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 |
|---|---|---|---|---|
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $73.70 | $275.00 | $42.84 – $96.75 | 28 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $34.57 | $129.00 | $42.84 – $96.75 | 28 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $39.40 | $147.00 | $42.84 – $96.75 | 28 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $68.61 | $256.00 | $85.10 – $192.00 | 28 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $114.70 | $428.00 | $142.63 – $321.00 | 28 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $65.71 | $296.00 | $99.46 – $325.17 | 28 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $179.49 | $465.00 | $62.00 – $4,018.00 | 17 |
| Inj disk cerv-thor ea lev CPT 62291 | $347.01 | $899.00 | $179.80 – $4,018.00 | 17 |
| Inj dx for sinogram CPT 20501 | $105.38 | $273.00 | $39.34 – $4,018.00 | 15 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $246.65 | $639.00 | $85.20 – $4,018.00 | 17 |
| Injection epidural blood patch or clot CPT 62273 | $548.89 | $1,422.00 | $460.08 – $1,107.15 | 28 |
| Injection for arthrography wrist (both sides) CPT 25246 | $276.76 | $717.00 | $95.60 – $4,018.00 | 17 |
| Injection for bladder x-ray CPT 51600 | $196.86 | $510.00 | $102.00 – $4,018.00 | 17 |
| Injection for hip x-ray CPT 27095 | $298.38 | $773.00 | $103.00 – $4,018.00 | 17 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $268.66 | $696.00 | $92.80 – $4,018.00 | 17 |
| Injection for ureter x-ray CPT 50684 | $123.52 | $320.00 | $42.60 – $4,018.00 | 17 |
| Injection into brain canal CPT 61055 | $390.25 | $1,011.00 | $189.35 – $758.25 | 28 |
| Injection jaw joint x-ray CPT 21116 | $70.25 | $182.00 | $36.40 – $4,018.00 | 17 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $189.35 – $777.06 | 6 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $169.84 | $440.00 | $154.00 – $471.93 | 28 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $82.50 | $275.00 | $55.00 – $1,910.00 | 17 |
| Inject sacroiliac joint CPT 27096 | $519.56 | $1,346.00 | $179.40 – $2,114.00 | 17 |
| Inj for ext venography CPT 36005 | $281.01 | $728.00 | $97.00 – $4,018.00 | 17 |
| Inj for mammo ductogram CPT 19030 | $739.96 | $1,917.00 | $255.60 – $4,018.00 | 17 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $565.88 | $1,466.00 | $513.10 – $1,423.34 | 28 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $760.81 | $1,971.00 | $262.80 – $4,018.00 | 17 |
| Inj proc ankle arthr CPT 27648 | $323.08 | $837.00 | $111.60 – $4,018.00 | 17 |
| Inj proc elbow arthro CPT 24220 | $299.92 | $777.00 | $103.60 – $4,018.00 | 17 |
| Inj proc lumbr disk ea lvl CPT 62290 | $364.38 | $944.00 | $188.80 – $4,018.00 | 17 |
| Inj proc myelogram lumbar CPT 62284 | $391.79 | $1,015.00 | $203.00 – $4,018.00 | 17 |
| Inj proc sialogram CPT 42550 | $183.74 | $476.00 | $95.20 – $4,018.00 | 17 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $1.48 | $4.90 | $0.10 – $0.84 | 28 |
| Inj retro urethrocysto CPT 51610 | $99.97 | $259.00 | $51.80 – $4,018.00 | 17 |
| Inj w/fluor eval cv device CPT 36598 | $267.88 | $694.00 | $147.54 – $520.50 | 28 |
| Ins cerv dilator (sep proc) CPT 59200 | $1,180.59 | $1,328.00 | $204.07 – $996.00 | 28 |
| Insert cath pleura with image CPT 32557 | $1,192.74 | $3,090.00 | $412.00 – $4,018.00 | 17 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $2,440.42 – $2,440.42 | 1 |
| Insertion catheter bladder non indwelling CPT 51701 | $73.34 | $190.00 | $63.84 – $206.07 | 28 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $2,660.70 | $6,893.00 | $2,412.55 – $8,642.25 | 28 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,520.07 | $3,938.00 | $1,170.00 – $5,032.01 | 28 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,057.25 | $2,739.00 | $958.65 – $2,483.53 | 28 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,102.03 | $2,855.00 | $999.25 – $2,483.53 | 28 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $2,202.90 | $5,707.00 | $1,997.45 – $5,032.01 | 28 |
| Insert multi-comp penis pros CPT 54405 | not published | not published | $3,741.03 – $3,741.03 | 1 |
| Insert prost urethral stent CPT 53855 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Insert swan-ganz cath CPT 93503 | $3,904.15 | $4,189.00 | $1,019.45 – $3,141.75 | 28 |
| Insert tunneled cv cath CPT 36560 | $2,664.94 | $6,904.00 | $2,074.70 – $5,178.00 | 28 |
| Insitu hybridization auto CPT 88367 | $208.79 | $762.00 | $131.14 – $575.10 | 28 |
| Insitu hybridization (fish) CPT 88366 | $141.66 | $517.00 | $173.71 – $387.75 | 28 |
| Insitu hybridization manual CPT 88368 | $208.79 | $762.00 | $183.92 – $575.10 | 28 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $127.41 | $465.00 | $93.00 – $348.75 | 16 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $167.41 | $611.00 | $108.14 – $458.25 | 28 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $4,909.22 – $4,909.22 | 1 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $1,068.45 | $2,768.00 | $392.67 – $2,076.00 | 28 |
| Ins pq tunnld ip cath w/img CPT 49418 | $2,994.59 | $7,758.00 | $2,307.97 – $5,818.50 | 28 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $3,268.08 – $21,347.28 | 7 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $3,268.08 – $14,847.84 | 6 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $276.86 | $1,090.00 | $144.23 – $1,067.10 | 28 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $1,825.39 | $4,729.00 | $1,655.15 – $5,032.01 | 28 |
| Insulin total CPT 83525 | $9.86 | $57.00 | $11.43 – $42.75 | 28 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $1,771.46 – $3,268.08 | 6 |
| Intracranial complete study CPT 93886 | $208.33 | $1,151.00 | $166.84 – $863.25 | 28 |
| Intracranial limited study CPT 93888 | $140.82 | $778.00 | $79.00 – $583.50 | 28 |
| Intrapul surf admin endo tube CPT 94610 | $20.57 | $170.00 | $57.12 – $325.17 | 28 |
| Intrinsic factor antibody CPT 86340 | $12.27 | $59.00 | $15.08 – $44.25 | 28 |
| Intro cath svc/ivc CPT 36010 | $480.18 | $1,244.00 | $248.80 – $4,018.00 | 17 |
| Intro long gi tube w/mult fluo CPT 74340 | $124.32 | $529.00 | $68.44 – $396.75 | 16 |
| Intubation endotracheal emergency procedure CPT 31500 | $201.80 | $909.00 | $153.41 – $681.75 | 28 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $0.02 | $0.60 | $0.12 – $0.61 | 17 |
| Iron CPT 83540 | $35.98 | $208.00 | $6.47 – $15.00 | 28 |
| Iron binding capacity CPT 83550 | $4.67 | $27.00 | $8.74 – $20.25 | 28 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $103.20 | $344.00 | $40.35 – $258.00 | 28 |
| Ivc venogram s&i CPT 75825 | $1,156.90 | $4,923.00 | $247.49 – $5,032.01 | 28 |
| IV Fluids (each additional hour) CPT 96361 | $70.88 | $189.00 | $29.00 – $141.75 | 28 |
| IV Fluids (first hour) CPT 96360 | $226.50 | $604.00 | $77.79 – $453.00 | 28 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $100.50 | $268.00 | $53.60 – $1,910.00 | 17 |
| IV Medicine Infusion (additional drug) CPT 96367 | $130.50 | $348.00 | $44.93 – $261.00 | 28 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $87.00 | $232.00 | $29.00 – $174.00 | 28 |
| IV Medicine Infusion (first hour) CPT 96365 | $244.88 | $653.00 | $147.54 – $489.75 | 28 |
| IV Push Injection (each additional drug) CPT 96375 | $83.70 | $279.00 | $29.00 – $209.25 | 28 |
| IV Push Injection (first drug) CPT 96374 | $151.50 | $505.00 | $77.79 – $378.75 | 28 |
| Ivp w/nephrotomography CPT 74415 | $641.55 | $2,730.00 | $129.45 – $2,047.50 | 28 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $356.02 | $1,515.00 | $129.45 – $1,136.25 | 28 |
| Jak2 targeted sequence analysis CPT 81279 | $218.78 | $893.00 | $185.20 – $669.75 | 28 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $92.35 | $393.00 | $58.65 – $294.75 | 28 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $91.41 | $389.00 | $79.00 – $291.75 | 28 |
| John cunningham antibody CPT 86711 | $10.61 | $51.00 | $16.89 – $38.25 | 28 |
| Ketamine and metabolite screen - quest CPT 80357 | $25.08 | $145.00 | $29.00 – $108.75 | 16 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $10.55 | $61.00 | $8.17 – $18.75 | 28 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $285.18 | $679.00 | $79.00 – $509.25 | 28 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $183.96 | $438.00 | $79.00 – $328.50 | 28 |
| Kit gene analys d816 variant CPT 81273 | $147.49 | $602.00 | $124.87 – $451.50 | 28 |
| Kit lead specify 5-6-5 HCPCS C1778 | $14,244.84 | $52,564.00 | $1,390.00 – $5,385.29 | 17 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $730.34 | $2,695.00 | $117.60 – $1,020.34 | 17 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $1,654.46 | $6,105.00 | $539.00 – $2,525.55 | 17 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $2,052.04 – $4,620.72 | 6 |
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.