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 |
|---|---|---|---|---|
| Sodium chloride 3 % ivpb HCPCS J7131 | $0.01 | $0.17 | $0.03 – $0.76 | 17 |
| Sodium serum/plasma/whole blood CPT 84295 | $15.30 | $102.00 | $4.81 – $72.00 | 29 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $4,909.22 – $4,909.22 | 1 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $4,909.22 – $4,909.22 | 1 |
| Special physics consult CPT 77370 | $562.61 | $1,177.00 | $91.98 – $882.75 | 29 |
| Special radiation dosimetry CPT 77331 | $286.80 | $600.00 | $89.58 – $450.00 | 29 |
| Special radiation treatment CPT 77470 | $1,608.47 | $3,365.00 | $166.76 – $2,523.75 | 29 |
| Special teletx port plan CPT 77321 | $881.43 | $1,844.00 | $207.20 – $1,383.00 | 29 |
| Specific gravity body fluid CPT 84315 | $1.50 | $10.00 | $3.28 – $7.50 | 29 |
| Specimen fat stain CPT 89125 | $3.58 | $18.00 | $5.88 – $13.50 | 29 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $150.65 | $575.00 | $81.00 – $1,049.52 | 16 |
| Speech audiometry complete CPT 92556 | $117.34 | $159.00 | $40.35 – $119.25 | 29 |
| Speech evaluation complex CPT 70371 | $209.16 | $747.00 | $166.84 – $560.25 | 29 |
| Speech recep thresh CPT 92555 | $73.80 | $100.00 | $24.53 – $104.46 | 29 |
| Speech Therapy Session (one-on-one) CPT 92507 | $102.44 | $391.00 | $78.20 – $293.25 | 16 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $4,909.22 – $4,909.22 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $4,909.22 – $4,909.22 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $648.53 | $1,832.00 | $460.08 – $1,374.00 | 29 |
| Spine X-ray (single view, one level) CPT 72020 | $68.04 | $243.00 | $58.65 – $182.25 | 29 |
| Spleen imaging CPT 78185 | $285.32 | $1,019.00 | $273.41 – $764.25 | 29 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $2,553.56 – $3,268.08 | 6 |
| Split blood or products CPT 86985 | $72.64 | $365.00 | $1.30 – $301.36 | 29 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,456.16 – $1,636.41 | 6 |
| Sputum specimen collection CPT 89220 | $72.64 | $365.00 | $32.35 – $301.36 | 29 |
| Srs linear based CPT 77372 | $8,302.86 | $17,370.00 | $4,421.37 – $13,443.62 | 29 |
| Staggered spondaic word test CPT 92572 | $171.22 | $232.00 | $77.95 – $275.15 | 29 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $148.29 | $566.00 | $81.00 – $526.35 | 16 |
| Static or dynami afo pre ots HCPCS L4397 | $351.18 | $1,159.00 | $231.80 – $869.25 | 17 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $148.29 | $566.00 | $81.00 – $487.85 | 16 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $12,945.78 | $36,570.00 | $4,018.00 – $18,285.00 | 17 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $22,549.30 | $85,414.00 | $118.80 – $13,062.88 | 17 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $2,445.96 | $9,265.00 | $33.20 – $293.70 | 17 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $9,251.62 | $35,044.00 | $118.80 – $4,729.50 | 17 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $9,251.62 | $35,044.00 | $282.60 – $2,610.68 | 17 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $8,264.48 | $23,346.00 | $3,112.80 – $11,673.00 | 17 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $4,078.79 | $11,522.00 | $1,170.00 – $8,578.00 | 17 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $11,297.56 | $31,914.00 | $4,018.00 – $15,957.00 | 17 |
| St evaluate speech sound production CPT 92522 | $123.66 | $472.00 | $81.00 – $505.21 | 16 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $171.36 | $720.00 | $81.00 – $540.00 | 16 |
| Stimulants synthetic CPT 80371 | $24.00 | $160.00 | $32.00 – $120.00 | 16 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $523.04 | $1,868.00 | $273.41 – $1,401.00 | 29 |
| Strep a ag ia CPT 87430 | $12.44 | $51.00 | $16.81 – $38.25 | 29 |
| Strep b dna amp probe CPT 87653 | $25.86 | $106.00 | $35.09 – $79.50 | 29 |
| Stress test pulmonary CPT 94618 | $375.61 | $542.00 | $63.61 – $406.50 | 29 |
| Stress tte complete CPT 93351 | $595.10 | $2,429.00 | $350.10 – $1,821.75 | 29 |
| Str markers specimen anal CPT 81265 | $627.88 | $1,427.00 | $233.07 – $842.25 | 29 |
| Sugars single quant CPT 84378 | $9.15 | $61.00 | $11.53 – $45.75 | 29 |
| Sulfonylurea screen qn-sendout CPT 80377 | $26.70 | $178.00 | $35.60 – $133.50 | 16 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $1,771.46 – $3,268.08 | 6 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $3,055.00 – $9,813.71 | 2 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $4,542.09 – $9,813.71 | 6 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $4,542.09 – $9,813.71 | 6 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $4,542.09 – $9,813.71 | 6 |
| Surgical pathology level 1 gross examination only CPT 88300 | $14.67 | $56.00 | $17.89 – $43.06 | 29 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $33.80 | $129.00 | $17.89 – $96.75 | 29 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $87.25 | $333.00 | $36.08 – $249.75 | 29 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $133.10 | $508.00 | $36.08 – $282.00 | 29 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $297.63 | $1,136.00 | $211.16 – $852.00 | 29 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $448.54 | $1,712.00 | $475.71 – $1,436.61 | 29 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $1,771.46 – $2,440.42 | 6 |
| Susceptibility agar dilution per agent CPT 87181 | $16.10 | $66.00 | $4.75 – $11.25 | 29 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $13.66 | $56.00 | $4.75 – $42.00 | 29 |
| Susceptibility mic per plate CPT 87186 | $52.70 | $216.00 | $8.65 – $45.00 | 29 |
| Suscept studies macrobroth dilution ea CPT 87188 | $28.06 | $115.00 | $6.64 – $43.50 | 29 |
| Suspension of testis CPT 54620 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| Svc venogram s&i CPT 75827 | $358.96 | $1,282.00 | $264.90 – $2,731.89 | 29 |
| Swallowing Evaluation (Bedside) CPT 92610 | $100.67 | $423.00 | $81.00 – $457.01 | 16 |
| Swallowing Therapy Session CPT 92526 | $86.46 | $330.00 | $66.00 – $247.50 | 16 |
| Sweat collection by iontophoresis CPT 89230 | $22.69 | $114.00 | $5.10 – $93.97 | 29 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $13.57 | $52.00 | $4.40 – $39.00 | 29 |
| System cardiomems hosp electronics HCPCS C2624 | $28,909.06 | $109,504.00 | $2,524.89 – $32,853.00 | 15 |
| System pacing micra av HCPCS C1786 | $19,194.41 | $61,324.00 | $2,315.00 – $29,701.26 | 17 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $34,274.75 | $109,504.00 | $3,504.00 – $29,701.26 | 17 |
| System recell skin grafting/harvesting HCPCS C1832 | $4,752.92 | $30,664.00 | $62.60 – $3,268.08 | 17 |
| T3 (triiodothyronine) free CPT 84481 | $10.65 | $71.00 | $16.94 – $40.50 | 29 |
| T3 (triiodothyronine) total CPT 84480 | $6.45 | $43.00 | $14.18 – $32.25 | 29 |
| T4 (thyroxine) free CPT 84439 | $31.80 | $212.00 | $9.02 – $49.50 | 29 |
| T4 (thyroxine) total CPT 84436 | $8.40 | $56.00 | $6.87 – $42.00 | 29 |
| Tacrolimus therapeutic drug level CPT 80197 | $9.60 | $64.00 | $13.73 – $42.75 | 29 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $101.64 | $363.00 | $58.65 – $272.25 | 29 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,610.40 | $3,660.00 | $759.53 – $2,745.00 | 29 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $6,189.48 | $14,067.00 | $2,027.05 – $10,550.25 | 29 |
| Target gsa panel organ neop CPT 81445 | $1,267.64 | $2,881.00 | $597.91 – $1,345.50 | 29 |
| Tas congenital car anomal CPT 33741 | $3,774.35 | $10,662.00 | $936.00 – $7,996.50 | 17 |
| Tavr perq femoral CPT 33361 | $4,192.07 | $11,842.00 | $936.00 – $9,813.71 | 17 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $78.30 | $300.00 | $100.00 – $225.00 | 29 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $48.55 | $186.00 | $61.98 – $139.50 | 29 |
| Tc-99m arcitumomab HCPCS A9568 | $1,463.10 | $5,693.00 | $809.51 – $4,269.75 | 29 |
| Tc-99m bicisate HCPCS A9557 | $582.10 | $2,265.00 | $683.80 – $1,698.75 | 29 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,899.23 | $7,390.00 | $1,040.32 – $5,542.50 | 29 |
| Tc-99m exametazime diag HCPCS A9521 | $576.19 | $2,242.00 | $784.70 – $1,681.50 | 29 |
| Tc-99m labeled rbc HCPCS A9560 | $175.27 | $682.00 | $100.00 – $535.10 | 16 |
| Tc-99m maa HCPCS A9540 | $31.87 | $124.00 | $24.80 – $173.24 | 16 |
| Tc-99m mebrofenin HCPCS A9537 | $54.74 | $213.00 | $42.60 – $316.92 | 16 |
| Tc-99m medronate HCPCS A9503 | $91.06 | $354.30 | $13.00 – $265.73 | 16 |
| Tc-99m mertiatide HCPCS A9562 | $261.88 | $1,019.00 | $203.80 – $4,473.87 | 15 |
| Tc-99m oxidronate HCPCS A9561 | $118.27 | $460.20 | $50.16 – $345.15 | 15 |
| Tc-99m pentetate dtpa HCPCS A9539 | $63.74 | $248.00 | $35.72 – $186.00 | 15 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $65.02 | $253.00 | $25.72 – $194.62 | 16 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $33.41 | $130.00 | $1.69 – $97.50 | 16 |
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.