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 |
|---|---|---|---|---|
| Endoscopy swallow (fees) vid CPT 92612 | $170.65 | $717.00 | $81.00 – $537.75 | 16 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $1,084.88 – $2,440.42 | 6 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $14,501.61 | $40,965.00 | $4,018.00 – $30,723.75 | 17 |
| Endovasc tempory vessel occl CPT 61623 | $3,685.85 | $10,412.00 | $3,644.20 – $19,943.57 | 29 |
| Endovenous laser vein addon 36479 CPT 36479 | $1,813.19 | $5,122.00 | $1,024.40 – $4,018.00 | 17 |
| Endovenous mchnchem 1st vein CPT 36473 | $4,734.04 | $13,373.00 | $360.00 – $6,686.25 | 17 |
| Endovenous rf abl vein addl CPT 36476 | $1,802.57 | $5,092.00 | $1,018.40 – $4,018.00 | 17 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $17.81 | $73.00 | $11.98 – $54.75 | 29 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,178.14 – $9,813.71 | 6 |
| Enzyme histochemistry CPT 88319 | $448.54 | $1,712.00 | $186.19 – $1,436.61 | 29 |
| Ep & ablate supravent arrhyt CPT 93653 | $15,463.08 | $48,022.00 | $15,142.00 – $43,142.58 | 29 |
| Ep & ablate ventric tachy CPT 93654 | $16,576.24 | $51,479.00 | $15,142.00 – $43,142.58 | 29 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $459.49 | $1,298.00 | $173.00 – $4,018.00 | 17 |
| Ep induct arrhy by elect pacing CPT 93618 | $1,455.44 | $4,520.00 | $806.77 – $3,390.00 | 29 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $4.97 | $26.60 | $0.17 – $3.31 | 17 |
| Epstein barr early antigen antibody CPT 86663 | $14.36 | $55.00 | $13.12 – $41.25 | 29 |
| Epstein barr nuclear antigen antibody CPT 86664 | $14.09 | $54.00 | $15.29 – $34.50 | 29 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $16.18 | $62.00 | $18.14 – $41.25 | 29 |
| Ercp biliary & pancreas CPT 74330 | $308.56 | $1,102.00 | $72.98 – $826.50 | 16 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $3,268.08 – $3,645.68 | 6 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $2,273.53 – $3,268.08 | 6 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $3,268.08 – $3,645.68 | 6 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $2,273.53 – $3,268.08 | 6 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $2,273.53 – $3,268.08 | 6 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $3,268.08 – $3,645.68 | 6 |
| Ercp w/specimen collection CPT 43260 | $1,345.55 | $3,801.00 | $1,330.35 – $6,690.65 | 29 |
| ER Visit (level 1, minor) CPT 99281 | $564.17 | $657.00 | $54.54 – $492.75 | 29 |
| ER Visit (level 2) CPT 99282 | $719.60 | $1,163.00 | $88.87 – $872.25 | 29 |
| ER Visit (level 3) CPT 99283 | $1,214.96 | $1,669.00 | $138.24 – $1,251.75 | 29 |
| ER Visit (level 4) CPT 99284 | $1,383.68 | $2,175.00 | $221.18 – $1,631.25 | 29 |
| ER Visit (level 5, high severity) CPT 99285 | $1,574.15 | $2,675.00 | $332.40 – $2,006.25 | 29 |
| Esophageal dilat s&i CPT 74360 | $148.68 | $531.00 | $72.74 – $398.25 | 16 |
| Esophageal motility CPT 78258 | $417.48 | $1,491.00 | $273.41 – $1,118.25 | 29 |
| Esophageal recording CPT 93616 | $938.63 | $2,915.00 | $806.77 – $2,186.25 | 29 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,178.14 – $2,440.42 | 6 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $2,440.42 – $3,645.68 | 6 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,178.14 – $2,440.42 | 6 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,178.14 – $2,440.42 | 6 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $586.96 – $2,440.42 | 6 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $1,178.14 – $2,440.42 | 6 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,178.14 – $2,440.42 | 6 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $2,440.42 – $3,687.39 | 6 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,178.14 – $2,440.42 | 6 |
| Esophagus motility study CPT 91010 | $429.34 | $1,206.00 | $353.64 – $933.11 | 29 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,178.14 – $2,440.42 | 6 |
| Establish access to artery CPT 36100 | $299.13 | $845.00 | $169.00 – $4,018.00 | 17 |
| Established Patient Office Visit (level 1) CPT 99211 | $216.63 | $290.00 | $27.00 – $101.25 | 16 |
| Established Patient Office Visit (level 2) CPT 99212 | $549.04 | $735.00 | $43.00 – $161.25 | 16 |
| Established Patient Office Visit (level 3) CPT 99213 | $1,101.83 | $1,475.00 | $54.54 – $240.00 | 16 |
| Established Patient Office Visit (level 4) CPT 99214 | $1,699.42 | $2,275.00 | $54.54 – $322.50 | 16 |
| Established Patient Office Visit (level 5) CPT 99215 | $2,394.14 | $3,205.00 | $54.54 – $401.25 | 16 |
| Estradiol total CPT 82670 | $12.60 | $84.00 | $27.94 – $63.00 | 29 |
| Estrogens total-sendout CPT 82672 | $9.90 | $66.00 | $21.70 – $49.50 | 29 |
| Ethylene glycol -sendout CPT 82693 | $12.15 | $81.00 | $14.90 – $60.75 | 29 |
| Euglobulin lysis CPT 85360 | $4.91 | $26.00 | $8.41 – $19.50 | 29 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $1,901.83 – $5,254.47 | 6 |
| Eval aud funcj ea addl 15 CPT 92627 | $103.32 | $140.00 | $18.48 – $115.59 | 17 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $413.28 | $560.00 | $101.17 – $420.00 | 29 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $44.25 | $295.00 | $98.11 – $221.25 | 29 |
| Evaluation heart device CPT 93640 | $661.07 | $2,053.00 | $410.60 – $1,872.88 | 16 |
| Evaluation of speech fluency 92521 CPT 92521 | $112.92 | $431.00 | $81.00 – $622.35 | 16 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $2,555.53 | $7,219.00 | $1,443.80 – $5,414.25 | 17 |
| Evasc prlng admn rx agnt add CPT 61651 | $1,089.97 | $3,079.00 | $615.80 – $4,640.00 | 17 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $4,943.61 | $13,965.00 | $1,862.00 – $9,813.71 | 17 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $7,103.01 | $20,065.00 | $936.00 – $15,048.75 | 17 |
| Evoked auditory tst complete CPT 92588 | $235.42 | $319.00 | $107.18 – $547.63 | 29 |
| Evoked oa emissions ltd CPT 92587 | $154.24 | $209.00 | $70.22 – $547.63 | 29 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $673.79 | $913.00 | $182.60 – $684.75 | 16 |
| Evoked potentials upper limbs CPT 95925 | $396.61 | $1,233.00 | $191.73 – $924.75 | 29 |
| Evoked potential visual not glaucoma CPT 95930 | $333.24 | $1,036.00 | $191.73 – $777.00 | 29 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $204.07 – $2,440.42 | 6 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $1,718.26 – $4,620.72 | 6 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $1,718.26 – $4,620.72 | 6 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $1,718.26 – $4,620.72 | 6 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $3,687.39 – $5,254.47 | 6 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $1,901.83 – $3,741.03 | 6 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $1,020.08 – $2,440.42 | 6 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $450.93 – $2,440.42 | 6 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $450.93 – $2,440.42 | 6 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $450.93 – $2,440.42 | 6 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $1,020.08 – $2,440.42 | 6 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $450.93 – $2,440.42 | 6 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $1,020.08 – $2,440.42 | 6 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $450.93 – $2,440.42 | 6 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $1,718.26 – $2,440.42 | 6 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $1,020.08 – $3,741.03 | 6 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $1,020.08 – $2,440.42 | 6 |
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.