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 |
|---|---|---|---|---|
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $54.53 | $287.00 | $53.15 – $347.17 | 17 |
| Helicobacter pylori antibody igm CPT 86677 | $23.48 | $78.00 | $16.85 – $58.50 | 28 |
| Hematocrit CPT 85014 | $1.67 | $8.00 | $2.37 – $6.00 | 28 |
| Hemoglobin CPT 85018 | $11.70 | $56.00 | $2.37 – $6.00 | 28 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $11.21 | $59.00 | $8.20 – $44.25 | 28 |
| Hemoglobin plasma CPT 83051 | $11.21 | $59.00 | $7.31 – $44.25 | 28 |
| Hemoglobin urine CPT 83069 | $2.28 | $12.00 | $3.95 – $9.00 | 28 |
| Hemolysins/agglutinins auto CPT 86940 | $147.49 | $490.00 | $8.77 – $367.50 | 28 |
| Hemolysins and agglutinins incubated CPT 86941 | $11.14 | $37.00 | $12.11 – $27.75 | 28 |
| Hemophilus influenza antibdy CPT 86684 | $18.66 | $62.00 | $15.84 – $46.50 | 28 |
| Heparin assay CPT 85520 | $73.15 | $350.00 | $13.09 – $262.50 | 28 |
| Heparin neutralization CPT 85525 | $7.52 | $36.00 | $11.84 – $27.00 | 28 |
| Heparin-protamine tolerance CPT 85530 | $8.36 | $40.00 | $13.09 – $30.00 | 28 |
| Hepatitis a antibody igm CPT 86709 | $50.57 | $168.00 | $11.26 – $126.00 | 28 |
| Hepatitis b core antibody igm CPT 86705 | $53.28 | $177.00 | $11.77 – $132.75 | 28 |
| Hepatitis b core antibody total CPT 86704 | $16.56 | $55.00 | $12.05 – $41.25 | 28 |
| Hepatitis b surface antibody CPT 86706 | $16.56 | $55.00 | $10.74 – $41.25 | 28 |
| Hepatitis c antibody CPT 86803 | $55.68 | $185.00 | $14.27 – $138.75 | 28 |
| Herpes simplex 1 ag if CPT 87274 | $11.04 | $60.00 | $11.98 – $45.00 | 28 |
| Herpes simplex 2 ag if CPT 87273 | $11.04 | $60.00 | $11.98 – $45.00 | 28 |
| Herpes simplex type 1 antibody igg CPT 86695 | $15.95 | $53.00 | $13.19 – $30.00 | 28 |
| Herpes simplex type 2 antibody igg CPT 86696 | $17.76 | $59.00 | $19.35 – $44.25 | 28 |
| Herpes simplex virus isolation CPT 87255 | $18.77 | $102.00 | $33.86 – $76.50 | 28 |
| Heterophile antibodies screening CPT 86308 | $4.82 | $16.00 | $5.18 – $12.00 | 28 |
| Hhv-6 dna quant CPT 87533 | $23.18 | $126.00 | $41.76 – $94.50 | 28 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $61.94 | $326.00 | $77.66 – $244.50 | 28 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $71.63 | $377.00 | $79.00 – $282.75 | 28 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $49.59 | $261.00 | $52.20 – $347.17 | 17 |
| Hip X-ray CPT 73502 | $60.23 | $317.00 | $58.65 – $347.17 | 17 |
| Histamine CPT 83088 | $16.91 | $89.00 | $29.53 – $66.75 | 28 |
| Histochemical stains add-on CPT 88314 | $74.19 | $348.00 | $22.59 – $261.00 | 17 |
| Hla class i high defin qual CPT 86832 | $292.57 | $972.00 | $323.75 – $729.00 | 28 |
| Hla class ii high defin qual CPT 86833 | $294.38 | $978.00 | $325.80 – $733.50 | 28 |
| Hla class i&ii antibody qual CPT 86828 | $58.09 | $193.00 | $64.19 – $144.75 | 28 |
| Hla class ii phenotype qual CPT 86831 | $74.05 | $246.00 | $81.88 – $184.50 | 28 |
| Hla class i phenotype qual CPT 86830 | $86.39 | $287.00 | $95.52 – $215.25 | 28 |
| Hla i & ii type verify lr CPT 81371 | $258.80 | $1,214.00 | $404.52 – $910.50 | 28 |
| Hla ii typing 1 loc hr CPT 81382 | $127.06 | $596.00 | $123.68 – $447.00 | 28 |
| Hla i low res one antigen equiv ea CPT 81374 | $47.54 | $223.00 | $74.33 – $167.25 | 28 |
| Hla i typing low res one locus ea CPT 81373 | $130.89 | $614.00 | $127.43 – $460.50 | 28 |
| Hla typing dr/dq CPT 86816 | $27.39 | $91.00 | $30.17 – $68.25 | 28 |
| Hla x-math non-cytotoxic CPT 86825 | $99.03 | $329.00 | $109.49 – $246.75 | 28 |
| Homocysteine CPT 83090 | $11.02 | $58.00 | $17.92 – $43.50 | 28 |
| Homogenization tissue CPT 87176 | $3.31 | $18.00 | $5.88 – $13.50 | 28 |
| Homovanillic acid (hva) CPT 83150 | $12.92 | $68.00 | $22.41 – $51.00 | 28 |
| Hpv types 16 & 18 only CPT 87625 | $22.45 | $122.00 | $40.55 – $91.50 | 28 |
| H pylori (c-13) breath CPT 83013 | $38.57 | $203.00 | $67.36 – $152.25 | 28 |
| Human epididymis protein 4 (he4) CPT 86305 | $29.20 | $97.00 | $13.98 – $72.75 | 28 |
| Hysterosalpingography s&i CPT 74740 | $130.72 | $688.00 | $166.84 – $516.00 | 28 |
| Iaadi respiratory synctial virus CPT 87280 | $11.04 | $60.00 | $13.42 – $45.00 | 28 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $19.50 | $106.00 | $35.09 – $79.50 | 28 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $40.94 | $136.00 | $45.23 – $102.00 | 28 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $28,012.70 | $131,404.00 | $8,760.00 – $32,850.00 | 17 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $26,145.25 | $122,644.00 | $12,264.00 – $45,990.00 | 17 |
| Icd crtp serena MRI HCPCS C2621 | $9,338.14 | $43,804.00 | $1,221.00 – $11,644.62 | 17 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $7,003.82 | $32,854.00 | $539.00 – $27,338.64 | 17 |
| Ifnl3 gene CPT 81283 | $47.11 | $221.00 | $73.37 – $165.75 | 28 |
| Igk rearrangeabn clonal pop CPT 81264 | $177.58 | $833.00 | $172.73 – $624.75 | 28 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $57.77 | $271.00 | $54.20 – $203.25 | 16 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $162.44 | $762.00 | $201.84 – $575.10 | 28 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $77.81 | $365.00 | $108.14 – $273.96 | 28 |
| Immune complex assay CPT 86332 | $22.27 | $74.00 | $24.37 – $55.50 | 28 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $18.96 | $63.00 | $20.81 – $47.25 | 28 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $18.96 | $63.00 | $20.81 – $47.25 | 28 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $10.84 | $36.00 | $11.98 – $27.00 | 28 |
| Immunodiffusion nes CPT 86329 | $16.56 | $55.00 | $14.05 – $32.25 | 28 |
| Immunofixation electrophoresis serum CPT 86334 | $42.74 | $142.00 | $22.34 – $51.00 | 28 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $85.27 | $400.00 | $80.00 – $300.00 | 16 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $112.13 | $526.00 | $174.61 – $394.50 | 28 |
| Immunoglobulin assay CPT 86023 | $71.04 | $236.00 | $12.46 – $177.00 | 28 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $20,542.88 | $96,364.00 | $31.80 – $800.19 | 17 |
| Implant cochlear osia osi300 HCPCS L8690 | $7,470.68 | $35,044.00 | $118.80 – $12,394.26 | 17 |
| Implant ureth bulk agent HCPCS L8606 | $656.17 | $3,078.00 | $33.20 – $766.54 | 17 |
| Implnt spinl canal catheter 62350 CPT 62350 | $2,446.44 | $12,876.00 | $2,063.19 – $10,238.39 | 28 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $441.75 | $2,325.00 | $360.00 – $2,590.32 | 28 |
| Infect ag drug suscept pheno predict CPT 87900 | $72.13 | $392.00 | $130.35 – $294.00 | 28 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $142.23 | $773.00 | $257.45 – $579.75 | 28 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $142.23 | $773.00 | $257.45 – $579.75 | 28 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $71.21 | $387.00 | $128.73 – $290.25 | 28 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $142.23 | $773.00 | $257.45 – $579.75 | 28 |
| Infect ag ia optc obs influenza CPT 87804 | $9.20 | $50.00 | $16.55 – $37.50 | 28 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $11.04 | $60.00 | $11.98 – $45.00 | 28 |
| Infect ag if influenza a CPT 87276 | $11.04 | $60.00 | $16.07 – $45.00 | 28 |
| Infect ag if influenza b CPT 87275 | $11.04 | $60.00 | $12.25 – $45.00 | 28 |
| Infect ag if legionella pneumophila CPT 87278 | $8.65 | $47.00 | $15.60 – $35.25 | 28 |
| Infect ag if pneumocystis carinii CPT 87281 | $13.98 | $76.00 | $11.98 – $27.00 | 28 |
| Infect ag if varicella zoster CPT 87290 | $11.04 | $60.00 | $13.42 – $45.00 | 28 |
| Infect ag na hep b amp CPT 87516 | $24.84 | $135.00 | $35.09 – $101.25 | 28 |
| Infect ag na herpes simplex quant CPT 87530 | $23.74 | $129.00 | $42.84 – $96.75 | 28 |
| Infect ag na hpv high-risk types CPT 87624 | $19.50 | $106.00 | $35.09 – $79.50 | 28 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $52.99 | $288.00 | $95.80 – $216.00 | 28 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $55.02 | $299.00 | $51.31 – $224.25 | 28 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $230.18 | $1,251.00 | $416.78 – $938.25 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $11.04 | $60.00 | $11.98 – $45.00 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $12.14 | $66.00 | $11.98 – $27.00 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $13.62 | $74.00 | $14.38 – $33.00 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $42.50 | $231.00 | $10.33 – $100.50 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $15.64 | $85.00 | $10.33 – $44.25 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $16.01 | $87.00 | $24.08 – $65.25 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $28.89 | $157.00 | $11.98 – $27.00 | 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.