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 |
|---|---|---|---|---|
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Drain shoulder bursa 23031 CPT 23031 | $1,164.45 | $3,793.00 | $758.60 – $5,307.00 | 17 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $380.02 – $2,440.42 | 6 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $1,020.08 – $2,440.42 | 6 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,779.50 | $9,265.00 | $170.00 – $854.24 | 17 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $126.60 | $422.00 | $18.78 – $268.59 | 17 |
| Drug assay caffeine CPT 80155 | $19.26 | $116.00 | $38.57 – $87.00 | 28 |
| Drug assay posaconazole CPT 80187 | $19.59 | $118.00 | $27.11 – $88.50 | 28 |
| Drug assay vedolizumab CPT 80280 | $52.62 | $317.00 | $38.57 – $237.75 | 28 |
| Drug assay voriconazole CPT 80285 | $21.08 | $127.00 | $27.11 – $95.25 | 28 |
| Drug asy hydroxychloroquine CPT 80220 | $48.31 | $291.00 | $18.64 – $218.25 | 28 |
| Drug of abuse screen urine CPT 80305 | $10.62 | $64.00 | $12.60 – $48.00 | 28 |
| Drug screening tapentadol CPT 80372 | $9.30 | $56.00 | $11.20 – $54.48 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $74.53 | $449.00 | $62.14 – $140.25 | 28 |
| Ductogram sgl duct CPT 77053 | $237.30 | $799.00 | $159.80 – $987.59 | 17 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $206.55 | $810.00 | $79.00 – $607.50 | 28 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $312.38 | $1,225.00 | $166.76 – $918.75 | 28 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $521.48 | $2,045.00 | $166.84 – $1,533.75 | 28 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,084.88 – $3,268.08 | 6 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,084.88 – $3,268.08 | 6 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,084.88 – $2,440.42 | 6 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,084.88 – $3,268.08 | 6 |
| Dynamic cavernosometry CPT 54231 | $792.98 | $2,583.00 | $192.95 – $1,937.25 | 28 |
| Ear cartilage graft CPT 21235 | not published | not published | $3,687.39 – $7,292.89 | 6 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $41.60 | $200.00 | $15.03 – $150.00 | 28 |
| Ecg external < 48 hours recording CPT 93225 | $146.48 | $425.00 | $50.65 – $318.75 | 28 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $755.20 | $2,678.00 | $350.10 – $2,008.50 | 28 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $291.31 | $1,033.00 | $166.84 – $774.75 | 28 |
| Echocardiography doppler color flow mapping CPT 93325 | $172.02 | $610.00 | $63.52 – $2,128.00 | 16 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $944.14 | $3,348.00 | $518.51 – $2,511.00 | 28 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $364.34 | $1,292.00 | $266.89 – $969.00 | 28 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $162.15 | $575.00 | $68.22 – $2,128.00 | 16 |
| Echo exam of fetal heart CPT 76825 | $499.97 | $1,445.00 | $350.10 – $1,083.75 | 28 |
| Echo exam of fetal heart CPT 76826 | $238.05 | $688.00 | $166.84 – $516.00 | 28 |
| Echo exam of fetal heart CPT 76827 | $265.73 | $768.00 | $79.00 – $576.00 | 28 |
| Echo exam of fetal heart CPT 76828 | $208.64 | $603.00 | $79.00 – $452.25 | 28 |
| Echo exam uterus 76831- CPT 76831 | $238.05 | $688.00 | $166.84 – $516.00 | 28 |
| Echograp trans r pros study CPT 76873 | $182.69 | $528.00 | $79.00 – $396.00 | 28 |
| Echo guidance radiotherapy CPT 76965 | $402.05 | $1,162.00 | $110.95 – $871.50 | 16 |
| Echo guide for amniocentesis CPT 76946 | $122.48 | $354.00 | $61.39 – $265.50 | 16 |
| Echo guide for artery repair CPT 76936 | $216.60 | $626.00 | $191.73 – $547.63 | 28 |
| Echo guide for heart biopsy CPT 76932 | $196.87 | $569.00 | $96.10 – $426.75 | 16 |
| Echo guide for transfusion CPT 76941 | $215.21 | $622.00 | $124.40 – $466.50 | 16 |
| Echo guide ova aspiration CPT 76948 | $94.11 | $272.00 | $39.20 – $204.00 | 14 |
| Echo stress CPT 93350 | $553.57 | $1,963.00 | $350.10 – $1,472.25 | 28 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $706.69 | $2,506.00 | $350.10 – $1,879.50 | 28 |
| Echo transesophageal CPT 93314 | $664.39 | $2,356.00 | $471.20 – $2,128.00 | 16 |
| Echo transthoracic CPT 93303 | $571.33 | $2,026.00 | $350.10 – $1,519.50 | 28 |
| Echo transthoracic CPT 93304 | $303.43 | $1,076.00 | $350.10 – $964.24 | 28 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $390.29 | $1,384.00 | $166.84 – $1,038.00 | 28 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $828.83 | $1,771.00 | $191.73 – $1,328.25 | 28 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $607.93 | $1,299.00 | $353.64 – $974.25 | 28 |
| Eeg during surgery CPT 95955 | $981.86 | $2,098.00 | $419.60 – $1,573.50 | 16 |
| Eeg monitoring/function test CPT 95958 | $750.20 | $1,603.00 | $538.61 – $1,789.18 | 28 |
| Eeg monitoring/giving drugs CPT 95954 | $522.29 | $1,116.00 | $353.64 – $933.11 | 28 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $575.64 | $1,230.00 | $191.73 – $922.50 | 28 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $974.84 | $2,083.00 | $191.73 – $1,562.25 | 28 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $675.32 | $1,443.00 | $191.73 – $1,082.25 | 28 |
| Eeg recording awake and asleep CPT 95819 | $685.15 | $1,464.00 | $191.73 – $1,098.00 | 28 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $437.58 | $935.00 | $191.73 – $701.25 | 28 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $350.06 | $748.00 | $101.17 – $561.00 | 28 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $612.61 | $1,309.00 | $353.64 – $981.75 | 28 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $577.98 | $1,235.00 | $353.64 – $933.11 | 28 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $402.95 | $861.00 | $191.73 – $645.75 | 28 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $525.10 | $1,122.00 | $353.64 – $933.11 | 28 |
| E equine encephalitis igg CPT 86652 | $9.55 | $65.00 | $13.19 – $48.75 | 28 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Egd dilate stricture CPT 43245 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $1,178.14 – $3,268.08 | 7 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $3,645.68 – $3,741.03 | 6 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $2,241.00 – $3,268.08 | 2 |
| Egd guide wire insertion CPT 43248 | not published | not published | $586.96 – $3,268.08 | 7 |
| Egd lesion ablation CPT 43270 | not published | not published | $1,178.14 – $3,741.03 | 7 |
| Egd remove foreign body CPT 43247 | not published | not published | $586.96 – $3,268.08 | 7 |
| Egd remove lesion snare CPT 43251 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $1,178.14 – $3,741.03 | 6 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $1,014.00 – $4,620.72 | 7 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $1,178.14 – $4,620.72 | 6 |
| Egd varices ligation CPT 43244 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $3,268.08 – $3,645.68 | 6 |
| Egfr gene com variants CPT 81235 | $172.40 | $974.00 | $324.58 – $730.50 | 28 |
| EKG (Tracing Only) CPT 93005 | $95.47 | $459.00 | $15.93 – $344.25 | 28 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $100.68 | $339.00 | $58.65 – $347.17 | 17 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $109.30 | $368.00 | $58.65 – $347.17 | 17 |
| Electrd sq emblem s-icd HCPCS C1896 | $5,914.20 | $19,714.00 | $539.00 – $4,236.64 | 17 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $40.45 | $139.00 | $27.80 – $241.00 | 16 |
| Electrical stimulation/unattended 97014 CPT 97014 | $30.85 | $106.00 | $21.20 – $241.00 | 16 |
| Electroconvulsive therapy 90870 CPT 90870 | $483.90 | $1,404.00 | $353.64 – $1,053.00 | 28 |
| Electrocorticography durng sx CPT 95829 | $910.73 | $1,946.00 | $389.20 – $5,212.38 | 16 |
| Electrode stimulation brain CPT 95961 | $416.52 | $890.00 | $299.04 – $1,789.18 | 28 |
| Electrolyte panel CPT 80051 | $37.02 | $223.00 | $7.01 – $167.25 | 28 |
| Electron microscopy diagnostic CPT 88348 | $361.23 | $1,712.00 | $475.71 – $1,436.61 | 28 |
| Embolization s&i CPT 75894 | $804.28 | $2,708.00 | $190.27 – $2,031.00 | 16 |
| Embo or occlude vascular arterial s&i CPT 37242 | $3,126.18 | $10,183.00 | $3,564.05 – $31,578.74 | 28 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $3,126.18 | $10,183.00 | $3,564.05 – $19,943.57 | 28 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $4,635.09 | $15,098.00 | $3,741.03 – $19,943.57 | 28 |
| Embo or occlude vascular venous s&i CPT 37241 | $3,126.18 | $10,183.00 | $3,564.05 – $19,943.57 | 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.