Banner Gateway Medical Center
1900 North Higley Road, Gilbert, AZ · Banner Health · · NPI 1699884858
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $14.61 | $88.00 | $29.28 – $66.00 | 28 |
| 17-hydroxypregnenolone CPT 84143 | $11.45 | $69.00 | $22.81 – $51.75 | 28 |
| 17-ketosteroids CPT 83586 | $13.28 | $80.00 | $12.80 – $60.00 | 28 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $883.51 | $3,133.00 | $518.51 – $2,349.75 | 28 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $487.86 | $1,730.00 | $518.51 – $1,389.40 | 28 |
| 2nd order venous cath CPT 36012 | $494.27 | $1,610.00 | $322.00 – $2,114.00 | 17 |
| 3-d radiotherapy plan CPT 77295 | $2,500.34 | $5,412.00 | $915.08 – $4,059.00 | 28 |
| 3d recon without postprocess indpndt CPT 76376 | $152.24 | $440.00 | $62.76 – $330.00 | 16 |
| 5' nucleotidase - sendout CPT 83915 | $16.43 | $99.00 | $11.15 – $74.25 | 28 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $10.44 | $71.00 | $12.01 – $53.25 | 28 |
| Abd aorta w/runoff s&i CPT 75630 | $1,476.96 | $5,792.00 | $259.37 – $5,535.21 | 28 |
| Abd/low ext cath 1st CPT 36245 | $782.24 | $2,548.00 | $468.22 – $2,114.00 | 17 |
| Abd/low ext cath 2nd CPT 36246 | $955.69 | $3,113.00 | $468.22 – $2,334.75 | 17 |
| Abd/low ext cath 3rd CPT 36247 | $1,202.83 | $3,918.00 | $468.22 – $2,938.50 | 17 |
| Abd/low ext cath addl CPT 36248 | $618.91 | $2,016.00 | $236.47 – $2,114.00 | 17 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $455.43 | $1,786.00 | $166.84 – $1,339.50 | 28 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $290.96 | $1,141.00 | $79.00 – $855.75 | 28 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $349.77 | $2,670.00 | $129.45 – $2,002.50 | 28 |
| Abdominal CT scan (with contrast) CPT 74160 | $291.48 | $2,225.00 | $129.45 – $1,668.75 | 28 |
| Abdominal CT scan (without contrast) CPT 74150 | $233.18 | $1,780.00 | $79.00 – $1,335.00 | 28 |
| Abdominal MRI (with and without contrast) CPT 74183 | $534.88 | $3,165.00 | $266.89 – $2,373.75 | 28 |
| Abdominal MRI (with contrast) CPT 74182 | $445.82 | $2,638.00 | $266.89 – $1,978.50 | 28 |
| Abdominal MRI (without contrast) CPT 74181 | $356.59 | $2,110.00 | $166.84 – $1,582.50 | 28 |
| Abdominal paracentesis w/image guidance CPT 49083 | $524.97 | $1,710.00 | $586.96 – $1,648.80 | 28 |
| Abdominal Ultrasound (complete) CPT 76700 | $300.67 | $869.00 | $79.00 – $651.75 | 28 |
| Abdominal Ultrasound (limited) CPT 76705 | $227.67 | $658.00 | $79.00 – $493.50 | 28 |
| Abdominal X-ray (2 views) CPT 74019 | $160.08 | $539.00 | $79.00 – $404.25 | 28 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $213.54 | $719.00 | $79.00 – $539.25 | 28 |
| Abdominal X-ray (single view) CPT 74018 | $131.27 | $442.00 | $58.65 – $331.50 | 28 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $3,741.03 – $4,012.11 | 6 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | $586.96 – $3,268.08 | 6 |
| Abl1 gene CPT 81170 | $255.94 | $1,446.00 | $300.00 – $1,084.50 | 28 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $3,589.14 | $11,691.00 | $2,633.00 – $12,562.98 | 28 |
| Ablate bone tumor(s) perq CPT 20982 | $3,105.00 | $10,114.00 | $1,170.00 – $22,627.62 | 28 |
| Ablate pulm tumor perq crybl CPT 32994 | $3,646.85 | $11,879.00 | $1,583.80 – $5,939.25 | 17 |
| Ablate pulm tumor perq rf CPT 32998 | $3,646.85 | $11,879.00 | $1,583.80 – $15,138.00 | 17 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $586.96 – $3,268.08 | 6 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $3,109.30 | $10,128.00 | $3,268.08 – $18,309.21 | 28 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $287.87 – $3,268.08 | 6 |
| Ablation of upper extremity nerves rf CPT 64999 | $400.64 | $1,305.00 | $189.35 – $978.75 | 28 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $5,987.14 – $9,813.71 | 6 |
| Abscess drain retroperitoneal surg code CPT 49406 | $713.78 | $2,325.00 | $813.75 – $2,849.35 | 28 |
| Access thoracic lymph duct CPT 38794 | $405.85 | $1,322.00 | $264.40 – $3,268.08 | 17 |
| Acetylcholine receptor modulating antibody CPT 86043 | $11.47 | $78.00 | $12.05 – $58.50 | 28 |
| Acute hepatitis panel CPT 80074 | $75.20 | $453.00 | $47.63 – $339.75 | 28 |
| Acute venous thrombus image CPT 78456 | $610.08 | $2,111.00 | $709.30 – $2,295.83 | 28 |
| Acyclovir 400 mg tablet HCPCS J8499 | $0.90 | $56.30 | $0.02 – $9.46 | 14 |
| #acylcarnitineprfl CPT 82017 | $19.09 | $115.00 | $16.87 – $86.25 | 28 |
| Adapter b 8 channel 10cm HCPCS C1883 | $6,571.20 | $21,904.00 | $225.20 – $8,374.90 | 17 |
| Adenovirus antibody,serum - quest CPT 86603 | $8.97 | $61.00 | $12.87 – $45.75 | 28 |
| Adh-sendout CPT 84588 | $16.93 | $102.00 | $33.94 – $76.50 | 28 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $586.96 – $2,440.42 | 6 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,243.64 – $3,741.03 | 6 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $59.59 | $166.00 | $44.93 – $125.15 | 28 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $122.42 | $341.00 | $44.93 – $255.75 | 28 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $260.28 | $725.00 | $225.29 – $583.31 | 28 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $218.45 | $666.00 | $147.54 – $583.31 | 28 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $122.67 | $374.00 | $44.93 – $280.50 | 28 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $264.70 | $807.00 | $44.93 – $605.25 | 28 |
| Administration immunization each additional vaccine CPT 90472 | $11.29 | $61.00 | $12.20 – $118.00 | 17 |
| Administration vaccine hepatitis b HCPCS G0010 | $23.31 | $126.00 | $29.00 – $94.50 | 28 |
| Administration vaccine influenza virus HCPCS G0008 | $23.31 | $126.00 | $29.00 – $94.50 | 28 |
| Administration vaccine pneumococcal HCPCS G0009 | $23.31 | $126.00 | $29.00 – $94.50 | 28 |
| Adrenal cortex & medulla img CPT 78075 | $713.83 | $2,470.00 | $829.92 – $2,295.83 | 28 |
| Aep hearing status deter i&r CPT 92651 | $393.26 | $1,141.00 | $101.17 – $855.75 | 28 |
| Aep neurodiagnostic i&r CPT 92653 | $394.98 | $1,146.00 | $191.73 – $859.50 | 28 |
| Aep thrshld est mlt freq i&r CPT 92652 | $532.84 | $1,546.00 | $191.73 – $1,159.50 | 28 |
| Afamitresgene autoleucel HCPCS Q2057 | $1,829,146.46 | $5,307,104.00 | $80,560.98 – $903,476.43 | 28 |
| _afb id by dna probe rflx ast CPT 87149 | $11.90 | $73.00 | $20.05 – $54.75 | 28 |
| #afb mycobacteria suscep. #1 CPT 87190 | $10.27 | $63.00 | $7.31 – $47.25 | 28 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $57.26 | $347.00 | $50.00 – $260.25 | 28 |
| Air injection into abdomen 49400 CPT 49400 | $126.18 | $411.00 | $82.20 – $2,114.00 | 17 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $77.76 | $288.00 | $96.77 – $275.15 | 28 |
| Albumin body fluid quantitative each specimen CPT 82042 | $9.63 | $58.00 | $7.78 – $18.00 | 28 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $9.30 | $56.00 | $5.78 – $42.00 | 28 |
| Albumin serum plasma or whole blood CPT 82040 | $20.92 | $126.00 | $4.95 – $93.75 | 28 |
| Alkaline phosphatase CPT 84075 | $23.07 | $139.00 | $5.18 – $103.50 | 28 |
| Allergen alpha lactalbumin ige CPT 86008 | $11.76 | $80.00 | $17.93 – $48.00 | 28 |
| Allergen egg white ige CPT 86003 | $8.23 | $56.00 | $5.22 – $41.25 | 28 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $8.67 | $59.00 | $7.97 – $42.00 | 28 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $2,558.70 | $8,529.00 | $121.19 – $931.24 | 15 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $58.98 | $196.60 | $9.64 – $166.67 | 17 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $260.25 | $867.50 | $59.53 – $822.13 | 15 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $4,168.50 | $13,895.00 | $539.00 – $2,021.25 | 17 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $32.20 | $194.00 | $64.41 – $145.50 | 28 |
| Alpha-fetoprotein amniotic CPT 82106 | $8.47 | $51.00 | $17.00 – $38.25 | 28 |
| Alpha-fetoprotein tumor marker CPT 82105 | $8.47 | $51.00 | $16.77 – $38.25 | 28 |
| Alt/sgpt CPT 84460 | $21.58 | $130.00 | $5.30 – $44.25 | 28 |
| Aluminum - quest CPT 82108 | $12.78 | $77.00 | $25.48 – $57.75 | 28 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $1,983.88 – $3,741.03 | 6 |
| Amantadine (symmetrel)-sendout CPT 80375 | $31.04 | $187.00 | $29.40 – $110.25 | 16 |
| Amino acids quant 2-5 CPT 82136 | $11.12 | $67.00 | $19.61 – $50.25 | 28 |
| Aminolevulinic acid delta CPT 82135 | $12.45 | $75.00 | $16.45 – $56.25 | 28 |
| Amitriptyline (elavil) -sendout CPT 80335 | $11.29 | $68.00 | $6.00 – $73.64 | 16 |
| Ammonia CPT 82140 | $35.36 | $213.00 | $14.57 – $86.25 | 28 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $366.56 | $1,194.00 | $417.90 – $1,531.28 | 28 |
| Amniocentesis therapeutic CPT 59001 | $870.96 | $2,837.00 | $204.07 – $2,127.75 | 28 |
| Amphetamine confirm urine -sendout CPT 80324 | $25.90 | $156.00 | $11.20 – $66.83 | 16 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $2,052.04 – $9,813.71 | 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.