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 |
|---|---|---|---|---|
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $7.85 | $14.00 | $4.38 – $13.30 | 28 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $8.98 | $16.00 | $5.32 – $15.20 | 28 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $29.59 | $54.00 | $3.80 – $51.30 | 28 |
| Blood split unit HCPCS P9011 | $196.75 | $404.00 | $18.32 – $51.30 | 28 |
| Blood Transfusion CPT 36430 | $762.99 | $1,499.00 | $41.10 – $949.05 | 28 |
| Blood typing abo CPT 86900 | $167.48 | $275.00 | $2.99 – $245.10 | 28 |
| Blood typing ag donor ea ag CPT 86902 | $464.06 | $762.00 | $6.35 – $723.90 | 28 |
| Blood typing patient serum CPT 86904 | $93.18 | $153.00 | $16.34 – $145.35 | 28 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $464.06 | $762.00 | $3.83 – $723.90 | 28 |
| Blood typing rh (d) CPT 86901 | $51.16 | $84.00 | $2.99 – $79.80 | 28 |
| Blood typing rh phenotype complete reference CPT 86906 | $51.16 | $84.00 | $7.75 – $79.80 | 28 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $242.79 | $377.00 | $8.48 – $199.81 | 28 |
| Bone Density Scan (DEXA) CPT 77080 | $482.36 | $749.00 | $8.82 – $396.97 | 28 |
| Bone imaging multiple areas CPT 78305 | $71.57 | $106.00 | $35.96 – $100.70 | 27 |
| Bone/joint imaging ltd area CPT 78300 | $54.01 | $80.00 | $27.14 – $76.00 | 27 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $34.98 | $66.00 | $17.03 – $62.70 | 28 |
| Bowel imaging CPT 78290 | $57.39 | $85.00 | $28.83 – $80.75 | 27 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $65.32 | $114.00 | $27.13 – $108.30 | 28 |
| Braf gene CPT 81210 | $610.79 | $527.00 | $175.40 – $500.65 | 28 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,229.58 | $3,105.00 | $64.79 – $1,645.65 | 28 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,024.85 | $2,588.00 | $52.24 – $1,371.64 | 28 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $819.72 | $2,070.00 | $52.24 – $1,097.10 | 28 |
| Brain MRI (with and without contrast) CPT 70553 | $3,410.78 | $5,528.00 | $99.72 – $2,929.84 | 28 |
| Brain MRI (with contrast) CPT 70552 | $2,842.52 | $4,607.00 | $77.68 – $2,441.71 | 28 |
| Brain MRI (without contrast) CPT 70551 | $2,273.64 | $3,685.00 | $64.79 – $1,953.05 | 28 |
| Brcassure comprehensive panel-sendout CPT 81162 | $6,345.53 | $5,475.00 | $1,824.88 – $5,201.25 | 28 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,057.37 | $4,074.00 | $139.75 – $2,159.22 | 28 |
| Breastbone (Sternum) X-ray CPT 71120 | $199.64 | $310.00 | $9.16 – $164.30 | 28 |
| Breast punct aspir cyst, bil CPT 19000 | $284.32 | $563.00 | $38.67 – $298.39 | 28 |
| Breath recording infant CPT 94772 | $607.14 | $1,045.00 | $181.68 – $992.75 | 28 |
| Bronchial challenge CPT 94070 | $406.12 | $699.00 | $34.97 – $664.05 | 28 |
| Br punct aspir ea add, l CPT 19001 | $66.66 | $132.00 | $19.33 – $69.96 | 28 |
| Bundled special stain group 1 microorganisms CPT 88312 | $67.83 | $114.00 | $36.08 – $108.30 | 28 |
| Bundled special stain group 2 CPT 88313 | $163.62 | $275.00 | $24.53 – $261.25 | 28 |
| Buprenorphine and metabolite - sendout CPT 80348 | $72.37 | $129.00 | $13.33 – $53.20 | 28 |
| Bur rotalink 2.15mm HCPCS C1724 | $11,460.70 | $17,524.00 | $1,162.63 – $4,640.75 | 28 |
| Buttock fasciotomy CPT 27027 | $1,646.14 | $3,495.00 | $790.34 – $2,213.50 | 27 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,029.19 | $2,038.00 | $48.55 – $1,080.14 | 28 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $771.03 | $1,637.00 | $370.07 – $1,036.45 | 27 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $470.53 | $999.00 | $225.91 – $632.70 | 27 |
| Bx of breast open 19101 CPT 19101 | $411.18 | $873.00 | $197.41 – $552.90 | 27 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $974.16 | $1,980.00 | $155.60 – $1,881.00 | 28 |
| Bx skin punch ea sep/ addl les CPT 11105 | $32.50 | $69.00 | $16.42 – $65.55 | 27 |
| C1 esterase inhibitor func - sendout CPT 86161 | $159.00 | $300.00 | $12.00 – $62.70 | 28 |
| Cable cath 22-pin diag HCPCS C1730 | $11,460.70 | $17,524.00 | $141.37 – $564.30 | 28 |
| Calcium 24 hour urine CPT 82340 | $43.20 | $77.00 | $6.03 – $53.20 | 28 |
| Calcium ionized CPT 82330 | $89.20 | $159.00 | $13.68 – $122.55 | 28 |
| Calcium total CPT 82310 | $36.47 | $65.00 | $5.16 – $43.70 | 28 |
| Calprotectin fecal CPT 83993 | $140.25 | $250.00 | $19.63 – $237.50 | 28 |
| Campylobacter antibody CPT 86625 | $21.20 | $40.00 | $13.12 – $38.00 | 28 |
| Candida dna CPT 87480 | $34.16 | $61.00 | $20.05 – $57.95 | 28 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $43,364.20 | $78,844.00 | $39.51 – $157.70 | 28 |
| Cap nerve 2x15mm HCPCS C1763 | $45,773.20 | $83,224.00 | $202.30 – $807.50 | 28 |
| Cap trach decann 15mm HCPCS C1750 | $4,331.80 | $7,876.00 | $74.49 – $297.35 | 28 |
| Carbamazepine free CPT 80157 | $50.49 | $90.00 | $13.25 – $85.50 | 28 |
| Carbamazepine free -sendout CPT 80161 | $50.49 | $90.00 | $18.64 – $55.10 | 28 |
| Carbamazepine total therapeutic drug level CPT 80156 | $29.17 | $52.00 | $14.57 – $49.40 | 28 |
| Carbohydrate deficient transf - sendout CPT 82373 | $30.86 | $55.00 | $18.06 – $52.25 | 28 |
| Carbohydrate urine - sendout CPT 84377 | $128.47 | $229.00 | $5.50 – $217.55 | 28 |
| Carbon dioxide CPT 82374 | $151.47 | $270.00 | $4.88 – $45.60 | 28 |
| Carboxyhemoglobin quantitative CPT 82375 | $42.08 | $75.00 | $12.32 – $35.15 | 28 |
| Carcinoembryonic ag (cea) CPT 82378 | $184.57 | $329.00 | $18.96 – $54.15 | 28 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $116.13 | $172.00 | $58.34 – $163.40 | 27 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $114.10 | $169.00 | $8.55 – $160.55 | 28 |
| Cardiolipin antibody iga CPT 86147 | $42.40 | $80.00 | $25.45 – $76.00 | 28 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $1,150.87 | $2,005.00 | $95.65 – $1,062.65 | 28 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $146.69 | $256.00 | $52.32 – $243.20 | 28 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $73.34 | $128.00 | $26.05 – $121.60 | 28 |
| Carotene CPT 82380 | $37.59 | $67.00 | $9.22 – $63.65 | 28 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,135.97 | $1,887.00 | $34.60 – $1,000.11 | 28 |
| Cataract Surgery CPT 66984 | not published | not published | $527.73 – $1,507.39 | 6 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,058.83 | $1,619.00 | $74.49 – $297.35 | 28 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $8,784.53 | $13,432.00 | $336.29 – $1,342.35 | 28 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $2,016.28 | $3,083.00 | $385.32 – $1,538.05 | 28 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $6,059.31 | $9,265.00 | $641.41 – $2,560.25 | 28 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $7,573.32 | $11,580.00 | $39.51 – $157.70 | 28 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $9,087.33 | $13,895.00 | $640.22 – $2,555.50 | 28 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $7,573.32 | $11,580.00 | $74.49 – $297.35 | 28 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $9,087.33 | $13,895.00 | $141.37 – $564.30 | 28 |
| Cath bi-dir df smarttouch HCPCS C1732 | $14,325.22 | $21,904.00 | $513.37 – $2,049.15 | 28 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $11,460.70 | $17,524.00 | $733.75 – $2,928.85 | 28 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $6,059.31 | $9,265.00 | $74.49 – $297.35 | 28 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $2,519.86 | $3,853.00 | $141.37 – $564.30 | 28 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $2,519.86 | $3,853.00 | $39.51 – $157.70 | 28 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $71.25 | $117.00 | $3.00 – $111.15 | 28 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $2,552.55 | $4,641.00 | $39.51 – $157.70 | 28 |
| Cath hawkone s directional HCPCS C1714 | $9,087.33 | $13,895.00 | $1,162.63 – $4,640.75 | 28 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $4,458.85 | $8,107.00 | $141.37 – $564.30 | 28 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $7,573.32 | $11,580.00 | $202.30 – $807.50 | 28 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $65.94 | $140.00 | $33.32 – $133.00 | 27 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $1,762.53 | $2,695.00 | $141.37 – $564.30 | 28 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $13,251.70 | $24,094.00 | $3,649.49 – $14,567.30 | 28 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $382.79 | $758.00 | $35.46 – $401.74 | 28 |
| Cath steerable flex adv 12f HCPCS C1766 | $6,059.31 | $9,265.00 | $336.29 – $1,342.35 | 28 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $10,842.70 | $19,714.00 | $640.22 – $2,555.50 | 28 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $1,848.86 | $2,827.00 | $74.49 – $297.35 | 28 |
| #cbg+cort-cbg CPT 84449 | $30.29 | $54.00 | $18.00 – $51.30 | 28 |
| Cdna analysis for variants CPT 81403 | $715.10 | $617.00 | $185.20 – $528.20 | 28 |
| Cebpa gene full sequence CPT 81218 | $841.43 | $726.00 | $241.90 – $689.70 | 28 |
| #celiac hla-dq8 CPT 81383 | $380.15 | $328.00 | $109.13 – $311.60 | 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.