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 |
|---|---|---|---|---|
| Clot factor xiii fibrin scrn CPT 85291 | $4.84 | $28.00 | $9.11 – $21.00 | 28 |
| Clot factor xiii fibrin stab CPT 85290 | $16.95 | $98.00 | $16.34 – $73.50 | 28 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $3,196.92 – $5,254.47 | 6 |
| #cmvcul-virus inoculation shell CPT 87254 | $17.28 | $106.00 | $19.56 – $48.00 | 28 |
| Cmv pcr-sendout CPT 87496 | $17.28 | $106.00 | $35.09 – $79.50 | 28 |
| Co2 monitor per day CPT 94681 | $206.01 | $763.00 | $191.73 – $572.25 | 28 |
| Coagulation time activated teg CPT 85347 | $2.25 | $13.00 | $4.28 – $9.75 | 28 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $109.89 | $594.00 | $62.60 – $234.75 | 17 |
| Cold agglutinin screen (arc) CPT 86156 | $3.67 | $25.00 | $8.07 – $18.75 | 28 |
| Cold agglutinin titer CPT 86157 | $3.67 | $25.00 | $8.06 – $18.75 | 28 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $6,045.60 | $20,152.00 | $339.25 – $2,338.22 | 17 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $95.04 | $320.00 | $58.65 – $347.17 | 17 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $98.73 | $359.00 | $81.16 – $269.25 | 28 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $128.70 | $468.00 | $81.16 – $351.00 | 28 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $575.40 – $3,268.08 | 7 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $751.80 – $3,268.08 | 6 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $575.40 – $2,440.42 | 7 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $751.80 – $2,440.42 | 7 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $751.80 – $2,440.42 | 7 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $575.40 – $2,440.42 | 7 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $751.80 – $2,440.42 | 7 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $751.80 – $2,440.42 | 7 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $1,014.00 – $2,440.42 | 7 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $3,196.92 – $7,292.89 | 6 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $4,925.87 – $9,813.71 | 6 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $4,925.87 – $9,813.71 | 6 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | $1,901.83 – $2,440.42 | 6 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $459.22 – $3,268.08 | 6 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $123.48 – $2,440.42 | 6 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $60.23 | $365.00 | $2.08 – $301.36 | 28 |
| Compatibility test each unit electronic CPT 86923 | $60.23 | $365.00 | $1.57 – $301.36 | 28 |
| Compatibility test each unit immediate spin technique CPT 86920 | $60.23 | $365.00 | $1.96 – $301.36 | 28 |
| Complement antigen each component c3 CPT 86160 | $42.92 | $292.00 | $12.00 – $27.00 | 28 |
| Complement fixation each CPT 86171 | $4.56 | $31.00 | $10.01 – $23.25 | 28 |
| Complete removal of vulva CPT 56625 | not published | not published | $1,901.83 – $7,292.89 | 6 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | not published | not published | $380.02 – $3,268.08 | 6 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | not published | not published | $380.02 – $3,741.03 | 6 |
| Complx repair fccmnaxghf 13132 CPT 13132 | not published | not published | $380.02 – $3,741.03 | 6 |
| Complx repair fccmnaxghf 13133 CPT 13133 | not published | not published | $242.50 – $1,872.88 | 6 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | not published | not published | $82.69 – $1,872.88 | 6 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $380.02 – $3,268.08 | 6 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | not published | not published | $242.50 – $1,872.88 | 6 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $1,243.64 – $3,268.08 | 6 |
| Concentration infection agents any type CPT 87015 | $20.86 | $128.00 | $6.68 – $15.75 | 28 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Conization of cervix CPT 57520 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Connector tis 2x10mm HCPCS C9352 | $1,831.50 | $6,105.00 | $282.60 – $5,949.38 | 17 |
| Consultation pathology during surgery CPT 88329 | $43.89 | $208.00 | $24.53 – $156.00 | 28 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $22.79 | $108.00 | $12.26 – $81.00 | 17 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $77.02 | $365.00 | $76.18 – $301.36 | 28 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $68.36 | $324.00 | $36.08 – $93.97 | 28 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $103.18 | $489.00 | $24.53 – $366.75 | 28 |
| Consult comp w/report rfrd material CPT 88325 | $162.26 | $769.00 | $108.14 – $576.75 | 28 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $1,255.37 | $4,923.00 | $240.83 – $5,535.21 | 28 |
| Contrast exam thoracic aorta CPT 75600 | $1,609.56 | $6,312.00 | $639.62 – $5,535.21 | 28 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $1,297.69 | $5,089.00 | $274.12 – $9,506.48 | 28 |
| Contrast x-ray gallbladder CPT 74290 | $218.89 | $737.00 | $129.45 – $552.75 | 28 |
| Contrast x-ray of ankle CPT 73615 | $384.25 | $1,101.00 | $220.20 – $1,580.51 | 17 |
| Contrast x-ray of brain CPT 70010 | $161.57 | $544.00 | $182.78 – $628.06 | 28 |
| Contrast x-ray of brain CPT 70015 | $436.00 | $1,468.00 | $443.01 – $1,389.40 | 28 |
| Contrast x-ray of elbow CPT 73085 | $384.25 | $1,101.00 | $220.20 – $1,580.51 | 17 |
| Contrast x-ray of hip CPT 73525 | $432.76 | $1,240.00 | $248.00 – $1,580.51 | 17 |
| Contrast x-ray of knee joint CPT 73580 | $384.25 | $1,101.00 | $220.20 – $1,580.51 | 17 |
| Contrast x-ray of wrist CPT 73115 | $380.41 | $1,090.00 | $218.00 – $1,580.51 | 17 |
| Controller infinity pt dbs HCPCS C1787 | $4,168.50 | $13,895.00 | $977.00 – $3,663.75 | 17 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $327.96 – $2,440.42 | 6 |
| Conversion ext bil drg cath CPT 47535 | $1,636.62 | $5,331.00 | $1,865.85 – $6,206.21 | 28 |
| Convert nephrostomy catheter CPT 50434 | $1,896.95 | $6,179.00 | $823.80 – $4,982.00 | 17 |
| Coombs direct CPT 86880 | $18.67 | $127.00 | $5.39 – $95.25 | 28 |
| Coombs indirect titer reference CPT 86886 | $53.65 | $365.00 | $5.18 – $273.75 | 28 |
| Copper cu 64 dotatate diag HCPCS A9592 | $829.00 | $2,868.50 | $595.10 – $2,151.38 | 28 |
| Core ndl bx lng/med perq CPT 32408 | $977.80 | $3,185.00 | $1,020.08 – $2,849.35 | 28 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $2,289.36 – $4,620.72 | 6 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $1,451.70 – $3,741.03 | 6 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Cortisol total am CPT 82533 | $53.62 | $323.00 | $16.30 – $43.50 | 28 |
| Co-treatment - group 15 mins, st CPT 92508 | $44.12 | $128.00 | $25.60 – $241.00 | 16 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | $69.97 | $203.00 | $54.28 – $162.67 | 28 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $2,848.80 | $9,496.00 | $33.20 – $1,866.21 | 17 |
| #covid19rsv-rsv CPT 87634 | $34.39 | $211.00 | $70.20 – $158.25 | 28 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $7.79 | $53.00 | $13.03 – $30.00 | 28 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $271.34 | $1,451.00 | $136.21 – $1,088.25 | 28 |
| C-peptide CPT 84681 | $10.46 | $63.00 | $20.81 – $47.25 | 28 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $387.82 | $1,243.00 | $191.73 – $932.25 | 28 |
| Cr-51 sodium chromate HCPCS A9553 | $241.03 | $834.00 | $166.80 – $625.50 | 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.