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 |
|---|---|---|---|---|
| Warde vitamin b-1 (thiamine) CPT 84425 | $10.11 | $64.00 | $21.23 – $48.00 | 29 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $13.43 | $85.00 | $28.10 – $63.75 | 29 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $9.32 | $59.00 | $9.89 – $44.25 | 29 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $18.33 | $116.00 | $38.50 – $87.00 | 29 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $9.80 | $62.00 | $14.18 – $46.50 | 29 |
| Warde zinc CPT 84630 | $21.33 | $135.00 | $11.39 – $26.25 | 29 |
| Wbc automated CPT 85048 | $1.81 | $8.00 | $2.54 – $6.00 | 29 |
| Western blot test CPT 84181 | $27.49 | $174.00 | $17.03 – $78.00 | 29 |
| Whole blood for transfusion HCPCS P9010 | $174.85 | $650.00 | $108.85 – $487.50 | 29 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $239.68 | $891.00 | $225.26 – $668.25 | 29 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $764.88 | $3,625.00 | $273.41 – $2,718.75 | 29 |
| Whole Skeleton X-ray Survey CPT 77075 | $143.29 | $549.00 | $79.00 – $411.75 | 29 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | not published | not published | $130.17 – $473.94 | 6 |
| Wrist X-ray CPT 73110 | $92.39 | $354.00 | $58.65 – $347.17 | 17 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $77.52 | $297.00 | $58.65 – $347.17 | 17 |
| Xe133 xenon 10mci HCPCS A9558 | $53.00 | $265.00 | $53.00 – $1,402.86 | 16 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $1,243.64 – $3,741.03 | 6 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $2,335.93 | $6,036.00 | $804.80 – $4,640.00 | 17 |
| X-ray abdomen >=3 views CPT 74021 | $162.34 | $622.00 | $79.00 – $466.50 | 29 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $157.44 | $1,101.00 | $220.20 – $1,580.51 | 17 |
| X-ray bone length studies CPT 77073 | $99.96 | $383.00 | $79.00 – $287.25 | 29 |
| X-ray bone survey infant CPT 77076 | $274.83 | $1,053.00 | $79.00 – $789.75 | 29 |
| Xray endovasc thor ao repr CPT 75956 | $1,667.53 | $6,389.00 | $881.01 – $4,791.75 | 16 |
| Xray endovasc thor ao repr CPT 75957 | $1,425.32 | $5,461.00 | $756.67 – $4,095.75 | 16 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $178.52 | $684.00 | $79.00 – $513.00 | 29 |
| X-ray exam entire spi 6/> vw CPT 72084 | $212.45 | $814.00 | $79.00 – $610.50 | 29 |
| X-ray exam of arm infant CPT 73092 | $136.50 | $523.00 | $79.00 – $467.28 | 17 |
| X-ray exam of femur 1 CPT 73551 | $63.16 | $242.00 | $48.40 – $347.17 | 17 |
| X-ray exam of jaw joint CPT 70328 | $83.52 | $320.00 | $58.65 – $347.17 | 17 |
| X-ray exam of jaw joint CPT 70332 | $157.73 | $1,103.00 | $166.84 – $987.59 | 17 |
| X-ray exam of mastoids CPT 70120 | $133.89 | $513.00 | $79.00 – $467.28 | 17 |
| X-ray exam of middle ear CPT 70134 | $147.99 | $567.00 | $180.57 – $964.24 | 29 |
| X-ray exam of penis CPT 74445 | $213.50 | $818.00 | $79.00 – $613.50 | 29 |
| X-ray exam of perineum CPT 74775 | $308.50 | $1,182.00 | $166.84 – $886.50 | 29 |
| X-ray exam of salivary gland CPT 70380 | $61.34 | $235.00 | $58.65 – $176.25 | 29 |
| X-ray exam of tear duct CPT 70170 | $169.39 | $649.00 | $166.84 – $486.75 | 29 |
| X-ray exam si joints CPT 72200 | $85.09 | $326.00 | $79.00 – $244.50 | 29 |
| X-ray exam thorac spine4/>vw CPT 72074 | $105.18 | $403.00 | $79.00 – $302.25 | 29 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $63.16 | $242.00 | $48.40 – $347.17 | 17 |
| X-ray fallopian tube CPT 74742 | $173.56 | $665.00 | $78.51 – $498.75 | 14 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $102.57 | $393.00 | $78.60 – $467.28 | 17 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $115.88 | $444.00 | $79.00 – $333.00 | 29 |
| X-ray joint survey 1 view CPT 77077 | $93.18 | $357.00 | $79.00 – $267.75 | 29 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $122.93 | $471.00 | $58.65 – $353.25 | 17 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $96.31 | $369.00 | $79.00 – $276.75 | 29 |
| X-ray male genital tract CPT 74440 | $183.22 | $702.00 | $166.84 – $526.50 | 29 |
| X-ray mandible ltd <4 views CPT 70100 | $89.26 | $342.00 | $58.65 – $256.50 | 29 |
| X-ray nose to rectum for foreign body child CPT 76010 | $88.22 | $338.00 | $58.65 – $253.50 | 29 |
| X-ray of mammary ducts CPT 77054 | $271.18 | $1,039.00 | $166.84 – $779.25 | 29 |
| X-ray optic foramina CPT 70190 | $109.10 | $418.00 | $58.65 – $347.17 | 17 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $287.36 | $1,101.00 | $216.71 – $825.75 | 29 |
| X-ray ribs 2 views left CPT 71100 | $75.43 | $289.00 | $57.80 – $347.17 | 17 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $277.18 | $1,062.00 | $141.74 – $964.24 | 29 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $209.58 | $803.00 | $79.00 – $602.25 | 29 |
| X-ray small intestine follow-through study CPT 74248 | $76.47 | $293.00 | $58.60 – $219.75 | 16 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $110.40 | $423.00 | $58.65 – $317.25 | 29 |
| X-ray surgical specimen CPT 76098 | $134.15 | $514.00 | $75.58 – $964.24 | 29 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $93.96 | $360.00 | $58.65 – $270.00 | 29 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $133.89 | $513.00 | $129.45 – $384.75 | 29 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $27,482.52 | $91,838.00 | $30,857.57 – $93,760.51 | 29 |
| Zika virus dna/rna amp probe CPT 87662 | $54.20 | $200.00 | $51.31 – $150.00 | 29 |
| Zika virus igm antibody CPT 86794 | $79.62 | $325.00 | $16.85 – $243.75 | 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.