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 |
|---|---|---|---|---|
| Antithrombin iii activity CPT 85300 | $34.52 | $63.00 | $11.85 – $53.20 | 28 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $324.85 | $445.00 | $24.08 – $235.85 | 28 |
| Apl(pml-rara) quant - sendout CPT 81315 | $720.90 | $622.00 | $207.31 – $590.90 | 28 |
| Appendectomy CPT 44950 | $1,141.02 | $1,690.00 | $143.48 – $401.85 | 27 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $1,557.59 | $2,307.00 | $549.07 – $2,191.65 | 27 |
| Appendix Removal (Laparoscopic) CPT 44970 | $743.71 | $1,579.00 | $535.60 – $1,500.05 | 27 |
| Application finger splntstatic 29130 CPT 29130 | $81.94 | $143.00 | $28.29 – $135.85 | 28 |
| Application lower leg splint 29515 CPT 29515 | $108.30 | $189.00 | $42.74 – $119.70 | 28 |
| Application multi layer compression below knee (both sides) CPT 29581 | $554.66 | $968.00 | $26.10 – $612.75 | 28 |
| Application of paste boot 29580 CPT 29580 | $174.76 | $305.00 | $24.42 – $107.59 | 28 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $25.21 | $44.00 | $5.53 – $41.80 | 28 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $36.10 | $63.00 | $11.47 – $59.85 | 28 |
| Appl modality 1+lllt po pain CPT 97037 | $64.75 | $113.00 | $27.70 – $107.35 | 28 |
| Apply forearm splintdynamic 29126 CPT 29126 | $116.32 | $203.00 | $45.79 – $128.25 | 28 |
| Apply of finger splint 29131 CPT 29131 | $70.48 | $123.00 | $33.85 – $116.85 | 28 |
| Apply rigid leg cast 29445 CPT 29445 | $528.88 | $923.00 | $81.00 – $584.25 | 28 |
| #aptt mix-1:1 incubated CPT 87532 | $67.20 | $120.00 | $35.09 – $114.00 | 28 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $62.54 | $118.00 | $12.05 – $112.10 | 28 |
| Aquaporin-4 antibody cba each CPT 86052 | $185.50 | $350.00 | $12.05 – $213.75 | 28 |
| Aquaporin-4 antibody elisa CPT 86051 | $142.04 | $268.00 | $11.53 – $254.60 | 28 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $64.75 | $113.00 | $26.89 – $107.35 | 28 |
| Aquatic exercise - group charge CPT 97150 | $40.51 | $60.00 | $14.28 – $57.00 | 28 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $944.93 | $1,632.00 | $50.20 – $864.96 | 28 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $755.59 | $1,305.00 | $43.76 – $691.65 | 28 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $496.40 | $680.00 | $21.37 – $360.40 | 28 |
| Arterial blood draw/perc 36620 CPT 36620 | $296.18 | $516.00 | $42.66 – $490.20 | 28 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $292.40 | $579.00 | $33.24 – $204.58 | 28 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $281.29 | $557.00 | $31.88 – $196.63 | 28 |
| Ascenda two piece catheter HCPCS C1772 | $28,187.50 | $51,250.00 | $1,452.99 – $5,799.75 | 28 |
| Aspirate pleura without imaging 32554 CPT 32554 | $580.24 | $1,149.00 | $79.37 – $405.98 | 28 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,022.12 | $2,024.00 | $63.43 – $1,072.72 | 28 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $508.54 | $1,007.00 | $43.76 – $533.71 | 28 |
| Assay acid phosphatase CPT 84060 | $35.34 | $63.00 | $7.64 – $59.85 | 28 |
| Assay alkaline phosphatase CPT 84078 | $14.03 | $25.00 | $8.26 – $23.75 | 28 |
| Assay dir meas fr estradiol CPT 82681 | $47.12 | $84.00 | $27.94 – $79.80 | 28 |
| Assay duodenal fluid trypsin CPT 84485 | $12.34 | $22.00 | $7.20 – $20.90 | 28 |
| Assay free hydroxyproline CPT 83500 | $62.83 | $112.00 | $22.65 – $106.40 | 28 |
| Assay of corticosterone CPT 82528 | $46.56 | $83.00 | $22.52 – $78.85 | 28 |
| Assay of digoxin free CPT 80163 | $22.44 | $40.00 | $13.28 – $38.00 | 28 |
| Assay of feces porphyrins CPT 84126 | $97.05 | $173.00 | $39.11 – $164.35 | 28 |
| Assay of fluoride CPT 82735 | $159.89 | $285.00 | $18.54 – $270.75 | 28 |
| Assay of glutathione CPT 82978 | $47.69 | $85.00 | $15.45 – $80.75 | 28 |
| Assay of interleukin-6 (il-6) CPT 83529 | $61.15 | $109.00 | $17.27 – $103.55 | 28 |
| Assay of osteocalcin CPT 83937 | $50.49 | $90.00 | $29.85 – $85.50 | 28 |
| Assay of procainamide w/metab CPT 80192 | $28.61 | $51.00 | $16.75 – $48.45 | 28 |
| Assay of prostaglandin CPT 84150 | $157.08 | $280.00 | $41.77 – $266.00 | 28 |
| Assay of somatostatin CPT 84307 | $46.00 | $82.00 | $18.28 – $77.90 | 28 |
| Assay of thiocyanate CPT 84430 | $19.64 | $35.00 | $11.63 – $33.25 | 28 |
| Assay of urine sulfate CPT 84392 | $40.39 | $72.00 | $5.49 – $16.15 | 28 |
| Assay toxin or antitoxin CPT 87230 | $44.24 | $79.00 | $19.74 – $57.00 | 28 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $7.92 | $13.00 | $4.27 – $12.35 | 28 |
| Ast/sgot CPT 84450 | $42.64 | $76.00 | $5.18 – $47.50 | 28 |
| Attach bladder/urethra simple 51840 CPT 51840 | $300.45 | $445.00 | $150.94 – $422.75 | 27 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $95.69 | $191.00 | $45.46 – $181.45 | 27 |
| Baclofen eval charges CPT 97750 | $48.70 | $85.00 | $20.23 – $80.75 | 28 |
| Bacterial meningitis antigen CPT 86403 | $39.22 | $74.00 | $11.54 – $50.35 | 28 |
| Bacterial vaginosis pcr CPT 87801 | $768.32 | $1,372.00 | $70.20 – $200.45 | 28 |
| #bac vag cand-c. albicans naa CPT 87481 | $132.72 | $237.00 | $35.09 – $225.15 | 28 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $89.39 | $156.00 | $33.16 – $148.20 | 28 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $574.45 | $892.00 | $54.61 – $472.76 | 28 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $346.47 | $538.00 | $45.11 – $285.14 | 28 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $430.84 | $669.00 | $26.12 – $354.57 | 28 |
| Bartonella dna pcr-sendout CPT 87471 | $59.36 | $106.00 | $35.09 – $100.70 | 28 |
| Bausch health Ultrasound surg HCPCS V2788 | $2,256.87 | $4,885.00 | $85.60 – $564.30 | 28 |
| B cells total count CPT 86355 | $60.42 | $114.00 | $37.73 – $108.30 | 28 |
| #_benzodiazconfur CPT 80346 | $49.93 | $89.00 | $13.33 – $53.20 | 28 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $40.81 | $77.00 | $25.45 – $73.15 | 28 |
| Beta-2 microglobulin CPT 82232 | $32.54 | $58.00 | $16.18 – $55.10 | 28 |
| Beta-amyloid 1-40 CPT 82233 | $168.30 | $300.00 | $71.40 – $285.00 | 28 |
| Beta-amyloid 1-42 CPT 82234 | $253.01 | $451.00 | $107.34 – $428.45 | 28 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $593.52 | $1,034.00 | $50.08 – $654.55 | 28 |
| Bile duct endoscopy add-on 47550 CPT 47550 | $204.41 | $434.00 | $103.29 – $412.30 | 27 |
| Bilicheck CPT 88720 | $8.98 | $16.00 | $5.02 – $15.20 | 28 |
| Bilirubin direct CPT 82248 | $49.37 | $88.00 | $5.02 – $38.95 | 28 |
| Bilirubin total CPT 82247 | $73.49 | $131.00 | $5.02 – $44.65 | 28 |
| Biopsy abdominal mass CPT 49180 | $435.82 | $863.00 | $74.62 – $457.39 | 28 |
| Biopsy needle liver percutaneous CPT 47000 | $696.90 | $1,380.00 | $78.36 – $731.40 | 28 |
| Biopsy needle lymph node superficial CPT 38505 | $129.05 | $274.00 | $62.07 – $173.85 | 27 |
| Biopsy of prostate CPT 55700 | $258.30 | $525.00 | $126.11 – $498.75 | 28 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $367.85 | $781.00 | $264.92 – $741.95 | 27 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,006.97 | $1,994.00 | $113.29 – $704.37 | 28 |
| Bladder Catheter Insertion (simple) CPT 51702 | $183.68 | $320.00 | $24.52 – $304.00 | 28 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $289.30 | $504.00 | $29.06 – $478.80 | 28 |
| Bld prd mix CPT 86965 | $177.76 | $365.00 | $30.51 – $346.75 | 28 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $8,481.73 | $12,969.00 | $202.30 – $807.50 | 28 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $6,059.31 | $9,265.00 | $336.29 – $1,342.35 | 28 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $7,573.32 | $11,580.00 | $39.51 – $157.70 | 28 |
| Bln press regulation 71-80cm HCPCS C1815 | $13,974.40 | $25,408.00 | $2,756.04 – $11,001.00 | 28 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $19,274.20 | $35,044.00 | $106.39 – $424.65 | 28 |
| Blood Clotting (PT/INR) Test CPT 85610 | $27.95 | $51.00 | $4.29 – $48.45 | 28 |
| Blood Clotting (PTT) Test CPT 85730 | $10.41 | $19.00 | $6.01 – $18.05 | 28 |
| Blood Count (CBC) Test CPT 85025 | $35.62 | $65.00 | $7.77 – $22.80 | 28 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $10.96 | $20.00 | $6.47 – $19.00 | 28 |
| Blood Culture Test CPT 87040 | $17.36 | $31.00 | $10.32 – $29.45 | 28 |
| Blood draw capillary 36416 CPT 36416 | $20.71 | $34.00 | $8.09 – $32.30 | 28 |
| Blood gases o2 saturation direct measurement CPT 82805 | $132.96 | $237.00 | $78.77 – $225.15 | 28 |
| Blood gases ph venous CPT 82800 | $18.51 | $33.00 | $11.00 – $31.35 | 28 |
| Blood, l/r, irradiated HCPCS P9056 | $343.82 | $706.00 | $91.99 – $670.70 | 28 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $34.78 | $62.00 | $15.92 – $58.90 | 28 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $7.29 | $13.00 | $4.23 – $12.35 | 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.