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 |
|---|---|---|---|---|
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $9.26 | $63.00 | $20.81 – $47.25 | 28 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $5.29 | $36.00 | $11.98 – $27.00 | 28 |
| Immunodiffusion nes CPT 86329 | $8.08 | $55.00 | $14.05 – $32.25 | 28 |
| Immunofixation electrophoresis serum CPT 86334 | $20.87 | $142.00 | $22.34 – $51.00 | 28 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $84.40 | $400.00 | $80.00 – $300.00 | 16 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $110.99 | $526.00 | $176.74 – $394.50 | 28 |
| Immunoglobulin assay CPT 86023 | $34.69 | $236.00 | $12.46 – $177.00 | 28 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $28,909.20 | $96,364.00 | $31.80 – $1,267.51 | 17 |
| Implant cochlear osia osi300 HCPCS L8690 | $10,513.20 | $35,044.00 | $118.80 – $19,632.49 | 17 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $3,741.03 – $4,466.49 | 6 |
| Implant neurostim arrays CPT 61886 | not published | not published | $3,741.03 – $21,347.28 | 6 |
| Implant ureth bulk agent HCPCS L8606 | $1,831.50 | $6,105.00 | $33.20 – $1,214.20 | 17 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $1,071.93 – $3,646.44 | 6 |
| Implnt spinl canal catheter 62350 CPT 62350 | $3,952.93 | $12,876.00 | $2,633.00 – $11,262.22 | 28 |
| In-111 autol wbc diag per dose HCPCS A9570 | $912.95 | $3,159.00 | $1,031.39 – $2,369.25 | 28 |
| In-111 capromab pendet HCPCS A9507 | $2,510.25 | $8,686.00 | $835.24 – $6,658.64 | 15 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $873.07 | $3,021.00 | $772.64 – $2,265.75 | 28 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $687.82 | $2,380.00 | $715.29 – $1,785.00 | 28 |
| In-111 pentetreotide HCPCS A9572 | $2,555.92 | $8,844.00 | $1,914.61 – $6,633.00 | 28 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $713.78 | $2,325.00 | $360.00 – $2,849.35 | 28 |
| Incision of achilles tendon CPT 27606 | not published | not published | $2,052.04 – $2,440.42 | 6 |
| Incision of anal sphincter CPT 46080 | not published | not published | $1,771.46 – $3,741.03 | 6 |
| Incision of breast lesion CPT 19020 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Incision of foot fascia CPT 28008 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $1,009.45 – $3,268.08 | 6 |
| Incision of heel bone CPT 28300 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Incision of metatarsal CPT 28306 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Incision of metatarsal CPT 28308 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Incision of metatarsals CPT 28309 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Incision of midfoot bones CPT 28304 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Incision of rectal abscess CPT 46060 | not published | not published | $1,771.46 – $3,268.08 | 6 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $1,271.93 – $3,268.08 | 6 |
| Incision of tibia CPT 27705 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Incision of windpipe CPT 31610 | not published | not published | $3,687.39 – $3,741.03 | 6 |
| Incisn of toe tndn CPT 28010 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Induced abortion d&c CPT 59840 | not published | not published | $1,901.83 – $5,254.47 | 6 |
| Infect ag drug suscept pheno predict CPT 87900 | $63.90 | $392.00 | $130.35 – $294.00 | 28 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $126.00 | $773.00 | $257.45 – $579.75 | 28 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $126.00 | $773.00 | $257.45 – $579.75 | 28 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $63.08 | $387.00 | $128.73 – $290.25 | 28 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $126.00 | $773.00 | $257.45 – $579.75 | 28 |
| Infect ag ia optc obs influenza CPT 87804 | $8.15 | $50.00 | $16.55 – $37.50 | 28 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $9.78 | $60.00 | $11.98 – $45.00 | 28 |
| Infect ag if influenza a CPT 87276 | $9.78 | $60.00 | $16.07 – $45.00 | 28 |
| Infect ag if influenza b CPT 87275 | $9.78 | $60.00 | $12.25 – $45.00 | 28 |
| Infect ag if legionella pneumophila CPT 87278 | $7.66 | $47.00 | $15.60 – $35.25 | 28 |
| Infect ag if pneumocystis carinii CPT 87281 | $12.39 | $76.00 | $11.98 – $27.00 | 28 |
| Infect ag if varicella zoster CPT 87290 | $15.49 | $95.00 | $13.42 – $45.00 | 28 |
| Infect ag na hep b amp CPT 87516 | $22.01 | $135.00 | $35.09 – $101.25 | 28 |
| Infect ag na herpes simplex quant CPT 87530 | $21.03 | $129.00 | $42.84 – $96.75 | 28 |
| Infect ag na hpv high-risk types CPT 87624 | $17.28 | $106.00 | $35.09 – $79.50 | 28 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $46.94 | $288.00 | $95.80 – $216.00 | 28 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $48.74 | $299.00 | $51.31 – $224.25 | 28 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $203.91 | $1,251.00 | $416.78 – $938.25 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $9.78 | $60.00 | $11.98 – $45.00 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $10.76 | $66.00 | $11.98 – $27.00 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $12.06 | $74.00 | $14.38 – $33.00 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $37.65 | $231.00 | $10.33 – $100.50 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $13.86 | $85.00 | $10.33 – $44.25 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $14.18 | $87.00 | $24.08 – $65.25 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $25.59 | $157.00 | $11.98 – $27.00 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $5.87 | $36.00 | $11.98 – $27.00 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $10.43 | $64.00 | $11.98 – $48.00 | 28 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $68.62 | $421.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $18.75 | $115.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $18.26 | $112.00 | $37.27 – $84.00 | 28 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $203.91 | $1,251.00 | $416.78 – $938.25 | 28 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $17.28 | $106.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $17.28 | $106.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $20.54 | $126.00 | $41.68 – $94.50 | 28 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $17.28 | $106.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $25.10 | $154.00 | $51.31 – $115.50 | 28 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $15.65 | $96.00 | $32.26 – $235.34 | 28 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $17.28 | $106.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $18.09 | $111.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $203.91 | $1,251.00 | $416.78 – $938.25 | 28 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $128.61 | $789.00 | $262.99 – $591.75 | 28 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $48.90 | $300.00 | $42.84 – $96.75 | 28 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $21.03 | $129.00 | $42.84 – $96.75 | 28 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $23.96 | $147.00 | $42.84 – $96.75 | 28 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $41.73 | $256.00 | $85.10 – $192.00 | 28 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $69.76 | $428.00 | $142.63 – $321.00 | 28 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $50.37 | $153.10 | $20.44 – $114.83 | 28 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $55.35 | $296.00 | $99.46 – $357.69 | 28 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $142.76 | $465.00 | $62.00 – $2,114.00 | 17 |
| Inj disk cerv-thor ea lev CPT 62291 | $275.99 | $899.00 | $179.80 – $2,114.00 | 17 |
| Inj dx for sinogram CPT 20501 | $83.81 | $273.00 | $39.34 – $2,114.00 | 15 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $196.17 | $639.00 | $85.20 – $2,114.00 | 17 |
| Injection epidural blood patch or clot CPT 62273 | $443.66 | $1,422.00 | $460.08 – $1,217.87 | 28 |
| Injection for arthrography wrist (both sides) CPT 25246 | $220.12 | $717.00 | $95.60 – $2,114.00 | 17 |
| Injection for bladder x-ray CPT 51600 | $156.57 | $510.00 | $102.00 – $2,114.00 | 17 |
| Injection for hip x-ray CPT 27095 | $237.31 | $773.00 | $103.00 – $2,114.00 | 17 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $213.67 | $696.00 | $92.80 – $2,114.00 | 17 |
| Injection for spleen x-ray CPT 38200 | $165.78 | $540.00 | $108.00 – $2,114.00 | 17 |
| Injection for tear sac x-ray CPT 68850 | $78.28 | $255.00 | $34.00 – $2,114.00 | 17 |
| Injection for ureter x-ray CPT 50684 | $98.24 | $320.00 | $42.60 – $2,114.00 | 17 |
| Injection for ureter x-ray CPT 50690 | $71.84 | $234.00 | $46.80 – $2,114.00 | 17 |
| Injection into brain canal CPT 61055 | $310.38 | $1,011.00 | $189.35 – $758.25 | 28 |
| Injection jaw joint x-ray CPT 21116 | $55.87 | $182.00 | $36.40 – $2,114.00 | 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.