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 |
|---|---|---|---|---|
| Intro cath dialysis circuit w/pta CPT 36902 | $3,647.59 | $12,889.00 | $3,137.11 – $10,026.70 | 28 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $7,121.13 | $25,163.00 | $3,137.11 – $19,943.57 | 28 |
| Intro catheter aorta CPT 36200 | $393.94 | $1,392.00 | $247.78 – $4,018.00 | 17 |
| Intro cath svc/ivc CPT 36010 | $352.05 | $1,244.00 | $221.43 – $4,018.00 | 17 |
| Intro long gi tube CPT 44500 | $141.50 | $500.00 | $175.00 – $1,648.80 | 28 |
| Intro long gi tube w/mult fluo CPT 74340 | $219.54 | $529.00 | $57.39 – $396.75 | 16 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $1,534.71 | $5,423.00 | $965.29 – $4,067.25 | 17 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,227.94 | $4,339.00 | $511.61 – $4,018.00 | 17 |
| Intubation endotracheal emergency procedure CPT 31500 | not published | not published | $153.41 – $633.53 | 6 |
| Iron CPT 83540 | $17.47 | $208.00 | $6.47 – $15.00 | 28 |
| Iron binding capacity CPT 83550 | $2.27 | $27.00 | $8.74 – $20.25 | 28 |
| Ivc venogram s&i CPT 75825 | $2,043.04 | $4,923.00 | $207.54 – $5,535.21 | 28 |
| IV Fluids (each additional hour) CPT 96361 | $45.93 | $189.00 | $29.00 – $141.75 | 28 |
| IV Fluids (first hour) CPT 96360 | $146.77 | $604.00 | $77.79 – $453.00 | 28 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $65.12 | $268.00 | $47.70 – $407.00 | 16 |
| IV inj ra drug dx study CPT 78808 | $88.98 | $664.00 | $177.40 – $706.66 | 28 |
| IV Medicine Infusion (additional drug) CPT 96367 | $84.56 | $348.00 | $44.93 – $261.00 | 28 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $56.38 | $232.00 | $29.00 – $174.00 | 28 |
| IV Medicine Infusion (first hour) CPT 96365 | $158.68 | $653.00 | $147.54 – $489.75 | 28 |
| IV Push Injection (each additional drug) CPT 96375 | $54.96 | $279.00 | $29.00 – $209.25 | 28 |
| IV Push Injection (first drug) CPT 96374 | $99.48 | $505.00 | $77.79 – $378.75 | 28 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $628.72 | $1,515.00 | $129.45 – $1,136.25 | 28 |
| Jak2 targeted sequence analysis CPT 81279 | $59.83 | $893.00 | $185.20 – $669.75 | 28 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $163.10 | $393.00 | $58.65 – $294.75 | 28 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $161.44 | $389.00 | $79.00 – $291.75 | 28 |
| John cunningham antibody CPT 86711 | $9.44 | $51.00 | $16.89 – $38.25 | 28 |
| Ketamine and metabolite screen - quest CPT 80357 | $12.18 | $145.00 | $25.81 – $108.75 | 16 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $5.12 | $61.00 | $8.17 – $18.75 | 28 |
| Kidney imag w/bld flow multi CPT 78709 | $364.75 | $2,722.00 | $354.82 – $2,041.50 | 28 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $308.60 | $2,303.00 | $354.82 – $1,727.25 | 28 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $95.06 | $679.00 | $79.00 – $509.25 | 28 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $61.32 | $438.00 | $79.00 – $328.50 | 28 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $3,636.06 | $21,904.00 | $869.53 – $6,530.02 | 17 |
| Kit gene analys d816 variant CPT 81273 | $40.33 | $602.00 | $124.87 – $451.50 | 28 |
| Kit ipg optimizer smart HCPCS C1824 | $42,638.44 | $176,923.00 | $11,773.63 – $85,807.65 | 17 |
| Kit lead specify 5-6-5 HCPCS C1778 | $7,390.02 | $30,664.00 | $1,237.10 – $5,212.50 | 17 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $649.50 | $2,695.00 | $104.66 – $855.62 | 17 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $1,471.31 | $6,105.00 | $479.71 – $2,117.84 | 17 |
| Knee MRI (with and without contrast) CPT 73723 | $913.66 | $3,569.00 | $266.89 – $2,676.75 | 17 |
| Knee MRI (with contrast) CPT 73722 | $761.34 | $2,974.00 | $487.00 – $3,070.63 | 17 |
| Knee MRI (without contrast) CPT 73721 | $609.02 | $2,379.00 | $166.84 – $1,784.25 | 17 |
| Knee X-ray CPT 73564 | $185.92 | $448.00 | $79.00 – $467.28 | 17 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $141.10 | $340.00 | $58.65 – $347.17 | 17 |
| Knee X-ray (3 views, both knees) CPT 73562 | $166.00 | $400.00 | $58.65 – $347.17 | 17 |
| Knee X-ray (standing, both knees) CPT 73565 | $164.34 | $396.00 | $58.65 – $297.00 | 28 |
| Kras gene addl variants CPT 81276 | $38.86 | $580.00 | $193.25 – $435.00 | 28 |
| Kras gene variants exon 2 CPT 81275 | $62.44 | $932.00 | $193.25 – $699.00 | 28 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $0.09 | $6.00 | $0.15 – $4.50 | 16 |
| Lactate dehydrogenase (ldh) CPT 83615 | $14.03 | $167.00 | $6.04 – $14.25 | 28 |
| Lactic acid CPT 83605 | $16.38 | $195.00 | $11.57 – $26.25 | 28 |
| Lactoferrin fecal qualitative CPT 83630 | $8.23 | $98.00 | $19.70 – $54.75 | 28 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $264.04 | $933.00 | $124.40 – $4,018.00 | 17 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $7,390.02 | $30,664.00 | $479.71 – $5,217.39 | 17 |
| Lead capillary CPT 83655 | $6.64 | $79.00 | $12.11 – $27.75 | 28 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $7,390.02 | $30,664.00 | $479.71 – $2,021.25 | 17 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $4,751.07 | $19,714.00 | $479.71 – $6,269.10 | 17 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $414.60 | $2,073.00 | $166.84 – $1,554.75 | 28 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $328.44 | $2,040.00 | $129.45 – $1,530.00 | 17 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $262.75 | $1,632.00 | $79.00 – $1,224.00 | 17 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $416.00 | $2,080.00 | $166.84 – $1,560.00 | 28 |
| Leishmania antibody CPT 86717 | $6.84 | $37.00 | $12.25 – $27.75 | 28 |
| Lens, intraocular (new tech) HCPCS C1780 | $374.20 | $1,413.00 | $251.51 – $1,514.50 | 17 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $571.24 | $2,157.00 | $105.73 – $445.50 | 16 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $571.24 | $2,157.00 | $105.73 – $445.50 | 16 |
| Levetiracetam therapeutic drug level CPT 80177 | $5.29 | $63.00 | $13.25 – $30.00 | 28 |
| Liberta rc ipg HCPCS C1820 | $21,112.56 | $87,604.00 | $869.53 – $66,430.50 | 17 |
| Lidocaine therapeutic drug level CPT 80176 | $3.78 | $45.00 | $14.69 – $33.75 | 28 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $995,629.44 | $3,759,504.00 | $3.97 – $2,819,628.00 | 13 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $2,074.70 – $3,137.11 | 6 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,020.08 – $2,740.51 | 6 |
| Ligation of femoral vein CPT 37650 | $2,607.84 | $9,215.00 | $1,228.60 – $6,560.00 | 17 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $2,074.70 – $3,137.11 | 6 |
| Lipase CPT 83690 | $20.92 | $249.00 | $6.89 – $39.00 | 28 |
| Lipoprotein blood high res frac & quant CPT 83701 | $8.57 | $102.00 | $33.86 – $76.50 | 28 |
| Lipoprotein blood quant CPT 83704 | $8.65 | $103.00 | $34.19 – $77.25 | 28 |
| Lipoprotein direct measurement hdl CPT 83718 | $10.33 | $123.00 | $8.19 – $18.75 | 28 |
| Lipoprotein direct measurement ldl CPT 83721 | $7.90 | $94.00 | $10.50 – $24.00 | 28 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $8.65 | $103.00 | $34.19 – $77.25 | 28 |
| Lithium therapeutic drug level CPT 80178 | $4.37 | $52.00 | $6.61 – $39.00 | 28 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $3,557.98 | $17,356.00 | $891.52 – $13,017.00 | 15 |
| Liver Function Test CPT 80076 | $24.11 | $287.00 | $8.17 – $215.25 | 28 |
| Liver imaging CPT 78201 | $214.13 | $1,598.00 | $354.82 – $1,198.50 | 28 |
| Liver imag w/vasclr flow CPT 78202 | $231.28 | $1,726.00 | $354.82 – $1,294.50 | 28 |
| Liver/spleen imag static only CPT 78215 | $196.18 | $1,464.00 | $273.41 – $1,098.00 | 28 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $626.29 | $3,890.00 | $129.45 – $2,917.50 | 28 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $521.96 | $3,242.00 | $266.89 – $2,431.50 | 28 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $417.47 | $2,593.00 | $79.00 – $1,944.75 | 28 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $960.27 | $3,626.00 | $266.89 – $2,719.50 | 28 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $800.32 | $3,022.00 | $266.89 – $2,266.50 | 28 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $640.09 | $2,417.00 | $166.84 – $1,812.75 | 28 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $183.01 | $441.00 | $79.00 – $330.75 | 28 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $208.74 | $503.00 | $79.00 – $377.25 | 28 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $131.14 | $316.00 | $58.65 – $347.17 | 17 |
| Low frequency non-thermal Ultrasound CPT 97610 | $40.83 | $298.00 | $42.94 – $241.00 | 15 |
| Lumbar diskogram s&i CPT 72295 | $1,490.68 | $3,592.00 | $243.47 – $3,434.14 | 28 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $86.67 | $642.00 | $191.73 – $547.63 | 28 |
| Lung function test (mbc/mvv) CPT 94200 | $30.51 | $226.00 | $40.35 – $169.50 | 28 |
| Lung Function Test (Spirometry) CPT 94010 | $68.58 | $508.00 | $101.17 – $381.00 | 28 |
| Lung perfusion imaging CPT 78580 | $209.17 | $1,561.00 | $273.41 – $1,170.75 | 28 |
| Lymphatics/lymph node imaging CPT 78195 | $288.64 | $2,154.00 | $354.82 – $1,615.50 | 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.