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 |
|---|---|---|---|---|
| Homogenization tissue CPT 87176 | $4.82 | $18.00 | $5.88 – $13.50 | 28 |
| Homovanillic acid (hva) CPT 83150 | $11.76 | $68.00 | $22.41 – $51.00 | 28 |
| Hpv types 16 & 18 only CPT 87625 | $32.70 | $122.00 | $40.55 – $91.50 | 28 |
| H pylori (c-13) breath CPT 83013 | $35.12 | $203.00 | $67.36 – $152.25 | 28 |
| Human epididymis protein 4 (he4) CPT 86305 | $20.18 | $97.00 | $13.98 – $72.75 | 28 |
| Hysterosalpingography s&i CPT 74740 | $161.68 | $688.00 | $166.84 – $516.00 | 28 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $3,196.92 – $9,813.71 | 6 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $1,901.83 – $3,741.03 | 6 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $1,901.83 – $2,440.42 | 6 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $3,196.92 – $3,268.08 | 6 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $1,901.83 – $3,741.03 | 6 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $3,196.92 – $3,741.03 | 6 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $3,196.92 – $3,741.03 | 6 |
| Iaadi respiratory synctial virus CPT 87280 | $16.08 | $60.00 | $13.42 – $45.00 | 28 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $28.41 | $106.00 | $35.09 – $79.50 | 28 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $28.29 | $136.00 | $45.23 – $102.00 | 28 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $39,818.04 | $131,404.00 | $8,760.00 – $44,930.25 | 17 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $33,236.52 | $122,644.00 | $12,264.00 – $45,990.00 | 17 |
| Icd crtp serena MRI HCPCS C2621 | $13,273.49 | $43,804.00 | $1,221.00 – $18,445.05 | 17 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $8,903.43 | $32,854.00 | $539.00 – $43,304.34 | 17 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,020.08 – $2,440.42 | 6 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $1,718.26 – $2,440.42 | 6 |
| Ifnl3 gene CPT 81283 | $54.14 | $221.00 | $73.37 – $165.75 | 28 |
| Igh gene rearrange amp meth CPT 81261 | $233.73 | $954.00 | $197.99 – $715.50 | 28 |
| Igh@ var region somatic mutation analy CPT 81263 | $347.65 | $1,419.00 | $294.52 – $1,064.25 | 28 |
| Igk rearrangeabn clonal pop CPT 81264 | $204.08 | $833.00 | $172.73 – $624.75 | 28 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $74.25 | $271.00 | $54.20 – $203.25 | 16 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $208.79 | $762.00 | $211.16 – $575.10 | 28 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $100.01 | $365.00 | $108.14 – $273.96 | 28 |
| Immune complex assay CPT 86332 | $15.39 | $74.00 | $24.37 – $55.50 | 28 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $13.10 | $63.00 | $20.81 – $47.25 | 28 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $13.10 | $63.00 | $20.81 – $47.25 | 28 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $7.49 | $36.00 | $11.98 – $27.00 | 28 |
| Immunodiffusion nes CPT 86329 | $11.44 | $55.00 | $14.05 – $32.25 | 28 |
| Immunofixation electrophoresis serum CPT 86334 | $29.54 | $142.00 | $22.34 – $51.00 | 28 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $109.60 | $400.00 | $80.00 – $300.00 | 16 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $144.12 | $526.00 | $176.74 – $394.50 | 28 |
| Immunoglobulin assay CPT 86023 | $49.09 | $236.00 | $12.46 – $177.00 | 28 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $26,114.64 | $96,364.00 | $31.80 – $1,267.51 | 17 |
| Implant cochlear osia osi300 HCPCS L8690 | $9,496.92 | $35,044.00 | $118.80 – $19,632.49 | 17 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $12,378.00 – $18,178.59 | 8 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $3,741.03 – $4,466.49 | 6 |
| Implant neurostim arrays CPT 61886 | not published | not published | $3,741.03 – $21,347.28 | 6 |
| Implant spinal canal cath CPT 62351 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Implant ureth bulk agent HCPCS L8606 | $834.14 | $3,078.00 | $33.20 – $1,214.20 | 17 |
| Implnt spinl canal catheter 62350 CPT 62350 | $4,970.14 | $12,876.00 | $2,633.00 – $10,238.39 | 28 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $897.45 | $2,325.00 | $360.00 – $2,590.32 | 28 |
| Incision of anal sphincter CPT 46080 | not published | not published | $1,771.46 – $3,741.03 | 6 |
| Incision of breast lesion CPT 19020 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Incision of foot fascia CPT 28008 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $1,009.45 – $3,268.08 | 6 |
| Incision of heel bone CPT 28300 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Incision of metatarsal CPT 28306 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Incision of metatarsal CPT 28308 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Incision of metatarsals CPT 28309 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Incision of midfoot bones CPT 28304 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,009.45 – $3,268.08 | 6 |
| Incisn of toe tndn CPT 28010 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Infect ag drug suscept pheno predict CPT 87900 | $105.06 | $392.00 | $130.35 – $294.00 | 28 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $207.16 | $773.00 | $257.45 – $579.75 | 28 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $207.16 | $773.00 | $257.45 – $579.75 | 28 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $103.72 | $387.00 | $128.73 – $290.25 | 28 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $207.16 | $773.00 | $257.45 – $579.75 | 28 |
| Infect ag ia optc obs influenza CPT 87804 | $13.40 | $50.00 | $16.55 – $37.50 | 28 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $16.08 | $60.00 | $11.98 – $45.00 | 28 |
| Infect ag if influenza a CPT 87276 | $16.08 | $60.00 | $16.07 – $45.00 | 28 |
| Infect ag if influenza b CPT 87275 | $16.08 | $60.00 | $12.25 – $45.00 | 28 |
| Infect ag if legionella pneumophila CPT 87278 | $12.60 | $47.00 | $15.60 – $35.25 | 28 |
| Infect ag if pneumocystis carinii CPT 87281 | $20.37 | $76.00 | $11.98 – $27.00 | 28 |
| Infect ag if varicella zoster CPT 87290 | $16.08 | $60.00 | $13.42 – $45.00 | 28 |
| Infect ag na hep b amp CPT 87516 | $36.18 | $135.00 | $35.09 – $101.25 | 28 |
| Infect ag na herpes simplex quant CPT 87530 | $34.57 | $129.00 | $42.84 – $96.75 | 28 |
| Infect ag na hpv high-risk types CPT 87624 | $28.41 | $106.00 | $35.09 – $79.50 | 28 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $77.18 | $288.00 | $95.80 – $216.00 | 28 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $80.13 | $299.00 | $51.31 – $224.25 | 28 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $335.27 | $1,251.00 | $416.78 – $938.25 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $16.08 | $60.00 | $11.98 – $45.00 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $17.69 | $66.00 | $11.98 – $27.00 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $19.83 | $74.00 | $14.38 – $33.00 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $61.91 | $231.00 | $10.33 – $100.50 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $22.78 | $85.00 | $10.33 – $44.25 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $23.32 | $87.00 | $24.08 – $65.25 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $42.08 | $157.00 | $11.98 – $27.00 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $9.65 | $36.00 | $11.98 – $27.00 | 28 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $17.15 | $64.00 | $11.98 – $48.00 | 28 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $112.83 | $421.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $30.82 | $115.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $30.02 | $112.00 | $37.27 – $84.00 | 28 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $335.27 | $1,251.00 | $416.78 – $938.25 | 28 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $28.41 | $106.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $28.41 | $106.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $33.77 | $126.00 | $41.68 – $94.50 | 28 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $28.41 | $106.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $41.27 | $154.00 | $51.31 – $115.50 | 28 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $25.73 | $96.00 | $32.26 – $213.94 | 28 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $28.41 | $106.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $29.75 | $111.00 | $35.09 – $79.50 | 28 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $335.27 | $1,251.00 | $416.78 – $938.25 | 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.