Banner Page Hospital
501 North Navajo Drive, Page, AZ · Banner Health · · NPI 1578515789
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 |
|---|---|---|---|---|
| Mayo everolimus therapeutic drug level CPT 80169 | $33.66 | $60.00 | $13.73 – $57.00 | 28 |
| Mayo factor ii CPT 85210 | $35.07 | $64.00 | $12.98 – $60.80 | 28 |
| Mayo factor v CPT 85220 | $41.10 | $75.00 | $17.65 – $71.25 | 28 |
| Mayo factor vii CPT 85230 | $41.65 | $76.00 | $17.90 – $72.20 | 28 |
| Mayo factor viii vw factor antigen CPT 85246 | $40.55 | $74.00 | $22.94 – $70.30 | 28 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $37.81 | $69.00 | $22.94 – $65.55 | 28 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $47.68 | $87.00 | $22.94 – $70.30 | 28 |
| Mayo factor x CPT 85260 | $41.65 | $76.00 | $17.90 – $51.30 | 28 |
| Mayo factor xi CPT 85270 | $37.81 | $69.00 | $17.90 – $65.55 | 28 |
| Mayo fat/lipids feces quantitative CPT 82710 | $28.61 | $51.00 | $16.80 – $48.45 | 28 |
| Mayo fbl culture fungi blood CPT 87103 | $34.72 | $62.00 | $20.46 – $58.90 | 28 |
| Mayo ffspg allergen clam igg CPT 86001 | $12.72 | $24.00 | $7.82 – $22.80 | 28 |
| Mayo fibrinogen antigen CPT 85385 | $24.11 | $44.00 | $14.46 – $41.80 | 28 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $43.20 | $77.00 | $21.67 – $73.15 | 28 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $3,442.23 | $2,970.00 | $12.14 – $48.45 | 28 |
| Mayo hemosiderin qualitative urine CPT 83070 | $28.61 | $51.00 | $4.75 – $48.45 | 28 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $60.48 | $108.00 | $35.09 – $100.70 | 28 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $68.32 | $122.00 | $35.09 – $115.90 | 28 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $36.04 | $68.00 | $13.79 – $59.85 | 28 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $41.34 | $78.00 | $25.81 – $74.10 | 28 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $40.28 | $76.00 | $8.89 – $72.20 | 28 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $46.64 | $88.00 | $13.52 – $83.60 | 28 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $46.00 | $82.00 | $27.17 – $77.90 | 28 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $364.65 | $650.00 | $17.27 – $49.40 | 28 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $75.26 | $142.00 | $14.99 – $48.45 | 28 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $33.39 | $63.00 | $20.81 – $59.85 | 28 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $39.75 | $75.00 | $20.81 – $71.25 | 28 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $36.40 | $65.00 | $16.07 – $61.75 | 28 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $85.12 | $152.00 | $11.98 – $144.40 | 28 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $77.84 | $139.00 | $35.09 – $100.70 | 28 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $59.36 | $106.00 | $35.09 – $100.70 | 28 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $59.36 | $106.00 | $35.09 – $100.70 | 28 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $235.76 | $421.00 | $35.09 – $399.95 | 28 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $72.24 | $129.00 | $42.84 – $122.55 | 28 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $251.50 | $217.00 | $72.19 – $206.15 | 28 |
| Mayo infliximab therapeutic drug level CPT 80230 | $149.23 | $266.00 | $38.57 – $252.70 | 28 |
| Mayo inhab inhibin a CPT 86336 | $40.81 | $77.00 | $15.59 – $54.15 | 28 |
| Mayo insft insulin free CPT 83527 | $44.32 | $79.00 | $12.95 – $75.05 | 28 |
| Mayo insulin antibodies CPT 86337 | $34.98 | $66.00 | $21.41 – $62.70 | 28 |
| Mayo iodine CPT 83789 | $40.95 | $73.00 | $24.11 – $69.35 | 28 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $73.49 | $131.00 | $27.11 – $124.45 | 28 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $46.00 | $82.00 | $27.11 – $77.90 | 28 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $37.03 | $66.00 | $13.25 – $62.70 | 28 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $33.10 | $59.00 | $12.79 – $56.05 | 28 |
| Mayo legionella antibody CPT 86713 | $38.16 | $72.00 | $15.30 – $68.40 | 28 |
| Mayo leptospira antibody igm CPT 86720 | $81.62 | $154.00 | $16.20 – $46.55 | 28 |
| Mayo lipoprotein electrophoresis CPT 83700 | $57.78 | $103.00 | $11.26 – $97.85 | 28 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $32.33 | $61.00 | $15.49 – $57.95 | 28 |
| Mayo manganese CPT 83785 | $44.88 | $80.00 | $26.65 – $76.00 | 28 |
| Mayo metanephrines plasma CPT 83835 | $37.03 | $66.00 | $16.94 – $62.70 | 28 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $92.57 | $165.00 | $13.33 – $53.20 | 28 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $235.32 | $444.00 | $12.05 – $421.80 | 28 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $37.10 | $70.00 | $18.40 – $66.50 | 28 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $33.39 | $63.00 | $14.55 – $41.80 | 28 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $280.50 | $500.00 | $18.64 – $53.20 | 28 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $476.35 | $411.00 | $137.00 – $390.45 | 28 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $644.40 | $556.00 | $185.20 – $528.20 | 28 |
| Mayo muramidase CPT 85549 | $31.24 | $57.00 | $18.75 – $54.15 | 28 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $29.68 | $56.00 | $18.40 – $53.20 | 28 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $30.86 | $55.00 | $18.05 – $52.25 | 28 |
| Mayo myoglobin CPT 83874 | $33.10 | $59.00 | $12.92 – $56.05 | 28 |
| Mayo nickel CPT 83885 | $69.56 | $124.00 | $24.51 – $117.80 | 28 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $58.34 | $104.00 | $13.33 – $53.20 | 28 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $31.42 | $56.00 | $13.33 – $53.20 | 28 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $58.34 | $104.00 | $13.33 – $53.20 | 28 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $109.40 | $195.00 | $21.21 – $60.80 | 28 |
| Mayo organic acids qualitative each specimen CPT 83919 | $28.05 | $50.00 | $16.45 – $47.50 | 28 |
| Mayo oxalate 24 hour urine CPT 83945 | $60.59 | $108.00 | $14.45 – $63.65 | 28 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $58.34 | $104.00 | $11.53 – $98.80 | 28 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $32.86 | $62.00 | $15.03 – $58.90 | 28 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $278.25 | $525.00 | $12.05 – $35.15 | 28 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $38.91 | $71.00 | $17.98 – $67.45 | 28 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $35.34 | $63.00 | $13.76 – $59.85 | 28 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $34.78 | $62.00 | $8.44 – $58.90 | 28 |
| Mayo pregnenolone CPT 84140 | $35.34 | $63.00 | $20.67 – $59.85 | 28 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $33.10 | $59.00 | $16.59 – $56.05 | 28 |
| Mayo proinsulin CPT 84206 | $45.44 | $81.00 | $26.69 – $76.95 | 28 |
| Mayo psaft prostate specific antigen free CPT 84154 | $31.42 | $56.00 | $18.39 – $53.20 | 28 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $201.96 | $360.00 | $18.40 – $53.20 | 28 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $31.24 | $57.00 | $13.36 – $54.15 | 28 |
| Mayo receptor assay transferrin soluble CPT 84238 | $280.50 | $500.00 | $36.57 – $104.50 | 28 |
| Mayo renin CPT 84244 | $78.54 | $140.00 | $21.99 – $62.70 | 28 |
| Mayo repu protein electrophoresis urine CPT 84166 | $30.29 | $54.00 | $17.83 – $51.30 | 28 |
| Mayo selenium CPT 84255 | $43.20 | $77.00 | $25.53 – $73.15 | 28 |
| Mayo serotonin CPT 84260 | $52.17 | $93.00 | $30.98 – $88.35 | 28 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $37.63 | $71.00 | $19.35 – $67.45 | 28 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $31.98 | $57.00 | $13.73 – $54.15 | 28 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $197.16 | $372.00 | $58.55 – $233.70 | 28 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $32.86 | $62.00 | $4.27 – $49.40 | 28 |
| Mayo tau phosphorylated 217 each CPT 84393 | $253.01 | $451.00 | $83.30 – $332.50 | 28 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $726.69 | $627.00 | $208.92 – $595.65 | 28 |
| Mayo tgrp testosterone free CPT 84402 | $43.20 | $77.00 | $25.47 – $73.15 | 28 |
| Mayo tgrp testosterone total CPT 84403 | $43.76 | $78.00 | $25.81 – $74.10 | 28 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $62.83 | $112.00 | $22.17 – $106.40 | 28 |
| Mayo thyroglobulin CPT 84432 | $46.00 | $82.00 | $16.06 – $54.15 | 28 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $42.40 | $80.00 | $10.18 – $76.00 | 28 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $38.16 | $72.00 | $12.39 – $36.10 | 28 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $37.59 | $67.00 | $13.33 – $53.20 | 28 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $53.00 | $100.00 | $14.16 – $95.00 | 28 |
| Mayo vasoactive intestinal peptide CPT 84586 | $89.76 | $160.00 | $35.33 – $152.00 | 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.