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 |
|---|---|---|---|---|
| Fresh frozen plasma thawing ea un CPT 86927 | $67.16 | $365.00 | $1.00 – $273.96 | 28 |
| Fructosamine glycated protein CPT 82985 | $10.07 | $53.00 | $16.76 – $39.75 | 28 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $112.10 | $590.00 | $79.00 – $442.50 | 28 |
| Gabapentin non-blood CPT 80355 | $10.64 | $56.00 | $11.20 – $42.00 | 16 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $32.87 | $173.00 | $21.07 – $129.75 | 28 |
| Galactose transferase test CPT 82776 | $6.84 | $36.00 | $11.74 – $27.00 | 28 |
| Gammaglobulin iga CPT 82784 | $23.94 | $126.00 | $9.30 – $42.00 | 28 |
| Gammaglobulin ige CPT 82785 | $11.02 | $58.00 | $16.46 – $43.50 | 28 |
| Gamma glutamyltransferase CPT 82977 | $11.78 | $62.00 | $7.20 – $16.50 | 28 |
| Gastroesophageal reflux test CPT 91034 | $169.48 | $795.00 | $278.25 – $848.28 | 28 |
| Generator barostim neo2 2014 HCPCS C1767 | $28,012.70 | $131,404.00 | $5,694.00 – $38,815.40 | 17 |
| Generator emblem MRI sicd subq HCPCS C1722 | $23,344.06 | $109,504.00 | $8,760.00 – $32,850.00 | 17 |
| Gentamicin peak therapeutic drug level CPT 80170 | $9.50 | $50.00 | $16.38 – $37.50 | 28 |
| G-esoph reflx tst w/electrod CPT 91035 | $418.05 | $1,961.00 | $353.64 – $1,470.75 | 28 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $11.21 | $59.00 | $9.81 – $44.25 | 28 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $9.88 | $52.00 | $17.11 – $39.00 | 28 |
| Ghs antibodies (torch) igm CPT 86694 | $13.24 | $44.00 | $14.39 – $33.00 | 28 |
| Ghs aspiration bladder - needle CPT 51100 | $104.31 | $549.00 | $192.15 – $411.75 | 28 |
| Ghs bladder cath - complex-foley CPT 51703 | $65.93 | $347.00 | $101.17 – $260.25 | 28 |
| Ghs chemo IV push, ea addtl CPT 96411 | $80.80 | $379.00 | $44.93 – $284.25 | 28 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $60.35 | $328.00 | $35.09 – $246.00 | 28 |
| Ghs community re-entry 15 minutes CPT 97537 | $23.35 | $115.00 | $23.00 – $241.00 | 16 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $18.96 | $63.00 | $15.21 – $47.25 | 28 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $270.94 | $1,426.00 | $460.08 – $1,107.15 | 28 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $6.32 | $21.00 | $6.98 – $15.75 | 28 |
| Ghs fish cytogen CPT 88271 | $22.17 | $104.00 | $21.42 – $78.00 | 28 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $52.66 | $247.00 | $51.19 – $185.25 | 28 |
| Ghs hcv amplificaiton CPT 87521 | $19.50 | $106.00 | $35.09 – $79.50 | 28 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $14.15 | $47.00 | $15.49 – $35.25 | 28 |
| Ghs histoplasma antigen CPT 87385 | $27.97 | $152.00 | $13.25 – $114.00 | 28 |
| Ghs HIV antibody CPT 86703 | $12.64 | $42.00 | $13.71 – $31.50 | 28 |
| Ghs immun0electrophoresis CPT 86320 | $27.09 | $90.00 | $29.92 – $67.50 | 28 |
| Ghs inhibitor screen CPT 85335 | $47.02 | $225.00 | $12.87 – $29.25 | 28 |
| Ghs insertion of needle - bone CPT 36680 | $120.51 | $585.00 | $195.91 – $637.95 | 28 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $16.72 | $88.00 | $17.60 – $4,018.00 | 17 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $5.43 | $26.00 | $8.60 – $19.50 | 28 |
| Ghs mbp CPT 83873 | $11.97 | $63.00 | $17.20 – $47.25 | 28 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $72.72 | $505.00 | $85.90 – $378.75 | 16 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $72.72 | $505.00 | $101.00 – $378.75 | 16 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $79.92 | $555.00 | $111.00 – $416.25 | 16 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $36.72 | $255.00 | $39.95 – $191.25 | 16 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $36.72 | $255.00 | $51.00 – $209.16 | 16 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $448.05 | $2,175.00 | $290.00 – $2,083.00 | 18 |
| Ghs nerve blk intercostal, single level CPT 64420 | $358.23 | $1,739.00 | $231.80 – $2,083.00 | 18 |
| Ghs nerve block celiac plexus CPT 64530 | $256.31 | $1,349.00 | $472.15 – $1,423.34 | 28 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $262.58 | $1,382.00 | $483.70 – $1,423.34 | 28 |
| Ghs nerve block sciatic nerve CPT 64445 | $365.75 | $1,925.00 | $256.60 – $4,018.00 | 17 |
| Ghs ng placement w fluoro guidance CPT 43752 | $170.43 | $897.00 | $195.91 – $672.75 | 28 |
| Ghs o2 saturation CPT 82810 | $5.70 | $30.00 | $9.77 – $22.50 | 28 |
| Ghs opcc repair cvp without subq port CPT 36575 | $328.32 | $1,728.00 | $392.67 – $1,296.00 | 28 |
| Ghs ot prosthetic training/15 min CPT 97761 | $26.59 | $131.00 | $26.20 – $241.00 | 16 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $27.69 | $153.00 | $30.60 – $241.00 | 16 |
| Ghs ot work hardening-additional hours CPT 97546 | $45.07 | $222.00 | $44.40 – $241.00 | 16 |
| Ghs phenylketonurid CPT 84030 | $3.23 | $17.00 | $5.50 – $12.75 | 28 |
| Ghs picc line insert < 5 CPT 36568 | $402.80 | $2,120.00 | $742.00 – $2,483.53 | 28 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $11.40 | $60.00 | $9.66 – $45.00 | 28 |
| Ghs protoporphyrins fract CPT 84202 | $21.09 | $111.00 | $14.35 – $83.25 | 28 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $89.93 | $443.00 | $81.00 – $332.25 | 16 |
| Ghs quinidine CPT 80194 | $11.40 | $60.00 | $14.60 – $45.00 | 28 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $21.67 | $72.00 | $15.89 – $54.00 | 28 |
| Ghs reticulocyte count CPT 85044 | $2.72 | $13.00 | $4.31 – $9.75 | 28 |
| Ghs sedimentation rate CPT 85651 | $2.72 | $13.00 | $4.27 – $9.75 | 28 |
| Ghs sensitivity (per antimicro) CPT 87184 | $4.23 | $23.00 | $7.48 – $17.25 | 28 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $52.80 | $300.00 | $60.00 – $279.50 | 16 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $85.27 | $400.00 | $80.00 – $300.00 | 16 |
| Ghs st - re-eval for alt comm CPT 92597 | $120.02 | $563.00 | $81.00 – $422.25 | 16 |
| Ghs urine, porphyrins quant CPT 84120 | $11.78 | $62.00 | $14.71 – $46.50 | 28 |
| Giardia ag if CPT 87269 | $11.22 | $61.00 | $13.61 – $45.75 | 28 |
| Giardia lamblia antibody CPT 86674 | $20.17 | $67.00 | $14.72 – $50.25 | 28 |
| Gi inhouse confirmation CPT 87045 | $11.59 | $63.00 | $9.44 – $21.75 | 28 |
| Glucagon plasma - sendout CPT 82943 | $12.73 | $67.00 | $14.29 – $50.25 | 28 |
| Glucose 1 hr post dose CPT 82950 | $2.85 | $15.00 | $4.75 – $11.25 | 28 |
| Glucose body fluid CPT 82945 | $11.59 | $61.00 | $3.93 – $9.00 | 28 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $7.41 | $39.00 | $12.87 – $29.25 | 28 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $2.28 | $12.00 | $3.92 – $9.00 | 28 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $11.02 | $58.00 | $18.58 – $42.00 | 28 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $11.02 | $58.00 | $18.52 – $42.75 | 28 |
| Graft axiofill 1000mg HCPCS J3590 | $10.51 | $49.30 | $7.10 – $36.98 | 13 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $29.10 | $136.50 | $14.80 – $106.50 | 15 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $15,407.37 | $72,274.00 | $539.00 – $4,024.26 | 17 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $12,606.19 | $59,134.00 | $118.80 – $2,375.80 | 17 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $19.04 | $89.30 | $12.49 – $93.81 | 15 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $15,426.13 | $72,362.00 | $62.60 – $2,511.86 | 17 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,145.42 | $5,373.00 | $170.00 – $637.50 | 17 |
| Granulocyte pheresis ea unit HCPCS P9050 | $791.59 | $5,385.00 | $256.78 – $4,038.75 | 17 |
| G-tube reposition CPT 43761 | $254.79 | $1,341.00 | $192.95 – $1,005.75 | 28 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,962.14 | $13,895.00 | $33.20 – $684.43 | 17 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $937.35 | $4,397.00 | $62.60 – $234.75 | 17 |
| Gw stiffened micro access kit HCPCS C1894 | $1,679.01 | $7,876.00 | $19.20 – $111.70 | 17 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $34.31 | $169.00 | $33.80 – $241.00 | 16 |
| Hand X-ray CPT 73130 | $68.40 | $360.00 | $58.65 – $347.17 | 17 |
| Hand X-ray (2 views, both hands) CPT 73120 | $61.94 | $326.00 | $59.90 – $467.28 | 17 |
| Haptoglobin quantitative CPT 83010 | $11.21 | $59.00 | $12.58 – $39.75 | 28 |
| Hba1/hba2 full gene sequence CPT 81259 | $616.30 | $2,891.00 | $600.00 – $2,168.25 | 28 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $375.44 | $1,976.00 | $129.45 – $1,482.00 | 28 |
| Hcg qualitative CPT 84703 | $47.50 | $250.00 | $7.52 – $187.50 | 28 |
| Hcg quantitative CPT 84702 | $57.95 | $305.00 | $15.05 – $42.75 | 28 |
| Head CT scan (with and without contrast) CPT 70470 | $400.00 | $2,439.00 | $129.45 – $1,829.25 | 28 |
| Head CT scan (with contrast) CPT 70460 | $333.41 | $2,033.00 | $129.45 – $1,524.75 | 28 |
| Head CT scan (without contrast) CPT 70450 | $266.66 | $1,626.00 | $79.00 – $1,219.50 | 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.