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 |
|---|---|---|---|---|
| Ghs inhibitor screen CPT 85335 | $42.52 | $225.00 | $12.87 – $29.25 | 29 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $716.50 | $2,024.00 | $269.80 – $4,018.00 | 17 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $811.01 | $2,291.00 | $281.32 – $4,018.00 | 17 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,030.85 | $2,912.00 | $388.20 – $4,018.00 | 17 |
| Ghs insertion of needle - bone CPT 36680 | $163.80 | $585.00 | $195.91 – $701.75 | 29 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $523.21 | $1,478.00 | $250.73 – $1,108.50 | 29 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $547.64 | $1,547.00 | $380.02 – $1,160.25 | 29 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $957.22 | $2,704.00 | $946.40 – $3,216.89 | 29 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $31.15 | $88.00 | $17.60 – $4,018.00 | 17 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $443.56 | $1,253.00 | $225.29 – $939.75 | 29 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $195.91 – $3,268.08 | 6 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $390.46 | $1,103.00 | $250.73 – $827.25 | 29 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $250.73 – $2,440.42 | 6 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $250.73 – $2,440.42 | 6 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $250.73 – $2,440.42 | 6 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $250.73 – $2,440.42 | 6 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $250.73 – $2,440.42 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $462.32 | $1,306.00 | $250.73 – $979.50 | 29 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $380.02 – $3,268.08 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $250.73 – $3,268.08 | 6 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $250.73 – $3,268.08 | 6 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $250.73 – $3,268.08 | 6 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $4.91 | $26.00 | $8.60 – $19.50 | 29 |
| Ghs mbp CPT 83873 | $9.45 | $63.00 | $17.20 – $47.25 | 29 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $170.18 | $505.00 | $101.00 – $378.75 | 16 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $170.18 | $505.00 | $101.00 – $534.72 | 16 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $187.04 | $555.00 | $111.00 – $436.86 | 16 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $85.94 | $255.00 | $51.00 – $191.25 | 16 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $85.94 | $255.00 | $51.00 – $331.30 | 16 |
| Ghs musc test done w/n test comp CPT 95886 | $86.53 | $269.00 | $53.80 – $201.75 | 17 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $56.29 | $175.00 | $35.00 – $215.62 | 17 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $75.27 | $234.00 | $41.57 – $175.50 | 17 |
| Ghs myocardial strain img spckl track CPT 93356 | $104.86 | $428.00 | $67.87 – $2,128.00 | 16 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $380.02 – $2,440.42 | 6 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $769.95 | $2,175.00 | $290.00 – $4,018.00 | 17 |
| Ghs nerve blk intercostal, single level CPT 64420 | $615.61 | $1,739.00 | $231.80 – $4,018.00 | 17 |
| Ghs nerve block celiac plexus CPT 64530 | $477.55 | $1,349.00 | $472.15 – $1,565.67 | 29 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $489.23 | $1,382.00 | $483.70 – $1,565.67 | 29 |
| Ghs nerve block sciatic nerve CPT 64445 | $681.45 | $1,925.00 | $256.60 – $4,018.00 | 17 |
| Ghs ng placement w fluoro guidance CPT 43752 | $317.54 | $897.00 | $195.91 – $701.75 | 29 |
| Ghs o2 saturation CPT 82810 | $4.50 | $30.00 | $9.77 – $22.50 | 29 |
| Ghs o2 uptake rest & exercise CPT 94680 | $533.61 | $770.00 | $101.17 – $577.50 | 29 |
| Ghs o2 uptake rest & indirect CPT 94690 | $508.66 | $734.00 | $40.35 – $550.50 | 29 |
| Ghs opcc repair cvp without subq port CPT 36575 | $611.71 | $1,728.00 | $392.67 – $1,296.00 | 29 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,430.56 | $6,866.00 | $1,019.45 – $5,149.50 | 29 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $40.09 | $153.00 | $30.60 – $241.00 | 16 |
| Ghs pacing - transcutaneous CPT 92953 | $350.98 | $1,090.00 | $366.24 – $1,150.79 | 29 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $357.89 | $1,011.00 | $134.80 – $4,018.00 | 17 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $786.59 | $2,222.00 | $176.09 – $4,018.00 | 17 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $153.41 – $2,440.42 | 6 |
| Ghs phenylketonurid CPT 84030 | $2.55 | $17.00 | $5.50 – $12.75 | 29 |
| Ghs picc line insert < 5 CPT 36568 | $750.48 | $2,120.00 | $712.32 – $2,731.89 | 29 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $149.49 – $2,440.42 | 6 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $3,225.58 | $6,215.00 | $666.87 – $4,661.25 | 29 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $9.00 | $60.00 | $9.66 – $45.00 | 29 |
| Ghs protoporphyrins fract CPT 84202 | $16.65 | $111.00 | $14.35 – $83.25 | 29 |
| Ghs pr without cont pulse ox CPT 94625 | $67.66 | $199.00 | $28.57 – $149.25 | 29 |
| Ghs quinidine CPT 80194 | $9.00 | $60.00 | $14.60 – $45.00 | 29 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $195.91 – $3,268.08 | 6 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $18.79 | $72.00 | $15.89 – $54.00 | 29 |
| Ghs reticulocyte count CPT 85044 | $2.46 | $13.00 | $4.31 – $9.75 | 29 |
| Ghs sedimentation rate CPT 85651 | $2.46 | $13.00 | $4.27 – $9.75 | 29 |
| Ghs sensitivity (per antimicro) CPT 87184 | $5.61 | $23.00 | $7.48 – $17.25 | 29 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $270.10 | $763.00 | $250.73 – $702.62 | 29 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $330.28 | $933.00 | $250.73 – $702.62 | 29 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $209.92 | $593.00 | $130.17 – $444.75 | 29 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $130.17 – $410.05 | 6 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $410.29 | $1,159.00 | $130.17 – $869.25 | 29 |
| Ghs sleep study unattended CPT 95800 | $522.50 | $625.00 | $101.17 – $468.75 | 29 |
| Ghs somatosensory testing lower extremit CPT 95926 | $382.13 | $1,188.00 | $191.73 – $891.00 | 29 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $841.46 | $2,616.00 | $353.64 – $1,962.00 | 29 |
| Ghs st - eval for alt comm CPT 92567 | $118.08 | $160.00 | $24.53 – $120.00 | 29 |
| Ghs st - re-eval for alt comm CPT 92597 | $147.51 | $563.00 | $81.00 – $422.25 | 16 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $409.93 | $1,158.00 | $380.02 – $1,076.49 | 29 |
| Ghs urine, porphyrins quant CPT 84120 | $9.30 | $62.00 | $14.71 – $46.50 | 29 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $801.34 | $1,544.00 | $353.64 – $1,158.00 | 29 |
| Giardia ag if CPT 87269 | $14.88 | $61.00 | $13.61 – $45.75 | 29 |
| Giardia lamblia antibody CPT 86674 | $17.49 | $67.00 | $14.72 – $50.25 | 29 |
| Gi inhouse confirmation CPT 87045 | $15.37 | $63.00 | $9.44 – $21.75 | 29 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $985.76 | $2,769.00 | $586.96 – $2,076.75 | 29 |
| Glucagon plasma - sendout CPT 82943 | $10.05 | $67.00 | $14.29 – $50.25 | 29 |
| Glucose 1 hr post dose CPT 82950 | $2.25 | $15.00 | $4.75 – $11.25 | 29 |
| Glucose body fluid CPT 82945 | $9.15 | $61.00 | $3.93 – $9.00 | 29 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $5.85 | $39.00 | $12.87 – $29.25 | 29 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $1.80 | $12.00 | $3.92 – $9.00 | 29 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $8.70 | $58.00 | $18.58 – $42.00 | 29 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $8.70 | $58.00 | $18.52 – $42.75 | 29 |
| Graft axiofill 1000mg HCPCS J3590 | $15.86 | $49.30 | $0.97 – $5.07 | 13 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $55.70 | $211.00 | $14.80 – $168.70 | 15 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $25,440.10 | $96,364.00 | $539.00 – $6,374.42 | 17 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $15,611.38 | $59,134.00 | $118.80 – $3,763.26 | 17 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $175.08 | $663.20 | $45.29 – $739.22 | 15 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $24.95 | $94.50 | $12.49 – $148.60 | 15 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $21,416.21 | $81,122.00 | $62.60 – $3,978.79 | 17 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,712.57 | $6,487.00 | $170.00 – $956.87 | 17 |
| Granulocyte pheresis ea unit HCPCS P9050 | $807.75 | $5,385.00 | $325.00 – $4,038.75 | 17 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $2,553.56 – $3,741.03 | 6 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,636.41 – $1,636.41 | 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.