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 |
|---|---|---|---|---|
| Giardia ag if CPT 87269 | $10.00 | $61.00 | $13.61 – $45.75 | 28 |
| Giardia lamblia antibody CPT 86674 | $12.39 | $67.00 | $14.72 – $50.25 | 28 |
| Gi inhouse confirmation CPT 87045 | $10.33 | $63.00 | $9.44 – $21.75 | 28 |
| Glucagon plasma - sendout CPT 82943 | $5.63 | $67.00 | $14.29 – $50.25 | 28 |
| Glucose 1 hr post dose CPT 82950 | $1.26 | $15.00 | $4.75 – $11.25 | 28 |
| Glucose body fluid CPT 82945 | $5.12 | $61.00 | $3.93 – $9.00 | 28 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $3.28 | $39.00 | $12.87 – $29.25 | 28 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $1.01 | $12.00 | $3.92 – $9.00 | 28 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $4.87 | $58.00 | $18.58 – $42.00 | 28 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $4.87 | $58.00 | $18.52 – $42.75 | 28 |
| Graft axiofill 1000mg HCPCS J3590 | $13.06 | $49.30 | $7.10 – $36.98 | 13 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $32.90 | $136.50 | $14.80 – $141.47 | 15 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $17,418.03 | $72,274.00 | $479.71 – $5,345.37 | 17 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $14,251.29 | $59,134.00 | $105.73 – $3,155.75 | 17 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $21.52 | $89.30 | $12.49 – $124.61 | 15 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $17,439.24 | $72,362.00 | $55.71 – $3,336.48 | 17 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,294.89 | $5,373.00 | $151.30 – $802.40 | 17 |
| G-tube reposition CPT 43761 | $379.50 | $1,341.00 | $192.95 – $1,005.75 | 28 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,063.23 | $2,562.00 | $272.66 – $3,602.51 | 28 |
| Guided cath fluid drainage 10030 CPT 10030 | $730.99 | $2,583.00 | $360.00 – $1,937.25 | 28 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,306.57 | $13,895.00 | $29.55 – $909.13 | 17 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,013.43 | $6,105.00 | $55.71 – $234.75 | 17 |
| Gw stiffened micro access kit HCPCS C1894 | $2,545.44 | $15,334.00 | $17.09 – $148.37 | 17 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $33.29 | $169.00 | $30.08 – $241.00 | 16 |
| Hand X-ray CPT 73130 | $149.40 | $360.00 | $58.65 – $347.17 | 17 |
| Hand X-ray (2 views, both hands) CPT 73120 | $135.29 | $326.00 | $65.20 – $467.28 | 17 |
| Haptoglobin quantitative CPT 83010 | $4.96 | $59.00 | $12.58 – $39.75 | 28 |
| Hba1/hba2 full gene sequence CPT 81259 | $193.70 | $2,891.00 | $600.00 – $2,168.25 | 28 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $820.04 | $1,976.00 | $129.45 – $1,482.00 | 28 |
| Hcg qualitative CPT 84703 | $21.00 | $250.00 | $7.52 – $187.50 | 28 |
| Hcg quantitative CPT 84702 | $25.62 | $305.00 | $15.05 – $42.75 | 28 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $66.24 | $414.00 | $0.01 – $310.50 | 16 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $192.56 | $1,437.00 | $354.82 – $1,077.75 | 28 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $252.72 | $1,886.00 | $354.82 – $1,414.50 | 28 |
| Head CT scan (with and without contrast) CPT 70470 | $282.92 | $2,439.00 | $129.45 – $1,829.25 | 28 |
| Head CT scan (with contrast) CPT 70460 | $235.83 | $2,033.00 | $129.45 – $1,524.75 | 28 |
| Head CT scan (without contrast) CPT 70450 | $188.62 | $1,626.00 | $79.00 – $1,219.50 | 28 |
| Heart first pass add-on CPT 78496 | $168.84 | $1,260.00 | $84.87 – $945.00 | 16 |
| Heart image spect CPT 78494 | $168.04 | $1,254.00 | $273.41 – $940.50 | 28 |
| Heart infarct image CPT 78466 | $227.40 | $1,697.00 | $273.41 – $1,272.75 | 28 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $119.10 | $287.00 | $57.40 – $347.17 | 17 |
| Helicobacter pylori antibody igm CPT 86677 | $14.43 | $78.00 | $16.85 – $58.50 | 28 |
| Hematocrit CPT 85014 | $0.51 | $8.00 | $2.37 – $6.00 | 28 |
| Hematopoietic nuclear tx CPT 79403 | $668.17 | $2,523.00 | $180.97 – $1,892.25 | 28 |
| Hemodialysis one evaluation CPT 90935 | $394.27 | $2,215.00 | $474.40 – $1,661.25 | 28 |
| Hemoglobin CPT 85018 | $3.58 | $56.00 | $2.37 – $6.00 | 28 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $4.96 | $59.00 | $8.20 – $18.75 | 28 |
| Hemoglobin plasma CPT 83051 | $4.96 | $59.00 | $7.31 – $44.25 | 28 |
| Hemoglobin urine CPT 83069 | $1.01 | $12.00 | $3.95 – $9.00 | 28 |
| Hemolysins/agglutinins auto CPT 86940 | $90.65 | $490.00 | $8.77 – $367.50 | 28 |
| Hemolysins and agglutinins incubated CPT 86941 | $6.84 | $37.00 | $12.11 – $27.75 | 28 |
| Hemophilus influenza antibdy CPT 86684 | $11.47 | $62.00 | $15.84 – $46.50 | 28 |
| Heparin assay CPT 85520 | $22.40 | $350.00 | $13.09 – $262.50 | 28 |
| Heparin neutralization CPT 85525 | $2.30 | $36.00 | $11.84 – $27.00 | 28 |
| Heparin-protamine tolerance CPT 85530 | $2.56 | $40.00 | $13.09 – $30.00 | 28 |
| Hepatitis a antibody igm CPT 86709 | $31.08 | $168.00 | $11.26 – $126.00 | 28 |
| Hepatitis b core antibody igm CPT 86705 | $32.74 | $177.00 | $11.77 – $132.75 | 28 |
| Hepatitis b core antibody total CPT 86704 | $10.18 | $55.00 | $12.05 – $41.25 | 28 |
| Hepatitis b surface antibody CPT 86706 | $10.18 | $55.00 | $10.74 – $41.25 | 28 |
| Hepatitis c antibody CPT 86803 | $34.23 | $185.00 | $14.27 – $138.75 | 28 |
| Herpes simplex 1 ag if CPT 87274 | $9.84 | $60.00 | $11.98 – $45.00 | 28 |
| Herpes simplex 2 ag if CPT 87273 | $9.84 | $60.00 | $11.98 – $45.00 | 28 |
| Herpes simplex type 1 antibody igg CPT 86695 | $9.80 | $53.00 | $13.19 – $30.00 | 28 |
| Herpes simplex type 2 antibody igg CPT 86696 | $10.91 | $59.00 | $19.35 – $44.25 | 28 |
| Herpes simplex virus isolation CPT 87255 | $16.73 | $102.00 | $33.86 – $76.50 | 28 |
| Heterophile antibodies screening CPT 86308 | $2.96 | $16.00 | $5.18 – $12.00 | 28 |
| Hhv-6 dna quant CPT 87533 | $20.66 | $126.00 | $41.76 – $94.50 | 28 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $135.29 | $326.00 | $79.00 – $244.50 | 28 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $156.45 | $377.00 | $79.00 – $282.75 | 28 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $108.32 | $261.00 | $52.20 – $347.17 | 17 |
| Hip X-ray CPT 73502 | $131.56 | $317.00 | $58.65 – $347.17 | 17 |
| Histamine CPT 83088 | $7.48 | $89.00 | $29.53 – $66.75 | 28 |
| Histochemical stains add-on CPT 88314 | $37.24 | $348.00 | $22.59 – $261.00 | 17 |
| Hla class i high defin qual CPT 86832 | $179.82 | $972.00 | $323.75 – $729.00 | 28 |
| Hla class ii high defin qual CPT 86833 | $180.93 | $978.00 | $325.80 – $733.50 | 28 |
| Hla class i&ii antibody qual CPT 86828 | $35.70 | $193.00 | $64.19 – $144.75 | 28 |
| Hla class ii phenotype qual CPT 86831 | $45.51 | $246.00 | $81.88 – $184.50 | 28 |
| Hla class i phenotype qual CPT 86830 | $53.09 | $287.00 | $95.52 – $215.25 | 28 |
| Hla i & ii type verify lr CPT 81371 | $130.58 | $1,949.00 | $404.52 – $910.50 | 28 |
| Hla i & ii typing hr CPT 81378 | $69.48 | $1,037.00 | $345.57 – $777.75 | 28 |
| Hla i & ii typing lr CPT 81370 | $129.85 | $1,938.00 | $402.12 – $1,453.50 | 28 |
| Hla ii typing 1 loc hr CPT 81382 | $39.93 | $596.00 | $123.68 – $447.00 | 28 |
| Hla i low res one antigen equiv ea CPT 81374 | $24.05 | $359.00 | $74.33 – $167.25 | 28 |
| Hla i typing 1 locus hr CPT 81380 | $35.64 | $532.00 | $177.25 – $399.00 | 28 |
| Hla i typing complete hr CPT 81379 | $67.47 | $1,007.00 | $335.38 – $755.25 | 28 |
| Hla i typing complete lr CPT 81372 | $130.32 | $1,945.00 | $403.59 – $1,458.75 | 28 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $54.87 | $819.00 | $169.90 – $614.25 | 28 |
| Hla i typing low res one locus ea CPT 81373 | $41.14 | $614.00 | $127.43 – $460.50 | 28 |
| Hla x-math non-cytotoxic CPT 86825 | $60.87 | $329.00 | $109.49 – $246.75 | 28 |
| Homocysteine CPT 83090 | $4.87 | $58.00 | $17.92 – $43.50 | 28 |
| Homogenization tissue CPT 87176 | $2.95 | $18.00 | $5.88 – $13.50 | 28 |
| Homovanillic acid (hva) CPT 83150 | $5.71 | $68.00 | $22.41 – $51.00 | 28 |
| Hpv types 16 & 18 only CPT 87625 | $20.01 | $122.00 | $40.55 – $91.50 | 28 |
| Human epididymis protein 4 (he4) CPT 86305 | $17.94 | $97.00 | $13.98 – $72.75 | 28 |
| Hysterosalpingography s&i CPT 74740 | $285.52 | $688.00 | $166.84 – $516.00 | 28 |
| I-123 iobenguane diag HCPCS A9582 | $1,568.80 | $9,805.00 | $2,074.81 – $7,353.75 | 28 |
| I-123 ioflupane diag HCPCS A9584 | $1,050.24 | $6,564.00 | $1,388.02 – $4,923.00 | 28 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $46.72 | $292.00 | $58.40 – $410.96 | 16 |
| I131 iodide cap, rx HCPCS A9517 | $55.88 | $211.00 | $17.07 – $158.25 | 28 |
| I131 iodide sol, rx HCPCS A9530 | $44.49 | $168.00 | $13.88 – $126.00 | 28 |
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.