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 |
|---|---|---|---|---|
| Warde cadmium blood CPT 82300 | $39.83 | $71.00 | $23.64 – $67.45 | 28 |
| Warde calcitonin CPT 82308 | $45.44 | $81.00 | $26.79 – $76.95 | 28 |
| Warde calculus (stone) infrared CPT 82365 | $41.51 | $74.00 | $12.90 – $70.30 | 28 |
| Warde clozapine therapeutic drug level CPT 80159 | $38.15 | $68.00 | $20.15 – $64.60 | 28 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $161.57 | $288.00 | $21.96 – $273.60 | 28 |
| Warde collagen cross links c-telopeptide CPT 82523 | $63.39 | $113.00 | $18.68 – $64.60 | 28 |
| Warde complement total hemolytic CPT 86162 | $32.33 | $61.00 | $20.32 – $57.95 | 28 |
| Warde copper CPT 82525 | $118.37 | $211.00 | $12.41 – $59.85 | 28 |
| Warde cryoglobulin CPT 82595 | $35.34 | $63.00 | $6.47 – $59.85 | 28 |
| Warde erythropoietin CPT 82668 | $31.98 | $57.00 | $18.79 – $54.15 | 28 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $32.33 | $61.00 | $12.09 – $57.95 | 28 |
| Warde folic acid rbc CPT 82747 | $30.86 | $55.00 | $17.65 – $52.25 | 28 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $31.42 | $56.00 | $9.70 – $53.20 | 28 |
| Warde gastrin CPT 82941 | $32.54 | $58.00 | $17.63 – $55.10 | 28 |
| Warde growth hormone (hgh) CPT 83003 | $28.61 | $51.00 | $16.67 – $48.45 | 28 |
| Warde haloperidol therapeutic drug level CPT 80173 | $55.54 | $99.00 | $15.78 – $94.05 | 28 |
| Warde helminth antibody strongyloides igg CPT 86682 | $37.63 | $71.00 | $13.01 – $60.80 | 28 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $39.83 | $71.00 | $12.87 – $67.45 | 28 |
| Warde hepatitis a antibody CPT 86708 | $29.15 | $55.00 | $12.39 – $52.25 | 28 |
| Warde hepatitis be antibody CPT 86707 | $31.27 | $59.00 | $11.57 – $56.05 | 28 |
| Warde hepatitis delta agent antibody CPT 86692 | $45.05 | $85.00 | $17.16 – $80.75 | 28 |
| Warde immunofixation electrophoresis urine CPT 86335 | $47.17 | $89.00 | $29.35 – $84.55 | 28 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $33.04 | $59.00 | $11.53 – $56.05 | 28 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $432.88 | $773.00 | $257.45 – $734.35 | 28 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $127.20 | $240.00 | $23.57 – $67.45 | 28 |
| Warde lipoprotein (a) CPT 83695 | $32.54 | $58.00 | $14.32 – $54.15 | 28 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $77.98 | $139.00 | $46.31 – $132.05 | 28 |
| Warde mitochondrial antibody each CPT 86381 | $40.81 | $77.00 | $25.45 – $73.15 | 28 |
| Warde neutralization rabies CPT 86382 | $67.31 | $127.00 | $16.91 – $65.55 | 28 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $38.71 | $69.00 | $13.25 – $65.55 | 28 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $56.10 | $100.00 | $22.97 – $95.00 | 28 |
| Warde protein c antigen CPT 85302 | $35.62 | $65.00 | $12.01 – $61.75 | 28 |
| Warde sex hormone binding globulin CPT 84270 | $37.03 | $66.00 | $21.73 – $62.70 | 28 |
| Warde somatomedin CPT 84305 | $35.90 | $64.00 | $21.26 – $60.80 | 28 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $35.90 | $64.00 | $5.50 – $60.80 | 28 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $33.10 | $59.00 | $15.76 – $56.05 | 28 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $85.83 | $153.00 | $50.86 – $145.35 | 28 |
| Warde topiramate therapeutic drug level CPT 80201 | $20.20 | $36.00 | $11.92 – $34.20 | 28 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $44.24 | $79.00 | $26.07 – $75.05 | 28 |
| Warde viscosity CPT 85810 | $31.24 | $57.00 | $11.67 – $54.15 | 28 |
| Warde vitamin a CPT 84590 | $34.78 | $62.00 | $11.61 – $58.90 | 28 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $35.90 | $64.00 | $21.23 – $60.80 | 28 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $47.69 | $85.00 | $28.10 – $80.75 | 28 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $33.10 | $59.00 | $9.89 – $56.05 | 28 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $65.08 | $116.00 | $38.50 – $110.20 | 28 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $34.78 | $62.00 | $14.18 – $58.90 | 28 |
| Warde zinc CPT 84630 | $75.74 | $135.00 | $11.39 – $33.25 | 28 |
| Wbc automated CPT 85048 | $4.38 | $8.00 | $2.54 – $7.60 | 28 |
| Western blot test CPT 84181 | $97.61 | $174.00 | $17.03 – $98.80 | 28 |
| Whole blood for transfusion HCPCS P9010 | $316.55 | $650.00 | $108.85 – $617.50 | 28 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $433.92 | $891.00 | $215.21 – $846.45 | 28 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $74.27 | $110.00 | $37.31 – $104.50 | 27 |
| Whole Skeleton X-ray Survey CPT 77075 | $284.00 | $441.00 | $24.42 – $233.73 | 28 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $147.83 | $258.00 | $34.48 – $245.10 | 28 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $91.11 | $159.00 | $22.73 – $84.27 | 28 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $130.07 | $227.00 | $24.76 – $120.31 | 28 |
| Wrist X-ray CPT 73110 | $333.59 | $518.00 | $7.80 – $274.54 | 28 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $139.10 | $216.00 | $7.46 – $114.48 | 28 |
| X-ray abdomen >=3 views CPT 74021 | $227.98 | $354.00 | $11.87 – $187.62 | 28 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $225.54 | $881.00 | $24.08 – $466.93 | 28 |
| X-ray bone length studies CPT 77073 | $401.86 | $624.00 | $12.21 – $330.72 | 28 |
| X-ray bone survey infant CPT 77076 | $414.74 | $644.00 | $30.53 – $341.32 | 28 |
| X-ray consultation CPT 76140 | $11.10 | $25.00 | $5.95 – $23.75 | 27 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $396.06 | $615.00 | $15.94 – $325.95 | 28 |
| X-ray exam entire spi 6/> vw CPT 72084 | $401.21 | $623.00 | $18.32 – $330.19 | 28 |
| X-ray exam of arm infant CPT 73092 | $160.36 | $249.00 | $7.12 – $131.97 | 28 |
| X-ray exam of femur 1 CPT 73551 | $194.49 | $302.00 | $7.46 – $160.06 | 28 |
| X-ray exam of jaw joint CPT 70328 | $141.04 | $219.00 | $8.14 – $116.07 | 28 |
| X-ray exam of mastoids CPT 70120 | $189.34 | $294.00 | $8.14 – $155.82 | 28 |
| X-ray exam of middle ear CPT 70134 | $234.42 | $364.00 | $15.60 – $192.92 | 28 |
| X-ray exam si joints CPT 72200 | $235.70 | $366.00 | $7.80 – $193.98 | 28 |
| X-ray exam thorac spine4/>vw CPT 72074 | $472.05 | $733.00 | $10.85 – $388.49 | 28 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $169.37 | $263.00 | $7.46 – $139.39 | 28 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $494.59 | $768.00 | $12.21 – $407.04 | 28 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $530.01 | $823.00 | $13.91 – $436.19 | 28 |
| X-ray joint survey 1 view CPT 77077 | $233.77 | $363.00 | $15.26 – $192.39 | 28 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $161.64 | $251.00 | $7.12 – $133.03 | 28 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $376.74 | $585.00 | $9.84 – $310.05 | 28 |
| X-ray mandible ltd <4 views CPT 70100 | $151.98 | $236.00 | $8.14 – $125.08 | 28 |
| X-ray nose to rectum for foreign body child CPT 76010 | $116.56 | $181.00 | $8.14 – $95.93 | 28 |
| X-ray ribs 2 views left CPT 71100 | $336.17 | $522.00 | $9.84 – $276.66 | 28 |
| X-ray sella turcica CPT 70240 | $146.19 | $227.00 | $8.82 – $120.31 | 28 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $282.72 | $439.00 | $22.73 – $232.67 | 28 |
| X-ray small intestine follow-through study CPT 74248 | $182.90 | $284.00 | $21.42 – $150.52 | 28 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $254.38 | $395.00 | $9.84 – $209.35 | 28 |
| X-ray surgical specimen CPT 76098 | $111.41 | $173.00 | $13.91 – $91.69 | 28 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $255.67 | $397.00 | $11.87 – $210.41 | 28 |
| Zika virus dna/rna amp probe CPT 87662 | $112.00 | $200.00 | $51.31 – $190.00 | 28 |
| Zika virus igm antibody CPT 86794 | $172.25 | $325.00 | $16.85 – $308.75 | 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.