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 |
|---|---|---|---|---|
| Ghs pt - work hardening/int 2hrs CPT 97545 | $39.43 | $443.00 | $81.00 – $332.25 | 16 |
| Ghs quinidine CPT 80194 | $10.38 | $60.00 | $14.60 – $45.00 | 28 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $14.98 | $72.00 | $15.89 – $54.00 | 28 |
| Ghs reticulocyte count CPT 85044 | $2.94 | $13.00 | $4.31 – $9.75 | 28 |
| Ghs sedimentation rate CPT 85651 | $2.94 | $13.00 | $4.27 – $9.75 | 28 |
| Ghs sensitivity (per antimicro) CPT 87184 | $6.16 | $23.00 | $7.48 – $17.25 | 28 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $42.30 | $300.00 | $60.00 – $442.73 | 16 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $37.60 | $400.00 | $80.00 – $470.96 | 16 |
| Ghs st - re-eval for alt comm CPT 92597 | $52.92 | $563.00 | $81.00 – $422.25 | 16 |
| Ghs urine, porphyrins quant CPT 84120 | $10.73 | $62.00 | $14.71 – $46.50 | 28 |
| Giardia ag if CPT 87269 | $16.35 | $61.00 | $13.61 – $45.75 | 28 |
| Giardia lamblia antibody CPT 86674 | $13.94 | $67.00 | $14.72 – $50.25 | 28 |
| Gi inhouse confirmation CPT 87045 | $16.88 | $63.00 | $9.44 – $21.75 | 28 |
| Glucagon plasma - sendout CPT 82943 | $11.59 | $67.00 | $14.29 – $50.25 | 28 |
| Glucose 1 hr post dose CPT 82950 | $2.59 | $15.00 | $4.75 – $11.25 | 28 |
| Glucose body fluid CPT 82945 | $10.55 | $61.00 | $3.93 – $9.00 | 28 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $6.75 | $39.00 | $12.87 – $29.25 | 28 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $2.08 | $12.00 | $3.92 – $9.00 | 28 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $10.03 | $58.00 | $18.58 – $42.00 | 28 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $10.03 | $58.00 | $18.52 – $42.75 | 28 |
| Graft axiofill 1000mg HCPCS J3590 | $14.94 | $49.30 | $0.97 – $5.07 | 13 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $36.99 | $136.50 | $14.80 – $168.70 | 15 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $19,586.25 | $72,274.00 | $539.00 – $6,374.42 | 17 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $16,025.31 | $59,134.00 | $118.80 – $3,763.26 | 17 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $179.73 | $663.20 | $67.05 – $739.22 | 15 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $24.20 | $89.30 | $12.49 – $148.60 | 15 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $19,610.10 | $72,362.00 | $62.60 – $3,978.79 | 17 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,456.08 | $5,373.00 | $170.00 – $956.87 | 17 |
| Granulocyte pheresis ea unit HCPCS P9050 | $1,459.34 | $5,385.00 | $325.00 – $4,038.75 | 17 |
| G-tube reposition CPT 43761 | $517.63 | $1,341.00 | $192.95 – $1,005.75 | 28 |
| Guided cath fluid drainage 10030 CPT 10030 | $997.04 | $2,583.00 | $360.00 – $1,937.25 | 28 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,264.89 | $13,895.00 | $33.20 – $1,084.14 | 17 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $716.71 | $4,397.00 | $62.60 – $234.75 | 17 |
| Gw stiffened micro access kit HCPCS C1894 | $1,283.79 | $7,876.00 | $19.20 – $176.93 | 17 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $2,289.36 – $4,620.72 | 6 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $15.04 | $169.00 | $33.80 – $241.00 | 16 |
| Hand X-ray CPT 73130 | $84.60 | $360.00 | $58.65 – $347.17 | 17 |
| Hand X-ray (2 views, both hands) CPT 73120 | $76.61 | $326.00 | $65.20 – $467.28 | 17 |
| Haptoglobin quantitative CPT 83010 | $10.21 | $59.00 | $12.58 – $39.75 | 28 |
| Hba1/hba2 full gene sequence CPT 81259 | $708.30 | $2,891.00 | $600.00 – $2,168.25 | 28 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $464.36 | $1,976.00 | $129.45 – $1,482.00 | 28 |
| Hcg qualitative CPT 84703 | $43.25 | $250.00 | $7.52 – $187.50 | 28 |
| Hcg quantitative CPT 84702 | $52.76 | $305.00 | $15.05 – $42.75 | 28 |
| Head CT scan (with and without contrast) CPT 70470 | $429.26 | $2,439.00 | $129.45 – $1,829.25 | 28 |
| Head CT scan (with contrast) CPT 70460 | $357.81 | $2,033.00 | $129.45 – $1,524.75 | 28 |
| Head CT scan (without contrast) CPT 70450 | $286.18 | $1,626.00 | $79.00 – $1,219.50 | 28 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $67.44 | $287.00 | $57.40 – $347.17 | 17 |
| Helicobacter pylori antibody igm CPT 86677 | $16.22 | $78.00 | $16.85 – $58.50 | 28 |
| Hematocrit CPT 85014 | $1.81 | $8.00 | $2.37 – $6.00 | 28 |
| Hemodialysis one evaluation CPT 90935 | $283.52 | $2,215.00 | $474.40 – $1,661.25 | 28 |
| Hemoglobin CPT 85018 | $12.66 | $56.00 | $2.37 – $6.00 | 28 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $10.21 | $59.00 | $8.20 – $44.25 | 28 |
| Hemoglobin plasma CPT 83051 | $10.21 | $59.00 | $7.31 – $44.25 | 28 |
| Hemoglobin urine CPT 83069 | $2.08 | $12.00 | $3.95 – $9.00 | 28 |
| Hemolysins/agglutinins auto CPT 86940 | $101.92 | $490.00 | $8.77 – $367.50 | 28 |
| Hemolysins and agglutinins incubated CPT 86941 | $7.70 | $37.00 | $12.11 – $27.75 | 28 |
| Hemophilus influenza antibdy CPT 86684 | $12.90 | $62.00 | $15.84 – $46.50 | 28 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $575.40 – $2,440.42 | 6 |
| Heparin assay CPT 85520 | $79.10 | $350.00 | $13.09 – $262.50 | 28 |
| Heparin neutralization CPT 85525 | $8.14 | $36.00 | $11.84 – $27.00 | 28 |
| Heparin-protamine tolerance CPT 85530 | $9.04 | $40.00 | $13.09 – $30.00 | 28 |
| Hepatitis a antibody igm CPT 86709 | $34.94 | $168.00 | $11.26 – $126.00 | 28 |
| Hepatitis b core antibody igm CPT 86705 | $36.82 | $177.00 | $11.77 – $132.75 | 28 |
| Hepatitis b core antibody total CPT 86704 | $11.44 | $55.00 | $12.05 – $41.25 | 28 |
| Hepatitis b surface antibody CPT 86706 | $11.44 | $55.00 | $10.74 – $41.25 | 28 |
| Hepatitis c antibody CPT 86803 | $38.48 | $185.00 | $14.27 – $138.75 | 28 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Herpes simplex 1 ag if CPT 87274 | $16.08 | $60.00 | $11.98 – $45.00 | 28 |
| Herpes simplex 2 ag if CPT 87273 | $16.08 | $60.00 | $11.98 – $45.00 | 28 |
| Herpes simplex type 1 antibody igg CPT 86695 | $11.02 | $53.00 | $13.19 – $30.00 | 28 |
| Herpes simplex type 2 antibody igg CPT 86696 | $12.27 | $59.00 | $19.35 – $44.25 | 28 |
| Herpes simplex virus isolation CPT 87255 | $27.34 | $102.00 | $33.86 – $76.50 | 28 |
| Heterophile antibodies screening CPT 86308 | $3.33 | $16.00 | $5.18 – $12.00 | 28 |
| Hhv-6 dna quant CPT 87533 | $33.77 | $126.00 | $41.76 – $94.50 | 28 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $76.61 | $326.00 | $79.00 – $244.50 | 28 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $88.60 | $377.00 | $79.00 – $282.75 | 28 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $61.33 | $261.00 | $52.20 – $347.17 | 17 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Hip X-ray CPT 73502 | $74.49 | $317.00 | $58.65 – $347.17 | 17 |
| Histamine CPT 83088 | $15.40 | $89.00 | $29.53 – $66.75 | 28 |
| Histochemical stains add-on CPT 88314 | $95.35 | $348.00 | $22.59 – $261.00 | 17 |
| Hla class i high defin qual CPT 86832 | $202.18 | $972.00 | $323.75 – $729.00 | 28 |
| Hla class ii high defin qual CPT 86833 | $203.42 | $978.00 | $325.80 – $733.50 | 28 |
| Hla class i&ii antibody qual CPT 86828 | $40.14 | $193.00 | $64.19 – $144.75 | 28 |
| Hla class ii phenotype qual CPT 86831 | $51.17 | $246.00 | $81.88 – $184.50 | 28 |
| Hla class i phenotype qual CPT 86830 | $59.70 | $287.00 | $95.52 – $215.25 | 28 |
| Hla i & ii type verify lr CPT 81371 | $477.50 | $1,949.00 | $404.52 – $910.50 | 28 |
| Hla i & ii typing hr CPT 81378 | $254.06 | $1,037.00 | $345.57 – $777.75 | 28 |
| Hla i & ii typing lr CPT 81370 | $474.81 | $1,938.00 | $402.12 – $1,453.50 | 28 |
| Hla ii typing 1 loc hr CPT 81382 | $146.02 | $596.00 | $123.68 – $447.00 | 28 |
| Hla i low res one antigen equiv ea CPT 81374 | $87.96 | $359.00 | $74.33 – $167.25 | 28 |
| Hla i typing 1 locus hr CPT 81380 | $130.34 | $532.00 | $177.25 – $399.00 | 28 |
| Hla i typing complete hr CPT 81379 | $246.72 | $1,007.00 | $335.38 – $755.25 | 28 |
| Hla i typing complete lr CPT 81372 | $476.52 | $1,945.00 | $403.59 – $1,458.75 | 28 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $200.66 | $819.00 | $169.90 – $614.25 | 28 |
| Hla i typing low res one locus ea CPT 81373 | $150.43 | $614.00 | $127.43 – $460.50 | 28 |
| Hla typing dr/dq CPT 86816 | $18.93 | $91.00 | $30.17 – $68.25 | 28 |
| Hla x-math non-cytotoxic CPT 86825 | $68.43 | $329.00 | $109.49 – $246.75 | 28 |
| Homocysteine CPT 83090 | $10.03 | $58.00 | $17.92 – $43.50 | 28 |
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.