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 |
|---|---|---|---|---|
| Liver/spleen imag static only CPT 78215 | $409.92 | $1,464.00 | $273.41 – $1,098.00 | 29 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $360.64 | $1,288.00 | $273.41 – $966.00 | 29 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $0.72 | $2.24 | $0.45 – $6.95 | 17 |
| Low back disk surgery CPT 63030 | not published | not published | $4,542.09 – $15,138.00 | 7 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $380.02 – $3,268.08 | 6 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $758.55 | $3,890.00 | $129.45 – $2,917.50 | 29 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $632.19 | $3,242.00 | $266.89 – $2,431.50 | 29 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $505.64 | $2,593.00 | $79.00 – $1,944.75 | 29 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $688.94 | $3,626.00 | $266.89 – $2,719.50 | 29 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $574.18 | $3,022.00 | $266.89 – $2,266.50 | 29 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $459.23 | $2,417.00 | $166.84 – $1,812.75 | 29 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $123.48 | $441.00 | $79.00 – $330.75 | 29 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $140.84 | $503.00 | $79.00 – $377.25 | 29 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $166.88 | $596.00 | $79.00 – $447.00 | 29 |
| Lower jaw bone graft CPT 21215 | not published | not published | $3,687.39 – $7,292.89 | 6 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $88.48 | $316.00 | $58.65 – $347.17 | 17 |
| Low frequency non-thermal Ultrasound CPT 97610 | $42.91 | $298.00 | $42.94 – $241.00 | 15 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Lumbar diskogram s&i CPT 72295 | $1,005.76 | $3,592.00 | $290.34 – $3,434.14 | 29 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $7,292.89 – $11,504.39 | 6 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $444.91 | $642.00 | $191.73 – $547.63 | 29 |
| Lung function test (mbc/mvv) CPT 94200 | $156.62 | $226.00 | $40.35 – $169.50 | 29 |
| Lung Function Test (Spirometry) CPT 94010 | $352.04 | $508.00 | $101.17 – $381.00 | 29 |
| Lung perfusion imaging CPT 78580 | $437.08 | $1,561.00 | $273.41 – $1,170.75 | 29 |
| Lymphatics/lymph node imaging CPT 78195 | $603.12 | $2,154.00 | $354.82 – $1,615.50 | 29 |
| Lymphocyte transformation mitogen CPT 86353 | $38.63 | $148.00 | $49.03 – $111.00 | 29 |
| Lymph vessel x-ray arm/leg CPT 75801 | $660.80 | $2,360.00 | $392.67 – $2,447.19 | 17 |
| Lymph vessel x-ray trunk CPT 75805 | $525.56 | $1,877.00 | $630.67 – $5,535.21 | 29 |
| Lymph vessel x-ray trunk CPT 75807 | $761.60 | $2,720.00 | $913.92 – $5,535.21 | 29 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,901.83 – $2,440.42 | 6 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Macroscopic exam arthropod CPT 87168 | $3.17 | $13.00 | $4.27 – $9.75 | 29 |
| Macroscopic exam parasite CPT 87169 | $14.15 | $58.00 | $4.31 – $43.50 | 29 |
| Magnesium CPT 83735 | $19.80 | $132.00 | $6.70 – $15.75 | 29 |
| Magnetic image bone marrow CPT 77084 | $439.96 | $1,818.00 | $166.84 – $1,363.50 | 29 |
| Mammosite ced HCPCS C1728 | $4,626.34 | $17,524.00 | $282.60 – $1,059.75 | 17 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,009.45 – $2,440.42 | 6 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,009.45 – $3,268.08 | 6 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $1,636.41 – $1,636.41 | 1 |
| Map tachycard site(s) CPT 93609 | $3,698.49 | $11,486.00 | $2,297.20 – $12,098.58 | 16 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,611.72 | $6,105.00 | $62.60 – $612.42 | 17 |
| Mastectomy partial CPT 19301 | not published | not published | $2,289.36 – $3,741.03 | 6 |
| Mast mod rad CPT 19307 | not published | not published | $4,012.11 – $7,292.89 | 6 |
| Mastoidectomy CPT 69501 | not published | not published | $3,687.39 – $7,292.89 | 6 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $3,687.39 – $7,292.89 | 6 |
| Mastoids complete CPT 70130 | $234.08 | $836.00 | $79.00 – $627.00 | 17 |
| Mast simple complete CPT 19303 | not published | not published | $4,012.11 – $4,620.72 | 6 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $29.07 | $110.10 | $2.28 – $100.60 | 15 |
| M.avium-intra dna amp prob CPT 87561 | $25.86 | $106.00 | $35.09 – $79.50 | 29 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $9.45 | $63.00 | $14.46 – $47.25 | 29 |
| Mayo aathr protein s free CPT 85306 | $12.47 | $66.00 | $15.32 – $45.00 | 29 |
| Mayo activated protein c resistance assay CPT 85307 | $12.47 | $66.00 | $15.32 – $49.50 | 29 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $45.00 | $300.00 | $38.57 – $225.00 | 29 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $23.70 | $158.00 | $22.00 – $82.50 | 16 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $62.40 | $416.00 | $12.20 – $74.35 | 16 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $8.55 | $57.00 | $14.78 – $42.75 | 29 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $24.00 | $160.00 | $32.00 – $129.12 | 16 |
| Mayo alpha 1 antitrypsin CPT 82103 | $8.85 | $59.00 | $13.44 – $30.75 | 29 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $9.30 | $62.00 | $15.08 – $34.50 | 29 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $23.40 | $156.00 | $11.20 – $54.48 | 16 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $257.84 | $586.00 | $121.63 – $439.50 | 29 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $194.48 | $442.00 | $91.66 – $331.50 | 29 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $231.00 | $525.00 | $137.00 – $393.75 | 29 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,459.16 | $5,589.00 | $1,160.00 – $4,191.75 | 29 |
| Mayo androstenedione CPT 82157 | $13.20 | $88.00 | $29.28 – $66.00 | 29 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $9.15 | $61.00 | $14.60 – $45.75 | 29 |
| Mayo antithrombin iii antigen CPT 85301 | $13.04 | $69.00 | $10.81 – $51.75 | 29 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $14.36 | $55.00 | $15.05 – $41.25 | 29 |
| Mayo avwpr vw factor activity CPT 85397 | $31.00 | $164.00 | $30.86 – $123.00 | 29 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $26.10 | $174.00 | $11.20 – $54.48 | 16 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $16.18 | $62.00 | $10.18 – $46.50 | 29 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $307.12 | $698.00 | $144.84 – $523.50 | 29 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $455.40 | $1,035.00 | $214.62 – $776.25 | 29 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $20.36 | $78.00 | $12.90 – $58.50 | 29 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $8.40 | $56.00 | $11.20 – $54.48 | 16 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $18.27 | $70.00 | $13.19 – $52.50 | 29 |
| Mayo brcmg brucella antibody igm CPT 86622 | $17.49 | $67.00 | $8.93 – $50.25 | 29 |
| Mayo c1 esterase inhibitor CPT 83883 | $10.80 | $72.00 | $13.60 – $30.75 | 29 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $12.60 | $84.00 | $11.20 – $54.48 | 16 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $17.25 | $115.00 | $16.87 – $38.25 | 29 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $24.27 | $93.00 | $26.78 – $60.75 | 29 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $161.48 | $367.00 | $122.22 – $275.25 | 29 |
| Mayo ceruloplasmin CPT 82390 | $7.95 | $53.00 | $10.74 – $39.75 | 29 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $10.50 | $70.00 | $14.12 – $32.25 | 29 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $62.64 | $240.00 | $12.88 – $49.50 | 29 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $21.14 | $81.00 | $11.82 – $45.75 | 29 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $15.92 | $61.00 | $12.68 – $45.75 | 29 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $156.80 | $562.00 | $116.49 – $421.50 | 29 |
| Mayo chromium CPT 82495 | $9.15 | $61.00 | $20.28 – $45.75 | 29 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $22.35 | $149.00 | $11.20 – $54.48 | 16 |
| Mayo coccidioides antibody CPT 86635 | $39.67 | $152.00 | $11.47 – $41.25 | 29 |
| Mayo cocou cortisone urine CPT 82542 | $136.35 | $909.00 | $24.09 – $54.75 | 29 |
| Mayo cortisol free CPT 82530 | $8.25 | $55.00 | $16.71 – $41.25 | 29 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $33.15 | $127.00 | $42.13 – $95.25 | 29 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $14.88 | $57.00 | $12.12 – $42.75 | 29 |
| Mayo cyanide CPT 82600 | $11.70 | $78.00 | $19.40 – $58.50 | 29 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $168.24 | $603.00 | $108.14 – $452.25 | 29 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $10.44 | $40.00 | $13.25 – $30.00 | 29 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $11.40 | $76.00 | $25.27 – $57.00 | 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.