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 |
|---|---|---|---|---|
| Lap revision perm ip cath CPT 49325 | not published | not published | $2,440.42 – $3,668.82 | 6 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $2,273.53 – $7,657.06 | 6 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $2,273.53 – $7,657.06 | 6 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $4,281.62 – $6,458.05 | 6 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $7,850.00 – $13,863.00 | 3 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $1,220.21 – $2,632.61 | 6 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $286.43 | $933.00 | $124.40 – $2,440.42 | 17 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $2,246.06 – $3,268.08 | 6 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $1,084.88 – $3,268.08 | 6 |
| Laryngeal function studies CPT 92520 | $127.57 | $342.00 | $68.40 – $256.50 | 17 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $3,687.39 – $5,254.47 | 6 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $2,246.06 – $3,268.08 | 6 |
| Laryngoscopic sensory vid CPT 92614 | $222.32 | $794.00 | $81.00 – $595.50 | 16 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $2,246.06 – $3,268.08 | 6 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $2,246.06 – $3,268.08 | 6 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $2,246.06 – $3,268.08 | 6 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $1,084.88 – $2,440.42 | 6 |
| Laryngoscopy telescopic CPT 31579 | $320.82 | $1,045.00 | $272.97 – $783.75 | 28 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $2,246.06 – $3,268.08 | 6 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $2,246.06 – $3,741.03 | 6 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $2,246.06 – $3,741.03 | 6 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $1,084.88 – $3,268.08 | 6 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $1,084.88 – $3,268.08 | 6 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $2,246.06 – $3,268.08 | 6 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $2,246.06 – $4,620.72 | 6 |
| Laser surgery of prostate CPT 52648 | not published | not published | $3,200.08 – $9,813.71 | 6 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $1,243.64 – $2,440.42 | 6 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $3,741.03 – $3,741.03 | 1 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $9,199.20 | $30,664.00 | $539.00 – $6,221.80 | 17 |
| Lead capillary CPT 83655 | $13.11 | $79.00 | $12.11 – $27.75 | 28 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $9,199.20 | $30,664.00 | $539.00 – $2,021.25 | 17 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $5,914.20 | $19,714.00 | $539.00 – $7,475.97 | 17 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $528.62 | $2,073.00 | $166.84 – $1,554.75 | 28 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $267.24 | $2,040.00 | $129.45 – $1,530.00 | 17 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $213.79 | $1,632.00 | $79.00 – $1,224.00 | 17 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $530.40 | $2,080.00 | $166.84 – $1,560.00 | 28 |
| Leishmania antibody CPT 86717 | $5.44 | $37.00 | $12.25 – $27.75 | 28 |
| Lens, intraocular (new tech) HCPCS C1780 | $487.00 | $1,413.00 | $282.60 – $1,806.05 | 17 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $743.43 | $2,157.00 | $118.80 – $445.50 | 16 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $743.43 | $2,157.00 | $118.80 – $445.50 | 16 |
| Leukocyte phagocytosis CPT 86344 | $8.08 | $55.00 | $10.39 – $41.25 | 28 |
| Levetiracetam therapeutic drug level CPT 80177 | $10.46 | $63.00 | $13.25 – $30.00 | 28 |
| Liberta rc ipg HCPCS C1820 | $26,281.20 | $87,604.00 | $977.00 – $79,219.12 | 17 |
| Lidocaine therapeutic drug level CPT 80176 | $7.47 | $45.00 | $14.69 – $33.75 | 28 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $1,295,750.65 | $3,759,504.00 | $4.73 – $2,819,628.00 | 13 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $2,074.70 – $7,292.89 | 6 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $2,074.70 – $9,813.71 | 6 |
| Lipase CPT 83690 | $41.33 | $249.00 | $6.89 – $39.00 | 28 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $1,983.88 – $3,268.08 | 6 |
| Lipoprotein blood high res frac & quant CPT 83701 | $16.93 | $102.00 | $33.86 – $76.50 | 28 |
| Lipoprotein blood quant CPT 83704 | $17.10 | $103.00 | $34.19 – $77.25 | 28 |
| Lipoprotein direct measurement hdl CPT 83718 | $20.42 | $123.00 | $8.19 – $18.75 | 28 |
| Lipoprotein direct measurement ldl CPT 83721 | $15.60 | $94.00 | $10.50 – $24.00 | 28 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $17.10 | $103.00 | $34.19 – $77.25 | 28 |
| Lisocabtagene mara car pos t HCPCS Q2054 | $1,336,907.88 | $3,878,918.00 | $4.73 – $595,799.23 | 28 |
| Lithium therapeutic drug level CPT 80178 | $8.63 | $52.00 | $6.61 – $39.00 | 28 |
| Liver elastography 91200 CPT 91200 | $325.37 | $381.00 | $101.17 – $285.75 | 28 |
| Liver Function Test CPT 80076 | $47.64 | $287.00 | $8.17 – $215.25 | 28 |
| Liver imaging CPT 78201 | $461.82 | $1,598.00 | $354.82 – $1,198.50 | 28 |
| Liver imag w/vasclr flow CPT 78202 | $498.81 | $1,726.00 | $354.82 – $1,294.50 | 28 |
| Liver/spleen imag static only CPT 78215 | $423.10 | $1,464.00 | $273.41 – $1,098.00 | 28 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $372.23 | $1,288.00 | $273.41 – $966.00 | 28 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $0.77 | $2.24 | $0.45 – $6.95 | 17 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $380.02 – $3,268.08 | 6 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $1,636.41 – $1,636.41 | 1 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $61.18 | $467.00 | $79.00 – $350.25 | 28 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $509.59 | $3,890.00 | $129.45 – $2,917.50 | 28 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $424.70 | $3,242.00 | $266.89 – $2,431.50 | 28 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $339.68 | $2,593.00 | $79.00 – $1,944.75 | 28 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $587.41 | $3,626.00 | $266.89 – $2,719.50 | 28 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $489.56 | $3,022.00 | $266.89 – $2,266.50 | 28 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $391.55 | $2,417.00 | $166.84 – $1,812.75 | 28 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $130.98 | $441.00 | $79.00 – $330.75 | 28 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $149.39 | $503.00 | $79.00 – $377.25 | 28 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $177.01 | $596.00 | $79.00 – $447.00 | 28 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $93.85 | $316.00 | $58.65 – $347.17 | 17 |
| Low frequency non-thermal Ultrasound CPT 97610 | $86.72 | $298.00 | $42.94 – $241.00 | 15 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Lumbar diskogram s&i CPT 72295 | $1,066.82 | $3,592.00 | $290.34 – $3,434.14 | 28 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $173.34 | $642.00 | $191.73 – $547.63 | 28 |
| Lung function test (mbc/mvv) CPT 94200 | $61.02 | $226.00 | $40.35 – $169.50 | 28 |
| Lung Function Test (Spirometry) CPT 94010 | $137.16 | $508.00 | $101.17 – $381.00 | 28 |
| Lung perfusion imaging CPT 78580 | $451.13 | $1,561.00 | $273.41 – $1,170.75 | 28 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $174.56 | $332.50 | $111.72 – $515.94 | 28 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $345.87 | $658.80 | $183.80 – $494.10 | 28 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Lymphatics/lymph node imaging CPT 78195 | $622.51 | $2,154.00 | $354.82 – $1,615.50 | 28 |
| Lymphocyte transformation mitogen CPT 86353 | $21.76 | $148.00 | $49.03 – $111.00 | 28 |
| Lymph vessel x-ray trunk CPT 75805 | $557.47 | $1,877.00 | $630.67 – $5,535.21 | 28 |
| Lymph vessel x-ray trunk CPT 75807 | $807.84 | $2,720.00 | $913.92 – $5,535.21 | 28 |
| Macroscopic exam arthropod CPT 87168 | $2.12 | $13.00 | $4.27 – $9.75 | 28 |
| Macroscopic exam parasite CPT 87169 | $9.45 | $58.00 | $4.31 – $43.50 | 28 |
| Magnesium CPT 83735 | $21.91 | $132.00 | $6.70 – $15.75 | 28 |
| Magnetic image bone marrow CPT 77084 | $307.24 | $1,818.00 | $166.84 – $1,363.50 | 28 |
| Mammosite ced HCPCS C1728 | $4,168.50 | $13,895.00 | $282.60 – $1,059.75 | 17 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $352.87 | $754.00 | $150.80 – $796.00 | 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.