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 |
|---|---|---|---|---|
| Partial removal of ulna CPT 25240 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $1,901.83 – $7,292.89 | 6 |
| Partial thyroid excision CPT 60210 | not published | not published | $3,268.08 – $3,668.82 | 6 |
| Part removal of metatarsal CPT 28110 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Part removal of metatarsal CPT 28113 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Pdgfra gene CPT 81314 | $435.16 | $989.00 | $329.51 – $741.75 | 29 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,243.64 – $3,741.03 | 6 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $572.52 | $2,936.00 | $129.45 – $2,202.00 | 29 |
| Pelvic CT scan (with contrast) CPT 72193 | $477.16 | $2,447.00 | $129.45 – $1,835.25 | 29 |
| Pelvic CT scan (without contrast) CPT 72192 | $381.62 | $1,957.00 | $79.00 – $1,467.75 | 29 |
| Pelvic MRI (with and without contrast) CPT 72197 | $720.92 | $2,979.00 | $266.89 – $2,234.25 | 29 |
| Pelvic MRI (with contrast) CPT 72196 | $600.89 | $2,483.00 | $266.89 – $1,862.25 | 29 |
| Pelvic MRI (without contrast) CPT 72195 | $480.61 | $1,986.00 | $166.84 – $1,489.50 | 29 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $4,620.72 – $4,620.72 | 1 |
| Pelvic Ultrasound (complete) CPT 76856 | $335.92 | $774.00 | $79.00 – $580.50 | 29 |
| Pelvic Ultrasound (limited) CPT 76857 | $283.84 | $654.00 | $79.00 – $490.50 | 29 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $99.68 | $356.00 | $78.84 – $267.00 | 29 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $123.48 | $441.00 | $79.00 – $330.75 | 29 |
| Penile injection CPT 54235 | $127.09 | $359.00 | $125.65 – $427.71 | 29 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $9,829.78 | $37,234.00 | $977.00 – $14,605.88 | 17 |
| Penile vascular study CPT 93980 | $246.47 | $1,006.00 | $79.00 – $754.50 | 29 |
| Penile vascular study CPT 93981 | $211.19 | $862.00 | $79.00 – $646.50 | 29 |
| Penis plastic surgery CPT 54360 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| Penis study CPT 54240 | $167.44 | $473.00 | $165.55 – $547.63 | 29 |
| Perc cryo ablate renal tum CPT 50593 | $4,704.66 | $13,290.00 | $1,772.00 – $15,138.00 | 17 |
| Perc d-e cor revasc chro add HCPCS C9608 | $4,821.54 | $23,869.00 | $936.00 – $44,521.00 | 17 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $6,428.45 | $31,824.00 | $8,481.00 – $31,578.74 | 29 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $4,294.32 | $21,259.00 | $936.00 – $15,944.25 | 17 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $5,725.69 | $28,345.00 | $7,281.13 – $21,258.75 | 29 |
| Perc d-e cor stent ather br HCPCS C9603 | $4,816.49 | $23,844.00 | $936.00 – $17,883.00 | 17 |
| Perc d-e cor stent ather s HCPCS C9602 | $6,421.98 | $31,792.00 | $8,481.00 – $31,578.74 | 29 |
| Perc drug-el cor stent bran HCPCS C9601 | $4,294.32 | $21,259.00 | $1,170.00 – $15,944.25 | 17 |
| Perc drug-el cor stent sing HCPCS C9600 | $16,676.35 | $28,345.00 | $7,281.13 – $21,258.75 | 29 |
| Perc rf ablate renal tumor CPT 50592 | $3,528.67 | $9,968.00 | $1,329.00 – $8,578.00 | 17 |
| Percut ablate liver rf CPT 47382 | $2,872.71 | $8,115.00 | $2,840.25 – $10,260.33 | 29 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $848.18 | $2,396.00 | $479.20 – $4,640.00 | 17 |
| Pericardiocentesis wwo imaging CPT 33016 | $883.58 | $2,496.00 | $873.60 – $2,731.89 | 29 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $2,289.36 – $4,620.72 | 6 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $1,901.83 – $5,254.47 | 6 |
| Peri-proc device eval icd CPT 93287 | $46.69 | $145.00 | $29.00 – $108.75 | 16 |
| Peri-proc device eval pm CPT 93286 | $46.69 | $145.00 | $29.00 – $108.75 | 16 |
| Peritoneogram rs&i CPT 74190 | $231.56 | $827.00 | $277.87 – $964.24 | 29 |
| Perit-vens shunt pat tst CPT 78291 | $345.80 | $1,235.00 | $273.41 – $926.25 | 29 |
| Perq art m-thrombect &/nfs CPT 61645 | $4,227.82 | $11,943.00 | $1,592.40 – $5,971.50 | 17 |
| Perq clsr tcat l atr apndge CPT 33340 | $1,534.24 | $4,334.00 | $866.80 – $4,640.00 | 17 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $3,268.08 – $5,987.14 | 6 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $2,918.38 | $8,244.00 | $1,099.20 – $7,462.00 | 17 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $6,676.79 | $18,861.00 | $4,018.00 – $31,578.74 | 29 |
| Perq plmt bile duct stent CPT 47538 | $2,530.39 | $7,148.00 | $2,501.80 – $10,260.33 | 29 |
| Perq plmt bile duct stent CPT 47539 | $2,872.71 | $8,115.00 | $2,840.25 – $10,260.33 | 29 |
| Perq plmt bile duct stent CPT 47540 | $3,764.44 | $10,634.00 | $3,668.82 – $10,260.33 | 29 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $2,052.04 – $2,440.42 | 6 |
| Perq transcath closure pda CPT 93582 | $1,118.95 | $3,475.00 | $1,216.25 – $31,578.74 | 29 |
| Perq trluml angp nt/recr coa CPT 33897 | $5,284.16 | $14,927.00 | $936.00 – $11,195.25 | 17 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $3,268.08 – $3,687.39 | 6 |
| Pertussis ag if CPT 87265 | $8.78 | $36.00 | $11.98 – $27.00 | 29 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $52,035.46 | $197,104.00 | $62.60 – $5,309.38 | 17 |
| Ph body fluid CPT 83986 | $15.60 | $104.00 | $3.58 – $38.25 | 29 |
| Phencyclidine (pcp) CPT 83992 | $10.05 | $67.00 | $1.94 – $76.42 | 17 |
| Phenobarbital therapeutic drug level CPT 80184 | $8.85 | $59.00 | $15.30 – $39.75 | 29 |
| Phenytoin total therapeutic drug level CPT 80185 | $7.95 | $53.00 | $13.25 – $39.75 | 29 |
| Phlebotomy therapeutic CPT 99195 | $219.18 | $780.00 | $81.16 – $585.00 | 29 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $2,497.47 | $7,055.00 | $940.60 – $6,560.00 | 17 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $3,060.68 | $8,646.00 | $1,152.80 – $6,560.00 | 17 |
| Phosphorus CPT 84100 | $18.15 | $121.00 | $4.74 – $43.50 | 29 |
| Phosphorus 24 hour urine CPT 84105 | $11.10 | $74.00 | $5.78 – $13.50 | 29 |
| Photopheresis CPT 36522 | $2,434.81 | $6,878.00 | $2,407.30 – $8,239.36 | 29 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $92.39 | $522.00 | $81.00 – $397.42 | 16 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $55.58 | $314.00 | $62.80 – $397.42 | 16 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $73.81 | $417.00 | $81.00 – $397.42 | 16 |
| Physical Therapy Re-Evaluation CPT 97164 | $48.14 | $272.00 | $54.40 – $270.15 | 16 |
| Pik3ca gene trgt seq alys CPT 81309 | $363.00 | $825.00 | $274.83 – $618.75 | 29 |
| Pin caspar distraction 12mm HCPCS C1821 | $9,251.62 | $35,044.00 | $977.00 – $3,663.75 | 17 |
| Pin finger dislocation CPT 26776 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Pin finger fracture each CPT 26756 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Pin hand dislocation CPT 26676 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Pinworm exam CPT 87172 | $3.17 | $13.00 | $4.27 – $9.75 | 29 |
| Place cath intracranial art CPT 36228 | $2,133.20 | $6,026.00 | $236.47 – $4,018.00 | 17 |
| Place cath xtrnl carotid CPT 36227 | $1,766.81 | $4,991.00 | $236.47 – $4,018.00 | 17 |
| Place cecostomy tube perc CPT 49442 | $1,017.04 | $2,873.00 | $751.80 – $2,154.75 | 29 |
| Place device/marker, non pro HCPCS C9728 | $844.29 | $2,385.00 | $834.75 – $2,406.23 | 29 |
| Place duod/jej tube perc CPT 49441 | $1,075.81 | $3,039.00 | $1,063.65 – $3,336.05 | 29 |
| Place gastrostomy tube perc CPT 49440 | $902.35 | $2,549.00 | $892.15 – $3,336.05 | 29 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $1,984.88 | $5,607.00 | $747.60 – $11,751.00 | 17 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $250.99 | $709.00 | $141.80 – $2,114.00 | 16 |
| Placement of seton CPT 46020 | not published | not published | $1,771.46 – $3,741.03 | 6 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $5,045.92 | $14,254.00 | $3,268.08 – $19,943.57 | 29 |
| Place non-slctv cath thoracic arta CPT 36221 | $1,998.33 | $5,645.00 | $468.22 – $5,535.21 | 29 |
| Place right device/marker pros CPT 55876 | $543.04 | $1,534.00 | $536.90 – $2,406.23 | 29 |
| Place slctv cath carotd art uni CPT 36224 | $5,352.48 | $15,120.00 | $468.22 – $8,578.00 | 17 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $4,228.53 | $11,945.00 | $468.22 – $6,560.00 | 17 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $4,709.97 | $13,305.00 | $468.22 – $8,578.00 | 17 |
| Place slctv cath subclavian art CPT 36225 | $4,251.89 | $12,011.00 | $468.22 – $6,560.00 | 17 |
| Place slctv cath vertebral art uni CPT 36226 | $4,790.33 | $13,532.00 | $468.22 – $8,578.00 | 17 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $66.30 | $442.00 | $47.63 – $331.50 | 29 |
| Platelet aggregation each agent teg CPT 85576 | $42.90 | $227.00 | $24.91 – $56.25 | 29 |
| Platelet automated CPT 85049 | $2.65 | $14.00 | $4.48 – $10.50 | 29 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $109.65 | $731.00 | $245.62 – $856.61 | 29 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $140.10 | $934.00 | $264.43 – $1,188.21 | 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.