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 |
|---|---|---|---|---|
| Cell count body fluid CPT 89050 | $9.13 | $15.00 | $4.72 – $14.25 | 28 |
| Cell count w differential body fluid CPT 89051 | $10.35 | $17.00 | $5.60 – $16.15 | 28 |
| Cell function assay w/stim CPT 86352 | $216.24 | $408.00 | $135.86 – $387.60 | 28 |
| Cell marker study CPT 88182 | $405.10 | $600.00 | $36.08 – $570.00 | 28 |
| Cesarean section delivery only 59514 CPT 59514 | $1,620.38 | $2,400.00 | $142.80 – $570.00 | 27 |
| #cf-97variants CPT 81220 | $1,935.53 | $1,670.00 | $556.60 – $1,586.50 | 28 |
| Change cystostomy tube simple CPT 51705 | $200.99 | $398.00 | $50.29 – $378.10 | 28 |
| Chest 2 vws w oblique CPT 71048 | $402.07 | $669.00 | $14.25 – $354.57 | 28 |
| Chest apical lordotic proj CPT 71047 | $316.73 | $527.00 | $12.21 – $279.31 | 28 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,196.73 | $3,794.00 | $59.70 – $2,010.82 | 28 |
| Chest CT scan (with contrast) CPT 71260 | $1,830.80 | $3,162.00 | $54.27 – $1,675.86 | 28 |
| Chest CT scan (without contrast) CPT 71250 | $1,464.29 | $2,529.00 | $50.20 – $1,340.37 | 28 |
| Chest Physiotherapy (first session) CPT 94667 | $73.59 | $111.00 | $24.26 – $105.45 | 28 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $94.81 | $143.00 | $38.18 – $135.85 | 28 |
| Chest Ultrasound CPT 76604 | $426.32 | $584.00 | $25.10 – $309.52 | 28 |
| Chest X-ray CPT 71046 | $301.70 | $502.00 | $9.50 – $266.06 | 28 |
| Chest X-ray (single view) CPT 71045 | $260.23 | $433.00 | $8.14 – $229.49 | 28 |
| Chimerism anal no cell selec CPT 81267 | $722.06 | $623.00 | $207.46 – $591.85 | 28 |
| Chimerism anal w/cell select CPT 81268 | $907.50 | $783.00 | $260.79 – $743.85 | 28 |
| Chlamydia culture CPT 87110 | $39.76 | $71.00 | $19.60 – $67.45 | 28 |
| Chlamydia type CPT 87140 | $31.92 | $57.00 | $5.57 – $53.20 | 28 |
| Chlnggrphy intraop addl s&i CPT 74301 | $293.02 | $455.00 | $6.66 – $241.15 | 28 |
| Chloride CPT 82435 | $20.76 | $37.00 | $4.60 – $35.15 | 28 |
| Chloride 24 hour urine CPT 82436 | $10.10 | $18.00 | $5.75 – $17.10 | 28 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $394.77 | $613.00 | $11.19 – $324.89 | 28 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | $1,998.47 | $2,960.00 | $176.12 – $703.00 | 27 |
| Cholesterol CPT 82465 | $31.42 | $56.00 | $4.35 – $52.25 | 28 |
| Cholesterol body fluid CPT 84999 | $38.15 | $68.00 | $10.71 – $42.75 | 28 |
| Cholesterol (Lipid) Test CPT 80061 | $57.22 | $102.00 | $13.39 – $46.55 | 28 |
| Cholinesterase CPT 82480 | $33.66 | $60.00 | $7.87 – $57.00 | 28 |
| Chrom analysis CPT 88273 | $70.89 | $105.00 | $34.81 – $99.75 | 28 |
| Chromatography CPT 83021 | $30.86 | $55.00 | $18.06 – $52.25 | 28 |
| Chromo high res and frag x - sendout CPT 81243 | $199.35 | $172.00 | $57.04 – $163.40 | 28 |
| Chromosome analys amniotic CPT 88269 | $351.76 | $521.00 | $173.66 – $494.95 | 28 |
| Chromosome analysis 100 CPT 88249 | $351.08 | $520.00 | $173.17 – $494.00 | 28 |
| Chromosome analysis 15-20 cell count CPT 88262 | $359.19 | $532.00 | $125.49 – $358.15 | 28 |
| Chromosome analysis 5 CPT 88261 | $536.08 | $794.00 | $264.34 – $754.30 | 28 |
| Chromosome analys placenta CPT 88267 | $382.14 | $566.00 | $188.57 – $537.70 | 28 |
| Chromosome count additional CPT 88285 | $54.69 | $81.00 | $26.91 – $76.95 | 28 |
| Chromosome karyotype study CPT 88280 | $68.19 | $101.00 | $33.47 – $95.95 | 28 |
| Chromosome study additional CPT 88289 | $70.22 | $104.00 | $34.43 – $98.80 | 28 |
| Chronic urticaria - sendout CPT 86343 | $33.92 | $64.00 | $12.46 – $60.80 | 28 |
| Chylomicron screen, bf - sendout CPT 82664 | $103.79 | $185.00 | $61.50 – $175.75 | 28 |
| Cine/video x-rays add-on CPT 76125 | $92.09 | $143.00 | $2.20 – $75.79 | 28 |
| Circum 28 days or older CPT 54161 | $241.62 | $513.00 | $174.01 – $487.35 | 27 |
| Circumcision (newborn) CPT 54150 | $322.05 | $477.00 | $37.03 – $252.81 | 28 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,146.25 | $989.00 | $329.51 – $939.55 | 28 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $6,059.31 | $9,265.00 | $385.32 – $1,538.05 | 28 |
| Clip ligating vesolock lg HCPCS C1760 | $12,047.20 | $21,904.00 | $74.49 – $297.35 | 28 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $2,835.00 | $4,199.00 | $999.36 – $3,989.05 | 27 |
| Clot factor fletcher fact CPT 85292 | $90.97 | $166.00 | $18.93 – $157.70 | 28 |
| Clot factor viii reltd antgn CPT 85244 | $33.98 | $62.00 | $20.42 – $58.90 | 28 |
| Clot factor xii hageman CPT 85280 | $41.65 | $76.00 | $19.35 – $72.20 | 28 |
| Clot factor xiii fibrin scrn CPT 85291 | $15.34 | $28.00 | $9.11 – $26.60 | 28 |
| Clot factor xiii fibrin stab CPT 85290 | $53.70 | $98.00 | $16.34 – $93.10 | 28 |
| #cmvcul-virus inoculation shell CPT 87254 | $35.84 | $64.00 | $19.56 – $56.05 | 28 |
| Cmv pcr-sendout CPT 87496 | $59.36 | $106.00 | $35.09 – $100.70 | 28 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $3.76 | $6.70 | $1.94 – $6.37 | 28 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $388.48 | $594.00 | $74.49 – $297.35 | 28 |
| Cold agglutinin screen (arc) CPT 86156 | $13.25 | $25.00 | $8.07 – $23.75 | 28 |
| Cold agglutinin titer CPT 86157 | $13.25 | $25.00 | $8.06 – $23.75 | 28 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $2,380.61 | $3,526.00 | $839.19 – $3,349.70 | 27 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | $3,435.89 | $5,089.00 | $1,211.18 – $4,834.55 | 27 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | $3,231.32 | $4,786.00 | $1,139.07 – $4,546.70 | 27 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $11,083.60 | $20,152.00 | $339.25 – $2,560.25 | 28 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $298.17 | $463.00 | $7.46 – $245.39 | 28 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $144.16 | $293.00 | $29.17 – $278.35 | 28 |
| Colonoscopy (diagnostic) CPT 45378 | $227.49 | $483.00 | $163.83 – $458.85 | 27 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $280.72 | $596.00 | $202.16 – $566.20 | 27 |
| Colonoscopy submucous njx CPT 45381 | $246.33 | $523.00 | $177.40 – $496.85 | 27 |
| Colonoscopy w/ablation CPT 45388 | $333.00 | $707.00 | $239.81 – $671.65 | 27 |
| Colonoscopy (with biopsy) CPT 45380 | $246.33 | $523.00 | $177.40 – $496.85 | 27 |
| Colonoscopy (with polyp removal) CPT 45385 | $312.74 | $664.00 | $225.23 – $630.80 | 27 |
| Colpopexy intraperitoneal CPT 57283 | $215.25 | $457.00 | $155.01 – $434.15 | 27 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $143.17 | $291.00 | $88.88 – $276.45 | 28 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $222.28 | $365.00 | $35.05 – $346.75 | 28 |
| Compatibility test each unit electronic CPT 86923 | $222.28 | $365.00 | $26.29 – $346.75 | 28 |
| Compatibility test each unit immediate spin technique CPT 86920 | $222.28 | $365.00 | $32.78 – $346.75 | 28 |
| Complement antigen each component c3 CPT 86160 | $154.76 | $292.00 | $12.00 – $34.20 | 28 |
| Complement fixation each CPT 86171 | $16.43 | $31.00 | $10.01 – $29.45 | 28 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $284.01 | $603.00 | $204.54 – $572.85 | 27 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $303.79 | $645.00 | $218.78 – $612.75 | 27 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $343.83 | $730.00 | $247.62 – $693.50 | 27 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $414.01 | $879.00 | $298.16 – $835.05 | 27 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $299.56 | $636.00 | $215.73 – $604.20 | 27 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $374.44 | $795.00 | $269.66 – $755.25 | 27 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $103.15 | $219.00 | $74.28 – $208.05 | 27 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $89.49 | $190.00 | $64.45 – $180.50 | 27 |
| Concentration infection agents any type CPT 87015 | $71.68 | $128.00 | $6.68 – $19.95 | 28 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $943.66 | $1,918.00 | $251.80 – $1,822.10 | 28 |
| Conization of cervix CPT 57520 | not published | not published | $292.70 – $1,901.83 | 6 |
| Consultation pathology during surgery CPT 88329 | $75.56 | $127.00 | $24.53 – $120.65 | 28 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $1,155.87 | $1,712.00 | $31.12 – $1,626.40 | 28 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $42.24 | $71.00 | $12.26 – $67.45 | 28 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $217.17 | $365.00 | $40.21 – $346.75 | 28 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $67.83 | $114.00 | $28.84 – $108.30 | 28 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $49.98 | $84.00 | $24.53 – $79.80 | 28 |
| Consult comp w/report rfrd material CPT 88325 | $217.17 | $365.00 | $108.14 – $346.75 | 28 |
| Contrast baths charges CPT 97034 | $32.66 | $57.00 | $13.57 – $54.15 | 28 |
| Contrast x-ray gallbladder CPT 74290 | $280.14 | $435.00 | $13.91 – $230.55 | 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.