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 |
|---|---|---|---|---|
| Njx interlaminar lmbr/sac CPT 62327 | $1,165.68 | $3,797.00 | $596.28 – $2,847.75 | 28 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,070.82 | $3,488.00 | $416.71 – $4,982.00 | 17 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $758.91 | $2,626.00 | $273.41 – $1,969.50 | 28 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $561.53 | $1,943.00 | $273.41 – $1,457.25 | 28 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $504.30 | $1,745.00 | $354.82 – $1,308.75 | 28 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $536.09 | $1,855.00 | $354.82 – $1,391.25 | 28 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $479.16 | $1,658.00 | $273.41 – $1,243.50 | 28 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $828.83 | $1,794.00 | $180.97 – $1,345.50 | 28 |
| Non-card vasc flow imaging CPT 78445 | $261.54 | $905.00 | $273.41 – $706.66 | 28 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $89.40 | $301.00 | $58.65 – $225.75 | 28 |
| Npm1 gene CPT 81310 | $210.28 | $1,188.00 | $246.52 – $891.00 | 28 |
| Nras gene variants exon 2&3 CPT 81311 | $157.18 | $888.00 | $295.79 – $666.00 | 28 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $5,345.80 | $11,571.00 | $1,256.96 – $8,678.25 | 28 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $1,367.06 | $2,959.00 | $393.35 – $2,219.25 | 28 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,298.68 | $2,811.00 | $393.35 – $2,108.25 | 28 |
| Nuclear exam of tear flow CPT 78660 | $228.02 | $789.00 | $265.10 – $706.66 | 28 |
| Nuclear rx intra-arterial CPT 79445 | $1,154.54 | $2,499.00 | $180.97 – $1,874.25 | 28 |
| Nuclear rx intra-articular CPT 79440 | $413.03 | $894.00 | $159.01 – $670.50 | 28 |
| Nuclear rx intracav admin CPT 79200 | $1,109.72 | $2,402.00 | $180.97 – $1,801.50 | 28 |
| Nuclear rx IV admin CPT 79101 | $866.71 | $1,876.00 | $180.97 – $1,407.00 | 28 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,240.10 | $4,291.00 | $946.81 – $3,218.25 | 28 |
| Nudt15 gene common variants CPT 81306 | $248.51 | $1,404.00 | $291.36 – $656.25 | 28 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | $660,455.41 | $1,916,252.00 | $40,372.50 – $297,412.50 | 28 |
| Observation direct referral from physician office for admission HCPCS G0379 | $72.59 | $654.00 | $30.00 – $1,078.19 | 28 |
| Observation per hour HCPCS G0378 | $75.89 | $259.00 | $26.00 – $10,759.00 | 17 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $153.97 | $445.00 | $79.00 – $333.75 | 28 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $109.68 | $317.00 | $62.26 – $237.75 | 16 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $145.12 | $522.00 | $81.00 – $391.50 | 16 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $87.29 | $314.00 | $62.80 – $385.17 | 16 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $115.93 | $417.00 | $81.00 – $385.17 | 16 |
| Onco (ovar) five proteins CPT 81503 | $476.31 | $2,691.00 | $387.77 – $2,018.25 | 28 |
| Onco (ovar) two proteins CPT 81500 | $138.41 | $782.00 | $112.69 – $586.50 | 28 |
| Oncoprotein dcp CPT 83951 | $32.20 | $194.00 | $64.41 – $145.50 | 28 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $2,289.36 – $3,268.08 | 6 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $2,289.36 – $4,620.72 | 6 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $3,268.08 – $21,347.28 | 7 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $3,741.03 – $4,466.49 | 6 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $2,440.42 – $21,347.28 | 7 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Optx medial ankle fx CPT 27766 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Orchiectomy partial CPT 54522 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Organic acids total quant ea spec CPT 83918 | $16.77 | $101.00 | $23.60 – $53.25 | 28 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $980.77 – $2,440.42 | 6 |
| Orthopantogram CPT 70355 | $86.72 | $292.00 | $34.67 – $219.00 | 28 |
| Orthovisc inj per dose HCPCS J7324 | $145.64 | $442.68 | $88.54 – $470.63 | 17 |
| Oscillation chest wall mechanical per session CPT 94669 | $97.61 | $522.00 | $136.21 – $391.50 | 28 |
| Osmolality blood CPT 83930 | $9.30 | $56.00 | $6.61 – $42.00 | 28 |
| Osmolality urine CPT 83935 | $9.30 | $56.00 | $6.82 – $42.00 | 28 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Other immunoelectrophoresis CPT 86325 | $10.29 | $70.00 | $23.13 – $52.50 | 28 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $41.03 | $141.00 | $28.20 – $241.00 | 16 |
| Ot re-evaluation patient/family CPT 97168 | $75.62 | $272.00 | $54.40 – $254.59 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $47.00 | $126.00 | $25.20 – $241.00 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $52.97 | $142.00 | $28.40 – $241.00 | 16 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $3,196.92 – $3,741.03 | 6 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $2,150.93 | $4,097.00 | $179.12 – $3,072.75 | 28 |
| Palingen or palingen xplus HCPCS Q4173 | $69.84 | $232.80 | $24.19 – $2,078.33 | 15 |
| Palingen or promatrx HCPCS Q4174 | $375.93 | $1,253.10 | $155.87 – $1,579.51 | 15 |
| Parathormone (pth) intact CPT 83970 | $20.58 | $124.00 | $41.28 – $93.00 | 28 |
| Parathyrd planar w/spect&ct CPT 78072 | $786.37 | $2,721.00 | $354.82 – $2,040.75 | 28 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $1,601.78 – $3,646.44 | 6 |
| Parathyroid planar imaging CPT 78070 | $561.53 | $1,943.00 | $273.41 – $1,457.25 | 28 |
| Parathyroid planar img w/tomo spect CPT 78071 | $641.29 | $2,219.00 | $273.41 – $1,664.25 | 28 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $4,012.11 – $7,292.89 | 6 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $1,901.83 – $2,440.42 | 6 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Partial removal foot fascia CPT 28060 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Partial removal of fibula CPT 27641 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Partial removal of foot bone CPT 28288 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Partial removal of lip CPT 40530 | not published | not published | $1,983.88 – $3,268.08 | 6 |
| Partial removal of nose CPT 30150 | not published | not published | $3,687.39 – $3,741.03 | 6 |
| Partial removal of penis CPT 54120 | not published | not published | $2,230.35 – $3,268.08 | 6 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $3,687.39 – $7,292.89 | 6 |
| Partial removal of thyroid CPT 60220 | not published | not published | $3,268.08 – $3,668.82 | 6 |
| Partial removal of tibia CPT 27640 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Partial removal of toe CPT 28160 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Partial removal of tongue CPT 41120 | not published | not published | $3,687.39 – $5,254.47 | 6 |
| Partial removal of tongue CPT 41130 | not published | not published | $9,813.71 – $9,813.71 | 1 |
| Partial thyroid excision CPT 60210 | not published | not published | $3,268.08 – $3,668.82 | 6 |
| Part removal of metatarsal CPT 28110 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Part removal of metatarsal CPT 28113 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Pdgfra gene CPT 81314 | $175.05 | $989.00 | $329.51 – $741.75 | 28 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,243.64 – $3,741.03 | 6 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $384.62 | $2,936.00 | $129.45 – $2,202.00 | 28 |
| Pelvic CT scan (with contrast) CPT 72193 | $320.56 | $2,447.00 | $129.45 – $1,835.25 | 28 |
| Pelvic CT scan (without contrast) CPT 72192 | $256.37 | $1,957.00 | $79.00 – $1,467.75 | 28 |
| Pelvic MRI (with and without contrast) CPT 72197 | $503.45 | $2,979.00 | $266.89 – $2,234.25 | 28 |
| Pelvic MRI (with contrast) CPT 72196 | $419.63 | $2,483.00 | $266.89 – $1,862.25 | 28 |
| Pelvic MRI (without contrast) CPT 72195 | $335.63 | $1,986.00 | $166.84 – $1,489.50 | 28 |
| Pelvic Ultrasound (complete) CPT 76856 | $267.80 | $774.00 | $79.00 – $580.50 | 28 |
| Pelvic Ultrasound (limited) CPT 76857 | $226.28 | $654.00 | $79.00 – $490.50 | 28 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $105.73 | $356.00 | $78.84 – $267.00 | 28 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $130.98 | $441.00 | $79.00 – $330.75 | 28 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $79.09 | $240.40 | $3.50 – $180.30 | 28 |
| Penile injection CPT 54235 | $110.21 | $359.00 | $125.65 – $427.71 | 28 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $9,856.20 | $32,854.00 | $977.00 – $14,605.88 | 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.