Banner Estrella Medical Center
9201 West Thomas Road, Phoenix, AZ · Banner Health · · NPI 1275566200
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 |
|---|---|---|---|---|
| Ghs i and d pilonidal cyst simple CPT 10080 | not published | not published | $450.93 – $2,440.42 | 6 |
| Ghs immun0electrophoresis CPT 86320 | $22.05 | $90.00 | $29.92 – $67.50 | 29 |
| Ghs inf midline insertion CPT 36140 | $515.87 | $1,333.00 | $266.60 – $4,018.00 | 17 |
| Ghs inhibitor screen CPT 85335 | $50.85 | $225.00 | $12.87 – $29.25 | 29 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $656.35 | $1,696.00 | $593.60 – $1,565.67 | 29 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $783.29 | $2,024.00 | $269.80 – $4,018.00 | 17 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $886.62 | $2,291.00 | $281.32 – $4,018.00 | 17 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,126.94 | $2,912.00 | $388.20 – $4,018.00 | 17 |
| Ghs insertion of needle - bone CPT 36680 | $142.74 | $585.00 | $195.91 – $701.75 | 29 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $1,243.64 – $3,268.08 | 6 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $34.06 | $88.00 | $17.60 – $4,018.00 | 17 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $192.95 – $2,440.42 | 6 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $484.91 | $1,253.00 | $225.29 – $939.75 | 29 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $250.73 – $3,268.08 | 6 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $5.88 | $26.00 | $8.60 – $19.50 | 29 |
| Ghs mbp CPT 83873 | $9.95 | $63.00 | $17.20 – $47.25 | 29 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $206.04 | $505.00 | $101.00 – $378.75 | 16 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $206.04 | $505.00 | $101.00 – $534.72 | 16 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $226.44 | $555.00 | $111.00 – $436.86 | 16 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $104.04 | $255.00 | $51.00 – $191.25 | 16 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $104.04 | $255.00 | $51.00 – $331.30 | 16 |
| Ghs myocardial strain img spckl track CPT 93356 | $105.29 | $428.00 | $67.87 – $2,128.00 | 16 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $841.72 | $2,175.00 | $290.00 – $2,240.74 | 18 |
| Ghs nerve blk intercostal, single level CPT 64420 | $672.99 | $1,739.00 | $231.80 – $2,083.00 | 18 |
| Ghs nerve block celiac plexus CPT 64530 | $522.06 | $1,349.00 | $472.15 – $1,565.67 | 29 |
| Ghs nerve block interscaline CPT 64510 | $940.41 | $2,430.00 | $324.00 – $4,018.00 | 17 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $534.83 | $1,382.00 | $483.70 – $1,565.67 | 29 |
| Ghs nerve block sciatic nerve CPT 64445 | $744.98 | $1,925.00 | $256.60 – $4,018.00 | 17 |
| Ghs ng placement w fluoro guidance CPT 43752 | $347.14 | $897.00 | $195.91 – $701.75 | 29 |
| Ghs o2 saturation CPT 82810 | $4.74 | $30.00 | $9.77 – $22.50 | 29 |
| Ghs o2 uptake rest & exercise CPT 94680 | $142.45 | $770.00 | $101.17 – $577.50 | 29 |
| Ghs o2 uptake rest & indirect CPT 94690 | $135.79 | $734.00 | $40.35 – $550.50 | 29 |
| Ghs opcc repair cvp without subq port CPT 36575 | $668.74 | $1,728.00 | $392.67 – $1,296.00 | 29 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,657.14 | $6,866.00 | $1,019.45 – $5,149.50 | 29 |
| Ghs ot prosthetic training/15 min CPT 97761 | $14.41 | $131.00 | $26.20 – $241.00 | 16 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $16.83 | $153.00 | $30.60 – $241.00 | 16 |
| Ghs pacing - transcutaneous CPT 92953 | $358.61 | $1,090.00 | $366.24 – $1,150.79 | 29 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $391.26 | $1,011.00 | $134.80 – $4,018.00 | 17 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $859.91 | $2,222.00 | $176.09 – $4,018.00 | 17 |
| Ghs phenylketonurid CPT 84030 | $2.69 | $17.00 | $5.50 – $12.75 | 29 |
| Ghs picc line insert < 5 CPT 36568 | $820.44 | $2,120.00 | $742.00 – $2,731.89 | 29 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $9.48 | $60.00 | $9.66 – $45.00 | 29 |
| Ghs protoporphyrins fract CPT 84202 | $17.54 | $111.00 | $14.35 – $83.25 | 29 |
| Ghs quinidine CPT 80194 | $9.48 | $60.00 | $14.60 – $45.00 | 29 |
| Ghs refill of implantable pump CPT 95990 | $220.00 | $880.00 | $225.29 – $660.00 | 29 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $17.64 | $72.00 | $15.89 – $54.00 | 29 |
| Ghs reticulocyte count CPT 85044 | $2.94 | $13.00 | $4.31 – $9.75 | 29 |
| Ghs sedimentation rate CPT 85651 | $2.94 | $13.00 | $4.27 – $9.75 | 29 |
| Ghs sensitivity (per antimicro) CPT 87184 | $6.23 | $23.00 | $7.48 – $17.25 | 29 |
| Ghs somatosensory testing lower extremit CPT 95926 | $355.51 | $1,188.00 | $191.73 – $891.00 | 29 |
| Ghs sphenopalatine ganglion block CPT 64505 | $348.30 | $900.00 | $120.00 – $4,018.00 | 17 |
| Ghs st - re-eval for alt comm CPT 92597 | $61.93 | $563.00 | $81.00 – $422.25 | 16 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $380.02 – $2,440.42 | 6 |
| Ghs urine, porphyrins quant CPT 84120 | $9.80 | $62.00 | $14.71 – $46.50 | 29 |
| Giardia ag if CPT 87269 | $16.53 | $61.00 | $13.61 – $45.75 | 29 |
| Giardia lamblia antibody CPT 86674 | $16.41 | $67.00 | $14.72 – $50.25 | 29 |
| Gi inhouse confirmation CPT 87045 | $17.07 | $63.00 | $9.44 – $21.75 | 29 |
| Glucagon plasma - sendout CPT 82943 | $10.59 | $67.00 | $14.29 – $50.25 | 29 |
| Glucose 1 hr post dose CPT 82950 | $2.37 | $15.00 | $4.75 – $11.25 | 29 |
| Glucose body fluid CPT 82945 | $9.64 | $61.00 | $3.93 – $9.00 | 29 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $6.16 | $39.00 | $12.87 – $29.25 | 29 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $1.90 | $12.00 | $3.92 – $9.00 | 29 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $9.16 | $58.00 | $18.58 – $42.00 | 29 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $9.16 | $58.00 | $18.52 – $42.75 | 29 |
| Graft axiofill 1000mg HCPCS J3590 | $14.75 | $49.30 | $0.97 – $5.07 | 13 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $37.40 | $136.50 | $14.80 – $168.70 | 15 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $26,403.74 | $96,364.00 | $539.00 – $6,374.42 | 17 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $16,202.72 | $59,134.00 | $118.80 – $3,763.26 | 17 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $181.72 | $663.20 | $44.70 – $739.22 | 15 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $24.47 | $89.30 | $12.49 – $148.60 | 15 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $25,827.79 | $94,262.00 | $62.60 – $3,978.79 | 17 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,472.20 | $5,373.00 | $170.00 – $956.87 | 17 |
| Granulocyte pheresis ea unit HCPCS P9050 | $1,448.57 | $5,385.00 | $325.00 – $4,038.75 | 17 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $2,553.56 – $3,741.03 | 6 |
| G-tube reposition CPT 43761 | $518.97 | $1,341.00 | $192.95 – $1,005.75 | 29 |
| Gu dilat ureter/urethra s&i CPT 74485 | $668.68 | $2,562.00 | $325.15 – $3,602.51 | 29 |
| Guided cath fluid drainage 10030 CPT 10030 | $999.62 | $2,583.00 | $360.00 – $1,937.25 | 29 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,515.00 | $13,895.00 | $33.20 – $1,084.14 | 17 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,105.00 | $6,105.00 | $62.60 – $234.75 | 17 |
| Gw stiffened micro access kit HCPCS C1894 | $3,568.23 | $19,714.00 | $19.20 – $176.93 | 17 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $3,171.84 | $17,524.00 | $282.60 – $3,548.07 | 17 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $18.59 | $169.00 | $33.80 – $241.00 | 16 |
| Hand X-ray CPT 73130 | $93.96 | $360.00 | $58.65 – $347.17 | 17 |
| Hand X-ray (2 views, both hands) CPT 73120 | $85.09 | $326.00 | $65.20 – $467.28 | 17 |
| Haptoglobin quantitative CPT 83010 | $9.32 | $59.00 | $12.58 – $39.75 | 29 |
| Hba1/hba2 full gene sequence CPT 81259 | $540.62 | $2,891.00 | $600.00 – $2,168.25 | 29 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $515.74 | $1,976.00 | $129.45 – $1,482.00 | 29 |
| Hcg qualitative CPT 84703 | $39.50 | $250.00 | $7.52 – $187.50 | 29 |
| Hcg quantitative CPT 84702 | $48.19 | $305.00 | $15.05 – $42.75 | 29 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $696.40 | $3,482.00 | $0.01 – $2,611.50 | 16 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $303.21 | $1,437.00 | $354.82 – $1,077.75 | 29 |
| Hc nm kidney imaging with flow CPT 78701 | $570.76 | $2,705.00 | $273.41 – $2,028.75 | 29 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $397.95 | $1,886.00 | $354.82 – $1,414.50 | 29 |
| Head CT scan (with and without contrast) CPT 70470 | $424.39 | $2,439.00 | $129.45 – $1,829.25 | 29 |
| Head CT scan (with contrast) CPT 70460 | $353.74 | $2,033.00 | $129.45 – $1,524.75 | 29 |
| Head CT scan (without contrast) CPT 70450 | $282.92 | $1,626.00 | $79.00 – $1,219.50 | 29 |
| Heart first pass add-on CPT 78496 | $265.86 | $1,260.00 | $101.21 – $945.00 | 16 |
| Heart image spect CPT 78494 | $264.59 | $1,254.00 | $273.41 – $940.50 | 29 |
| Heart infarct image CPT 78466 | $358.07 | $1,697.00 | $273.41 – $1,272.75 | 29 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $74.91 | $287.00 | $57.40 – $347.17 | 17 |
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.