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 |
|---|---|---|---|---|
| Repair blood vessel direct hand finger CPT 35207 | $1,387.10 | $2,945.00 | $666.19 – $1,865.80 | 27 |
| Repair blood vessel dir lower extr CPT 35226 | $1,541.11 | $3,272.00 | $450.93 – $2,071.95 | 27 |
| Repair blood vessel dir upper extr CPT 35206 | $1,445.97 | $3,070.00 | $694.34 – $1,944.65 | 27 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $318.87 | $677.00 | $229.64 – $643.15 | 27 |
| Repair ing hernia sliding CPT 49525 | $1,065.40 | $2,262.00 | $511.51 – $1,432.60 | 27 |
| Repair of rectum CPT 45505 | $732.88 | $1,556.00 | $527.80 – $1,478.20 | 27 |
| Repair of ruptured spleen 38115 CPT 38115 | $2,265.16 | $3,355.00 | $798.49 – $3,187.25 | 27 |
| Repair palate CPT 42182 | $312.27 | $663.00 | $224.89 – $629.85 | 27 |
| Replace g-j tube perc CPT 49452 | $560.04 | $1,109.00 | $123.13 – $587.77 | 28 |
| Replantation digit complete CPT 20816 | $3,629.66 | $5,376.00 | $1,823.54 – $5,107.20 | 27 |
| Reptilase test CPT 85635 | $16.44 | $30.00 | $9.85 – $28.50 | 28 |
| Reremove wrist tendon lesion CPT 25112 | $1,018.82 | $1,509.00 | $341.24 – $955.70 | 27 |
| Rerepair ing hernia blocked CPT 49521 | $1,331.99 | $2,828.00 | $639.39 – $1,790.75 | 27 |
| Rerepair ing hernia reduce CPT 49520 | $1,173.26 | $2,491.00 | $563.41 – $1,577.95 | 27 |
| #resp virpnl dfa-adenovirus CPT 87260 | $24.64 | $44.00 | $14.43 – $41.80 | 28 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $28.00 | $50.00 | $16.43 – $47.50 | 28 |
| Resp virus 6-11 targets CPT 87632 | $366.80 | $655.00 | $218.06 – $622.25 | 28 |
| Resuscitation delivery/birthing room CPT 99465 | $186.87 | $373.00 | $126.52 – $354.35 | 27 |
| Reticulated platelet assay CPT 85055 | $59.18 | $108.00 | $35.74 – $102.60 | 28 |
| Reticulocyte direct measurement automated CPT 85046 | $31.24 | $57.00 | $5.57 – $54.15 | 28 |
| Revision of cervix CPT 59320 | not published | not published | $147.04 – $1,901.83 | 6 |
| Revision of scrotum CPT 55180 | $850.16 | $1,805.00 | $612.26 – $1,714.75 | 27 |
| Rheumatoid factor quantitative CPT 86431 | $29.15 | $55.00 | $5.67 – $17.10 | 28 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $417.96 | $649.00 | $11.87 – $343.97 | 28 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $526.15 | $817.00 | $14.25 – $433.01 | 28 |
| Rib X-ray (3 views, both sides) CPT 71110 | $365.15 | $567.00 | $12.89 – $300.51 | 28 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $666.46 | $1,415.00 | $319.87 – $895.85 | 27 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $172.39 | $366.00 | $124.15 – $347.70 | 27 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | $486.79 | $721.00 | $171.60 – $684.95 | 27 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $1,296.19 | $2,752.00 | $396.56 – $2,614.40 | 27 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $976.38 | $2,073.00 | $703.16 – $1,969.35 | 27 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $945.77 | $2,008.00 | $681.11 – $1,907.60 | 27 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $726.28 | $1,542.00 | $523.05 – $1,464.90 | 27 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $433.79 | $921.00 | $312.40 – $874.95 | 27 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $603.35 | $1,281.00 | $434.52 – $1,216.95 | 27 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $1,570.78 | $3,335.00 | $793.73 – $3,168.25 | 27 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $1,121.45 | $2,381.00 | $566.68 – $2,261.95 | 27 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $1,088.48 | $2,311.00 | $550.02 – $2,195.45 | 27 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $810.59 | $1,721.00 | $583.76 – $1,634.95 | 27 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $724.40 | $1,538.00 | $521.69 – $1,461.10 | 27 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $534.58 | $1,135.00 | $384.99 – $1,078.25 | 27 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | $1,509.66 | $2,236.00 | $532.17 – $2,124.20 | 27 |
| Rpr fem hernia init blocked CPT 49553 | $1,171.85 | $2,488.00 | $140.77 – $394.25 | 27 |
| Rpr ing hernia baby blocked CPT 49496 | $1,139.82 | $2,420.00 | $547.47 – $1,533.30 | 27 |
| Rpr rem hernia init reduce CPT 49550 | $1,069.64 | $2,271.00 | $513.55 – $1,438.30 | 27 |
| Rsv assay w/optic CPT 87807 | $22.40 | $40.00 | $13.10 – $38.00 | 28 |
| Rubella antibody igg CPT 86762 | $29.68 | $56.00 | $14.39 – $41.80 | 28 |
| Rubeola antibody igg CPT 86765 | $31.80 | $60.00 | $12.88 – $53.20 | 28 |
| Russell viper venom diluted CPT 85613 | $32.88 | $60.00 | $9.58 – $57.00 | 28 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $3,189.57 | $2,752.00 | $396.56 – $2,614.40 | 28 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $394.77 | $613.00 | $10.18 – $324.89 | 28 |
| Salmonella antibody CPT 86768 | $38.69 | $73.00 | $13.19 – $69.35 | 28 |
| Same day nb discharge 99463 CPT 99463 | $141.28 | $282.00 | $86.09 – $267.90 | 27 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $628.49 | $1,044.00 | $34.60 – $553.32 | 28 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $311.23 | $517.00 | $21.71 – $274.01 | 28 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $464.74 | $772.00 | $22.05 – $409.16 | 28 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $709.76 | $1,179.00 | $19.33 – $624.87 | 28 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $662.20 | $1,100.00 | $21.37 – $583.00 | 28 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $695.31 | $1,155.00 | $21.71 – $612.15 | 28 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $227.96 | $484.00 | $164.17 – $459.80 | 27 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $227.02 | $482.00 | $163.49 – $457.90 | 27 |
| Screening Mammogram CPT 77067 | $233.00 | $374.00 | $23.56 – $94.05 | 27 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $72,272.20 | $131,404.00 | $16.66 – $66.50 | 28 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $708.83 | $971.00 | $27.81 – $514.63 | 28 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $1,446.87 | $2,143.00 | $127.57 – $509.20 | 27 |
| Sedimentation rate erythrocyte automated CPT 85652 | $4.93 | $9.00 | $2.70 – $8.55 | 28 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $55.01 | $96.00 | $22.85 – $91.20 | 28 |
| Semen analysis w/count CPT 89310 | $15.83 | $26.00 | $3.75 – $24.70 | 28 |
| Serpina1 gene CPT 81332 | $401.01 | $346.00 | $43.65 – $328.70 | 28 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $9,087.33 | $13,895.00 | $74.49 – $297.35 | 28 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $74.05 | $129.00 | $14.06 – $122.55 | 28 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $208.01 | $323.00 | $8.48 – $171.19 | 28 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $202.86 | $315.00 | $8.14 – $166.95 | 28 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,908.37 | $3,098.00 | $93.28 – $1,641.94 | 28 |
| Shoulder MRI (with contrast) CPT 73222 | $1,590.51 | $2,582.00 | $71.23 – $1,368.46 | 28 |
| Shoulder MRI (without contrast) CPT 73221 | $1,272.04 | $2,065.00 | $59.70 – $1,094.45 | 28 |
| Shoulder X-ray CPT 73030 | $381.25 | $592.00 | $8.48 – $313.76 | 28 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $144.90 | $225.00 | $6.78 – $119.25 | 28 |
| Sickling rbc CPT 85660 | $30.69 | $56.00 | $5.51 – $53.20 | 28 |
| Sigmoidoscopy and biopsy CPT 45331 | $87.61 | $186.00 | $63.09 – $176.70 | 27 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $81.48 | $173.00 | $58.68 – $164.35 | 27 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $147.89 | $314.00 | $106.51 – $298.30 | 27 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,260.94 | $2,057.00 | $55.29 – $1,090.21 | 28 |
| Sinus CT scan (with contrast) CPT 70487 | $1,050.68 | $1,714.00 | $49.18 – $908.42 | 28 |
| Sinus CT scan (without contrast) CPT 70486 | $840.42 | $1,371.00 | $37.65 – $726.63 | 28 |
| Sinus X-ray (complete) CPT 70220 | $325.22 | $505.00 | $9.84 – $267.65 | 28 |
| Sinus X-ray (limited) CPT 70210 | $285.29 | $443.00 | $7.80 – $234.79 | 28 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $86.39 | $154.00 | $23.37 – $146.30 | 28 |
| Skull X-ray (1 to 3 views) CPT 70250 | $195.13 | $303.00 | $9.16 – $160.59 | 28 |
| Skull X-ray (complete) CPT 70260 | $291.73 | $453.00 | $12.55 – $240.09 | 28 |
| Slco1b1 gene com variants CPT 81328 | $608.48 | $525.00 | $174.81 – $498.75 | 28 |
| Sleep study attended CPT 95807 | $1,884.84 | $2,712.00 | $342.28 – $2,060.55 | 28 |
| Sleep Study (Polysomnography) CPT 95810 | $4,252.70 | $6,119.00 | $494.34 – $4,650.25 | 28 |
| Sleep study unattended CPT 95806 | $580.87 | $727.00 | $49.90 – $551.95 | 28 |
| Sling suprapubic suburetheral HCPCS C1771 | $12,047.20 | $21,904.00 | $640.22 – $2,555.50 | 28 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $308.48 | $479.00 | $35.62 – $253.87 | 28 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $38.08 | $68.00 | $5.39 – $54.15 | 28 |
| Smear gram stain CPT 87205 | $55.42 | $91.00 | $4.27 – $12.35 | 28 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $35.84 | $64.00 | $5.99 – $17.10 | 28 |
| Smear wet mount CPT 87210 | $29.68 | $53.00 | $5.82 – $17.10 | 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.