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 |
|---|---|---|---|---|
| Cystouretero w/biopsy CPT 52354 | not published | not published | $3,200.08 – $4,620.72 | 6 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $2,586.00 – $5,254.47 | 7 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $2,586.00 – $4,620.72 | 7 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,230.35 – $4,620.72 | 6 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| Cytogenetics 25-99 CPT 88274 | $38.13 | $205.00 | $42.38 – $96.00 | 28 |
| Cytogenom microarray copy nmbr var CPT 81228 | $477.90 | $2,700.00 | $900.00 – $2,025.00 | 28 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $8.82 | $60.00 | $14.39 – $42.00 | 28 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $8.97 | $61.00 | $16.85 – $38.25 | 28 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $34.60 | $186.00 | $36.08 – $139.50 | 28 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $28.46 | $153.00 | $26.61 – $114.75 | 28 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $21.76 | $117.00 | $20.26 – $87.75 | 28 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $58.59 | $315.00 | $24.53 – $236.25 | 28 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $8.74 | $47.00 | $9.40 – $37.60 | 17 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $67.89 | $365.00 | $41.22 – $301.36 | 28 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $76.07 | $409.00 | $36.08 – $144.00 | 28 |
| Cytopath smear oth prep screen & interp CPT 88161 | $40.55 | $218.00 | $17.89 – $163.50 | 28 |
| Cytotoxic antibody screening CPT 86808 | $13.23 | $90.00 | $29.68 – $67.50 | 28 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $1,901.83 – $3,741.03 | 6 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Dch pulmonary stress test CPT 94621 | $342.63 | $1,269.00 | $191.73 – $951.75 | 28 |
| Dch validity tests CPT 81002 | $2.52 | $11.00 | $3.48 – $8.25 | 28 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,271.93 – $2,440.42 | 6 |
| Deamidated gliadin antibody iga CPT 86258 | $8.67 | $59.00 | $11.53 – $27.75 | 28 |
| Debridement (>20 cm) charge pt CPT 97598 | $67.85 | $263.00 | $52.60 – $241.00 | 17 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $202.17 – $1,636.41 | 6 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $250.73 – $852.54 | 6 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $202.17 – $425.65 | 6 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $380.02 – $3,268.08 | 6 |
| Decalcification CPT 88311 | $9.07 | $43.00 | $8.60 – $34.05 | 17 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $161.48 | $526.00 | $176.74 – $583.31 | 28 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,271.93 – $4,620.72 | 6 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,271.93 – $2,440.42 | 6 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $3,741.03 – $6,467.03 | 6 |
| Delay flap arms/legs CPT 15610 | not published | not published | $1,243.64 – $3,741.03 | 6 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,243.64 – $3,741.03 | 6 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,243.64 – $4,620.72 | 6 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $2,553.56 – $3,741.03 | 6 |
| Delivery of placenta 59414 CPT 59414 | $2,763.36 | $3,420.00 | $932.00 – $5,591.54 | 28 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $65.45 | $350.00 | $85.98 – $357.69 | 28 |
| Design mlc device for imrt CPT 77338 | $731.35 | $1,583.00 | $245.54 – $1,187.25 | 28 |
| Desoxycorticosterone CPT 82633 | $15.44 | $93.00 | $30.98 – $69.75 | 28 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $1,243.64 – $2,440.42 | 6 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $130.17 – $2,440.42 | 6 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $1,243.64 – $2,440.42 | 6 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $1,901.83 – $2,440.42 | 6 |
| Developmental screen/score/document 96110 CPT 96110 | $151.81 | $407.00 | $71.18 – $305.25 | 17 |
| Devel tst phys/qhp 1st hr CPT 96112 | $175.43 | $509.00 | $166.76 – $381.75 | 28 |
| Device ablt adv novasure HCPCS C1886 | $2,142.30 | $11,580.00 | $1,221.00 – $4,578.75 | 17 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,570.57 | $13,895.00 | $62.60 – $234.75 | 17 |
| Device sut capio slim opn HCPCS C2631 | $3,474.00 | $11,580.00 | $484.20 – $1,898.04 | 17 |
| Device tiss remov myosure reach HCPCS C1782 | $2,570.57 | $13,895.00 | $538.00 – $2,567.13 | 17 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $80.65 | $234.00 | $46.80 – $329.88 | 16 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $80.19 | $270.00 | $58.65 – $202.50 | 28 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $11.12 | $67.00 | $22.23 – $50.25 | 28 |
| Diabetes (HbA1c) Test CPT 83036 | $29.38 | $177.00 | $9.71 – $132.75 | 28 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $3,668.82 – $3,741.03 | 6 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $81.16 – $2,440.42 | 6 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $142.14 | $463.00 | $119.18 – $347.25 | 28 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $256.46 | $615.00 | $123.00 – $485.73 | 17 |
| Diagnostic Mammogram (one breast) CPT 77065 | $169.30 | $406.00 | $81.20 – $381.03 | 17 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $3,122.80 | $10,172.00 | $1,170.00 – $7,629.00 | 17 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.01 | $0.09 | $0.02 – $0.43 | 17 |
| Diffusing capacity CPT 94729 | $173.88 | $644.00 | $60.63 – $483.00 | 17 |
| Digital analysis of eeg CPT 95957 | $376.27 | $804.00 | $160.80 – $925.85 | 16 |
| Digoxin total therapeutic drug level CPT 80162 | $8.80 | $53.00 | $13.28 – $39.75 | 28 |
| Dilate biliary duct/ampulla CPT 47542 | $1,466.54 | $4,777.00 | $955.40 – $3,582.75 | 17 |
| Dilate esophagus CPT 43453 | $394.80 | $1,286.00 | $450.10 – $3,336.05 | 28 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $586.96 – $2,440.42 | 7 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $4,744.07 | $15,453.00 | $936.00 – $11,589.75 | 15 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $4,744.07 | $15,453.00 | $936.00 – $11,589.75 | 15 |
| Dilate ic vasospasm init CPT 61640 | $6,325.43 | $20,604.00 | $936.00 – $15,453.00 | 15 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $751.80 – $2,440.42 | 6 |
| Dilation of salivary duct CPT 42660 | not published | not published | $327.96 – $2,440.42 | 6 |
| Dilator fascial 10fx20cm HCPCS C2627 | $399.04 | $2,157.00 | $50.20 – $213.02 | 17 |
| Dilat xst trc ndurlgc px CPT 50436 | $1,074.81 | $3,501.00 | $466.80 – $15,138.00 | 17 |
| Dilat xst trc new access rcs CPT 50437 | $1,821.74 | $5,934.00 | $791.20 – $6,560.00 | 17 |
| Disability dlco CPT 94727 | $103.68 | $384.00 | $101.17 – $288.00 | 28 |
| Disaccharidases CPT 82657 | $60.09 | $362.00 | $22.17 – $50.25 | 28 |
| Discography cerv/thor spine CPT 72285 | $1,055.54 | $3,554.00 | $309.12 – $3,434.14 | 28 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $119.18 – $2,440.42 | 6 |
| Dna antibody native/double stranded CPT 86225 | $9.11 | $62.00 | $13.74 – $31.50 | 28 |
| Dna gardnerella CPT 87510 | $9.94 | $61.00 | $20.05 – $45.75 | 28 |
| Dna trichomonas CPT 87660 | $9.94 | $61.00 | $20.05 – $45.75 | 28 |
| Doppler echo complete CPT 93320 | $323.74 | $1,148.00 | $137.71 – $2,128.00 | 16 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $343.48 | $1,347.00 | $101.17 – $1,010.25 | 28 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $293.76 | $1,152.00 | $81.16 – $864.00 | 28 |
| Dornhoffer fixed part w/window HCPCS L8614 | $65,701.20 | $219,004.00 | $10,074.00 – $105,185.97 | 17 |
| Dpyd gene common variants CPT 81232 | $149.21 | $843.00 | $174.81 – $393.75 | 28 |
| Drainage lymph node lesion 38300 CPT 38300 | $1,211.42 | $3,946.00 | $1,170.00 – $5,033.21 | 28 |
| Drainage of kidney lesion CPT 50390 | $469.40 | $1,529.00 | $203.80 – $3,152.00 | 17 |
| Drain bladder by trocar/cath CPT 51101 | $552.29 | $1,799.00 | $326.00 – $1,789.18 | 28 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $958.15 | $3,121.00 | $1,020.08 – $2,849.35 | 28 |
| Drain cath image guided visceral pq CPT 49405 | $688.60 | $2,243.00 | $785.05 – $2,849.35 | 28 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $314.98 | $1,026.00 | $344.74 – $1,217.87 | 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.