Banner Heart Hospital
6750 E Baywood Avenue, Mesa, AZ · Banner Health · · NPI 1215961248
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $7.39 | $88.00 | $29.28 – $66.00 | 28 |
| 17-hydroxypregnenolone CPT 84143 | $5.80 | $69.00 | $22.81 – $51.75 | 28 |
| 17-ketosteroids CPT 83586 | $6.72 | $80.00 | $12.80 – $60.00 | 28 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $554.54 | $3,133.00 | $518.51 – $2,349.75 | 28 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $306.21 | $1,730.00 | $518.51 – $1,389.40 | 28 |
| 2nd order venous cath CPT 36012 | $455.63 | $1,610.00 | $286.58 – $4,018.00 | 17 |
| 3d recon without postprocess indpndt CPT 76376 | $112.64 | $440.00 | $52.63 – $330.00 | 16 |
| 5' nucleotidase - sendout CPT 83915 | $8.32 | $99.00 | $11.15 – $74.25 | 28 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $13.13 | $71.00 | $12.01 – $53.25 | 28 |
| Abd aorta w/runoff s&i CPT 75630 | $973.06 | $5,792.00 | $217.50 – $5,535.21 | 28 |
| Abd/low ext cath 1st CPT 36245 | $721.08 | $2,548.00 | $392.63 – $4,018.00 | 17 |
| Abd/low ext cath 2nd CPT 36246 | $880.98 | $3,113.00 | $392.63 – $4,018.00 | 17 |
| Abd/low ext cath 3rd CPT 36247 | $1,108.79 | $3,918.00 | $392.63 – $4,018.00 | 17 |
| Abd/low ext cath addl CPT 36248 | $570.53 | $2,016.00 | $198.30 – $4,018.00 | 17 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $357.20 | $1,786.00 | $166.84 – $1,339.50 | 28 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $228.20 | $1,141.00 | $79.00 – $855.75 | 28 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $429.87 | $2,670.00 | $129.45 – $2,002.50 | 28 |
| Abdominal CT scan (with contrast) CPT 74160 | $358.22 | $2,225.00 | $129.45 – $1,668.75 | 28 |
| Abdominal CT scan (without contrast) CPT 74150 | $286.58 | $1,780.00 | $79.00 – $1,335.00 | 28 |
| Abdominal MRI (with and without contrast) CPT 74183 | $810.24 | $3,165.00 | $266.89 – $2,373.75 | 28 |
| Abdominal MRI (with contrast) CPT 74182 | $675.33 | $2,638.00 | $266.89 – $1,978.50 | 28 |
| Abdominal MRI (without contrast) CPT 74181 | $540.16 | $2,110.00 | $166.84 – $1,582.50 | 28 |
| Abdominal paracentesis w/image guidance CPT 49083 | $483.93 | $1,710.00 | $586.96 – $1,648.80 | 28 |
| Abdominal Ultrasound (complete) CPT 76700 | $121.66 | $869.00 | $79.00 – $651.75 | 28 |
| Abdominal Ultrasound (limited) CPT 76705 | $92.12 | $658.00 | $79.00 – $493.50 | 28 |
| Abdominal X-ray (2 views) CPT 74019 | $223.68 | $539.00 | $79.00 – $404.25 | 28 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $298.38 | $719.00 | $79.00 – $539.25 | 28 |
| Abdominal X-ray (single view) CPT 74018 | $183.43 | $442.00 | $58.65 – $331.50 | 28 |
| Abl1 gene CPT 81170 | $96.88 | $1,446.00 | $300.00 – $1,084.50 | 28 |
| Ablate arrhythmia add on CPT 93655 | $5,677.96 | $19,853.00 | $3,533.83 – $14,889.75 | 16 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $8,229.45 – $8,229.45 | 1 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $3,308.55 | $11,691.00 | $2,633.00 – $12,562.98 | 28 |
| Ablate bone tumor(s) perq CPT 20982 | $2,862.26 | $10,114.00 | $1,170.00 – $22,627.62 | 28 |
| Ablate heart dysrhythm focus CPT 93650 | $5,319.03 | $18,598.00 | $4,406.90 – $13,948.50 | 28 |
| Ablate pulm tumor perq crybl CPT 32994 | $3,361.76 | $11,879.00 | $1,583.80 – $5,939.25 | 17 |
| Ablate pulm tumor perq rf CPT 32998 | $3,361.76 | $11,879.00 | $1,583.80 – $15,138.00 | 17 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $10,866.28 | $37,994.00 | $56.11 – $275.15 | 28 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $2,866.22 | $10,128.00 | $2,740.51 – $18,309.21 | 28 |
| Abscess drain retroperitoneal surg code CPT 49406 | $657.97 | $2,325.00 | $813.75 – $2,849.35 | 28 |
| Acetylcholine receptor modulating antibody CPT 86043 | $14.43 | $78.00 | $12.05 – $58.50 | 28 |
| Acute hepatitis panel CPT 80074 | $38.05 | $453.00 | $47.63 – $339.75 | 28 |
| Acute venous thrombus image CPT 78456 | $282.87 | $2,111.00 | $709.30 – $2,295.83 | 28 |
| Acyclovir 400 mg tablet HCPCS J8499 | $0.55 | $36.60 | $0.65 – $7.93 | 14 |
| #acylcarnitineprfl CPT 82017 | $9.66 | $115.00 | $16.87 – $86.25 | 28 |
| Adapter b 8 channel 10cm HCPCS C1883 | $5,278.86 | $21,904.00 | $200.43 – $7,022.91 | 17 |
| Adenovirus antibody,serum - quest CPT 86603 | $11.29 | $61.00 | $12.87 – $45.75 | 28 |
| Adh-sendout CPT 84588 | $8.57 | $102.00 | $33.94 – $76.50 | 28 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $43.96 | $166.00 | $44.93 – $125.15 | 28 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $90.31 | $341.00 | $44.93 – $255.75 | 28 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $192.00 | $725.00 | $225.29 – $583.31 | 28 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $176.38 | $666.00 | $147.54 – $583.31 | 28 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $213.72 | $807.00 | $44.93 – $605.25 | 28 |
| Administration immunization each additional vaccine CPT 90472 | $8.72 | $61.00 | $12.20 – $118.00 | 17 |
| Administration vaccine hepatitis b HCPCS G0010 | $18.02 | $126.00 | $29.00 – $94.50 | 28 |
| Administration vaccine influenza virus HCPCS G0008 | $18.02 | $126.00 | $29.00 – $94.50 | 28 |
| Administration vaccine pneumococcal HCPCS G0009 | $18.02 | $126.00 | $29.00 – $94.50 | 28 |
| Aep neurodiagnostic i&r CPT 92653 | $303.50 | $1,146.00 | $191.73 – $859.50 | 28 |
| Aep thrshld est mlt freq i&r CPT 92652 | $409.43 | $1,546.00 | $191.73 – $1,159.50 | 28 |
| _afb id by dna probe rflx ast CPT 87149 | $11.97 | $73.00 | $20.05 – $54.75 | 28 |
| #afb mycobacteria suscep. #1 CPT 87190 | $10.33 | $63.00 | $7.31 – $47.25 | 28 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $56.91 | $347.00 | $50.00 – $260.25 | 28 |
| Air injection into abdomen 49400 CPT 49400 | $116.31 | $411.00 | $73.16 – $4,018.00 | 17 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $38.88 | $288.00 | $96.77 – $275.15 | 28 |
| Albumin body fluid quantitative each specimen CPT 82042 | $4.87 | $58.00 | $7.78 – $18.00 | 28 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $2.61 | $174.00 | $42.46 – $130.50 | 28 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $5.71 | $68.00 | $5.78 – $42.00 | 28 |
| Albumin serum plasma or whole blood CPT 82040 | $10.58 | $126.00 | $4.95 – $93.75 | 28 |
| Alkaline phosphatase CPT 84075 | $11.68 | $139.00 | $5.18 – $103.50 | 28 |
| Allergen alpha lactalbumin ige CPT 86008 | $14.80 | $80.00 | $17.93 – $48.00 | 28 |
| Allergen egg white ige CPT 86003 | $10.36 | $56.00 | $5.22 – $41.25 | 28 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $10.91 | $59.00 | $7.97 – $42.00 | 28 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $202.68 | $841.00 | $121.19 – $780.91 | 15 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $3,348.69 | $13,895.00 | $479.71 – $2,021.25 | 17 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $16.30 | $194.00 | $64.41 – $145.50 | 28 |
| Alpha-fetoprotein amniotic CPT 82106 | $4.28 | $51.00 | $17.00 – $38.25 | 28 |
| Alpha-fetoprotein tumor marker CPT 82105 | $4.28 | $51.00 | $16.77 – $38.25 | 28 |
| Alt/sgpt CPT 84460 | $10.92 | $130.00 | $5.30 – $44.25 | 28 |
| Aluminum - quest CPT 82108 | $6.47 | $77.00 | $25.48 – $57.75 | 28 |
| Amantadine (symmetrel)-sendout CPT 80375 | $15.71 | $187.00 | $26.17 – $110.25 | 16 |
| Aminolevulinic acid delta CPT 82135 | $6.30 | $75.00 | $16.45 – $56.25 | 28 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $2.62 | $124.70 | $8.30 – $93.53 | 17 |
| Amitriptyline (elavil) -sendout CPT 80335 | $5.71 | $68.00 | $5.34 – $61.75 | 16 |
| Ammonia CPT 82140 | $17.89 | $213.00 | $14.57 – $86.25 | 28 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $337.90 | $1,194.00 | $417.90 – $1,531.28 | 28 |
| Amphetamine confirm urine -sendout CPT 80324 | $13.10 | $156.00 | $9.97 – $56.04 | 16 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $2,052.04 – $3,137.11 | 6 |
| Amylase CPT 82150 | $28.64 | $341.00 | $6.48 – $15.00 | 28 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $37.46 | $446.00 | $68.35 – $288.00 | 16 |
| Anal pressure record CPT 91122 | $300.05 | $1,133.00 | $191.73 – $849.75 | 28 |
| Analysis gene f2 20210g>a variant CPT 81240 | $21.24 | $317.00 | $65.69 – $148.50 | 28 |
| Analysis gene f5 leiden variant CPT 81241 | $23.72 | $354.00 | $73.37 – $165.75 | 28 |
| Anca screen with reflex to titer -quest CPT 86021 | $10.18 | $55.00 | $15.05 – $34.50 | 28 |
| An cholangiogram percutaneous compl CPT 47531 | $406.10 | $1,435.00 | $392.63 – $6,206.21 | 28 |
| An fluoro guide for cvp CPT 77001 | $193.39 | $466.00 | $82.95 – $349.50 | 16 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $2,645.20 | $9,347.00 | $1,663.77 – $7,010.25 | 17 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $5,151.73 | $18,204.00 | $2,427.20 – $9,102.00 | 17 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $6,161.19 | $21,771.00 | $2,902.80 – $10,885.50 | 17 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $2,700.39 | $9,542.00 | $1,170.00 – $5,878.00 | 17 |
| Angiotensin ii CPT 82163 | $7.48 | $89.00 | $20.52 – $66.75 | 28 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $1,392.61 | $5,258.50 | $0.89 – $4.65 | 13 |
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.