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 |
|---|---|---|---|---|
| Intro long gi tube w/mult fluo CPT 74340 | $157.11 | $529.00 | $68.44 – $396.75 | 16 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $1,664.86 | $5,423.00 | $1,084.60 – $4,067.25 | 17 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,332.07 | $4,339.00 | $610.11 – $3,254.25 | 17 |
| Intubation endotracheal emergency procedure CPT 31500 | $169.98 | $909.00 | $153.41 – $681.75 | 28 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $664.99 | $2,301.00 | $204.90 – $1,725.75 | 15 |
| Iodine i-125 sodium iodide HCPCS A9527 | $187.95 | $358.00 | $51.59 – $366.81 | 28 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | $0.55 | $1.90 | $0.38 – $1,638.35 | 16 |
| Ionm in operatng room 15 min CPT 95940 | $289.51 | $339.00 | $67.80 – $606.00 | 16 |
| Ionm remote/>1 pt or per hr CPT 95941 | $1,156.32 | $1,354.00 | $248.87 – $1,015.50 | 16 |
| Iron CPT 83540 | $34.53 | $208.00 | $6.47 – $15.00 | 28 |
| Iron binding capacity CPT 83550 | $4.48 | $27.00 | $8.74 – $20.25 | 28 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $105.95 | $344.00 | $40.35 – $258.00 | 28 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,243.64 – $3,268.08 | 6 |
| Ivc venogram s&i CPT 75825 | $1,462.13 | $4,923.00 | $247.49 – $5,535.21 | 28 |
| IV Fluids (each additional hour) CPT 96361 | $58.97 | $189.00 | $29.00 – $141.75 | 28 |
| IV Fluids (first hour) CPT 96360 | $188.45 | $604.00 | $77.79 – $453.00 | 28 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $83.62 | $268.00 | $53.60 – $1,910.00 | 17 |
| IV inj ra drug dx study CPT 78808 | $191.90 | $664.00 | $211.55 – $706.66 | 28 |
| IV Medicine Infusion (additional drug) CPT 96367 | $108.58 | $348.00 | $44.93 – $261.00 | 28 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $72.38 | $232.00 | $29.00 – $174.00 | 28 |
| IV Medicine Infusion (first hour) CPT 96365 | $203.74 | $653.00 | $147.54 – $489.75 | 28 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $195.91 – $623.11 | 6 |
| IV Push Injection (each additional drug) CPT 96375 | $87.05 | $279.00 | $29.00 – $209.25 | 28 |
| IV Push Injection (first drug) CPT 96374 | $157.56 | $505.00 | $77.79 – $378.75 | 28 |
| Ivp w/nephrotomography CPT 74415 | $810.81 | $2,730.00 | $129.45 – $2,047.50 | 28 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $449.96 | $1,515.00 | $129.45 – $1,136.25 | 28 |
| Jak2 targeted sequence analysis CPT 81279 | $158.06 | $893.00 | $185.20 – $669.75 | 28 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $116.72 | $393.00 | $58.65 – $294.75 | 28 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $115.53 | $389.00 | $79.00 – $291.75 | 28 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,178.14 – $3,268.08 | 6 |
| John cunningham antibody CPT 86711 | $7.50 | $51.00 | $16.89 – $38.25 | 28 |
| Ketamine and metabolite screen - quest CPT 80357 | $24.07 | $145.00 | $29.00 – $108.75 | 16 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $10.13 | $61.00 | $8.17 – $18.75 | 28 |
| Kidney function study CPT 78725 | $382.35 | $1,323.00 | $273.41 – $992.25 | 28 |
| Kidney imaging morphology CPT 78700 | $486.96 | $1,685.00 | $273.41 – $1,263.75 | 28 |
| Kidney imag w/bld flow multi CPT 78709 | $786.66 | $2,722.00 | $354.82 – $2,041.50 | 28 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $665.57 | $2,303.00 | $354.82 – $1,727.25 | 28 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $234.93 | $679.00 | $79.00 – $509.25 | 28 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $151.55 | $438.00 | $79.00 – $328.50 | 28 |
| Kit gene analys d816 variant CPT 81273 | $106.55 | $602.00 | $124.87 – $451.50 | 28 |
| Kit lead specify 5-6-5 HCPCS C1778 | $15,769.20 | $52,564.00 | $1,390.00 – $5,385.29 | 17 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $808.50 | $2,695.00 | $117.60 – $1,020.34 | 17 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $1,831.50 | $6,105.00 | $539.00 – $2,525.55 | 17 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Knee MRI (with and without contrast) CPT 73723 | $603.16 | $3,569.00 | $266.89 – $2,676.75 | 17 |
| Knee MRI (with contrast) CPT 73722 | $502.61 | $2,974.00 | $487.00 – $3,070.63 | 17 |
| Knee MRI (without contrast) CPT 73721 | $402.05 | $2,379.00 | $166.84 – $1,784.25 | 17 |
| Knee X-ray CPT 73564 | $133.06 | $448.00 | $79.00 – $467.28 | 17 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $100.98 | $340.00 | $58.65 – $347.17 | 17 |
| Knee X-ray (3 views, both knees) CPT 73562 | $118.80 | $400.00 | $58.65 – $347.17 | 17 |
| Knee X-ray (standing, both knees) CPT 73565 | $117.61 | $396.00 | $58.65 – $297.00 | 28 |
| Kras gene addl variants CPT 81276 | $102.66 | $580.00 | $193.25 – $435.00 | 28 |
| Kras gene variants exon 2 CPT 81275 | $164.96 | $932.00 | $193.25 – $699.00 | 28 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $15.66 | $51.00 | $10.20 – $117.67 | 16 |
| Lactate dehydrogenase (ldh) CPT 83615 | $27.72 | $167.00 | $6.04 – $14.25 | 28 |
| Lactic acid CPT 83605 | $25.40 | $153.00 | $11.57 – $26.25 | 28 |
| Lactoferrin fecal qualitative CPT 83630 | $16.27 | $98.00 | $19.70 – $54.75 | 28 |
| Lactoferrin fecal quant CPT 83631 | $33.86 | $204.00 | $19.63 – $153.00 | 28 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $3,668.82 – $7,292.89 | 6 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $3,668.82 – $15,138.00 | 7 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $6,458.05 – $7,292.89 | 6 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $3,668.82 – $3,741.03 | 6 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $9,813.71 – $9,813.71 | 1 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $9,813.71 – $9,813.71 | 1 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $2,311.23 – $9,813.71 | 2 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $3,668.82 – $4,620.72 | 6 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $3,668.82 – $4,620.72 | 6 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $3,668.82 – $3,741.03 | 6 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $3,668.82 – $5,254.47 | 6 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Laparoscopy lysis CPT 58660 | not published | not published | $3,668.82 – $5,254.47 | 6 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $3,668.82 – $5,254.47 | 6 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $5,254.47 – $6,458.05 | 6 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $3,668.82 – $3,741.03 | 6 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $3,668.82 – $5,254.47 | 6 |
| Laparo urethral suspension CPT 51990 | not published | not published | $3,668.82 – $5,254.47 | 6 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | $9,813.71 – $9,813.71 | 1 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | not published | $9,813.71 – $9,813.71 | 1 |
| Lap enterolysis CPT 44180 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $6,811.00 – $13,863.00 | 3 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $3,668.82 – $4,620.72 | 6 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $3,668.82 – $7,292.89 | 6 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $2,440.42 – $3,668.82 | 6 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Lap myotomy heller CPT 43279 | not published | not published | $5,254.47 – $6,394.00 | 2 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Lap place gastr adj device CPT 43770 | not published | not published | $6,458.05 – $13,863.00 | 7 |
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.