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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $6.62 | $36.00 | $11.98 – $27.00 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $11.78 | $64.00 | $11.98 – $48.00 | 28 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $77.46 | $421.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $21.16 | $115.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $20.61 | $112.00 | $37.27 – $84.00 | 28 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $230.18 | $1,251.00 | $416.78 – $938.25 | 28 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $19.50 | $106.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $19.50 | $106.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $23.18 | $126.00 | $41.68 – $94.50 | 28 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $19.50 | $106.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $28.34 | $154.00 | $51.31 – $115.50 | 28 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $17.66 | $96.00 | $32.26 – $213.94 | 28 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $19.50 | $106.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $20.42 | $111.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $230.18 | $1,251.00 | $416.78 – $938.25 | 28 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $50.60 | $275.00 | $42.84 – $96.75 | 28 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $23.74 | $129.00 | $42.84 – $96.75 | 28 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $27.05 | $147.00 | $42.84 – $96.75 | 28 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $47.10 | $256.00 | $85.10 – $192.00 | 28 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $78.75 | $428.00 | $142.63 – $321.00 | 28 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $71.04 | $296.00 | $89.57 – $325.17 | 28 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $88.35 | $465.00 | $62.00 – $4,018.00 | 17 |
| Inj disk cerv-thor ea lev CPT 62291 | $170.81 | $899.00 | $179.80 – $4,018.00 | 17 |
| Inj dx for sinogram CPT 20501 | $51.87 | $273.00 | $39.34 – $4,018.00 | 15 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $121.41 | $639.00 | $85.20 – $4,018.00 | 17 |
| Injection epidural blood patch or clot CPT 62273 | $292.93 | $1,422.00 | $460.08 – $1,107.15 | 28 |
| Injection for arthrography wrist (both sides) CPT 25246 | $136.23 | $717.00 | $95.60 – $4,018.00 | 17 |
| Injection for bladder x-ray CPT 51600 | $96.90 | $510.00 | $102.00 – $4,018.00 | 17 |
| Injection for hip x-ray CPT 27095 | $146.87 | $773.00 | $103.00 – $4,018.00 | 17 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $132.24 | $696.00 | $92.80 – $4,018.00 | 17 |
| Injection for ureter x-ray CPT 50684 | $60.80 | $320.00 | $42.60 – $4,018.00 | 17 |
| Injection into brain canal CPT 61055 | $192.09 | $1,011.00 | $189.35 – $758.25 | 28 |
| Injection jaw joint x-ray CPT 21116 | $34.58 | $182.00 | $36.40 – $4,018.00 | 17 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $83.60 | $440.00 | $123.73 – $471.93 | 28 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $56.65 | $275.00 | $55.00 – $1,910.00 | 17 |
| Inj for ext venography CPT 36005 | $138.32 | $728.00 | $97.00 – $4,018.00 | 17 |
| Inj for mammo ductogram CPT 19030 | $364.23 | $1,917.00 | $255.60 – $4,018.00 | 17 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $278.54 | $1,466.00 | $513.10 – $1,423.34 | 28 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $374.49 | $1,971.00 | $223.55 – $4,018.00 | 17 |
| Inj proc ankle arthr CPT 27648 | $159.03 | $837.00 | $111.60 – $4,018.00 | 17 |
| Inj proc elbow arthro CPT 24220 | $147.63 | $777.00 | $103.60 – $4,018.00 | 17 |
| Inj proc lumbr disk ea lvl CPT 62290 | $179.36 | $944.00 | $188.80 – $4,018.00 | 17 |
| Inj proc myelogram lumbar CPT 62284 | $192.85 | $1,015.00 | $203.00 – $4,018.00 | 17 |
| Inj proc sialogram CPT 42550 | $90.44 | $476.00 | $95.20 – $4,018.00 | 17 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $1.04 | $4.90 | $0.63 – $3.60 | 28 |
| Inj retro urethrocysto CPT 51610 | $49.21 | $259.00 | $51.80 – $4,018.00 | 17 |
| Inj w/fluor eval cv device CPT 36598 | $131.86 | $694.00 | $147.54 – $520.50 | 28 |
| Insert cath pleura with image CPT 32557 | $587.10 | $3,090.00 | $412.00 – $4,018.00 | 17 |
| Insertion catheter bladder non indwelling CPT 51701 | $39.14 | $190.00 | $66.50 – $206.07 | 28 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $748.22 | $3,938.00 | $1,170.00 – $5,032.01 | 28 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $520.41 | $2,739.00 | $958.65 – $2,483.53 | 28 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $542.45 | $2,855.00 | $999.25 – $2,483.53 | 28 |
| Insert swan-ganz cath CPT 93503 | $893.01 | $4,189.00 | $1,019.45 – $3,141.75 | 28 |
| Insitu hybridization auto CPT 88367 | $162.44 | $762.00 | $131.14 – $575.10 | 28 |
| Insitu hybridization (fish) CPT 88366 | $110.21 | $517.00 | $173.71 – $387.75 | 28 |
| Insitu hybridization manual CPT 88368 | $162.44 | $762.00 | $177.42 – $575.10 | 28 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $99.13 | $465.00 | $93.00 – $348.75 | 16 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $130.25 | $611.00 | $108.14 – $458.25 | 28 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $525.92 | $2,768.00 | $392.67 – $2,076.00 | 28 |
| Insulin total CPT 83525 | $10.83 | $57.00 | $11.43 – $42.75 | 28 |
| Intracranial complete study CPT 93886 | $192.22 | $1,151.00 | $166.84 – $863.25 | 28 |
| Intracranial limited study CPT 93888 | $129.93 | $778.00 | $79.00 – $583.50 | 28 |
| Intrinsic factor antibody CPT 86340 | $17.76 | $59.00 | $15.08 – $44.25 | 28 |
| Intro long gi tube w/mult fluo CPT 74340 | $100.51 | $529.00 | $43.20 – $396.75 | 16 |
| Intubation endotracheal emergency procedure CPT 31500 | $218.16 | $909.00 | $153.41 – $681.75 | 28 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $0.03 | $0.90 | $0.15 – $0.68 | 17 |
| Iron CPT 83540 | $39.52 | $208.00 | $6.47 – $15.00 | 28 |
| Iron binding capacity CPT 83550 | $5.13 | $27.00 | $8.74 – $20.25 | 28 |
| IV Fluids (each additional hour) CPT 96361 | $43.47 | $189.00 | $29.00 – $141.75 | 28 |
| IV Fluids (first hour) CPT 96360 | $138.92 | $604.00 | $77.79 – $453.00 | 28 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $61.64 | $268.00 | $53.60 – $1,910.00 | 17 |
| IV Medicine Infusion (additional drug) CPT 96367 | $80.04 | $348.00 | $44.93 – $261.00 | 28 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $53.36 | $232.00 | $29.00 – $174.00 | 28 |
| IV Medicine Infusion (first hour) CPT 96365 | $150.19 | $653.00 | $147.54 – $489.75 | 28 |
| IV Push Injection (each additional drug) CPT 96375 | $57.47 | $279.00 | $29.00 – $209.25 | 28 |
| IV Push Injection (first drug) CPT 96374 | $104.03 | $505.00 | $77.79 – $378.75 | 28 |
| Ivp w/nephrotomography CPT 74415 | $518.70 | $2,730.00 | $129.45 – $2,047.50 | 28 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $287.85 | $1,515.00 | $129.45 – $1,136.25 | 28 |
| Jak2 targeted sequence analysis CPT 81279 | $190.37 | $893.00 | $185.20 – $669.75 | 28 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $74.67 | $393.00 | $58.65 – $294.75 | 28 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $73.91 | $389.00 | $79.00 – $291.75 | 28 |
| John cunningham antibody CPT 86711 | $15.35 | $51.00 | $16.89 – $38.25 | 28 |
| Ketamine and metabolite screen - quest CPT 80357 | $27.55 | $145.00 | $29.00 – $108.75 | 16 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $11.59 | $61.00 | $8.17 – $18.75 | 28 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $120.86 | $679.00 | $79.00 – $509.25 | 28 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $77.96 | $438.00 | $79.00 – $328.50 | 28 |
| Kit gene analys d816 variant CPT 81273 | $128.33 | $602.00 | $124.87 – $451.50 | 28 |
| Kit lead specify 5-6-5 HCPCS C1778 | $6,536.95 | $30,664.00 | $1,390.00 – $5,212.50 | 17 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $574.52 | $2,695.00 | $117.60 – $644.16 | 17 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $1,301.46 | $6,105.00 | $539.00 – $2,021.25 | 17 |
| Knee X-ray CPT 73564 | $85.12 | $448.00 | $79.00 – $467.28 | 17 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $64.60 | $340.00 | $58.65 – $347.17 | 17 |
| Knee X-ray (3 views, both knees) CPT 73562 | $76.00 | $400.00 | $58.65 – $347.17 | 17 |
| Knee X-ray (standing, both knees) CPT 73565 | $75.24 | $396.00 | $58.65 – $297.00 | 28 |
| Lactate dehydrogenase (ldh) CPT 83615 | $31.73 | $167.00 | $6.04 – $14.25 | 28 |
| Lactic acid CPT 83605 | $29.07 | $153.00 | $11.57 – $26.25 | 28 |
| Lactoferrin fecal qualitative CPT 83630 | $18.62 | $98.00 | $19.70 – $54.75 | 28 |
| Lactoferrin fecal quant CPT 83631 | $38.76 | $204.00 | $19.63 – $153.00 | 28 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $177.27 | $933.00 | $124.40 – $4,018.00 | 17 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $6,536.95 | $30,664.00 | $539.00 – $3,927.91 | 17 |
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.