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 |
|---|---|---|---|---|
| Homovanillic acid (hva) CPT 83150 | $10.20 | $68.00 | $22.41 – $51.00 | 29 |
| Hpa-1 genotyping CPT 81105 | $161.48 | $367.00 | $122.22 – $275.25 | 29 |
| Hpv types 16 & 18 only CPT 87625 | $29.77 | $122.00 | $40.55 – $91.50 | 29 |
| H pylori (c-13) breath CPT 83013 | $30.45 | $203.00 | $67.36 – $152.25 | 29 |
| Hrdtry cardmypy gene panel CPT 81439 | $1,240.36 | $2,819.00 | $584.90 – $2,114.25 | 29 |
| Human epididymis protein 4 (he4) CPT 86305 | $25.32 | $97.00 | $13.98 – $72.75 | 29 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $2.75 | $88.60 | $17.72 – $66.45 | 15 |
| Hymenotomy CPT 56442 | not published | not published | $1,901.83 – $2,440.42 | 6 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $3,687.39 – $7,292.89 | 6 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $3,055.00 – $9,813.71 | 2 |
| Hysterosalpingography s&i CPT 74740 | $192.64 | $688.00 | $166.84 – $516.00 | 29 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $3,196.92 – $9,813.71 | 6 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $1,901.83 – $3,741.03 | 6 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $1,901.83 – $2,440.42 | 6 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $1,901.83 – $3,741.03 | 6 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $3,196.92 – $3,741.03 | 6 |
| I-123 iobenguane diag HCPCS A9582 | $2,724.46 | $10,601.00 | $2,074.81 – $7,950.75 | 29 |
| I-123 ioflupane diag HCPCS A9584 | $1,343.08 | $5,226.00 | $1,388.02 – $3,919.50 | 29 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $57.57 | $224.00 | $44.80 – $490.07 | 16 |
| I131 iodide cap, rx HCPCS A9517 | $62.08 | $193.00 | $17.07 – $144.75 | 29 |
| I131 iodide sol, rx HCPCS A9530 | $105.18 | $327.00 | $13.88 – $245.25 | 29 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $17.99 | $70.00 | $0.01 – $52.50 | 16 |
| Iaadi respiratory synctial virus CPT 87280 | $14.64 | $60.00 | $13.42 – $45.00 | 29 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $25.86 | $106.00 | $35.09 – $79.50 | 29 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $35.50 | $136.00 | $45.23 – $102.00 | 29 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | $3,320.68 | $7,547.00 | $1,087.52 – $5,660.25 | 29 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $41,129.45 | $131,404.00 | $8,760.00 – $44,930.25 | 17 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $32,378.02 | $122,644.00 | $12,264.00 – $45,990.00 | 17 |
| Icd crtp serena MRI HCPCS C2621 | $13,710.65 | $43,804.00 | $1,221.00 – $18,445.05 | 17 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $8,673.46 | $32,854.00 | $539.00 – $43,304.34 | 17 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $2,052.04 – $2,440.42 | 6 |
| Idh1 common variants CPT 81120 | $255.20 | $580.00 | $193.25 – $435.00 | 29 |
| Idh2 common variants CPT 81121 | $390.72 | $888.00 | $295.79 – $666.00 | 29 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $1,771.46 – $3,268.08 | 6 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $1,718.26 – $2,440.42 | 6 |
| Ifnl3 gene CPT 81283 | $97.24 | $221.00 | $73.37 – $165.75 | 29 |
| Igh gene rearrange amp meth CPT 81261 | $419.76 | $954.00 | $197.99 – $715.50 | 29 |
| Igh@ var region somatic mutation analy CPT 81263 | $624.36 | $1,419.00 | $294.52 – $1,064.25 | 29 |
| Igk rearrangeabn clonal pop CPT 81264 | $366.52 | $833.00 | $172.73 – $624.75 | 29 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $71.00 | $271.00 | $54.20 – $203.25 | 16 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $199.64 | $762.00 | $211.16 – $632.61 | 29 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $95.63 | $365.00 | $108.14 – $301.36 | 29 |
| Iliac/fem angio cath insert HCPCS G0278 | $559.34 | $2,769.00 | $93.17 – $12,389.00 | 16 |
| Iliac revasc add-on 37222 CPT 37222 | $3,561.95 | $10,062.00 | $1,170.00 – $8,578.00 | 17 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $3,268.08 – $4,012.11 | 6 |
| Immune complex assay CPT 86332 | $39.93 | $153.00 | $24.37 – $55.50 | 29 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $16.44 | $63.00 | $20.81 – $47.25 | 29 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $16.44 | $63.00 | $20.81 – $47.25 | 29 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $9.40 | $36.00 | $11.98 – $27.00 | 29 |
| Immunodiffusion nes CPT 86329 | $14.36 | $55.00 | $14.05 – $32.25 | 29 |
| Immunofixation electrophoresis serum CPT 86334 | $37.06 | $142.00 | $22.34 – $51.00 | 29 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $104.80 | $400.00 | $80.00 – $300.00 | 16 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $137.81 | $526.00 | $176.74 – $394.50 | 29 |
| Immunoglobulin assay CPT 86023 | $61.60 | $236.00 | $12.46 – $177.00 | 29 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $104,069.86 | $394,204.00 | $31.80 – $1,267.51 | 17 |
| Implant cochlear device CPT 69930 | not published | not published | $7,292.89 – $24,959.98 | 7 |
| Implant cochlear osia osi300 HCPCS L8690 | $23,127.46 | $87,604.00 | $118.80 – $19,632.49 | 17 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $12,378.00 – $18,178.59 | 8 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $3,741.03 – $4,466.49 | 6 |
| Implant neurostim arrays CPT 61886 | not published | not published | $3,741.03 – $21,347.28 | 6 |
| Implant pulse generator remede el HCPCS C1823 | $40,472.26 | $153,304.00 | $4,380.80 – $79,219.12 | 17 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $3,741.03 – $3,741.03 | 1 |
| Implant spine infusion pump CPT 62362 | not published | not published | $3,268.08 – $12,348.13 | 6 |
| Implant tcat pulm vlv perq CPT 33477 | $7,694.19 | $21,735.00 | $4,018.00 – $16,301.25 | 17 |
| Implant ureth bulk agent HCPCS L8606 | $812.59 | $3,078.00 | $33.20 – $1,214.20 | 17 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $2,807.30 | $9,265.00 | $62.60 – $1,151.70 | 17 |
| Impl neurostim electr perc CPT 63650 | $3,569.74 | $10,084.00 | $2,633.00 – $11,541.54 | 29 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $1,071.93 – $3,646.44 | 6 |
| Implnt spinl canal catheter 62350 CPT 62350 | $4,558.10 | $12,876.00 | $2,633.00 – $11,262.22 | 29 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $8,928.20 – $9,813.71 | 6 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $8,928.20 – $16,338.00 | 7 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $153.41 – $2,440.42 | 6 |
| In-111 autol wbc diag per dose HCPCS A9570 | $782.82 | $3,046.00 | $1,031.39 – $2,284.50 | 29 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $465.68 | $1,812.00 | $634.20 – $1,359.00 | 29 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $315.34 | $1,227.00 | $429.45 – $1,180.23 | 29 |
| In-111 pentetreotide HCPCS A9572 | $2,212.77 | $8,610.00 | $1,914.61 – $6,457.50 | 29 |
| Incise inner ear CPT 69801 | not published | not published | $980.77 – $5,254.47 | 6 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $1,009.45 – $3,268.08 | 6 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $823.05 | $2,325.00 | $360.00 – $2,849.35 | 29 |
| Incision/fixation of femur CPT 27165 | not published | not published | $4,542.09 – $9,813.71 | 6 |
| Incision of achilles tendon CPT 27605 | not published | not published | $1,009.45 – $2,440.42 | 6 |
| Incision of achilles tendon CPT 27606 | not published | not published | $2,052.04 – $2,440.42 | 6 |
| Incision of ankle bone CPT 28302 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Incision of breast lesion CPT 19020 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Incision of cheek nerve CPT 64734 | not published | not published | $1,271.93 – $3,268.08 | 6 |
| Incision of eardrum CPT 69420 | not published | not published | $153.41 – $3,741.03 | 6 |
| Incision of eardrum CPT 69421 | not published | not published | $1,983.88 – $3,741.03 | 6 |
| Incision of fibula CPT 27707 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Incision of foot fascia CPT 28008 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $1,009.45 – $3,268.08 | 6 |
| Incision of heel bone CPT 28300 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Incision of hip bone CPT 27146 | not published | not published | $4,542.09 – $9,813.71 | 6 |
| Incision of hip tendon CPT 27001 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Incision of hip tendon CPT 27003 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Incision of knee joint CPT 27435 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Incision of metatarsal CPT 28306 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Incision of metatarsal CPT 28308 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Incision of metatarsals CPT 28309 | not published | not published | $4,542.09 – $4,620.72 | 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.