Banner Ironwood Medical Center
37000 North Gantzel Road, San Tan Valley, AZ · Banner Health · · NPI 1124341672
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $15.22 | $88.00 | $29.28 – $66.00 | 28 |
| 17-hydroxypregnenolone CPT 84143 | $11.94 | $69.00 | $22.81 – $51.75 | 28 |
| 17-ketosteroids CPT 83586 | $13.84 | $80.00 | $12.80 – $60.00 | 28 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $852.18 | $3,133.00 | $518.51 – $2,349.75 | 28 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $470.56 | $1,730.00 | $518.51 – $1,297.50 | 28 |
| 3d recon without postprocess indpndt CPT 76376 | $184.80 | $440.00 | $62.76 – $330.00 | 16 |
| 5' nucleotidase - sendout CPT 83915 | $17.13 | $99.00 | $11.15 – $74.25 | 28 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $14.77 | $71.00 | $12.01 – $53.25 | 28 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $323.27 | $1,786.00 | $166.84 – $1,339.50 | 28 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $206.52 | $1,141.00 | $79.00 – $855.75 | 28 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $483.27 | $2,670.00 | $129.45 – $2,002.50 | 28 |
| Abdominal CT scan (with contrast) CPT 74160 | $402.72 | $2,225.00 | $129.45 – $1,668.75 | 28 |
| Abdominal CT scan (without contrast) CPT 74150 | $322.18 | $1,780.00 | $79.00 – $1,335.00 | 28 |
| Abdominal MRI (with and without contrast) CPT 74183 | $585.52 | $3,165.00 | $266.89 – $2,373.75 | 28 |
| Abdominal MRI (with contrast) CPT 74182 | $488.03 | $2,638.00 | $266.89 – $1,978.50 | 28 |
| Abdominal MRI (without contrast) CPT 74181 | $390.35 | $2,110.00 | $166.84 – $1,582.50 | 28 |
| Abdominal paracentesis w/image guidance CPT 49083 | $660.06 | $1,710.00 | $586.96 – $1,498.90 | 28 |
| Abdominal Ultrasound (complete) CPT 76700 | $364.98 | $869.00 | $79.00 – $651.75 | 28 |
| Abdominal Ultrasound (limited) CPT 76705 | $276.36 | $658.00 | $79.00 – $493.50 | 28 |
| Abdominal X-ray (2 views) CPT 74019 | $126.66 | $539.00 | $79.00 – $404.25 | 28 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $168.96 | $719.00 | $79.00 – $539.25 | 28 |
| Abdominal X-ray (single view) CPT 74018 | $103.87 | $442.00 | $58.65 – $331.50 | 28 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $506.05 | $1,311.00 | $458.85 – $1,498.90 | 28 |
| Abl1 gene CPT 81170 | $354.27 | $1,446.00 | $300.00 – $1,084.50 | 28 |
| Ablate pulm tumor perq rf CPT 32998 | $4,585.29 | $11,879.00 | $1,583.80 – $15,138.00 | 17 |
| Abscess drain retroperitoneal surg code CPT 49406 | $897.45 | $2,325.00 | $813.75 – $2,590.32 | 28 |
| Acetylcholine receptor modulating antibody CPT 86043 | $16.22 | $78.00 | $12.05 – $58.50 | 28 |
| Acute hepatitis panel CPT 80074 | $78.37 | $453.00 | $47.63 – $339.75 | 28 |
| Acyclovir 400 mg tablet HCPCS J8499 | $0.15 | $5.90 | $0.03 – $9.46 | 14 |
| #acylcarnitineprfl CPT 82017 | $19.90 | $115.00 | $16.87 – $86.25 | 28 |
| Adapter b 8 channel 10cm HCPCS C1883 | $5,935.98 | $21,904.00 | $225.20 – $8,374.90 | 17 |
| Adenovirus antibody,serum - quest CPT 86603 | $12.69 | $61.00 | $12.87 – $45.75 | 28 |
| Adh-sendout CPT 84588 | $17.65 | $102.00 | $33.94 – $76.50 | 28 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $24.07 | $166.00 | $44.93 – $124.50 | 28 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $49.44 | $341.00 | $44.93 – $255.75 | 28 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $105.12 | $725.00 | $225.29 – $543.75 | 28 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $201.81 | $666.00 | $147.54 – $530.28 | 28 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $113.33 | $374.00 | $44.93 – $280.50 | 28 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $244.54 | $807.00 | $44.93 – $605.25 | 28 |
| Administration immunization each additional vaccine CPT 90472 | $5.25 | $61.00 | $12.20 – $118.00 | 17 |
| Administration vaccine hepatitis b HCPCS G0010 | $10.84 | $126.00 | $29.00 – $94.50 | 28 |
| Administration vaccine influenza virus HCPCS G0008 | $10.84 | $126.00 | $29.00 – $94.50 | 28 |
| Administration vaccine pneumococcal HCPCS G0009 | $10.84 | $126.00 | $29.00 – $94.50 | 28 |
| Aep hearing status deter i&r CPT 92651 | $345.75 | $1,141.00 | $101.17 – $855.75 | 28 |
| _afb id by dna probe rflx ast CPT 87149 | $19.56 | $73.00 | $20.05 – $54.75 | 28 |
| #afb mycobacteria suscep. #1 CPT 87190 | $16.88 | $63.00 | $7.31 – $47.25 | 28 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $93.00 | $347.00 | $50.00 – $260.25 | 28 |
| Albumin body fluid quantitative each specimen CPT 82042 | $10.03 | $58.00 | $7.78 – $18.00 | 28 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $9.69 | $56.00 | $5.78 – $42.00 | 28 |
| Albumin serum plasma or whole blood CPT 82040 | $21.80 | $126.00 | $4.95 – $93.75 | 28 |
| Alkaline phosphatase CPT 84075 | $24.05 | $139.00 | $5.18 – $103.50 | 28 |
| Allergen alpha lactalbumin ige CPT 86008 | $16.64 | $80.00 | $17.93 – $48.00 | 28 |
| Allergen egg white ige CPT 86003 | $11.65 | $56.00 | $5.22 – $41.25 | 28 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $12.27 | $59.00 | $7.97 – $42.00 | 28 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $3,882.35 | $14,326.00 | $121.19 – $931.24 | 15 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $4,749.00 | $17,524.00 | $539.00 – $2,021.25 | 17 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $33.56 | $194.00 | $64.41 – $145.50 | 28 |
| Alpha-fetoprotein amniotic CPT 82106 | $8.82 | $51.00 | $17.00 – $38.25 | 28 |
| Alpha-fetoprotein tumor marker CPT 82105 | $8.82 | $51.00 | $16.77 – $38.25 | 28 |
| Alt/sgpt CPT 84460 | $22.49 | $130.00 | $5.30 – $44.25 | 28 |
| Aluminum - quest CPT 82108 | $13.32 | $77.00 | $25.48 – $57.75 | 28 |
| Amantadine (symmetrel)-sendout CPT 80375 | $32.35 | $187.00 | $29.40 – $110.25 | 16 |
| Aminolevulinic acid delta CPT 82135 | $12.97 | $75.00 | $16.45 – $56.25 | 28 |
| Amitriptyline (elavil) -sendout CPT 80335 | $11.76 | $68.00 | $6.00 – $73.64 | 16 |
| Ammonia CPT 82140 | $36.85 | $213.00 | $14.57 – $86.25 | 28 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $460.88 | $1,194.00 | $417.90 – $1,392.08 | 28 |
| Amniocentesis therapeutic CPT 59001 | $1,095.08 | $2,837.00 | $204.07 – $2,127.75 | 28 |
| Amphetamine confirm urine -sendout CPT 80324 | $26.99 | $156.00 | $11.20 – $66.83 | 16 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $2,052.04 – $9,813.71 | 6 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Amylase CPT 82150 | $58.99 | $341.00 | $6.48 – $15.00 | 28 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $77.16 | $446.00 | $76.80 – $288.00 | 16 |
| Anal pressure record CPT 91122 | $435.07 | $1,133.00 | $191.73 – $849.75 | 28 |
| Analysis gene f2 20210g>a variant CPT 81240 | $77.66 | $317.00 | $65.69 – $148.50 | 28 |
| Analysis gene f5 leiden variant CPT 81241 | $86.73 | $354.00 | $73.37 – $165.75 | 28 |
| Anca screen with reflex to titer -quest CPT 86021 | $11.44 | $55.00 | $15.05 – $34.50 | 28 |
| An cholangiogram percutaneous compl CPT 47531 | $553.91 | $1,435.00 | $468.22 – $5,642.01 | 28 |
| An fluoro guide for cvp CPT 77001 | $109.51 | $466.00 | $93.20 – $375.90 | 16 |
| Angiotensin ii CPT 82163 | $15.40 | $89.00 | $20.52 – $66.75 | 28 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $1,593.43 | $5,258.50 | $0.00 – $0.02 | 13 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $4,924.59 | $12,758.00 | $3,593.71 – $9,568.50 | 28 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Ankle X-ray CPT 73610 | $87.66 | $373.00 | $58.65 – $347.17 | 17 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $79.66 | $339.00 | $58.65 – $347.17 | 17 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $31.82 | $153.00 | $12.88 – $114.75 | 28 |
| Antibody elution rbc reference CPT 86860 | $75.92 | $365.00 | $1.59 – $273.96 | 28 |
| Antibody htlv/hiv confirm test CPT 86689 | $104.62 | $503.00 | $19.35 – $354.00 | 28 |
| Antibody htlv-i CPT 86687 | $5.82 | $28.00 | $9.09 – $21.00 | 28 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $49.71 | $239.00 | $18.37 – $42.00 | 28 |
| Antibody id rbc panel CPT 86870 | $182.88 | $762.00 | $2.19 – $575.10 | 28 |
| Antibody influenza virus CPT 86710 | $14.14 | $68.00 | $13.55 – $51.00 | 28 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $12.90 | $62.00 | $12.87 – $46.50 | 28 |
| Antibody screen rbc CPT 86850 | $41.76 | $174.00 | $9.77 – $85.50 | 28 |
| Antibody tetanus CPT 86774 | $13.10 | $63.00 | $14.80 – $47.25 | 28 |
| Antidepressant not specified CPT 80338 | $12.11 | $70.00 | $14.00 – $54.48 | 16 |
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.