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 |
|---|---|---|---|---|
| Fetal biophys profile w/nst 76818 CPT 76818 | $455.52 | $624.00 | $45.45 – $330.72 | 28 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $583.27 | $730.00 | $34.03 – $693.50 | 28 |
| Fetal fibronectin CPT 82731 | $108.83 | $194.00 | $64.41 – $184.30 | 28 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $32.33 | $59.00 | $7.73 – $56.05 | 28 |
| Fetal hemoglobin rosette CPT 85461 | $15.89 | $29.00 | $9.36 – $27.55 | 28 |
| Fetal non stress test CPT 59025 | $569.69 | $713.00 | $19.76 – $677.35 | 28 |
| #_fet/norfentcnfrmur CPT 80354 | $37.59 | $67.00 | $13.33 – $53.20 | 28 |
| Fibrin degradation d dimer quantitative CPT 85379 | $16.99 | $31.00 | $10.18 – $29.45 | 28 |
| Fibrin degradation products CPT 85362 | $43.84 | $80.00 | $6.89 – $19.95 | 28 |
| Fibrinogen activity CPT 85384 | $16.44 | $30.00 | $9.72 – $28.50 | 28 |
| Fibrinolytic antiplasmin CPT 85410 | $13.15 | $24.00 | $7.71 – $22.80 | 28 |
| Fibrinolytic plasminogen CPT 85415 | $46.03 | $84.00 | $17.19 – $79.80 | 28 |
| Fibrinolytic plasminogen CPT 85421 | $16.99 | $31.00 | $10.18 – $29.45 | 28 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $38.91 | $71.00 | $6.53 – $54.15 | 28 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $4,586.45 | $8,339.00 | $1,394.92 – $5,567.95 | 28 |
| Filter vena cava fem denali HCPCS C1880 | $5,095.75 | $9,265.00 | $334.87 – $1,336.65 | 28 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $107.89 | $243.00 | $82.43 – $230.85 | 27 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $70.60 | $159.00 | $37.84 – $151.05 | 27 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $601.96 | $1,192.00 | $30.70 – $631.76 | 28 |
| Fine needle asp without image guide 10021 CPT 10021 | $171.20 | $339.00 | $53.20 – $322.05 | 28 |
| Finger X-ray (both hands) CPT 73140 | $244.72 | $380.00 | $6.44 – $201.40 | 28 |
| Flecainide (tambocor)-sendout CPT 80181 | $38.15 | $68.00 | $18.64 – $64.60 | 28 |
| Fl exam g/colon tube w contrast CPT 49465 | $141.40 | $280.00 | $27.48 – $148.40 | 28 |
| Flexible Sigmoidoscopy CPT 45330 | $68.77 | $146.00 | $49.52 – $138.70 | 27 |
| Flow cytometry marker each additional CPT 88185 | $85.07 | $126.00 | $12.26 – $113.05 | 28 |
| Flow cytometry one marker technical component CPT 88184 | $514.47 | $762.00 | $75.86 – $723.90 | 28 |
| Flt3 gene CPT 81245 | $576.02 | $497.00 | $165.51 – $472.15 | 28 |
| Flt3 gene analysis CPT 81246 | $288.59 | $249.00 | $83.00 – $236.55 | 28 |
| Fluidotherapy charges pt CPT 97022 | $41.26 | $72.00 | $16.65 – $68.40 | 28 |
| Fluorescent antibody titer dna CPT 86256 | $443.61 | $837.00 | $12.05 – $35.15 | 28 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $298.17 | $463.00 | $18.33 – $245.39 | 28 |
| Fluoroguide needle placement CPT 77002 | $571.23 | $887.00 | $17.14 – $470.11 | 28 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $546.11 | $848.00 | $13.57 – $449.44 | 28 |
| Fna bx w/ct gdn 1st les CPT 10009 | $882.24 | $1,747.00 | $100.40 – $925.91 | 28 |
| Fna bx w/ct gdn ea addl CPT 10010 | $838.30 | $1,660.00 | $51.17 – $879.80 | 28 |
| Folic acid CPT 82746 | $25.25 | $45.00 | $14.70 – $42.75 | 28 |
| Foot X-ray CPT 73630 | $336.81 | $523.00 | $7.46 – $277.19 | 28 |
| Foot X-ray (2 views, both feet) CPT 73620 | $146.19 | $227.00 | $6.78 – $120.31 | 28 |
| Forearm X-ray (both sides) CPT 73090 | $144.90 | $225.00 | $7.46 – $119.25 | 28 |
| Freeing of bowel adhesion 44005 CPT 44005 | $1,940.41 | $2,874.00 | $171.12 – $683.05 | 27 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $45.29 | $93.00 | $31.55 – $88.35 | 28 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $45.29 | $93.00 | $31.55 – $88.35 | 28 |
| Fresh frozen plasma thawing ea un CPT 86927 | $222.28 | $365.00 | $18.50 – $346.75 | 28 |
| Fructosamine glycated protein CPT 82985 | $29.73 | $53.00 | $16.76 – $50.35 | 28 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $284.00 | $441.00 | $14.25 – $233.73 | 28 |
| Gabapentin non-blood CPT 80355 | $31.42 | $56.00 | $13.33 – $53.20 | 28 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $97.05 | $173.00 | $21.07 – $164.35 | 28 |
| Galectin-3 CPT 82777 | $74.61 | $133.00 | $44.25 – $126.35 | 28 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $62.79 | $93.00 | $31.55 – $88.35 | 27 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $77.64 | $115.00 | $39.01 – $109.25 | 27 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $815.77 | $1,732.00 | $146.87 – $411.35 | 27 |
| Gammaglobulin iga CPT 82784 | $35.34 | $63.00 | $9.30 – $49.40 | 28 |
| Gammaglobulin ige CPT 82785 | $32.54 | $58.00 | $16.46 – $55.10 | 28 |
| Gamma glutamyltransferase CPT 82977 | $34.78 | $62.00 | $7.20 – $20.90 | 28 |
| Generator barostim neo2 2014 HCPCS C1767 | $48,182.20 | $87,604.00 | $6,775.86 – $27,046.50 | 28 |
| Generator emblem MRI sicd subq HCPCS C1722 | $73,932.72 | $109,504.00 | $10,424.40 – $41,610.00 | 28 |
| Gentamicin peak therapeutic drug level CPT 80170 | $28.05 | $50.00 | $16.38 – $47.50 | 28 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $99.70 – $575.40 | 6 |
| Ghs abscess postoperative iandd complex CPT 10180 | $217.60 | $462.00 | $156.71 – $438.90 | 27 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $33.10 | $59.00 | $9.81 – $56.05 | 28 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $29.17 | $52.00 | $17.11 – $49.40 | 28 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $961.97 | $830.00 | $102.26 – $788.50 | 28 |
| Ghs antibodies (torch) igm CPT 86694 | $23.32 | $44.00 | $14.39 – $41.80 | 28 |
| Ghs bladder cath - complex-foley CPT 51703 | $172.71 | $342.00 | $73.85 – $324.90 | 28 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $102.21 | $217.00 | $49.18 – $137.75 | 27 |
| Ghs chemo IV push, ea addtl CPT 96411 | $184.99 | $274.00 | $44.93 – $260.30 | 28 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $183.68 | $328.00 | $35.09 – $311.60 | 28 |
| Ghs community re-entry 15 minutes CPT 97537 | $57.87 | $101.00 | $24.04 – $95.95 | 28 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $33.39 | $63.00 | $15.21 – $59.85 | 28 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $394.91 | $782.00 | $97.01 – $414.46 | 28 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $733.76 | $1,453.00 | $100.06 – $770.09 | 28 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $242.08 – $1,718.26 | 6 |
| Ghs fb removal - incisional CPT 10121 | $226.55 | $481.00 | $163.16 – $456.95 | 27 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $11.13 | $21.00 | $6.98 – $19.95 | 28 |
| Ghs fish cytogen CPT 88271 | $43.89 | $65.00 | $21.42 – $61.75 | 28 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $103.97 | $154.00 | $51.19 – $146.30 | 28 |
| Ghs flow volume loop CPT 94375 | $191.15 | $329.00 | $24.30 – $312.55 | 28 |
| Ghs hcv amplificaiton CPT 87521 | $161.28 | $288.00 | $35.09 – $273.60 | 28 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $24.91 | $47.00 | $15.49 – $44.65 | 28 |
| Ghs histoplasma antigen CPT 87385 | $85.12 | $152.00 | $13.25 – $144.40 | 28 |
| Ghs HIV antibody CPT 86703 | $22.26 | $42.00 | $13.71 – $39.90 | 28 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $517.16 | $1,098.00 | $372.44 – $1,043.10 | 27 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $125.76 | $267.00 | $90.57 – $253.65 | 27 |
| Ghs immun0electrophoresis CPT 86320 | $47.70 | $90.00 | $29.92 – $85.50 | 28 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $133.29 | $283.00 | $95.99 – $268.85 | 27 |
| Ghs inhibitor screen CPT 85335 | $123.30 | $225.00 | $12.87 – $37.05 | 28 |
| Ghs insertion of needle - bone CPT 36680 | $262.89 | $458.00 | $57.56 – $435.10 | 28 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $295.32 | $627.00 | $212.68 – $595.65 | 27 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $346.66 | $736.00 | $249.65 – $699.20 | 27 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $405.06 | $860.00 | $291.71 – $817.00 | 27 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $24.24 | $48.00 | $5.71 – $25.44 | 28 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $185.57 | $394.00 | $133.64 – $374.30 | 27 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $179.45 | $381.00 | $129.24 – $361.95 | 27 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $206.30 | $438.00 | $148.57 – $416.10 | 27 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $243.98 | $518.00 | $175.71 – $492.10 | 27 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $239.74 | $509.00 | $172.65 – $483.55 | 27 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $263.76 | $560.00 | $189.95 – $532.00 | 27 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $251.51 | $534.00 | $181.13 – $507.30 | 27 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $261.88 | $556.00 | $188.60 – $528.20 | 27 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $269.88 | $573.00 | $194.36 – $544.35 | 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.