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 |
|---|---|---|---|---|
| Observation per hour HCPCS G0378 | $58.27 | $259.00 | $26.00 – $10,759.00 | 17 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $177.11 | $445.00 | $79.00 – $333.75 | 29 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $95.00 | $522.00 | $81.00 – $391.50 | 16 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $57.15 | $314.00 | $62.80 – $385.17 | 16 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $75.89 | $417.00 | $81.00 – $385.17 | 16 |
| Oncology tum unknown origin CPT 81540 | $2,103.75 | $11,250.00 | $1,621.12 – $8,437.50 | 29 |
| Onco (ovar) five proteins CPT 81503 | $503.22 | $2,691.00 | $387.77 – $2,018.25 | 29 |
| Oncoprotein dcp CPT 83951 | $30.65 | $194.00 | $64.41 – $145.50 | 29 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $0.15 | $4.60 | $0.09 – $3.45 | 17 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $2,289.36 – $3,268.08 | 6 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $3,741.03 – $4,466.49 | 6 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Optx medial ankle fx CPT 27766 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Optx post ankle fx CPT 27769 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $2,307.97 – $9,813.71 | 6 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Organic acids total quant ea spec CPT 83918 | $15.96 | $101.00 | $23.60 – $53.25 | 29 |
| Orthopantogram CPT 70355 | $76.21 | $292.00 | $34.67 – $219.00 | 29 |
| Oscillation chest wall mechanical per session CPT 94669 | $102.31 | $522.00 | $136.21 – $391.50 | 29 |
| Osmolality blood CPT 83930 | $8.85 | $56.00 | $6.61 – $42.00 | 29 |
| Osmolality urine CPT 83935 | $8.85 | $56.00 | $6.82 – $42.00 | 29 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Other immunoelectrophoresis CPT 86325 | $17.15 | $70.00 | $23.13 – $52.50 | 29 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $15.23 | $141.00 | $28.20 – $241.00 | 16 |
| Ot re-evaluation patient/family CPT 97168 | $49.50 | $272.00 | $54.40 – $254.59 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $13.86 | $126.00 | $25.20 – $241.00 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $15.62 | $142.00 | $28.40 – $241.00 | 16 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $3.70 | $112.10 | $0.82 – $84.08 | 17 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $1,170.67 | $3,912.00 | $179.12 – $2,934.00 | 29 |
| Palingen or palingen xplus HCPCS Q4173 | $62.03 | $226.40 | $24.19 – $2,078.33 | 15 |
| Palingen or promatrx HCPCS Q4174 | $343.35 | $1,253.10 | $155.87 – $1,579.51 | 15 |
| Parathormone (pth) intact CPT 83970 | $19.59 | $124.00 | $41.28 – $93.00 | 29 |
| Parathyroid planar imaging CPT 78070 | $409.97 | $1,943.00 | $273.41 – $1,457.25 | 29 |
| Parathyroid planar img w/tomo spect CPT 78071 | $468.21 | $2,219.00 | $273.41 – $1,664.25 | 29 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $4,012.11 – $7,292.89 | 6 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Partial hysterectomy CPT 58180 | not published | not published | $6,739.00 – $9,813.71 | 2 |
| Partial removal foot fascia CPT 28060 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Partial removal of fibula CPT 27641 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Partial removal of foot bone CPT 28288 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Partial removal of toe CPT 28160 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Part removal of metatarsal CPT 28110 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Pdgfra gene CPT 81314 | $184.94 | $989.00 | $329.51 – $741.75 | 29 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $584.26 | $2,936.00 | $129.45 – $2,202.00 | 29 |
| Pelvic CT scan (with contrast) CPT 72193 | $486.95 | $2,447.00 | $129.45 – $1,835.25 | 29 |
| Pelvic CT scan (without contrast) CPT 72192 | $389.44 | $1,957.00 | $79.00 – $1,467.75 | 29 |
| Pelvic MRI (with and without contrast) CPT 72197 | $563.03 | $2,979.00 | $266.89 – $2,234.25 | 29 |
| Pelvic MRI (with contrast) CPT 72196 | $469.29 | $2,483.00 | $266.89 – $1,862.25 | 29 |
| Pelvic MRI (without contrast) CPT 72195 | $375.35 | $1,986.00 | $166.84 – $1,489.50 | 29 |
| Pelvic Ultrasound (complete) CPT 76856 | $308.05 | $774.00 | $79.00 – $580.50 | 29 |
| Pelvic Ultrasound (limited) CPT 76857 | $260.29 | $654.00 | $79.00 – $490.50 | 29 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $92.92 | $356.00 | $78.84 – $267.00 | 29 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $115.10 | $441.00 | $79.00 – $330.75 | 29 |
| Penile injection CPT 54235 | not published | not published | $192.95 – $584.14 | 6 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $15,002.60 | $54,754.00 | $977.00 – $14,605.88 | 17 |
| Penile vascular study CPT 93980 | $227.36 | $1,006.00 | $79.00 – $754.50 | 29 |
| Penile vascular study CPT 93981 | $194.81 | $862.00 | $79.00 – $646.50 | 29 |
| Penis plastic surgery CPT 54360 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| Penis study CPT 54240 | $183.05 | $473.00 | $165.55 – $547.63 | 29 |
| Perc cryo ablate renal tum CPT 50593 | $5,143.23 | $13,290.00 | $1,772.00 – $15,138.00 | 17 |
| Perc d-e cor revasc chro add HCPCS C9608 | $4,511.24 | $23,869.00 | $936.00 – $44,521.00 | 17 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $6,014.74 | $31,824.00 | $8,481.00 – $31,578.74 | 29 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $4,017.95 | $21,259.00 | $936.00 – $15,944.25 | 17 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $5,357.20 | $28,345.00 | $7,281.13 – $21,258.75 | 29 |
| Perc d-e cor stent ather br HCPCS C9603 | $4,506.52 | $23,844.00 | $936.00 – $17,883.00 | 17 |
| Perc d-e cor stent ather s HCPCS C9602 | $6,008.69 | $31,792.00 | $8,481.00 – $31,578.74 | 29 |
| Perc drug-el cor stent bran HCPCS C9601 | $4,017.95 | $21,259.00 | $1,170.00 – $15,944.25 | 17 |
| Perc drug-el cor stent sing HCPCS C9600 | $15,844.86 | $28,345.00 | $7,281.13 – $21,258.75 | 29 |
| Percut ablate liver rf CPT 47382 | $3,140.50 | $8,115.00 | $2,840.25 – $10,260.33 | 29 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $927.25 | $2,396.00 | $479.20 – $4,640.00 | 17 |
| Pericardiocentesis wwo imaging CPT 33016 | $965.95 | $2,496.00 | $873.60 – $2,731.89 | 29 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $2,289.36 – $4,620.72 | 6 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $1,901.83 – $5,254.47 | 6 |
| Peri-proc device eval icd CPT 93287 | $47.71 | $145.00 | $29.00 – $108.75 | 16 |
| Peritoneal cath sub q resv per CPT 49419 | $2,649.01 | $6,845.00 | $2,395.75 – $9,506.48 | 29 |
| Peritoneogram rs&i CPT 74190 | $215.85 | $827.00 | $277.87 – $964.24 | 29 |
| Perit-vens shunt pat tst CPT 78291 | $260.58 | $1,235.00 | $273.41 – $926.25 | 29 |
| Perq clsr tcat l atr apndge CPT 33340 | $1,677.26 | $4,334.00 | $866.80 – $4,640.00 | 17 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $3,268.08 – $5,987.14 | 6 |
| Perq plmt bile duct stent CPT 47538 | $2,766.28 | $7,148.00 | $2,501.80 – $10,260.33 | 29 |
| Perq plmt bile duct stent CPT 47539 | $3,140.50 | $8,115.00 | $2,840.25 – $10,260.33 | 29 |
| Perq plmt bile duct stent CPT 47540 | $4,115.36 | $10,634.00 | $3,668.82 – $10,260.33 | 29 |
| Pertussis ag if CPT 87265 | $9.76 | $36.00 | $11.98 – $27.00 | 29 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $37,204.82 | $135,784.00 | $62.60 – $5,309.38 | 17 |
| Ph body fluid CPT 83986 | $16.43 | $104.00 | $3.58 – $38.25 | 29 |
| Phencyclidine (pcp) CPT 83992 | $10.59 | $67.00 | $1.94 – $76.42 | 17 |
| Phenobarbital therapeutic drug level CPT 80184 | $9.32 | $59.00 | $15.30 – $39.75 | 29 |
| Phenytoin total therapeutic drug level CPT 80185 | $8.37 | $53.00 | $13.25 – $39.75 | 29 |
| Phlebotomy therapeutic CPT 99195 | $195.00 | $780.00 | $81.16 – $585.00 | 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.