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 |
|---|---|---|---|---|
| Ghs ng placement w fluoro guidance CPT 43752 | $275.38 | $897.00 | $195.91 – $701.75 | 28 |
| Ghs o2 saturation CPT 82810 | $4.98 | $30.00 | $9.77 – $22.50 | 28 |
| Ghs o2 uptake rest & exercise CPT 94680 | $207.90 | $770.00 | $101.17 – $577.50 | 28 |
| Ghs o2 uptake rest & indirect CPT 94690 | $198.18 | $734.00 | $40.35 – $550.50 | 28 |
| Ghs opcc repair cvp without subq port CPT 36575 | $530.50 | $1,728.00 | $392.67 – $1,296.00 | 28 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,107.86 | $6,866.00 | $1,019.45 – $5,149.50 | 28 |
| Ghs ot group caregiver training CPT 97552 | $44.76 | $120.00 | $24.00 – $640.94 | 16 |
| Ghs ot prosthetic training/15 min CPT 97761 | $38.12 | $131.00 | $26.20 – $241.00 | 16 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $44.52 | $153.00 | $30.60 – $241.00 | 16 |
| Ghs ot work hardening-additional hours CPT 97546 | $57.28 | $222.00 | $44.40 – $241.00 | 16 |
| Ghs pacing - transcutaneous CPT 92953 | $340.08 | $1,090.00 | $381.50 – $1,150.79 | 28 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $310.38 | $1,011.00 | $134.80 – $2,114.00 | 17 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $682.15 | $2,222.00 | $176.09 – $2,114.00 | 17 |
| Ghs phenylketonurid CPT 84030 | $2.82 | $17.00 | $5.50 – $12.75 | 28 |
| Ghs picc line insert < 5 CPT 36568 | $650.84 | $2,120.00 | $742.00 – $2,731.89 | 28 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $9.96 | $60.00 | $9.66 – $45.00 | 28 |
| Ghs protoporphyrins fract CPT 84202 | $18.43 | $111.00 | $14.35 – $83.25 | 28 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $11.12 | $67.00 | $12.25 – $50.25 | 28 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $114.29 | $443.00 | $81.00 – $332.25 | 16 |
| Ghs quinidine CPT 80194 | $9.96 | $60.00 | $14.60 – $45.00 | 28 |
| Ghs refill of implantable pump CPT 95990 | $271.04 | $880.00 | $225.29 – $660.00 | 28 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $195.91 – $3,268.08 | 6 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $10.58 | $72.00 | $15.89 – $54.00 | 28 |
| Ghs reticulocyte count CPT 85044 | $2.25 | $13.00 | $4.31 – $9.75 | 28 |
| Ghs sedimentation rate CPT 85651 | $2.25 | $13.00 | $4.27 – $9.75 | 28 |
| Ghs sensitivity (per antimicro) CPT 87184 | $3.75 | $23.00 | $7.48 – $17.25 | 28 |
| Ghs somatosensory testing lower extremit CPT 95926 | $409.46 | $1,188.00 | $191.73 – $891.00 | 28 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $901.63 | $2,616.00 | $353.64 – $1,962.00 | 28 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $84.00 | $300.00 | $60.00 – $442.73 | 16 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $149.20 | $400.00 | $80.00 – $470.96 | 16 |
| Ghs strapping shoulder - 29240 CPT 29240 | $158.60 | $545.00 | $72.60 – $338.82 | 17 |
| Ghs st - re-eval for alt comm CPT 92597 | $210.00 | $563.00 | $81.00 – $422.25 | 16 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $380.02 – $2,440.42 | 6 |
| Ghs urine, porphyrins quant CPT 84120 | $10.29 | $62.00 | $14.71 – $46.50 | 28 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $722.59 | $1,544.00 | $353.64 – $1,158.00 | 28 |
| Giardia ag if CPT 87269 | $9.94 | $61.00 | $13.61 – $45.75 | 28 |
| Giardia lamblia antibody CPT 86674 | $9.85 | $67.00 | $14.72 – $50.25 | 28 |
| Gi inhouse confirmation CPT 87045 | $10.27 | $63.00 | $9.44 – $21.75 | 28 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,071.60 | $2,769.00 | $586.96 – $2,076.75 | 28 |
| Glucagon plasma - sendout CPT 82943 | $11.12 | $67.00 | $14.29 – $50.25 | 28 |
| Glucose 1 hr post dose CPT 82950 | $2.49 | $15.00 | $4.75 – $11.25 | 28 |
| Glucose body fluid CPT 82945 | $10.13 | $61.00 | $3.93 – $9.00 | 28 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $6.47 | $39.00 | $12.87 – $29.25 | 28 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $1.99 | $12.00 | $3.92 – $9.00 | 28 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $9.63 | $58.00 | $18.58 – $42.00 | 28 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $9.63 | $58.00 | $18.52 – $42.75 | 28 |
| Graft axiofill 1000mg HCPCS J3590 | $16.99 | $49.30 | $0.97 – $5.07 | 13 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $40.95 | $136.50 | $14.80 – $168.70 | 15 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $21,682.20 | $72,274.00 | $539.00 – $6,374.42 | 17 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $17,740.20 | $59,134.00 | $118.80 – $3,763.26 | 17 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $198.96 | $663.20 | $67.05 – $739.22 | 15 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $26.79 | $89.30 | $12.49 – $148.60 | 15 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $21,708.60 | $72,362.00 | $62.60 – $3,978.79 | 17 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,946.10 | $6,487.00 | $170.00 – $956.87 | 17 |
| Granulocyte pheresis ea unit HCPCS P9050 | $1,324.71 | $5,385.00 | $325.00 – $4,038.75 | 17 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,243.64 – $3,268.08 | 6 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $2,553.56 – $3,741.03 | 6 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,636.41 – $1,636.41 | 1 |
| Growth stimulation gene 2 CPT 83006 | $149.40 | $900.00 | $75.60 – $675.00 | 28 |
| G-tube reposition CPT 43761 | $411.69 | $1,341.00 | $192.95 – $1,005.75 | 28 |
| Gu dilat ureter/urethra s&i CPT 74485 | $760.91 | $2,562.00 | $325.15 – $3,602.51 | 28 |
| Guided cath fluid drainage 10030 CPT 10030 | $792.98 | $2,583.00 | $360.00 – $1,937.25 | 28 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,570.57 | $13,895.00 | $33.20 – $1,084.14 | 17 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,129.42 | $6,105.00 | $62.60 – $234.75 | 17 |
| Guid loc target vol rad tx CPT 77387 | $161.24 | $349.00 | $69.80 – $2,200.00 | 17 |
| Gw stiffened micro access kit HCPCS C1894 | $2,588.10 | $8,627.00 | $19.20 – $176.93 | 17 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $2,289.36 – $4,620.72 | 6 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $3,241.94 | $17,524.00 | $282.60 – $3,548.07 | 17 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $49.18 | $169.00 | $33.80 – $241.00 | 16 |
| Hand X-ray CPT 73130 | $106.92 | $360.00 | $58.65 – $347.17 | 17 |
| Hand X-ray (2 views, both hands) CPT 73120 | $96.82 | $326.00 | $65.20 – $467.28 | 17 |
| Haptoglobin quantitative CPT 83010 | $9.79 | $59.00 | $12.58 – $39.75 | 28 |
| Harvest allogeneic stem cell CPT 38205 | $916.46 | $5,008.00 | $1,001.60 – $3,756.00 | 16 |
| Harvest auto stem cells CPT 38206 | $816.30 | $5,008.00 | $988.29 – $3,756.00 | 28 |
| Hba1/hba2 full gene sequence CPT 81259 | $511.71 | $2,891.00 | $600.00 – $2,168.25 | 28 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $107.62 | $608.00 | $202.40 – $456.00 | 28 |
| Hbb full gene sequence CPT 81364 | $276.83 | $1,564.00 | $324.58 – $1,173.00 | 28 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $586.87 | $1,976.00 | $129.45 – $1,482.00 | 28 |
| Hcg qualitative CPT 84703 | $41.50 | $250.00 | $7.52 – $187.50 | 28 |
| Hcg quantitative CPT 84702 | $50.63 | $305.00 | $15.05 – $42.75 | 28 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $1,171.61 | $4,054.00 | $0.01 – $3,040.50 | 16 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,009.45 – $2,440.42 | 6 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $415.29 | $1,437.00 | $354.82 – $1,077.75 | 28 |
| Hc nm kidney imaging with flow CPT 78701 | $781.74 | $2,705.00 | $273.41 – $2,028.75 | 28 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $545.05 | $1,886.00 | $354.82 – $1,414.50 | 28 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $1,247.31 | $3,985.00 | $946.81 – $2,988.75 | 28 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $1,164.24 | $2,520.00 | $513.63 – $1,890.00 | 28 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,078.54 | $4,499.00 | $513.63 – $3,374.25 | 28 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $3,735.73 | $8,086.00 | $513.63 – $6,064.50 | 28 |
| Hdr rdncl skn surf brachytx CPT 77767 | $1,434.51 | $3,105.00 | $175.22 – $2,328.75 | 28 |
| Hdr rdncl skn surf brachytx CPT 77768 | $2,154.31 | $4,663.00 | $175.22 – $3,497.25 | 28 |
| Head CT scan (with and without contrast) CPT 70470 | $370.73 | $2,439.00 | $129.45 – $1,829.25 | 28 |
| Head CT scan (with contrast) CPT 70460 | $309.02 | $2,033.00 | $129.45 – $1,524.75 | 28 |
| Head CT scan (without contrast) CPT 70450 | $247.15 | $1,626.00 | $79.00 – $1,219.50 | 28 |
| Heart first pass add-on CPT 78496 | $364.14 | $1,260.00 | $101.21 – $945.00 | 16 |
| Heart image spect CPT 78494 | $362.41 | $1,254.00 | $273.41 – $940.50 | 28 |
| Heart infarct image CPT 78466 | $490.43 | $1,697.00 | $273.41 – $1,272.75 | 28 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $85.24 | $287.00 | $57.40 – $347.17 | 17 |
| Helicobacter pylori antibody igm CPT 86677 | $11.47 | $78.00 | $16.85 – $58.50 | 28 |
| Hematocrit CPT 85014 | $1.38 | $8.00 | $2.37 – $6.00 | 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.