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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52320 | not published | not published | $2,230.35 – $5,254.47 | 6 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $416.71 – $5,570.00 | 7 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $2,230.35 – $9,813.71 | 6 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $2,230.35 – $3,268.08 | 6 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $1,299.92 – $4,620.72 | 6 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| 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 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $0.27 | $10.90 | $0.81 – $8.18 | 17 |
| Cytogenetics 25-99 CPT 88274 | $43.66 | $205.00 | $42.38 – $96.00 | 28 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $10.08 | $60.00 | $14.39 – $42.00 | 28 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $10.25 | $61.00 | $16.85 – $45.75 | 28 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $39.62 | $186.00 | $36.08 – $139.50 | 28 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $32.59 | $153.00 | $26.61 – $114.75 | 28 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $24.92 | $117.00 | $20.26 – $87.75 | 28 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $67.10 | $315.00 | $24.53 – $236.25 | 28 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $10.01 | $47.00 | $9.40 – $37.60 | 17 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $77.75 | $365.00 | $37.48 – $301.36 | 28 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $87.12 | $409.00 | $36.08 – $177.12 | 28 |
| Cytopath smear oth prep screen & interp CPT 88161 | $46.43 | $218.00 | $17.89 – $163.50 | 28 |
| Cytotoxic antibody screening CPT 86808 | $15.12 | $90.00 | $29.68 – $67.50 | 28 |
| 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 | $333.75 | $1,269.00 | $191.73 – $951.75 | 28 |
| Dch validity tests CPT 81002 | $2.49 | $11.00 | $3.48 – $8.25 | 28 |
| Deamidated gliadin antibody iga CPT 86258 | $9.91 | $59.00 | $11.53 – $27.75 | 28 |
| Debridement (>20 cm) charge pt CPT 97598 | $100.99 | $263.00 | $52.60 – $237.00 | 17 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,596.29 | $4,157.00 | $1,020.08 – $3,117.75 | 28 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $304.90 | $794.00 | $158.80 – $1,636.41 | 17 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $537.98 | $1,401.00 | $280.20 – $1,636.41 | 17 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $428.16 | $1,115.00 | $250.73 – $836.25 | 28 |
| Debride nail1-5 11720 CPT 11720 | $79.49 | $207.00 | $40.35 – $155.25 | 28 |
| Debride nail6 or more 11721 CPT 11721 | $107.14 | $279.00 | $40.35 – $209.25 | 28 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $184.32 | $480.00 | $96.00 – $425.65 | 17 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,087.87 | $2,833.00 | $380.02 – $2,124.75 | 28 |
| Decalcification CPT 88311 | $9.46 | $43.00 | $8.60 – $34.05 | 17 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $201.98 | $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 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $3,741.03 – $6,467.03 | 6 |
| Delivery of placenta 59414 CPT 59414 | $813.96 | $3,420.00 | $932.00 – $5,591.54 | 28 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $80.85 | $350.00 | $85.98 – $357.69 | 28 |
| Desoxycorticosterone CPT 82633 | $11.81 | $93.00 | $30.98 – $69.75 | 28 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,848.51 | $5,405.00 | $720.60 – $5,307.00 | 17 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $745.56 | $2,180.00 | $176.09 – $4,018.00 | 17 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $1,243.64 – $3,741.03 | 6 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $1,243.64 – $2,440.42 | 6 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $1,243.64 – $2,440.42 | 6 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $654.25 | $1,913.00 | $255.00 – $4,018.00 | 17 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,975.05 | $5,775.00 | $770.00 – $8,369.00 | 17 |
| Device ablt adv novasure HCPCS C1886 | $2,698.14 | $11,580.00 | $1,221.00 – $4,578.75 | 17 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $1,422.47 | $6,105.00 | $62.60 – $234.75 | 17 |
| Device sut capio slim opn HCPCS C2631 | $3,149.76 | $11,580.00 | $484.20 – $1,898.04 | 17 |
| Device tiss remov myosure reach HCPCS C1782 | $3,237.54 | $13,895.00 | $538.00 – $2,567.13 | 17 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $77.76 | $270.00 | $58.65 – $202.50 | 28 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $8.51 | $67.00 | $22.23 – $50.25 | 28 |
| Diabetes (HbA1c) Test CPT 83036 | $22.48 | $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 laryngoscopy 31575 CPT 31575 | $158.35 | $463.00 | $119.18 – $360.00 | 28 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $236.16 | $615.00 | $123.00 – $485.73 | 17 |
| Diagnostic Mammogram (one breast) CPT 77065 | $155.90 | $406.00 | $81.20 – $381.03 | 17 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $3,478.82 | $10,172.00 | $1,170.00 – $7,629.00 | 17 |
| Diffusing capacity CPT 94729 | $169.37 | $644.00 | $60.63 – $483.00 | 17 |
| Digital analysis of eeg CPT 95957 | $213.86 | $804.00 | $160.80 – $925.85 | 16 |
| Digoxin total therapeutic drug level CPT 80162 | $6.73 | $53.00 | $13.28 – $39.75 | 28 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $586.96 – $2,440.42 | 7 |
| Dilate urethra stricture CPT 53605 | not published | not published | $2,230.35 – $3,268.08 | 6 |
| Dilation of vagina CPT 57400 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Dilator fascial 10fx20cm HCPCS C2627 | $502.58 | $2,157.00 | $50.20 – $213.02 | 17 |
| Dilat xst trc ndurlgc px CPT 50436 | $1,197.34 | $3,501.00 | $466.80 – $15,138.00 | 17 |
| Dilat xst trc new access rcs CPT 50437 | $2,029.43 | $5,934.00 | $791.20 – $6,560.00 | 17 |
| Disability dlco CPT 94727 | $100.99 | $384.00 | $101.17 – $288.00 | 28 |
| Disaccharidases CPT 82657 | $45.97 | $362.00 | $22.17 – $50.25 | 28 |
| Discography cerv/thor spine CPT 72285 | $1,023.55 | $3,554.00 | $309.12 – $3,434.14 | 28 |
| Dna antibody native/double stranded CPT 86225 | $10.42 | $62.00 | $13.74 – $31.50 | 28 |
| Dna gardnerella CPT 87510 | $13.60 | $61.00 | $20.05 – $45.75 | 28 |
| Dna trichomonas CPT 87660 | $13.60 | $61.00 | $20.05 – $45.75 | 28 |
| Doppler echo complete CPT 93320 | $245.67 | $1,148.00 | $137.71 – $2,128.00 | 16 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,212.91 | $4,812.00 | $962.40 – $12,389.00 | 16 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $241.11 | $1,347.00 | $101.17 – $673.50 | 28 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $206.21 | $1,152.00 | $81.16 – $864.00 | 28 |
| Dornhoffer fixed part w/window HCPCS L8614 | $59,569.09 | $219,004.00 | $10,074.00 – $105,185.97 | 17 |
| Dpyd gene common variants CPT 81232 | $183.77 | $843.00 | $174.81 – $393.75 | 28 |
| Drainage of kidney lesion CPT 50390 | $522.92 | $1,529.00 | $203.80 – $4,018.00 | 17 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $2,052.04 – $2,440.42 | 6 |
| Drain bladder by trocar/cath CPT 51101 | $615.26 | $1,799.00 | $326.00 – $1,789.18 | 28 |
| Drain cath image guided visceral pq CPT 49405 | $767.11 | $2,243.00 | $785.05 – $15,138.00 | 28 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $393.98 | $1,026.00 | $344.74 – $1,217.87 | 28 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Drain ovary abscess open CPT 58820 | not published | not published | $1,901.83 – $3,741.03 | 6 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $9,813.71 – $9,813.71 | 1 |
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.