.60 – $4,018.00 | 17 |
| Folic acid CPT 82746 | $8.55 | $45.00 | $14.70 – $33.75 | 28 |
| Foot X-ray CPT 73630 | $69.92 | $368.00 | $58.65 – $347.17 | 17 |
| Foot X-ray (2 views, both feet) CPT 73620 | $59.28 | $312.00 | $53.98 – $347.17 | 17 |
| Forearm X-ray (both sides) CPT 73090 | $61.75 | $325.00 | $54.82 – $347.17 | 17 |
| Fracture assessment via dxa CPT 77086 | $51.30 | $270.00 | $58.65 – $202.50 | 28 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $13.67 | $93.00 | $31.25 – $113.66 | 28 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $13.67 | $93.00 | $31.25 – $134.76 | 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.