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 |
|---|---|---|---|---|
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $389.45 | $2,404.00 | $166.84 – $1,803.00 | 28 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $96.82 | $326.00 | $79.00 – $244.50 | 28 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $111.67 | $376.00 | $79.00 – $282.00 | 28 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $586.96 – $2,440.42 | 7 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $586.96 – $3,268.08 | 7 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $182.66 | $615.00 | $129.45 – $461.25 | 28 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $179.98 | $606.00 | $129.45 – $454.50 | 28 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $586.96 – $3,268.08 | 7 |
| Urea nitrogen CPT 84520 | $22.41 | $135.00 | $3.95 – $101.25 | 28 |
| Urea nitrogen 24 hour urine CPT 84540 | $8.63 | $52.00 | $5.56 – $39.00 | 28 |
| Ureteral reflux study CPT 78740 | $476.56 | $1,649.00 | $273.41 – $1,236.75 | 28 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $2,440.42 – $3,200.08 | 6 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $2,440.42 – $3,200.08 | 6 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $9,813.71 – $9,813.71 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $315.41 | $1,062.00 | $166.84 – $796.50 | 28 |
| Urethrocystography void s&i CPT 74455 | $204.34 | $688.00 | $166.84 – $516.00 | 28 |
| Uric acid blood CPT 84550 | $23.24 | $140.00 | $4.52 – $105.00 | 28 |
| Uric acid urine CPT 84560 | $11.95 | $72.00 | $5.08 – $12.00 | 28 |
| Urinalysis microscopic only CPT 81015 | $2.29 | $10.00 | $3.05 – $7.50 | 28 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $1.60 | $7.00 | $2.17 – $5.25 | 28 |
| Urinalysis (with microscopy) CPT 81001 | $27.71 | $121.00 | $3.17 – $90.75 | 28 |
| Urinalysis (without microscopy) CPT 81003 | $24.50 | $107.00 | $2.25 – $5.25 | 28 |
| Urine Culture Test CPT 87086 | $43.52 | $267.00 | $8.07 – $200.25 | 28 |
| Urine pregnancy test CPT 81025 | $44.88 | $196.00 | $8.61 – $43.50 | 28 |
| Urography, antegrade CPT 74425 | $401.84 | $1,353.00 | $241.82 – $1,014.75 | 28 |
| Urography inf drip &/or bolus CPT 74410 | $694.68 | $2,339.00 | $129.45 – $1,754.25 | 28 |
| Use 1st target lesion CPT 76982 | $113.14 | $327.00 | $79.00 – $245.25 | 28 |
| Vaccine Administration (one shot) CPT 90471 | $23.31 | $126.00 | $36.84 – $125.15 | 28 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $27.32 | $414.00 | $82.80 – $877.75 | 17 |
| Vag hyst including t/o CPT 58262 | not published | not published | $3,196.92 – $9,813.71 | 6 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $3,196.92 – $9,813.71 | 6 |
| Vaginal bx CPT 58999 | not published | not published | $123.48 – $2,440.42 | 6 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $3,196.92 – $9,813.71 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $8.80 | $53.00 | $13.54 – $39.75 | 28 |
| Vancomycin hcl injection HCPCS J3370 | $0.31 | $4.66 | $0.67 – $9.51 | 15 |
| Vancomycin peak therapeutic drug level CPT 80202 | $33.53 | $202.00 | $13.54 – $30.75 | 28 |
| Varicella zoster antibody igg CPT 86787 | $7.79 | $53.00 | $12.88 – $29.25 | 28 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $4,994.58 | $16,269.00 | $3,741.03 – $31,578.74 | 28 |
| Vasectomy CPT 55250 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Veeg cont 2-12 hrs CPT 95713 | $547.09 | $1,169.00 | $353.64 – $933.11 | 28 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $766.12 | $1,637.00 | $550.03 – $1,789.18 | 28 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $504.04 | $1,077.00 | $191.73 – $807.75 | 28 |
| Veeg unmon 12-26 hrs CPT 95714 | $656.60 | $1,403.00 | $353.64 – $1,052.25 | 28 |
| Veeg unmon 2-12 hrs CPT 95711 | $437.58 | $935.00 | $191.73 – $701.25 | 28 |
| Vein x-ray adrenal gland CPT 75840 | $1,057.32 | $3,560.00 | $300.89 – $12,286.55 | 17 |
| Vein x-ray adrenal glands CPT 75842 | $1,289.87 | $4,343.00 | $355.80 – $9,506.48 | 28 |
| Vein x-ray eye socket CPT 75880 | $686.07 | $2,310.00 | $299.57 – $1,732.50 | 28 |
| Vein x-ray kidney CPT 75831 | $1,087.02 | $3,660.00 | $275.45 – $12,286.55 | 17 |
| Vein x-ray liver CPT 75891 | $1,475.50 | $4,968.00 | $292.90 – $5,535.21 | 28 |
| Vein x-ray liver w/hemodynam CPT 75885 | $1,462.13 | $4,923.00 | $290.20 – $5,535.21 | 28 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,462.13 | $4,923.00 | $290.20 – $5,535.21 | 28 |
| Vein x-ray liver without hemodyn CPT 75887 | $869.32 | $2,927.00 | $292.90 – $5,535.21 | 28 |
| Vein x-ray skull CPT 75870 | $1,462.13 | $4,923.00 | $393.26 – $5,535.21 | 28 |
| Vein x-ray skull epidural CPT 75872 | $818.53 | $2,756.00 | $300.89 – $2,067.00 | 28 |
| Vein x-ray spleen/liver CPT 75810 | $801.31 | $2,698.00 | $906.53 – $5,535.21 | 28 |
| Venipuncture <3 yrs other vein CPT 36406 | $15.35 | $50.00 | $10.00 – $60.06 | 16 |
| Venogram ext bil s&i CPT 75822 | $677.75 | $2,282.00 | $263.58 – $2,731.89 | 28 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $579.15 | $1,950.00 | $238.13 – $6,035.47 | 17 |
| Venous mech thrombectomy CPT 37187 | $3,711.32 | $12,089.00 | $4,231.15 – $19,943.57 | 28 |
| Venous m-thrombectomy add-on CPT 37188 | $2,634.98 | $8,583.00 | $2,074.70 – $6,437.25 | 28 |
| Venous sampling s&i CPT 75893 | $1,383.43 | $4,658.00 | $320.99 – $9,506.48 | 28 |
| Venous thrombosis imaging CPT 78457 | $497.37 | $1,721.00 | $354.82 – $1,290.75 | 28 |
| Ven thrombosis images bilat CPT 78458 | $581.76 | $2,013.00 | $273.41 – $1,509.75 | 28 |
| Ventilator each subsequent day CPT 94003 | $567.17 | $3,033.00 | $351.81 – $2,274.75 | 28 |
| Ventilator Management (first day) CPT 94002 | $708.54 | $3,789.00 | $351.81 – $2,841.75 | 28 |
| Version cephalic external CPT 59412 | $1,571.56 | $1,945.00 | $653.52 – $5,591.54 | 28 |
| Very long chain fatty acids CPT 82726 | $34.03 | $205.00 | $19.75 – $153.75 | 28 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $183.84 | $619.00 | $129.45 – $464.25 | 28 |
| Virus isolation addl studies ea CPT 87253 | $10.60 | $65.00 | $20.20 – $45.75 | 28 |
| Vital capacity test CPT 94150 | $62.64 | $232.00 | $77.95 – $275.15 | 28 |
| Vitamin b-12 CPT 82607 | $27.22 | $164.00 | $15.08 – $123.00 | 28 |
| Vitamin D Test CPT 82306 | $14.77 | $89.00 | $29.60 – $66.75 | 28 |
| Vkorc1 gene CPT 81355 | $46.90 | $265.00 | $88.20 – $198.75 | 28 |
| Volume deplete of harvest CPT 38214 | $289.60 | $1,557.00 | $284.57 – $1,167.75 | 28 |
| Volume measurement urine timed CPT 81050 | $2.52 | $11.00 | $3.64 – $8.25 | 28 |
| Vulvectomy simple partial CPT 56620 | not published | not published | $1,901.83 – $5,254.47 | 6 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $38.99 | $134.00 | $26.80 – $241.00 | 16 |
| Warde 1003990 aldosterone CPT 82088 | $44.82 | $270.00 | $40.75 – $92.25 | 28 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $28.88 | $174.00 | $27.80 – $63.00 | 28 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $10.13 | $61.00 | $12.90 – $45.75 | 28 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $12.62 | $76.00 | $25.25 – $57.00 | 28 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $13.61 | $82.00 | $15.50 – $61.50 | 28 |
| Warde 1015200 kappa light chain free CPT 83521 | $11.45 | $69.00 | $17.27 – $45.75 | 28 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $9.79 | $59.00 | $8.02 – $44.25 | 28 |
| Warde 3008005 oligoclonal bands CPT 83916 | $13.78 | $83.00 | $27.39 – $62.25 | 28 |
| Warde 3016000 west nile virus antibody CPT 86788 | $10.58 | $72.00 | $16.85 – $54.00 | 28 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $10.58 | $72.00 | $14.39 – $54.00 | 28 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $8.08 | $55.00 | $12.25 – $41.25 | 28 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $4.40 | $27.00 | $8.90 – $20.25 | 28 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $11.57 | $71.00 | $17.98 – $53.25 | 28 |
| Warde 3400852 arsenic CPT 82175 | $15.77 | $95.00 | $18.97 – $47.25 | 28 |
| Warde 3708165 mercury urine CPT 83825 | $14.61 | $88.00 | $16.26 – $36.75 | 28 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $14.55 | $99.00 | $18.40 – $74.25 | 28 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $8.82 | $60.00 | $11.53 – $42.00 | 28 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $26.06 | $157.00 | $8.10 – $18.75 | 28 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $19.26 | $116.00 | $38.62 – $87.00 | 28 |
| Warde aldolase CPT 82085 | $8.80 | $53.00 | $9.71 – $39.75 | 28 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $23.41 | $141.00 | $16.87 – $38.25 | 28 |
| Warde amiodarone therapeutic drug level CPT 80151 | $14.94 | $90.00 | $18.64 – $67.50 | 28 |
| Warde analysis gene hfe common variants CPT 81256 | $55.75 | $315.00 | $65.36 – $236.25 | 28 |
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.