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 |
|---|---|---|---|---|
| MRI tmj CPT 70336 | $459.36 | $2,483.00 | $166.84 – $1,241.25 | 28 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $305.99 | $1,654.00 | $166.84 – $1,346.00 | 17 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $458.98 | $2,481.00 | $266.89 – $1,860.75 | 17 |
| MRI upper extremity w/dye CPT 73219 | $382.58 | $2,068.00 | $266.89 – $1,580.51 | 17 |
| Mr safety determination physician/other qhp CPT 76016 | $31.72 | $135.00 | $45.36 – $140.78 | 28 |
| Mr safety implant elec prepj CPT 76018 | $48.64 | $207.00 | $66.55 – $155.25 | 28 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $45.35 | $193.00 | $38.60 – $144.75 | 16 |
| Mr safety implt pos&/immoblj CPT 76019 | $68.15 | $290.00 | $43.07 – $217.50 | 28 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $9.40 | $40.00 | $13.44 – $39.15 | 28 |
| Mr sfty med physics xm cstmz CPT 76017 | $127.84 | $544.00 | $175.25 – $408.00 | 28 |
| Mthfr gene analy common variants CPT 81291 | $77.17 | $315.00 | $65.34 – $147.75 | 28 |
| Mumps antibody igg CPT 86735 | $12.90 | $62.00 | $13.05 – $42.00 | 28 |
| Mycoplasma antibody igm CPT 86738 | $11.44 | $55.00 | $13.24 – $41.25 | 28 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $207.27 | $846.00 | $175.40 – $634.50 | 28 |
| Myelogphy 2/> spine regions CPT 72270 | $635.20 | $2,703.00 | $354.62 – $2,027.25 | 28 |
| Myelography l-s spine CPT 72265 | $502.66 | $2,139.00 | $279.66 – $1,604.25 | 28 |
| Myelography neck spine CPT 72240 | $502.66 | $2,139.00 | $277.01 – $1,604.25 | 28 |
| Myelography thoracic spine CPT 72255 | $503.14 | $2,141.00 | $260.93 – $1,605.75 | 28 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,233.27 | $3,195.00 | $518.51 – $2,396.25 | 28 |
| Myelography via inj w/s&i cervical CPT 62302 | $879.69 | $2,279.00 | $518.51 – $1,709.25 | 28 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $821.02 | $2,127.00 | $518.51 – $1,595.25 | 28 |
| Myelography via inj w/s&i thoracic CPT 62303 | $978.12 | $2,534.00 | $518.51 – $1,900.50 | 28 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $27.36 | $135.00 | $11.53 – $26.25 | 28 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $3,055.00 – $9,813.71 | 2 |
| Natriuretic peptide CPT 83880 | $65.91 | $381.00 | $39.26 – $88.50 | 28 |
| Natural killer cells total count CPT 86357 | $23.71 | $114.00 | $37.73 – $85.50 | 28 |
| Ndl round specialty proguide HCPCS C1715 | $95.84 | $588.00 | $33.20 – $530.08 | 17 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $72.61 | $309.00 | $58.65 – $231.75 | 28 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $717.30 | $3,963.00 | $129.45 – $2,972.25 | 28 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $597.84 | $3,303.00 | $266.89 – $2,477.25 | 28 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $478.20 | $2,642.00 | $79.00 – $1,981.50 | 28 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $422.96 | $3,615.00 | $266.89 – $2,711.25 | 28 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $352.52 | $3,013.00 | $266.89 – $2,259.75 | 28 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $281.97 | $2,410.00 | $166.84 – $1,807.50 | 28 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $86.95 | $370.00 | $58.65 – $277.50 | 28 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $94.47 | $402.00 | $79.00 – $301.50 | 28 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $125.96 | $536.00 | $79.00 – $402.00 | 28 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $338.56 | $2,687.00 | $266.89 – $2,015.25 | 28 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $282.11 | $2,239.00 | $241.82 – $1,679.25 | 28 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $225.67 | $1,791.00 | $166.84 – $1,343.25 | 28 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $392.13 | $2,228.00 | $129.45 – $1,671.00 | 28 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $326.83 | $1,857.00 | $129.45 – $1,392.75 | 28 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $261.36 | $1,485.00 | $79.00 – $1,113.75 | 28 |
| Nerve teasing preparations CPT 88362 | $469.09 | $1,712.00 | $209.47 – $1,306.01 | 28 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | $116.67 | $430.50 | $62.04 – $978.11 | 15 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $1,271.93 – $2,440.42 | 6 |
| New Patient Office Visit (level 2) CPT 99202 | $1,107.72 | $1,475.00 | $32.00 – $120.00 | 16 |
| New Patient Office Visit (level 3) CPT 99203 | $1,659.71 | $2,210.00 | $54.54 – $281.25 | 16 |
| New Patient Office Visit (level 4) CPT 99204 | $1,997.66 | $2,660.00 | $54.54 – $360.00 | 16 |
| New Patient Office Visit (level 5) CPT 99205 | $2,673.56 | $3,560.00 | $54.54 – $442.50 | 16 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,346.37 | $3,488.00 | $416.71 – $4,018.00 | 17 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $70.74 | $301.00 | $58.65 – $225.75 | 28 |
| Npm1 gene CPT 81310 | $291.06 | $1,188.00 | $246.52 – $891.00 | 28 |
| Nras gene variants exon 2&3 CPT 81311 | $217.56 | $888.00 | $295.79 – $666.00 | 28 |
| Nudt15 gene common variants CPT 81306 | $343.98 | $1,404.00 | $291.36 – $656.25 | 28 |
| Observation direct referral from physician office for admission HCPCS G0379 | $191.62 | $654.00 | $30.00 – $980.17 | 28 |
| Observation per hour HCPCS G0378 | $32.24 | $130.00 | $26.00 – $10,759.00 | 17 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $186.90 | $445.00 | $79.00 – $333.75 | 28 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $133.14 | $317.00 | $62.26 – $237.75 | 16 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $158.17 | $522.00 | $81.00 – $391.50 | 16 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $95.14 | $314.00 | $62.80 – $385.17 | 16 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $126.35 | $417.00 | $81.00 – $385.17 | 16 |
| Onco (ovar) five proteins CPT 81503 | $659.30 | $2,691.00 | $387.77 – $2,018.25 | 28 |
| Oncoprotein dcp CPT 83951 | $33.56 | $194.00 | $64.41 – $145.50 | 28 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $3,741.03 – $4,466.49 | 6 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Organic acids total quant ea spec CPT 83918 | $17.47 | $101.00 | $23.60 – $53.25 | 28 |
| Orthopantogram CPT 70355 | $68.62 | $292.00 | $34.67 – $219.00 | 28 |
| Oscillation chest wall mechanical per session CPT 94669 | $115.88 | $522.00 | $136.21 – $391.50 | 28 |
| Osmolality blood CPT 83930 | $9.69 | $56.00 | $6.61 – $42.00 | 28 |
| Osmolality urine CPT 83935 | $9.69 | $56.00 | $6.82 – $42.00 | 28 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Other immunoelectrophoresis CPT 86325 | $14.56 | $70.00 | $23.13 – $52.50 | 28 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $12.55 | $141.00 | $28.20 – $241.00 | 16 |
| Ot re-evaluation patient/family CPT 97168 | $82.42 | $272.00 | $54.40 – $254.59 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $11.84 | $126.00 | $25.20 – $241.00 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $13.35 | $142.00 | $28.40 – $241.00 | 16 |
| Palingen or promatrx HCPCS Q4174 | $293.14 | $1,081.70 | $155.87 – $1,579.51 | 15 |
| Parathormone (pth) intact CPT 83970 | $21.45 | $124.00 | $41.28 – $93.00 | 28 |
| Paricalcitol HCPCS J2501 | $0.01 | $0.30 | $0.06 – $4.59 | 17 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $1,901.83 – $2,440.42 | 6 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Partial hip replacement CPT 27125 | not published | not published | $8,928.20 – $14,853.00 | 7 |
| Partial hysterectomy CPT 58180 | not published | not published | $6,739.00 – $9,813.71 | 2 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Partial removal of foot bone CPT 28288 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Partial removal of thyroid CPT 60220 | not published | not published | $3,268.08 – $3,668.82 | 6 |
| Partial removal of toe CPT 28160 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Part removal of metatarsal CPT 28110 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Pdgfra gene CPT 81314 | $242.30 | $989.00 | $329.51 – $741.75 | 28 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $531.42 | $2,936.00 | $129.45 – $2,202.00 | 28 |
| Pelvic CT scan (with contrast) CPT 72193 | $442.91 | $2,447.00 | $129.45 – $1,835.25 | 28 |
| Pelvic CT scan (without contrast) CPT 72192 | $354.22 | $1,957.00 | $79.00 – $1,467.75 | 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.