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 |
|---|---|---|---|---|
| X-ray mandible ltd <4 views CPT 70100 | $141.93 | $342.00 | $58.65 – $256.50 | 28 |
| X-ray nose to rectum for foreign body child CPT 76010 | $140.27 | $338.00 | $58.65 – $253.50 | 28 |
| X-ray optic foramina CPT 70190 | $173.47 | $418.00 | $58.65 – $347.17 | 17 |
| Xray place dist ext thor ao CPT 75959 | $1,556.25 | $3,750.00 | $369.35 – $2,812.50 | 16 |
| Xray place prox ext thor ao CPT 75958 | $1,748.39 | $4,213.00 | $416.47 – $3,159.75 | 16 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $456.91 | $1,101.00 | $181.72 – $825.75 | 28 |
| X-ray ribs 2 views left CPT 71100 | $119.93 | $289.00 | $57.80 – $347.17 | 17 |
| X-ray sella turcica CPT 70240 | $141.93 | $342.00 | $58.65 – $256.50 | 28 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $440.73 | $1,062.00 | $118.86 – $964.24 | 28 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $333.24 | $803.00 | $79.00 – $602.25 | 28 |
| X-ray small intestine follow-through study CPT 74248 | $121.60 | $293.00 | $52.15 – $219.75 | 16 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $175.54 | $423.00 | $58.65 – $317.25 | 28 |
| X-ray surgical specimen CPT 76098 | $213.31 | $514.00 | $63.38 – $964.24 | 28 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $149.40 | $360.00 | $58.65 – $270.00 | 28 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $15,595.57 | $58,889.00 | $19,786.70 – $93,760.51 | 28 |
| Zika virus dna/rna amp probe CPT 87662 | $32.80 | $200.00 | $51.31 – $150.00 | 28 |
| Zika virus igm antibody CPT 86794 | $60.12 | $325.00 | $16.85 – $243.75 | 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.