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 |
|---|---|---|---|---|
| Small bowel endoscopy CPT 44382 | not published | not published | $586.96 – $2,440.42 | 6 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,178.14 – $3,268.08 | 6 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,178.14 – $3,268.08 | 6 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $586.96 – $2,440.42 | 6 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $11.08 | $68.00 | $5.39 – $42.75 | 28 |
| Smear gram stain CPT 87205 | $20.70 | $127.00 | $4.27 – $9.75 | 28 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $11.74 | $72.00 | $5.99 – $48.00 | 28 |
| Smear wet mount CPT 87210 | $8.64 | $53.00 | $5.82 – $13.50 | 28 |
| Snrpn/ube3a gene CPT 81331 | $51.68 | $292.00 | $51.07 – $219.00 | 28 |
| Sodium 24 hour urine CPT 84300 | $11.95 | $72.00 | $5.06 – $12.00 | 28 |
| Sodium serum/plasma/whole blood CPT 84295 | $15.94 | $96.00 | $4.81 – $67.50 | 28 |
| Special physics consult CPT 77370 | $543.77 | $1,177.00 | $91.98 – $882.75 | 28 |
| Special radiation dosimetry CPT 77331 | $277.20 | $600.00 | $89.58 – $450.00 | 28 |
| Special radiation treatment CPT 77470 | $1,554.63 | $3,365.00 | $166.76 – $2,523.75 | 28 |
| Special teletx port plan CPT 77321 | $851.93 | $1,844.00 | $207.20 – $1,383.00 | 28 |
| Specific gravity body fluid CPT 84315 | $1.66 | $10.00 | $3.28 – $7.50 | 28 |
| Specimen fat stain CPT 89125 | $2.97 | $18.00 | $5.88 – $13.50 | 28 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $214.48 | $575.00 | $81.00 – $1,049.52 | 16 |
| Speech evaluation complex CPT 70371 | $221.86 | $747.00 | $166.84 – $560.25 | 28 |
| Speech Therapy Session (one-on-one) CPT 92507 | $145.84 | $391.00 | $78.20 – $293.25 | 16 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $562.42 | $1,832.00 | $460.08 – $1,374.00 | 28 |
| Spine X-ray (single view, one level) CPT 72020 | $72.17 | $243.00 | $58.65 – $182.25 | 28 |
| Spleen imaging CPT 78185 | $294.49 | $1,019.00 | $273.41 – $764.25 | 28 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $2,553.56 – $3,268.08 | 6 |
| Split blood or products CPT 86985 | $60.23 | $365.00 | $1.43 – $301.36 | 28 |
| Sputum specimen collection CPT 89220 | $60.23 | $365.00 | $35.58 – $301.36 | 28 |
| Srs linear based CPT 77372 | $8,024.94 | $17,370.00 | $4,421.37 – $13,443.62 | 28 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $211.12 | $566.00 | $81.00 – $526.35 | 16 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $211.12 | $566.00 | $81.00 – $487.85 | 16 |
| Stem cells total count CPT 86367 | $34.40 | $234.00 | $77.78 – $175.50 | 28 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $11,226.99 | $36,570.00 | $4,018.00 – $18,285.00 | 17 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $15,769.20 | $52,564.00 | $118.80 – $13,062.88 | 17 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $2,779.50 | $9,265.00 | $33.20 – $293.70 | 17 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $10,513.20 | $35,044.00 | $118.80 – $4,729.50 | 17 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $2,779.50 | $9,265.00 | $282.60 – $2,610.68 | 17 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $7,167.22 | $23,346.00 | $3,112.80 – $11,673.00 | 17 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $3,537.25 | $11,522.00 | $1,170.00 – $5,878.00 | 17 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $9,797.60 | $31,914.00 | $4,018.00 – $15,957.00 | 17 |
| St evaluate speech sound production CPT 92522 | $176.06 | $472.00 | $81.00 – $505.21 | 16 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $201.60 | $720.00 | $81.00 – $540.00 | 16 |
| Stimulants synthetic CPT 80371 | $26.56 | $160.00 | $32.00 – $120.00 | 16 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $539.85 | $1,868.00 | $273.41 – $1,401.00 | 28 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $148.99 | $512.00 | $68.20 – $338.82 | 17 |
| Strapping of chest CPT 29200 | $113.49 | $390.00 | $78.00 – $338.82 | 17 |
| Strapping of elbow or wrist 29260 CPT 29260 | $170.23 | $585.00 | $40.35 – $338.82 | 17 |
| Strapping of hand or finger CPT 29280 | $113.49 | $390.00 | $40.35 – $338.82 | 17 |
| Strapping of knee CPT 29530 | $148.99 | $512.00 | $68.20 – $338.82 | 17 |
| Strep a ag ia CPT 87430 | $8.31 | $51.00 | $16.81 – $38.25 | 28 |
| Strep b dna amp probe CPT 87653 | $17.28 | $106.00 | $35.09 – $79.50 | 28 |
| Stress test pulmonary CPT 94618 | $146.34 | $542.00 | $63.61 – $406.50 | 28 |
| Stress tte complete CPT 93351 | $684.98 | $2,429.00 | $350.10 – $1,821.75 | 28 |
| Str markers spec anal addl CPT 81266 | $161.95 | $915.00 | $304.81 – $686.25 | 28 |
| Str markers specimen anal CPT 81265 | $252.58 | $1,427.00 | $233.07 – $842.25 | 28 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $3,741.03 – $3,741.03 | 1 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,741.03 – $3,741.03 | 1 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $3,741.03 – $3,741.03 | 1 |
| Sulfonylurea screen qn-sendout CPT 80377 | $29.55 | $178.00 | $35.60 – $133.50 | 16 |
| Surgical pathology level 1 gross examination only CPT 88300 | $11.82 | $56.00 | $17.89 – $43.06 | 28 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $27.22 | $129.00 | $17.89 – $96.75 | 28 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $70.26 | $333.00 | $36.08 – $249.75 | 28 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $107.19 | $508.00 | $36.08 – $282.00 | 28 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $239.70 | $1,136.00 | $211.16 – $852.00 | 28 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $361.23 | $1,712.00 | $475.71 – $1,436.61 | 28 |
| Susceptibility agar dilution per agent CPT 87181 | $10.76 | $66.00 | $4.75 – $11.25 | 28 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $9.13 | $56.00 | $4.75 – $42.00 | 28 |
| Susceptibility mic per plate CPT 87186 | $35.21 | $216.00 | $8.65 – $45.00 | 28 |
| Suscept studies macrobroth dilution ea CPT 87188 | $18.75 | $115.00 | $6.64 – $43.50 | 28 |
| Svc venogram s&i CPT 75827 | $380.75 | $1,282.00 | $264.90 – $2,731.89 | 28 |
| Swallowing Evaluation (Bedside) CPT 92610 | $118.44 | $423.00 | $81.00 – $457.01 | 16 |
| Swallowing Therapy Session CPT 92526 | $123.09 | $330.00 | $66.00 – $247.50 | 16 |
| Sweat collection by iontophoresis CPT 89230 | $18.81 | $114.00 | $5.61 – $93.97 | 28 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $7.64 | $52.00 | $4.40 – $39.00 | 28 |
| System pacing micra av HCPCS C1786 | $12,078.27 | $35,044.00 | $2,315.00 – $29,701.26 | 17 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $37,741.65 | $109,504.00 | $3,504.00 – $29,701.26 | 17 |
| System sealant biosentry tract HCPCS C2613 | $808.50 | $2,695.00 | $118.80 – $445.50 | 17 |
| T3 (triiodothyronine) free CPT 84481 | $11.79 | $71.00 | $16.94 – $40.50 | 28 |
| T3 (triiodothyronine) total CPT 84480 | $7.14 | $43.00 | $14.18 – $32.25 | 28 |
| T4 (thyroxine) free CPT 84439 | $35.19 | $212.00 | $9.02 – $49.50 | 28 |
| T4 (thyroxine) total CPT 84436 | $9.30 | $56.00 | $6.87 – $42.00 | 28 |
| Tacrolimus therapeutic drug level CPT 80197 | $10.62 | $64.00 | $13.73 – $42.75 | 28 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $107.81 | $363.00 | $58.65 – $272.25 | 28 |
| Target gsa panel hmtlmph neop CPT 81450 | $647.82 | $3,660.00 | $759.53 – $2,745.00 | 28 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $2,489.86 | $14,067.00 | $2,027.05 – $10,550.25 | 28 |
| Target gsa panel organ neop CPT 81445 | $509.94 | $2,881.00 | $597.91 – $1,345.50 | 28 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $44.10 | $300.00 | $100.00 – $225.00 | 28 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $27.34 | $186.00 | $61.98 – $139.50 | 28 |
| Tc-99m arcitumomab HCPCS A9568 | $1,735.16 | $6,004.00 | $809.51 – $4,503.00 | 28 |
| Tc-99m bicisate HCPCS A9557 | $714.70 | $2,473.00 | $683.80 – $1,854.75 | 28 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $2,213.16 | $7,658.00 | $1,040.32 – $5,743.50 | 28 |
| Tc-99m exametazime diag HCPCS A9521 | $958.61 | $3,317.00 | $802.34 – $2,487.75 | 28 |
| Tc-99m labeled rbc HCPCS A9560 | $215.02 | $744.00 | $100.00 – $558.00 | 16 |
| Tc-99m maa HCPCS A9540 | $39.02 | $135.00 | $27.00 – $173.24 | 16 |
| Tc-99m mebrofenin HCPCS A9537 | $75.72 | $262.00 | $52.40 – $316.92 | 16 |
| Tc-99m medronate HCPCS A9503 | $102.39 | $354.30 | $13.00 – $265.73 | 16 |
| Tc-99m mertiatide HCPCS A9562 | $319.06 | $1,104.00 | $220.80 – $4,473.87 | 15 |
| Tc-99m pentetate dtpa HCPCS A9539 | $78.61 | $272.00 | $35.72 – $204.00 | 15 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $199.70 | $691.00 | $25.72 – $518.25 | 16 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $41.33 | $143.00 | $1.69 – $107.25 | 16 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $72.54 | $251.00 | $50.20 – $369.89 | 16 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $80.31 | $277.90 | $55.58 – $545.88 | 16 |
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.