Banner Baywood Medical Center
6644 East Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1194758284
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 |
|---|---|---|---|---|
| Ghs picc line insert < 5 CPT 36568 | $725.04 | $2,120.00 | $742.00 – $4,018.00 | 28 |
| Ghs protoporphyrins fract CPT 84202 | $14.10 | $111.00 | $14.35 – $83.25 | 28 |
| Ghs quinidine CPT 80194 | $7.62 | $60.00 | $14.60 – $45.00 | 28 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $12.10 | $72.00 | $15.89 – $54.00 | 28 |
| Ghs reticulocyte count CPT 85044 | $5.85 | $13.00 | $4.31 – $9.75 | 28 |
| Ghs sedimentation rate CPT 85651 | $5.85 | $13.00 | $4.27 – $9.75 | 28 |
| Ghs sensitivity (per antimicro) CPT 87184 | $5.13 | $23.00 | $7.48 – $17.25 | 28 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $292.99 | $763.00 | $250.73 – $702.62 | 28 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $522.62 | $1,361.00 | $250.73 – $1,020.75 | 28 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $358.27 | $933.00 | $250.73 – $702.62 | 28 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $580.99 | $1,513.00 | $250.73 – $1,134.75 | 28 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $283.01 | $737.00 | $130.17 – $552.75 | 28 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $227.71 | $593.00 | $130.17 – $444.75 | 28 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $354.82 | $924.00 | $130.17 – $693.00 | 28 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $445.06 | $1,159.00 | $130.17 – $869.25 | 28 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $654.34 | $1,704.00 | $130.17 – $1,278.00 | 28 |
| Ghs somatosensory testing lower extremit CPT 95926 | $299.45 | $1,188.00 | $191.73 – $891.00 | 28 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $659.39 | $2,616.00 | $353.64 – $1,962.00 | 28 |
| Ghs strapping shoulder - 29240 CPT 29240 | $69.76 | $545.00 | $72.60 – $338.82 | 17 |
| Ghs st - re-eval for alt comm CPT 92597 | $111.47 | $563.00 | $81.00 – $422.25 | 16 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $396.04 | $1,158.00 | $380.02 – $4,018.00 | 28 |
| Ghs urine, porphyrins quant CPT 84120 | $7.87 | $62.00 | $14.71 – $46.50 | 28 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $410.70 | $1,544.00 | $353.64 – $1,158.00 | 28 |
| Giardia ag if CPT 87269 | $13.60 | $61.00 | $13.61 – $45.75 | 28 |
| Giardia lamblia antibody CPT 86674 | $11.26 | $67.00 | $14.72 – $50.25 | 28 |
| Gi inhouse confirmation CPT 87045 | $14.05 | $63.00 | $9.44 – $21.75 | 28 |
| Glucagon plasma - sendout CPT 82943 | $8.51 | $67.00 | $14.29 – $50.25 | 28 |
| Glucose 1 hr post dose CPT 82950 | $1.91 | $15.00 | $4.75 – $11.25 | 28 |
| Glucose body fluid CPT 82945 | $7.75 | $61.00 | $3.93 – $9.00 | 28 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $4.95 | $39.00 | $12.87 – $29.25 | 28 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $1.52 | $12.00 | $3.92 – $9.00 | 28 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $7.37 | $58.00 | $18.58 – $42.00 | 28 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $7.37 | $58.00 | $18.52 – $42.75 | 28 |
| Graft axiofill 1000mg HCPCS J3590 | $12.43 | $49.30 | $7.10 – $36.98 | 13 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $37.13 | $136.50 | $14.80 – $168.70 | 15 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $19,658.53 | $72,274.00 | $539.00 – $6,374.42 | 17 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $16,084.45 | $59,134.00 | $118.80 – $3,763.26 | 17 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $180.39 | $663.20 | $67.05 – $739.22 | 15 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $25.70 | $94.50 | $10.69 – $148.60 | 15 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $48,251.17 | $177,394.00 | $62.60 – $3,978.79 | 17 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,764.46 | $6,487.00 | $170.00 – $956.87 | 17 |
| Granulocyte pheresis ea unit HCPCS P9050 | $1,497.03 | $5,385.00 | $325.00 – $4,038.75 | 17 |
| G-tube reposition CPT 43761 | $458.62 | $1,341.00 | $192.95 – $4,018.00 | 28 |
| Gu dilat ureter/urethra s&i CPT 74485 | $737.86 | $2,562.00 | $325.15 – $3,602.51 | 28 |
| Guided cath fluid drainage 10030 CPT 10030 | $883.39 | $2,583.00 | $360.00 – $1,937.25 | 28 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $3,237.54 | $13,895.00 | $33.20 – $1,084.14 | 17 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,422.47 | $6,105.00 | $62.60 – $234.75 | 17 |
| Gw stiffened micro access kit HCPCS C1894 | $2,346.54 | $8,627.00 | $19.20 – $176.93 | 17 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $4,083.09 | $17,524.00 | $282.60 – $3,548.07 | 17 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $21.63 | $169.00 | $33.80 – $241.00 | 16 |
| Hand X-ray CPT 73130 | $103.68 | $360.00 | $58.65 – $347.17 | 17 |
| Hand X-ray (2 views, both hands) CPT 73120 | $93.89 | $326.00 | $65.20 – $467.28 | 17 |
| Haptoglobin quantitative CPT 83010 | $7.49 | $59.00 | $12.58 – $39.75 | 28 |
| Hba1/hba2 full gene sequence CPT 81259 | $630.24 | $2,891.00 | $600.00 – $2,168.25 | 28 |
| Hbot, full body chamber, 30m HCPCS G0277 | $264.52 | $938.00 | $86.48 – $703.50 | 28 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $569.09 | $1,976.00 | $129.45 – $1,482.00 | 28 |
| Hcg qualitative CPT 84703 | $31.75 | $250.00 | $7.52 – $187.50 | 28 |
| Hcg quantitative CPT 84702 | $38.74 | $305.00 | $15.05 – $42.75 | 28 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $113.44 | $414.00 | $0.01 – $310.50 | 16 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $451.22 | $1,437.00 | $354.82 – $1,077.75 | 28 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $592.20 | $1,886.00 | $354.82 – $1,414.50 | 28 |
| Head CT scan (with and without contrast) CPT 70470 | $407.31 | $2,439.00 | $129.45 – $1,829.25 | 28 |
| Head CT scan (with contrast) CPT 70460 | $339.51 | $2,033.00 | $129.45 – $1,524.75 | 28 |
| Head CT scan (without contrast) CPT 70450 | $271.54 | $1,626.00 | $79.00 – $1,219.50 | 28 |
| Heart first pass add-on CPT 78496 | $395.64 | $1,260.00 | $101.21 – $945.00 | 16 |
| Heart image spect CPT 78494 | $393.76 | $1,254.00 | $273.41 – $940.50 | 28 |
| Heart infarct image CPT 78466 | $532.86 | $1,697.00 | $273.41 – $1,272.75 | 28 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $82.66 | $287.00 | $57.40 – $347.17 | 17 |
| Helicobacter pylori antibody igm CPT 86677 | $13.10 | $78.00 | $16.85 – $58.50 | 28 |
| Hematocrit CPT 85014 | $3.60 | $8.00 | $2.37 – $6.00 | 28 |
| Hematopoietic nuclear tx CPT 79403 | $353.22 | $2,523.00 | $180.97 – $1,892.25 | 28 |
| Hemodialysis one evaluation CPT 90935 | $516.10 | $2,215.00 | $474.40 – $1,661.25 | 28 |
| Hemoglobin CPT 85018 | $25.20 | $56.00 | $2.37 – $6.00 | 28 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $7.49 | $59.00 | $8.20 – $18.75 | 28 |
| Hemoglobin plasma CPT 83051 | $7.49 | $59.00 | $7.31 – $44.25 | 28 |
| Hemoglobin urine CPT 83069 | $1.52 | $12.00 | $3.95 – $9.00 | 28 |
| Hemolysins/agglutinins auto CPT 86940 | $82.32 | $490.00 | $8.77 – $367.50 | 28 |
| Hemolysins and agglutinins incubated CPT 86941 | $6.22 | $37.00 | $12.11 – $27.75 | 28 |
| Hemophilus influenza antibdy CPT 86684 | $10.42 | $62.00 | $15.84 – $46.50 | 28 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $575.40 – $2,440.42 | 6 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $1,771.46 – $3,741.03 | 6 |
| Heparin assay CPT 85520 | $157.50 | $350.00 | $13.09 – $262.50 | 28 |
| Hepatitis a antibody igm CPT 86709 | $28.22 | $168.00 | $11.26 – $126.00 | 28 |
| Hepatitis b core antibody igm CPT 86705 | $29.74 | $177.00 | $11.77 – $132.75 | 28 |
| Hepatitis b core antibody total CPT 86704 | $9.24 | $55.00 | $12.05 – $41.25 | 28 |
| Hepatitis b surface antibody CPT 86706 | $9.24 | $55.00 | $10.74 – $41.25 | 28 |
| Hepatitis c antibody CPT 86803 | $31.08 | $185.00 | $14.27 – $138.75 | 28 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Herpes simplex 1 ag if CPT 87274 | $13.38 | $60.00 | $11.98 – $45.00 | 28 |
| Herpes simplex 2 ag if CPT 87273 | $13.38 | $60.00 | $11.98 – $45.00 | 28 |
| Herpes simplex type 1 antibody igg CPT 86695 | $8.90 | $53.00 | $13.19 – $30.00 | 28 |
| Herpes simplex type 2 antibody igg CPT 86696 | $9.91 | $59.00 | $19.35 – $44.25 | 28 |
| Herpes simplex virus isolation CPT 87255 | $22.75 | $102.00 | $33.86 – $76.50 | 28 |
| Heterophile antibodies screening CPT 86308 | $2.69 | $16.00 | $5.18 – $12.00 | 28 |
| Hhv-6 dna quant CPT 87533 | $28.10 | $126.00 | $41.76 – $94.50 | 28 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $93.89 | $326.00 | $79.00 – $244.50 | 28 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $108.58 | $377.00 | $79.00 – $282.75 | 28 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $75.17 | $261.00 | $52.20 – $347.17 | 17 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Hip X-ray CPT 73502 | $91.30 | $317.00 | $58.65 – $347.17 | 17 |
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.