Banner Desert Medical Center
1400 South Dobson Road, Mesa, AZ · Banner Health · · NPI 1720011810
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $13.20 | $88.00 | $29.28 – $66.00 | 29 |
| 17-hydroxypregnenolone CPT 84143 | $10.35 | $69.00 | $22.81 – $51.75 | 29 |
| 17-ketosteroids CPT 83586 | $12.00 | $80.00 | $12.80 – $60.00 | 29 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $767.58 | $3,133.00 | $518.51 – $2,349.75 | 29 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $423.85 | $1,730.00 | $518.51 – $1,389.40 | 29 |
| 2nd order venous cath CPT 36012 | $569.94 | $1,610.00 | $322.00 – $4,018.00 | 17 |
| 3-d radiotherapy plan CPT 77295 | $2,586.94 | $5,412.00 | $915.08 – $4,059.00 | 29 |
| 3d recon without postprocess indpndt CPT 76376 | $190.96 | $440.00 | $62.76 – $330.00 | 16 |
| 5' nucleotidase - sendout CPT 83915 | $14.85 | $99.00 | $11.15 – $74.25 | 29 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $18.53 | $71.00 | $12.01 – $53.25 | 29 |
| Abd aorta w/runoff s&i CPT 75630 | $1,517.50 | $5,792.00 | $259.37 – $5,535.21 | 29 |
| Abd/low ext cath 1st CPT 36245 | $901.99 | $2,548.00 | $468.22 – $4,018.00 | 17 |
| Abd/low ext cath 2nd CPT 36246 | $1,102.00 | $3,113.00 | $468.22 – $4,018.00 | 17 |
| Abd/low ext cath 3rd CPT 36247 | $1,386.97 | $3,918.00 | $468.22 – $4,018.00 | 17 |
| Abd/low ext cath addl CPT 36248 | $713.66 | $2,016.00 | $236.47 – $4,018.00 | 17 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $437.57 | $1,786.00 | $166.84 – $1,339.50 | 29 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $279.54 | $1,141.00 | $79.00 – $855.75 | 29 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $520.65 | $2,670.00 | $129.45 – $2,002.50 | 29 |
| Abdominal CT scan (with contrast) CPT 74160 | $433.88 | $2,225.00 | $129.45 – $1,668.75 | 29 |
| Abdominal CT scan (without contrast) CPT 74150 | $347.10 | $1,780.00 | $79.00 – $1,335.00 | 29 |
| Abdominal MRI (with and without contrast) CPT 74183 | $765.93 | $3,165.00 | $266.89 – $2,373.75 | 29 |
| Abdominal MRI (with contrast) CPT 74182 | $638.40 | $2,638.00 | $266.89 – $1,978.50 | 29 |
| Abdominal MRI (without contrast) CPT 74181 | $510.62 | $2,110.00 | $166.84 – $1,582.50 | 29 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,493.46 | $1,710.00 | $586.96 – $1,648.80 | 29 |
| Abdominal Ultrasound (complete) CPT 76700 | $377.15 | $869.00 | $79.00 – $651.75 | 29 |
| Abdominal Ultrasound (limited) CPT 76705 | $285.57 | $658.00 | $79.00 – $493.50 | 29 |
| Abdominal X-ray (2 views) CPT 74019 | $150.92 | $539.00 | $79.00 – $404.25 | 29 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $201.32 | $719.00 | $79.00 – $539.25 | 29 |
| Abdominal X-ray (single view) CPT 74018 | $123.76 | $442.00 | $58.65 – $331.50 | 29 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $3,741.03 – $4,012.11 | 6 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $464.09 | $1,311.00 | $458.85 – $1,648.80 | 29 |
| Abl1 gene CPT 81170 | $636.24 | $1,446.00 | $300.00 – $1,084.50 | 29 |
| Ablate arrhythmia add on CPT 93655 | $6,392.67 | $19,853.00 | $3,970.60 – $15,233.25 | 16 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $4,138.61 | $11,691.00 | $2,633.00 – $12,562.98 | 29 |
| Ablate bone tumor(s) perq CPT 20982 | $3,580.36 | $10,114.00 | $1,170.00 – $22,627.62 | 29 |
| Ablate heart dysrhythm focus CPT 93650 | $5,988.56 | $18,598.00 | $4,406.90 – $13,948.50 | 29 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $980.77 – $2,353.49 | 6 |
| Ablate pulm tumor perq crybl CPT 32994 | $4,205.17 | $11,879.00 | $1,583.80 – $8,578.00 | 17 |
| Ablate pulm tumor perq rf CPT 32998 | $4,205.17 | $11,879.00 | $1,583.80 – $15,138.00 | 17 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $12,234.07 | $37,994.00 | $101.17 – $652.50 | 29 |
| Ablation cryo abd perit om CPT 49999 | $343.73 | $971.00 | $339.85 – $1,648.80 | 29 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $2,440.42 – $3,668.82 | 6 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $149.49 – $2,440.42 | 6 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $3,585.31 | $10,128.00 | $3,268.08 – $18,309.21 | 29 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $189.35 – $2,440.42 | 6 |
| Abscess drain retroperitoneal surg code CPT 49406 | $823.05 | $2,325.00 | $813.75 – $2,849.35 | 29 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $2,024.53 | $5,719.00 | $824.11 – $4,620.72 | 15 |
| Acetylcholine receptor modulating antibody CPT 86043 | $20.36 | $78.00 | $12.05 – $58.50 | 29 |
| Acoustic immitance testing CPT 92570 | $121.77 | $165.00 | $55.44 – $275.15 | 29 |
| Acoustic refl threshold tst CPT 92568 | $33.25 | $125.00 | $24.53 – $93.75 | 29 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $2,052.04 – $5,254.47 | 6 |
| Acute hepatitis panel CPT 80074 | $67.95 | $453.00 | $47.63 – $339.75 | 29 |
| Acute venous thrombus image CPT 78456 | $591.08 | $2,111.00 | $709.30 – $2,295.83 | 29 |
| Acyclovir 400 mg tablet HCPCS J8499 | $10.13 | $31.50 | $0.00 – $9.46 | 14 |
| #acylcarnitineprfl CPT 82017 | $17.25 | $115.00 | $16.87 – $86.25 | 29 |
| Adapter b 8 channel 10cm HCPCS C1883 | $5,782.66 | $21,904.00 | $225.20 – $8,374.90 | 17 |
| Adenovirus antibody,serum - quest CPT 86603 | $15.92 | $61.00 | $12.87 – $45.75 | 29 |
| Adh-sendout CPT 84588 | $15.30 | $102.00 | $33.94 – $76.50 | 29 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $586.96 – $2,440.42 | 6 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,243.64 – $3,741.03 | 6 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $45.82 | $166.00 | $44.93 – $125.15 | 29 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $94.12 | $341.00 | $44.93 – $255.75 | 29 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $200.10 | $725.00 | $225.29 – $583.31 | 29 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $406.26 | $666.00 | $147.54 – $583.31 | 29 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $228.14 | $374.00 | $44.93 – $280.50 | 29 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $492.27 | $807.00 | $44.93 – $605.25 | 29 |
| Administration immunization each additional vaccine CPT 90472 | $14.52 | $61.00 | $12.20 – $118.00 | 17 |
| Administration vaccine hepatitis b HCPCS G0010 | $29.99 | $126.00 | $29.00 – $94.50 | 29 |
| Administration vaccine influenza virus HCPCS G0008 | $29.99 | $126.00 | $29.00 – $94.50 | 29 |
| Administration vaccine pneumococcal HCPCS G0009 | $29.99 | $126.00 | $29.00 – $94.50 | 29 |
| Adrenal cortex & medulla img CPT 78075 | $691.60 | $2,470.00 | $829.92 – $2,295.83 | 29 |
| Aep hearing status deter i&r CPT 92651 | $842.06 | $1,141.00 | $101.17 – $855.75 | 29 |
| Aep neurodiagnostic i&r CPT 92653 | $845.75 | $1,146.00 | $191.73 – $859.50 | 29 |
| Aep thrshld est mlt freq i&r CPT 92652 | $1,140.95 | $1,546.00 | $191.73 – $1,159.50 | 29 |
| _afb id by dna probe rflx ast CPT 87149 | $17.81 | $73.00 | $20.05 – $54.75 | 29 |
| #afb mycobacteria suscep. #1 CPT 87190 | $15.37 | $63.00 | $7.31 – $47.25 | 29 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $84.67 | $347.00 | $50.00 – $260.25 | 29 |
| Air conduction bilat CPT 92552 | $157.93 | $214.00 | $71.90 – $226.68 | 29 |
| Air injection into abdomen 49400 CPT 49400 | $145.49 | $411.00 | $82.20 – $4,018.00 | 17 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $199.58 | $288.00 | $96.77 – $275.15 | 29 |
| Albumin body fluid quantitative each specimen CPT 82042 | $8.70 | $58.00 | $7.78 – $18.00 | 29 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $59.11 | $311.10 | $42.46 – $284.67 | 16 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $10.20 | $68.00 | $5.78 – $42.00 | 29 |
| Albumin serum plasma or whole blood CPT 82040 | $18.90 | $126.00 | $4.95 – $93.75 | 29 |
| Alkaline phosphatase CPT 84075 | $20.85 | $139.00 | $5.18 – $103.50 | 29 |
| Allergen alpha lactalbumin ige CPT 86008 | $20.88 | $80.00 | $17.93 – $48.00 | 29 |
| Allergen egg white ige CPT 86003 | $14.62 | $56.00 | $5.22 – $41.25 | 29 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $15.40 | $59.00 | $7.97 – $42.00 | 29 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $3,741.03 – $8,928.20 | 6 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $251.01 | $950.80 | $5.13 – $931.24 | 15 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $119.09 | $451.10 | $65.00 – $539.40 | 15 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $53.46 | $202.50 | $9.66 – $166.67 | 17 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $176.51 | $668.60 | $59.53 – $822.13 | 15 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $3,668.28 | $13,895.00 | $539.00 – $2,021.25 | 17 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $29.10 | $194.00 | $64.41 – $145.50 | 29 |
| Alpha-fetoprotein amniotic CPT 82106 | $7.65 | $51.00 | $17.00 – $38.25 | 29 |
| Alpha-fetoprotein tumor marker CPT 82105 | $7.65 | $51.00 | $16.77 – $38.25 | 29 |
| Alt/sgpt CPT 84460 | $19.50 | $130.00 | $5.30 – $44.25 | 29 |
| Aluminum - quest CPT 82108 | $11.55 | $77.00 | $25.48 – $57.75 | 29 |
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.