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 |
|---|---|---|---|---|
| Dch validity tests CPT 81002 | $6.31 | $11.00 | $3.48 – $10.45 | 28 |
| Deamidated gliadin antibody iga CPT 86258 | $31.27 | $59.00 | $11.53 – $35.15 | 28 |
| Debridement (>20 cm) charge pt CPT 97598 | $35.53 | $62.00 | $21.03 – $58.90 | 28 |
| Debridement bone <= 20 sq cm CPT 11044 | $278.83 | $592.00 | $200.81 – $562.40 | 27 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $74.42 | $158.00 | $53.59 – $150.10 | 27 |
| Debride nail1-5 11720 CPT 11720 | $17.90 | $38.00 | $12.89 – $36.10 | 27 |
| Debride skin bone at fx site CPT 11012 | $513.86 | $1,091.00 | $370.07 – $1,036.45 | 27 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $708.85 | $1,505.00 | $358.19 – $1,429.75 | 27 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,384.08 | $2,050.00 | $487.90 – $1,947.50 | 27 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $32.97 | $70.00 | $23.74 – $66.50 | 27 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $190.28 | $404.00 | $137.04 – $383.80 | 27 |
| Decalcification CPT 88311 | $15.47 | $26.00 | $8.40 – $24.70 | 28 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $241.90 | $479.00 | $33.67 – $455.05 | 28 |
| Delivery of placenta 59414 CPT 59414 | $1,309.81 | $1,940.00 | $87.64 – $1,843.00 | 28 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $150.50 | $227.00 | $17.45 – $215.65 | 28 |
| Desoxycorticosterone CPT 82633 | $52.17 | $93.00 | $30.98 – $88.35 | 28 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $184.16 | $391.00 | $132.63 – $371.45 | 27 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $99.85 | $212.00 | $71.91 – $201.40 | 27 |
| Destruction anal lesion(s) CPT 46910 | $163.44 | $347.00 | $117.70 – $329.65 | 27 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $166.73 | $354.00 | $120.08 – $336.30 | 27 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $127.17 | $270.00 | $91.58 – $256.50 | 27 |
| Device sut capio slim opn HCPCS C2631 | $6,369.00 | $11,580.00 | $576.20 – $2,299.95 | 28 |
| Device tiss remov myosure reach HCPCS C1782 | $9,087.33 | $13,895.00 | $640.22 – $2,555.50 | 28 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $37.59 | $67.00 | $22.23 – $63.65 | 28 |
| Diabetes (HbA1c) Test CPT 83036 | $16.83 | $30.00 | $9.71 – $28.50 | 28 |
| Diag laparo separate proc 49320 CPT 49320 | $405.53 | $861.00 | $73.27 – $205.20 | 27 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $49.93 | $106.00 | $35.96 – $100.70 | 27 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $352.44 | $445.00 | $30.70 – $235.85 | 28 |
| Diagnostic Mammogram (one breast) CPT 77065 | $232.85 | $294.00 | $24.99 – $155.82 | 28 |
| Diffusing capacity CPT 94729 | $353.25 | $608.00 | $46.69 – $577.60 | 28 |
| Digoxin total therapeutic drug level CPT 80162 | $29.73 | $53.00 | $13.28 – $50.35 | 28 |
| Dilate esophagus 1/mult pass CPT 43450 | $96.55 | $205.00 | $69.54 – $194.75 | 27 |
| Dilation of urethra CPT 53665 | $1,205.89 | $2,451.00 | $36.62 – $2,328.45 | 28 |
| Dilator fascial 10fx20cm HCPCS C2627 | $1,410.68 | $2,157.00 | $59.74 – $238.45 | 28 |
| Disability dlco CPT 94727 | $273.07 | $470.00 | $32.09 – $446.50 | 28 |
| Disaccharidases CPT 82657 | $203.08 | $362.00 | $22.17 – $106.40 | 28 |
| Dna antibody native/double stranded CPT 86225 | $32.86 | $62.00 | $13.74 – $39.90 | 28 |
| Dna gardnerella CPT 87510 | $34.16 | $61.00 | $20.05 – $57.95 | 28 |
| Dna trichomonas CPT 87660 | $34.16 | $61.00 | $20.05 – $57.95 | 28 |
| Doppler echo complete CPT 93320 | $371.18 | $670.00 | $11.19 – $355.10 | 28 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $242.61 | $403.00 | $11.19 – $213.59 | 28 |
| Dornhoffer fixed part w/window HCPCS L8614 | $60,227.20 | $109,504.00 | $15,261.64 – $47,851.50 | 28 |
| Dpyd gene common variants CPT 81232 | $608.48 | $525.00 | $174.81 – $498.75 | 28 |
| Drainage of kidney lesion CPT 50390 | $1,393.30 | $2,759.00 | $84.80 – $974.67 | 28 |
| Drain cath image guided visceral pq CPT 49405 | $1,393.30 | $2,759.00 | $175.03 – $1,462.27 | 28 |
| Drain finger abscess;simple 26010 CPT 26010 | $169.09 | $359.00 | $121.77 – $341.05 | 27 |
| Drain lower leg lesion 27603 CPT 27603 | $715.92 | $1,520.00 | $343.95 – $963.30 | 27 |
| Drain neck/chest lesion 21501 CPT 21501 | $398.47 | $846.00 | $286.96 – $803.70 | 27 |
| Drain thigh/knee lesion 27301 CPT 27301 | $927.87 | $1,970.00 | $445.37 – $1,247.35 | 27 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $66.41 | $141.00 | $47.83 – $133.95 | 27 |
| Drng of eyelid abscess 67700 CPT 67700 | $209.12 | $444.00 | $100.40 – $281.20 | 27 |
| Drng of scrotum abscess 55100 CPT 55100 | $204.41 | $434.00 | $147.21 – $412.30 | 27 |
| Drng peritoneal abscess open 49020 CPT 49020 | $2,824.19 | $4,183.00 | $995.55 – $3,973.85 | 27 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $6,059.31 | $9,265.00 | $202.30 – $807.50 | 28 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $232.10 | $422.00 | $31.85 – $89.20 | 28 |
| Drug assay caffeine CPT 80155 | $65.08 | $116.00 | $38.57 – $110.20 | 28 |
| Drug assay posaconazole CPT 80187 | $66.20 | $118.00 | $27.11 – $112.10 | 28 |
| Drug assay vedolizumab CPT 80280 | $177.84 | $317.00 | $38.57 – $301.15 | 28 |
| Drug assay voriconazole CPT 80285 | $71.25 | $127.00 | $27.11 – $120.65 | 28 |
| Drug asy hydroxychloroquine CPT 80220 | $163.25 | $291.00 | $18.64 – $276.45 | 28 |
| Drug of abuse screen urine CPT 80305 | $35.90 | $64.00 | $12.60 – $60.80 | 28 |
| Drug screening tapentadol CPT 80372 | $31.42 | $56.00 | $13.33 – $53.20 | 28 |
| Drug test prsmv instrmnt CPT 80306 | $29.17 | $52.00 | $17.14 – $49.40 | 28 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $251.89 | $449.00 | $62.14 – $177.65 | 28 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $304.01 | $505.00 | $21.71 – $267.65 | 28 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $760.33 | $1,263.00 | $34.94 – $669.39 | 28 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $85.92 | $151.00 | $6.13 – $143.45 | 28 |
| Ecg < 30 days transmission & analysis CPT 93271 | $344.85 | $627.00 | $72.72 – $595.65 | 28 |
| Ecg external < 48 hours recording CPT 93225 | $264.00 | $480.00 | $17.81 – $456.00 | 28 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,071.99 | $1,935.00 | $63.77 – $1,025.55 | 28 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $364.53 | $658.00 | $22.39 – $348.74 | 28 |
| Echocardiography doppler color flow mapping CPT 93325 | $292.51 | $528.00 | $2.14 – $279.84 | 28 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,340.13 | $2,419.00 | $518.51 – $2,298.05 | 28 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $455.94 | $823.00 | $266.89 – $781.85 | 28 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $186.70 | $337.00 | $4.52 – $178.61 | 28 |
| Echo exam uterus 76831- CPT 76831 | $572.32 | $784.00 | $31.55 – $415.52 | 28 |
| Echo guide for amniocentesis CPT 76946 | $486.18 | $666.00 | $11.42 – $352.98 | 28 |
| Echo stress CPT 93350 | $694.16 | $1,253.00 | $62.07 – $664.09 | 28 |
| Echo transthoracic CPT 93303 | $72.82 | $164.00 | $55.63 – $155.80 | 27 |
| Echo transthoracic CPT 93304 | $41.74 | $94.00 | $31.88 – $89.30 | 27 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $589.46 | $1,064.00 | $39.35 – $563.92 | 28 |
| E equine encephalitis igg CPT 86652 | $34.45 | $65.00 | $13.19 – $61.75 | 28 |
| Egd dilate stricture CPT 43245 | $216.19 | $459.00 | $155.69 – $436.05 | 27 |
| Egd remove foreign body CPT 43247 | $217.60 | $462.00 | $156.71 – $438.90 | 27 |
| Egd remove lesion snare CPT 43251 | $240.68 | $511.00 | $173.33 – $485.45 | 27 |
| Egd varices ligation CPT 43244 | $300.97 | $639.00 | $216.75 – $607.05 | 27 |
| Egfr gene com variants CPT 81235 | $1,128.87 | $974.00 | $324.58 – $925.30 | 28 |
| EKG (Tracing Only) CPT 93005 | $277.67 | $488.00 | $6.13 – $463.60 | 28 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $146.83 | $228.00 | $7.46 – $120.84 | 28 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $173.24 | $269.00 | $7.80 – $142.57 | 28 |
| Electrd sq emblem s-icd HCPCS C1896 | $10,842.70 | $19,714.00 | $641.41 – $2,560.25 | 28 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $65.89 | $115.00 | $14.12 – $109.25 | 28 |
| Electrical stimulation/unattended 97014 CPT 97014 | $53.29 | $93.00 | $12.12 – $88.35 | 28 |
| Electrolyte panel CPT 80051 | $43.76 | $78.00 | $7.01 – $74.10 | 28 |
| Electron microscopy diagnostic CPT 88348 | $1,018.64 | $1,712.00 | $398.84 – $1,626.40 | 28 |
| Encephalitis, california igg/igm CPT 86651 | $34.45 | $65.00 | $13.19 – $61.75 | 28 |
| Encephalitis, st louis igg/igm CPT 86653 | $34.45 | $65.00 | $13.19 – $61.75 | 28 |
| Encephalitis, western equine igg/igm CPT 86654 | $34.45 | $65.00 | $13.19 – $61.75 | 28 |
| Enterectomy small intestine single 44120 CPT 44120 | $2,170.64 | $3,215.00 | $765.17 – $3,054.25 | 27 |
| Enteroenterostomy fusion 44130 CPT 44130 | $2,332.00 | $3,454.00 | $205.63 – $820.80 | 27 |
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.