Banner Casa Grande Medical Center
1800 East Florence Boulevard, Casa Grande, AZ · Banner Health · · NPI 1003232976
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 |
|---|---|---|---|---|
| T3 (triiodothyronine) free CPT 84481 | $8.02 | $71.00 | $16.94 – $40.50 | 29 |
| T3 (triiodothyronine) total CPT 84480 | $4.86 | $43.00 | $14.18 – $32.25 | 29 |
| T4 (thyroxine) free CPT 84439 | $23.96 | $212.00 | $9.02 – $49.50 | 29 |
| T4 (thyroxine) total CPT 84436 | $6.33 | $56.00 | $6.87 – $42.00 | 29 |
| Tacrolimus therapeutic drug level CPT 80197 | $7.23 | $64.00 | $13.73 – $42.75 | 29 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $78.04 | $363.00 | $44.56 – $272.25 | 29 |
| Target gsa panel hmtlmph neop CPT 81450 | $578.28 | $3,660.00 | $759.53 – $2,745.00 | 29 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $2,222.59 | $14,067.00 | $2,027.05 – $10,550.25 | 29 |
| Target gsa panel organ neop CPT 81445 | $455.20 | $2,881.00 | $597.91 – $1,345.50 | 29 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $51.00 | $300.00 | $100.00 – $225.00 | 29 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $31.62 | $186.00 | $61.98 – $139.50 | 29 |
| Tc-99m bicisate HCPCS A9557 | $796.40 | $4,400.00 | $683.80 – $3,300.00 | 29 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,150.62 | $6,357.00 | $1,040.32 – $4,767.75 | 29 |
| Tc-99m exametazime diag HCPCS A9521 | $512.41 | $2,831.00 | $802.34 – $2,123.25 | 29 |
| Tc-99m labeled rbc HCPCS A9560 | $114.94 | $635.00 | $100.00 – $476.25 | 16 |
| Tc-99m maa HCPCS A9540 | $20.81 | $115.00 | $23.00 – $101.45 | 16 |
| Tc-99m mebrofenin HCPCS A9537 | $36.20 | $200.00 | $40.00 – $185.60 | 16 |
| Tc-99m medronate HCPCS A9503 | $64.13 | $354.30 | $13.00 – $265.73 | 16 |
| Tc-99m mertiatide HCPCS A9562 | $172.13 | $951.00 | $190.20 – $2,620.00 | 15 |
| Tc-99m pentetate dtpa HCPCS A9539 | $41.99 | $232.00 | $35.72 – $174.00 | 15 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $40.00 | $221.00 | $28.58 – $165.75 | 16 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $0.36 | $2.00 | $0.40 – $5.68 | 16 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $50.30 | $277.90 | $55.58 – $319.68 | 16 |
| Tc-99m sulfur colloid HCPCS A9541 | $38.73 | $214.00 | $42.80 – $896.97 | 16 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $162.90 | $900.00 | $85.27 – $675.00 | 16 |
| Tc-99m tilmanocept diag HCPCS A9520 | $434.31 | $2,399.50 | $479.90 – $2,237.23 | 16 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $23.97 | $141.00 | $46.98 – $105.75 | 29 |
| T cells absolute cd 4 count CPT 86361 | $13.77 | $81.00 | $26.78 – $60.75 | 29 |
| T cells total count CPT 86359 | $19.38 | $114.00 | $37.73 – $85.50 | 29 |
| Testicular imaging w/vasc flow CPT 78761 | $290.58 | $1,475.00 | $273.41 – $1,106.25 | 29 |
| Test stress cardiovascular tracing only CPT 93017 | $181.26 | $1,304.00 | $50.35 – $978.00 | 29 |
| Thaw preserved stem cells CPT 38208 | $272.13 | $1,107.00 | $117.16 – $830.25 | 29 |
| Theophylline therapeutic drug level CPT 80198 | $4.86 | $43.00 | $14.14 – $32.25 | 29 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $28.98 | $161.00 | $32.20 – $235.00 | 16 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $25.74 | $143.00 | $28.60 – $235.00 | 16 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $79.55 | $370.00 | $58.65 – $333.39 | 17 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $937.09 | $3,383.00 | $392.67 – $2,746.00 | 17 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $821.29 | $4,169.00 | $273.41 – $3,126.75 | 29 |
| Thrombectmy crnry perq mechanical CPT 92973 | $1,507.15 | $10,689.00 | $1,851.00 – $10,541.00 | 17 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $4,646.95 | $16,776.00 | $2,884.00 – $12,582.00 | 29 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $6,970.15 | $25,163.00 | $2,884.00 – $18,872.25 | 29 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $11,222.10 | $40,513.00 | $2,884.00 – $30,384.75 | 29 |
| Thrombin time CPT 85670 | $11.87 | $56.00 | $5.77 – $13.50 | 29 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $21.84 | $103.00 | $6.47 – $77.25 | 29 |
| Thyroglobulin antibody CPT 86800 | $16.32 | $96.00 | $15.91 – $42.75 | 29 |
| Thyroid imaging CPT 78013 | $209.02 | $1,061.00 | $251.52 – $795.75 | 29 |
| Thyroid mets imag whole body CPT 78018 | $509.44 | $2,586.00 | $354.82 – $1,939.50 | 29 |
| Thyroid (TSH) Test CPT 84443 | $37.06 | $328.00 | $16.80 – $38.25 | 29 |
| Thyroid Ultrasound CPT 76536 | $161.34 | $591.00 | $79.00 – $443.25 | 29 |
| Thyroxine binding globulin (tbg) CPT 84442 | $5.08 | $45.00 | $14.78 – $33.75 | 29 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $10,000.25 | $36,102.00 | $2,884.00 – $18,051.00 | 17 |
| Tib/per revasc stnt & ather CPT 37235 | $6,607.84 | $23,855.00 | $2,135.44 – $11,927.25 | 17 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $5,357.46 | $19,341.00 | $1,170.00 – $9,670.50 | 17 |
| Tilt table study CPT 93660 | $807.21 | $2,755.00 | $254.87 – $2,066.25 | 29 |
| Tissue culture placenta CPT 88235 | $130.50 | $725.00 | $150.30 – $543.75 | 29 |
| Tissue culture skin/biopsy CPT 88233 | $122.22 | $679.00 | $140.73 – $317.25 | 29 |
| Tissue culture tumor CPT 88239 | $127.98 | $711.00 | $147.52 – $533.25 | 29 |
| Tissue exam koh skin/hair/nails CPT 87220 | $44.50 | $215.00 | $4.27 – $48.00 | 29 |
| Tissue transglutaminase iga CPT 86364 | $10.03 | $59.00 | $11.53 – $26.25 | 29 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $2,190.83 – $6,458.05 | 6 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $2,479.05 – $6,458.05 | 6 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $3,132.97 – $6,458.05 | 6 |
| Tobramycin peak therapeutic drug level CPT 80200 | $5.54 | $49.00 | $16.13 – $36.75 | 29 |
| Toe X-ray (both feet) CPT 73660 | $53.96 | $251.00 | $50.20 – $333.39 | 17 |
| Total hip arthroplasty CPT 27132 | not published | not published | $8,854.00 – $12,080.00 | 8 |
| Total Hip Replacement CPT 27130 | not published | not published | $8,928.20 – $12,080.00 | 7 |
| Total Knee Replacement CPT 27447 | not published | not published | $8,928.20 – $12,080.00 | 7 |
| Total tau CPT 84394 | $50.96 | $451.00 | $12.60 – $338.25 | 16 |
| Toxoplasma antibody igg CPT 86777 | $10.71 | $63.00 | $14.39 – $33.00 | 29 |
| Toxoplasma antibody igm CPT 86778 | $10.20 | $60.00 | $14.41 – $33.00 | 29 |
| Tpmt gene com vrnts CPT 81335 | $133.19 | $843.00 | $174.81 – $393.75 | 29 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $2,190.83 – $3,200.08 | 6 |
| Transcath biopsy CPT 37200 | $806.35 | $2,911.00 | $1,018.85 – $8,642.25 | 29 |
| Transcatheter bx s&i CPT 75970 | $405.06 | $1,884.00 | $59.22 – $1,413.00 | 16 |
| Transcath occlusion non-cns CPT 61626 | $1,149.00 | $4,148.00 | $1,451.80 – $18,130.51 | 29 |
| Transferrin CPT 84466 | $16.84 | $149.00 | $12.76 – $29.25 | 29 |
| Transperi needle place pros CPT 55875 | not published | not published | $3,200.08 – $5,747.13 | 6 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $186.19 | $682.00 | $79.00 – $511.50 | 29 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $156.70 | $574.00 | $79.00 – $430.50 | 29 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $551.14 | $3,965.00 | $380.42 – $2,115.39 | 29 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $3,668.82 – $4,270.88 | 6 |
| Treat ectopic pregnancy CPT 59140 | not published | not published | $5,747.13 – $5,747.13 | 1 |
| Treat elbow dislocation CPT 24605 | not published | not published | $1,009.45 – $1,913.86 | 6 |
| Treat elbow fracture CPT 24635 | not published | not published | $2,190.83 – $4,542.09 | 6 |
| Treat foot dislocation CPT 28606 | not published | not published | $1,913.86 – $2,052.04 | 6 |
| Treat humerus fracture CPT 24516 | not published | not published | $2,706.00 – $8,928.20 | 6 |
| Treat kneecap fracture CPT 27524 | not published | not published | $2,190.83 – $4,542.09 | 6 |
| Treat lower leg joint CPT 27829 | not published | not published | $1,913.86 – $4,542.09 | 6 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | $3,077.14 – $4,542.09 | 6 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | not published | not published | $3,077.14 – $4,542.09 | 6 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | $3,077.14 – $4,542.09 | 6 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | not published | not published | $1,901.83 – $3,077.14 | 6 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | not published | not published | $1,901.83 – $3,077.14 | 6 |
| Treatment of ankle fracture CPT 27792 | not published | not published | $2,190.83 – $4,542.09 | 6 |
| Treatment of ankle fracture CPT 27814 | not published | not published | $2,190.83 – $4,542.09 | 6 |
| Treatment of ankle fracture CPT 27822 | not published | not published | $2,190.83 – $4,542.09 | 6 |
| Treatment of miscarriage CPT 59821 | not published | not published | $1,901.83 – $3,077.14 | 6 |
| Treatment of urethra lesion CPT 53265 | not published | not published | $1,299.92 – $1,913.86 | 6 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $2,052.04 – $2,706.00 | 6 |
| Treat radius fracture CPT 24665 | not published | not published | $2,706.00 – $4,542.09 | 6 |
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.