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 vitamin b-2 (riboflavin) CPT 84252 | $41.51 | $74.00 | $20.24 – $70.30 | 28 |
| Mayo vitamin b3 (niacin) CPT 84591 | $52.73 | $94.00 | $17.06 – $49.40 | 28 |
| Mayo vitamin k CPT 84597 | $47.69 | $85.00 | $13.72 – $80.75 | 28 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $44.32 | $79.00 | $13.25 – $75.05 | 28 |
| #mec-opiates CPT 80356 | $31.42 | $56.00 | $13.33 – $53.20 | 28 |
| Medical services after hrs CPT 99050 | $18.84 | $40.00 | $9.52 – $38.00 | 27 |
| Metabolic Blood Panel (Basic) CPT 80048 | $62.27 | $111.00 | $8.46 – $105.45 | 28 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $76.86 | $137.00 | $10.56 – $130.15 | 28 |
| Methotrexate therapeutic drug level CPT 80204 | $65.08 | $116.00 | $38.57 – $110.20 | 28 |
| Methylphenidate CPT 80360 | $37.59 | $67.00 | $15.95 – $63.65 | 28 |
| Mgmt promoter methylation analysis CPT 81287 | $777.69 | $671.00 | $124.64 – $637.45 | 28 |
| Microdissection laser CPT 88380 | $379.61 | $638.00 | $48.08 – $191.90 | 28 |
| Microdissection manual CPT 88381 | $136.85 | $230.00 | $54.74 – $218.50 | 28 |
| Microsatellite instability CPT 81301 | $1,212.31 | $1,046.00 | $348.56 – $993.70 | 28 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $205.44 | $319.00 | $9.50 – $169.07 | 28 |
| Middle cerebral artery echo CPT 76821 | $589.11 | $807.00 | $30.19 – $427.71 | 28 |
| Mlh1 gene CPT 81288 | $668.74 | $577.00 | $192.32 – $548.15 | 28 |
| Mobilization of colon 44139 CPT 44139 | $214.70 | $318.00 | $75.68 – $302.10 | 27 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $13,733.50 | $24,970.00 | $1,452.99 – $5,799.75 | 28 |
| Mopath procedure level 1 CPT 81400 | $222.53 | $192.00 | $63.96 – $182.40 | 28 |
| Mopath procedure level 3 CPT 81402 | $522.71 | $451.00 | $150.33 – $428.45 | 28 |
| Mopath procedure level 5 CPT 81404 | $956.18 | $825.00 | $274.83 – $783.75 | 28 |
| Mopath procedure level 6 CPT 81405 | $1,048.89 | $905.00 | $301.35 – $859.75 | 28 |
| Mopath procedure level 7 CPT 81406 | $2,238.03 | $1,931.00 | $282.88 – $1,834.45 | 28 |
| Mopath procedure level 8 CPT 81407 | $2,942.70 | $2,539.00 | $846.27 – $2,412.05 | 28 |
| Mopath procedure level 9 CPT 81408 | $6,954.00 | $6,000.00 | $2,000.00 – $5,700.00 | 28 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $329.03 | $553.00 | $108.14 – $346.75 | 28 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $453.39 | $762.00 | $75.26 – $723.90 | 28 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $278.46 | $468.00 | $78.18 – $346.75 | 28 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $217.17 | $365.00 | $42.15 – $346.75 | 28 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $217.17 | $365.00 | $108.14 – $346.75 | 28 |
| M/phmtrc alysishquant/semiq CPT 88369 | $175.52 | $295.00 | $70.21 – $280.25 | 28 |
| M/phmtrc alys skeletal musc CPT 88355 | $217.17 | $365.00 | $51.19 – $346.75 | 28 |
| MRA abdomen post contrast CPT 74185 | $3,471.00 | $5,141.00 | $54.50 – $1,816.84 | 28 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,288.79 | $3,390.00 | $54.74 – $1,197.80 | 28 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $205.13 | $462.00 | $54.98 – $219.45 | 27 |
| MRA pelvis CPT 72198 | $2,101.10 | $3,112.00 | $54.26 – $1,319.17 | 28 |
| MRA spinal canal CPT 72159 | $4,583.66 | $6,789.00 | $54.98 – $2,398.78 | 28 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,831.03 | $2,712.00 | $53.07 – $1,149.57 | 28 |
| MRI breast c- unilateral CPT 77046 | $931.39 | $1,512.00 | $63.09 – $801.36 | 28 |
| MRI breast c-+ w/cad uni CPT 77048 | $1,397.09 | $2,268.00 | $63.78 – $1,202.04 | 28 |
| MRI breast without cont bi CPT 77047 | $1,100.79 | $1,787.00 | $69.54 – $947.11 | 28 |
| MRI breast w IV cont bi CPT 77049 | $1,651.50 | $2,681.00 | $70.21 – $1,420.93 | 28 |
| MRI chest without contrast CPT 71550 | $1,325.63 | $2,152.00 | $63.77 – $1,140.56 | 28 |
| MRI chest without & w/contrast CPT 71552 | $1,988.45 | $3,228.00 | $97.35 – $1,710.84 | 28 |
| MRI chest w IV cont CPT 71551 | $1,657.04 | $2,690.00 | $75.30 – $1,425.70 | 28 |
| MRI loex nonjt w IV cont CPT 73719 | $1,184.57 | $1,923.00 | $70.89 – $1,019.19 | 28 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $947.41 | $1,538.00 | $58.68 – $815.14 | 28 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,421.11 | $2,307.00 | $92.94 – $1,222.71 | 28 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,981.34 | $4,832.00 | $70.89 – $2,560.96 | 28 |
| MRI tmj CPT 70336 | $1,400.78 | $2,274.00 | $64.45 – $803.48 | 28 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,162.39 | $1,887.00 | $59.02 – $1,000.11 | 28 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,743.90 | $2,831.00 | $93.28 – $1,500.43 | 28 |
| MRI upper extremity w/dye CPT 73219 | $1,453.14 | $2,359.00 | $71.23 – $1,250.27 | 28 |
| Mr safety determination physician/other qhp CPT 76016 | $69.55 | $108.00 | $25.78 – $72.20 | 28 |
| Mr safety implant elec prepj CPT 76018 | $122.36 | $190.00 | $32.22 – $100.70 | 28 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $117.85 | $183.00 | $43.55 – $173.85 | 28 |
| Mr safety implt pos&/immoblj CPT 76019 | $186.76 | $290.00 | $25.44 – $153.70 | 28 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $24.47 | $38.00 | $12.89 – $36.10 | 28 |
| Mr sfty med physics xm cstmz CPT 76017 | $290.44 | $451.00 | $32.90 – $239.03 | 28 |
| Mthfr gene analy common variants CPT 81291 | $228.32 | $197.00 | $65.34 – $187.15 | 28 |
| Multiple sleep latency test CPT 95805 | $3,483.64 | $4,360.00 | $353.64 – $3,313.60 | 28 |
| Mumps antibody igg CPT 86735 | $32.86 | $62.00 | $13.05 – $53.20 | 28 |
| Mycophenolic acid HCPCS J7518 | $16.49 | $72.00 | $0.37 – $68.40 | 28 |
| Mycoplasma antibody igm CPT 86738 | $29.15 | $55.00 | $13.24 – $52.25 | 28 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $610.79 | $527.00 | $175.40 – $500.65 | 28 |
| Myelogphy 2/> spine regions CPT 72270 | $1,387.18 | $2,154.00 | $58.68 – $1,141.62 | 28 |
| Myelography l-s spine CPT 72265 | $1,334.37 | $2,072.00 | $35.62 – $1,098.16 | 28 |
| Myelography neck spine CPT 72240 | $1,315.69 | $2,043.00 | $40.03 – $1,082.79 | 28 |
| Myelography thoracic spine CPT 72255 | $1,315.69 | $2,043.00 | $41.38 – $1,082.79 | 28 |
| Myelography via inj w/s&i thoracic CPT 62303 | $472.18 | $935.00 | $107.19 – $495.55 | 28 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $75.74 | $135.00 | $11.53 – $33.25 | 28 |
| Myomectomy abdom complex CPT 58146 | $511.77 | $758.00 | $180.40 – $720.10 | 27 |
| Myomectomy abdom method CPT 58140 | $410.50 | $608.00 | $144.70 – $577.60 | 27 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $887.08 | $1,803.00 | $156.09 – $1,141.90 | 28 |
| Natriuretic peptide CPT 83880 | $66.20 | $118.00 | $39.26 – $112.10 | 28 |
| Natural killer cells total count CPT 86357 | $60.42 | $114.00 | $37.73 – $108.30 | 28 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $28.28 | $56.00 | $8.07 – $53.20 | 28 |
| Ndl insj without njx 3+ musc CPT 20561 | $34.84 | $69.00 | $9.94 – $65.55 | 28 |
| Ndl round specialty proguide HCPCS C1715 | $108.56 | $166.00 | $39.51 – $157.70 | 28 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $291.09 | $452.00 | $8.14 – $239.56 | 28 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,742.21 | $3,009.00 | $55.29 – $1,594.77 | 28 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,452.13 | $2,508.00 | $53.25 – $1,329.24 | 28 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,161.47 | $2,006.00 | $43.76 – $1,063.18 | 28 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,281.77 | $3,645.00 | $99.72 – $1,931.85 | 28 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,901.79 | $3,038.00 | $78.02 – $1,610.14 | 28 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,521.18 | $2,430.00 | $64.79 – $1,287.90 | 28 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $352.91 | $548.00 | $9.84 – $290.44 | 28 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $481.71 | $748.00 | $12.21 – $396.44 | 28 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $575.09 | $893.00 | $13.23 – $473.29 | 28 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,064.35 | $5,213.00 | $78.36 – $2,762.89 | 28 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,720.22 | $4,344.00 | $65.47 – $2,302.32 | 28 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,376.10 | $3,475.00 | $52.58 – $1,841.75 | 28 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $1,205.77 | $1,967.00 | $70.89 – $1,042.51 | 28 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,004.71 | $1,639.00 | $60.04 – $868.67 | 28 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $803.64 | $1,311.00 | $55.97 – $694.83 | 28 |
| Nerve teasing preparations CPT 88362 | $1,018.64 | $1,712.00 | $118.34 – $1,626.40 | 28 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | $236.78 | $430.50 | $62.04 – $408.98 | 28 |
| New Patient Office Visit (level 2) CPT 99202 | $1,298.00 | $1,475.00 | $46.21 – $142.50 | 28 |
| New Patient Office Visit (level 3) CPT 99203 | $1,944.80 | $2,210.00 | $54.54 – $261.25 | 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.