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 |
|---|---|---|---|---|
| Laparoscopy splenectomy CPT 38120 | not published | not published | $5,254.47 – $6,458.05 | 6 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $5,254.47 – $6,458.05 | 6 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $3,668.82 – $3,741.03 | 6 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $3,668.82 – $5,254.47 | 6 |
| Laparo urethral suspension CPT 51990 | not published | not published | $3,668.82 – $5,254.47 | 6 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Lap enterolysis CPT 44180 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $6,811.00 – $13,863.00 | 3 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $3,668.82 – $4,620.72 | 6 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $3,668.82 – $7,292.89 | 6 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $2,440.42 – $3,668.82 | 6 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $2,440.42 – $3,668.82 | 6 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $2,273.53 – $7,657.06 | 6 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $2,273.53 – $7,657.06 | 6 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $7,850.00 – $13,863.00 | 3 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $6,458.05 – $9,813.71 | 6 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $6,739.00 – $9,813.71 | 2 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $1,220.21 – $2,632.61 | 6 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $361.07 | $933.00 | $124.40 – $4,018.00 | 17 |
| Laryngoscopic sensory vid CPT 92614 | $213.59 | $794.00 | $81.00 – $595.50 | 16 |
| Laryngoscopy telescopic CPT 31579 | $404.42 | $1,045.00 | $272.97 – $783.75 | 29 |
| Laser surgery of prostate CPT 52648 | not published | not published | $3,200.08 – $9,813.71 | 6 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $1,243.64 – $2,440.42 | 6 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $3,741.03 – $3,741.03 | 1 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $8,401.94 | $30,664.00 | $539.00 – $6,221.80 | 17 |
| Lead capillary CPT 83655 | $12.48 | $79.00 | $12.11 – $27.75 | 29 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $8,401.94 | $30,664.00 | $539.00 – $2,021.25 | 17 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $5,401.64 | $19,714.00 | $539.00 – $7,475.97 | 17 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $468.50 | $2,073.00 | $166.84 – $1,554.75 | 29 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $405.96 | $2,040.00 | $129.45 – $1,530.00 | 17 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $324.77 | $1,632.00 | $79.00 – $1,224.00 | 17 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $470.08 | $2,080.00 | $166.84 – $1,560.00 | 29 |
| Leishmania antibody CPT 86717 | $9.06 | $37.00 | $12.25 – $27.75 | 29 |
| Lens, intraocular (new tech) HCPCS C1780 | $422.84 | $1,413.00 | $282.60 – $1,806.05 | 17 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $645.48 | $2,157.00 | $118.80 – $445.50 | 16 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $645.48 | $2,157.00 | $118.80 – $445.50 | 16 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $53.75 | $479.90 | $145.04 – $359.93 | 29 |
| Leuprolide acetate injeciton HCPCS J9218 | $3.30 | $11.03 | $2.21 – $76.36 | 17 |
| Levetiracetam therapeutic drug level CPT 80177 | $9.95 | $63.00 | $13.25 – $30.00 | 29 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $1,445.66 | $7,649.00 | $2,101.79 – $5,736.75 | 29 |
| Liberta rc ipg HCPCS C1820 | $30,004.10 | $109,504.00 | $977.00 – $79,219.12 | 17 |
| Lidocaine therapeutic drug level CPT 80176 | $7.11 | $45.00 | $14.69 – $33.75 | 29 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $1,125,031.57 | $3,759,504.00 | $4.73 – $2,819,628.00 | 13 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $2,074.70 – $3,741.03 | 6 |
| Limb exercise test CPT 95875 | $175.66 | $587.00 | $101.17 – $440.25 | 29 |
| Lipase CPT 83690 | $39.34 | $249.00 | $6.89 – $39.00 | 29 |
| Lipoprotein blood high res frac & quant CPT 83701 | $16.12 | $102.00 | $33.86 – $76.50 | 29 |
| Lipoprotein blood quant CPT 83704 | $16.27 | $103.00 | $34.19 – $77.25 | 29 |
| Lipoprotein direct measurement hdl CPT 83718 | $19.43 | $123.00 | $8.19 – $18.75 | 29 |
| Lipoprotein direct measurement ldl CPT 83721 | $14.85 | $94.00 | $10.50 – $24.00 | 29 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $16.27 | $103.00 | $34.19 – $77.25 | 29 |
| Lithium therapeutic drug level CPT 80178 | $8.22 | $52.00 | $6.61 – $39.00 | 29 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $3,280.28 | $17,356.00 | $1,063.14 – $13,017.00 | 15 |
| Liver Function Test CPT 80076 | $45.35 | $287.00 | $8.17 – $215.25 | 29 |
| Liver imaging CPT 78201 | $337.18 | $1,598.00 | $354.82 – $1,198.50 | 29 |
| Liver imag w/vasclr flow CPT 78202 | $364.19 | $1,726.00 | $354.82 – $1,294.50 | 29 |
| Liver/spleen imag static only CPT 78215 | $308.90 | $1,464.00 | $273.41 – $1,098.00 | 29 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $271.77 | $1,288.00 | $273.41 – $966.00 | 29 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $0.67 | $2.24 | $0.45 – $6.95 | 17 |
| Low back disk surgery CPT 63030 | not published | not published | $4,542.09 – $15,138.00 | 7 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $774.11 | $3,890.00 | $129.45 – $2,917.50 | 29 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $645.16 | $3,242.00 | $266.89 – $2,431.50 | 29 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $516.01 | $2,593.00 | $79.00 – $1,944.75 | 29 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $464.13 | $3,626.00 | $266.89 – $2,719.50 | 29 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $386.82 | $3,022.00 | $266.89 – $2,266.50 | 29 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $309.38 | $2,417.00 | $166.84 – $1,812.75 | 29 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $115.10 | $441.00 | $79.00 – $330.75 | 29 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $131.28 | $503.00 | $79.00 – $377.25 | 29 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $155.56 | $596.00 | $79.00 – $447.00 | 29 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $82.48 | $316.00 | $58.65 – $347.17 | 17 |
| Lumbar diskogram s&i CPT 72295 | $937.51 | $3,592.00 | $290.34 – $3,434.14 | 29 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $7,292.89 – $11,504.39 | 6 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $118.77 | $642.00 | $191.73 – $547.63 | 29 |
| Lung Function Test (Spirometry) CPT 94010 | $93.98 | $508.00 | $101.17 – $381.00 | 29 |
| Lung perfusion imaging CPT 78580 | $329.37 | $1,561.00 | $273.41 – $1,170.75 | 29 |
| Lymphatics/lymph node imaging CPT 78195 | $454.49 | $2,154.00 | $354.82 – $1,615.50 | 29 |
| Lymphocyte transformation mitogen CPT 86353 | $36.26 | $148.00 | $49.03 – $111.00 | 29 |
| Lymph vessel x-ray trunk CPT 75807 | $709.92 | $2,720.00 | $913.92 – $5,535.21 | 29 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,901.83 – $2,440.42 | 6 |
| Macroscopic exam arthropod CPT 87168 | $3.52 | $13.00 | $4.27 – $9.75 | 29 |
| Macroscopic exam parasite CPT 87169 | $15.72 | $58.00 | $4.31 – $43.50 | 29 |
| Magnesium CPT 83735 | $20.86 | $132.00 | $6.70 – $15.75 | 29 |
| Magnetic image bone marrow CPT 77084 | $343.60 | $1,818.00 | $166.84 – $1,363.50 | 29 |
| Mammosite ced HCPCS C1728 | $4,801.58 | $17,524.00 | $282.60 – $1,059.75 | 17 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $220.17 | $754.00 | $150.80 – $796.00 | 17 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $1,636.41 – $1,636.41 | 1 |
| Map tachycard site(s) CPT 93609 | $3,778.89 | $11,486.00 | $2,297.20 – $12,098.58 | 16 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,672.77 | $6,105.00 | $62.60 – $612.42 | 17 |
| Mastectomy partial CPT 19301 | not published | not published | $2,289.36 – $3,741.03 | 6 |
| Mast mod rad CPT 19307 | not published | not published | $4,012.11 – $7,292.89 | 6 |
| Mastoids complete CPT 70130 | $218.20 | $836.00 | $79.00 – $627.00 | 17 |
| Mast simple complete CPT 19303 | not published | not published | $4,012.11 – $4,620.72 | 6 |
| M.avium-intra dna amp prob CPT 87561 | $28.73 | $106.00 | $35.09 – $79.50 | 29 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $9.95 | $63.00 | $14.46 – $47.25 | 29 |
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.