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 |
|---|---|---|---|---|
| Rp loclzj tum 2+area 1+d img CPT 78801 | $347.09 | $1,201.00 | $273.41 – $900.75 | 28 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $737.24 | $2,551.00 | $857.14 – $2,295.83 | 28 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $1,412.63 | $4,888.00 | $1,073.25 – $3,666.00 | 28 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $971.66 | $3,165.00 | $1,019.45 – $2,731.89 | 28 |
| Rpl tun-cvad w subq port CPT 36582 | $1,415.58 | $4,611.00 | $1,613.85 – $5,535.21 | 28 |
| Rpl tun-cvad w subq pump CPT 36583 | $2,101.42 | $6,845.00 | $2,395.75 – $9,506.48 | 28 |
| Rpl tun cvc wo subq port CPT 36581 | $1,208.97 | $3,938.00 | $1,378.30 – $5,535.21 | 28 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $9,813.71 – $9,813.71 | 1 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $9,813.71 – $9,813.71 | 1 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $4,620.72 – $4,620.72 | 1 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $9,813.71 – $9,813.71 | 1 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $2,307.97 – $5,254.47 | 6 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Rsv assay w/optic CPT 87807 | $6.52 | $40.00 | $13.10 – $30.00 | 28 |
| Rubella antibody igg CPT 86762 | $8.23 | $56.00 | $14.39 – $33.00 | 28 |
| Rubeola antibody igg CPT 86765 | $8.82 | $60.00 | $12.88 – $29.25 | 28 |
| Russell viper venom diluted CPT 85613 | $10.38 | $60.00 | $9.58 – $45.00 | 28 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $487.10 | $2,752.00 | $396.56 – $2,064.00 | 28 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $107.51 | $362.00 | $79.00 – $271.50 | 28 |
| Salivary gland function exam CPT 78232 | $379.17 | $1,312.00 | $273.41 – $984.00 | 28 |
| Salivary gland imaging CPT 78230 | $491.01 | $1,699.00 | $273.41 – $1,274.25 | 28 |
| Salivary glnd img serial img CPT 78231 | $295.65 | $1,023.00 | $273.41 – $767.25 | 28 |
| Salmonella antibody CPT 86768 | $10.73 | $73.00 | $13.19 – $54.75 | 28 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $327.68 | $1,285.00 | $166.84 – $963.75 | 28 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $161.42 | $633.00 | $79.00 – $474.75 | 28 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $266.73 | $1,046.00 | $79.00 – $784.50 | 28 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $328.95 | $1,290.00 | $79.00 – $967.50 | 28 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $375.36 | $1,472.00 | $79.00 – $1,104.00 | 17 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $325.89 | $1,278.00 | $79.00 – $958.50 | 17 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $713.78 | $2,325.00 | $813.75 – $2,849.35 | 28 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $2,052.04 – $9,813.71 | 6 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $2,570.57 | $13,895.00 | $62.60 – $1,093.32 | 17 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $575.40 – $3,268.08 | 7 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $575.40 – $3,268.08 | 7 |
| Screening Mammogram CPT 77067 | $254.28 | $489.00 | $65.20 – $401.39 | 17 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $39,421.20 | $131,404.00 | $14.00 – $969.55 | 17 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $247.04 | $714.00 | $79.00 – $535.50 | 28 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $1,975.55 | $6,435.00 | $1,170.00 – $4,909.22 | 17 |
| Sedimentation rate erythrocyte automated CPT 85652 | $1.56 | $9.00 | $2.70 – $6.75 | 28 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $66.39 | $178.00 | $35.60 – $241.00 | 16 |
| Semen analysis w/count CPT 89310 | $4.29 | $26.00 | $3.75 – $19.50 | 28 |
| Serpina1 gene CPT 81332 | $61.24 | $346.00 | $43.65 – $259.50 | 28 |
| Set radiation therapy field CPT 77280 | $536.38 | $1,161.00 | $91.98 – $870.75 | 28 |
| Set radiation therapy field CPT 77285 | $859.32 | $1,860.00 | $245.54 – $1,395.00 | 28 |
| Set radiation therapy field CPT 77290 | $957.73 | $2,073.00 | $245.54 – $1,554.75 | 28 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $2,570.57 | $13,895.00 | $62.60 – $234.75 | 17 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $67.70 | $217.00 | $44.93 – $162.75 | 28 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $89.40 | $301.00 | $58.65 – $225.75 | 28 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $107.81 | $363.00 | $61.39 – $467.28 | 17 |
| Shoulder MRI (with and without contrast) CPT 73223 | $617.53 | $3,654.00 | $266.89 – $2,740.50 | 17 |
| Shoulder MRI (with contrast) CPT 73222 | $514.60 | $3,045.00 | $518.51 – $3,070.63 | 17 |
| Shoulder MRI (without contrast) CPT 73221 | $411.68 | $2,436.00 | $166.84 – $1,827.00 | 17 |
| Shoulder X-ray CPT 73030 | $115.24 | $388.00 | $58.65 – $347.17 | 17 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $82.86 | $279.00 | $55.80 – $347.17 | 17 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $96.82 | $326.00 | $79.00 – $244.50 | 28 |
| Sialography s&i CPT 70390 | $204.34 | $688.00 | $137.60 – $987.59 | 17 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $1,983.88 – $3,741.03 | 6 |
| Sickling rbc CPT 85660 | $15.74 | $91.00 | $5.51 – $42.00 | 28 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $575.40 – $2,440.42 | 7 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $751.80 – $2,440.42 | 6 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $575.40 – $2,440.42 | 6 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $751.80 – $2,440.42 | 6 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $751.80 – $2,440.42 | 6 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $1,771.46 – $2,440.42 | 6 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $751.80 – $2,440.42 | 6 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $575.40 – $2,440.42 | 6 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $751.80 – $2,440.42 | 6 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $187.41 | $901.00 | $40.35 – $675.75 | 28 |
| Sinus CT scan (with and without contrast) CPT 70488 | $347.32 | $2,285.00 | $129.45 – $1,713.75 | 28 |
| Sinus CT scan (with contrast) CPT 70487 | $289.41 | $1,904.00 | $129.45 – $1,428.00 | 28 |
| Sinus CT scan (without contrast) CPT 70486 | $231.50 | $1,523.00 | $79.00 – $1,142.25 | 28 |
| Sinus/juglr venogram s&i CPT 75860 | $1,217.40 | $4,099.00 | $292.90 – $5,535.21 | 28 |
| Sinus X-ray (complete) CPT 70220 | $100.68 | $339.00 | $58.65 – $254.25 | 28 |
| Sinus X-ray (limited) CPT 70210 | $84.64 | $285.00 | $58.65 – $213.75 | 28 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $25.56 | $154.00 | $30.80 – $115.50 | 16 |
| Skin Biopsy CPT 11102 | $121.57 | $396.00 | $130.17 – $349.44 | 28 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,243.64 – $3,741.03 | 6 |
| Skull X-ray (1 to 3 views) CPT 70250 | $100.39 | $338.00 | $79.00 – $253.50 | 28 |
| Skull X-ray (complete) CPT 70260 | $127.71 | $430.00 | $79.00 – $322.50 | 28 |
| Slco1b1 gene com variants CPT 81328 | $92.92 | $525.00 | $174.81 – $393.75 | 28 |
| Sling suprapubic suburetheral HCPCS C1771 | $7,885.20 | $26,284.00 | $538.00 – $10,945.77 | 17 |
| Slp eval non-spch gen comm dev CPT 92605 | $134.96 | $482.00 | $81.00 – $361.50 | 15 |
| Slp ther svc non-spch gen CPT 92606 | $142.86 | $383.00 | $76.60 – $287.25 | 15 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $163.05 | $549.00 | $129.45 – $411.75 | 28 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,178.14 – $3,268.08 | 6 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,178.14 – $3,268.08 | 6 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,178.14 – $3,268.08 | 6 |
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.