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 |
|---|---|---|---|---|
| Pelvic MRI (with and without contrast) CPT 72197 | $551.12 | $2,979.00 | $266.89 – $2,234.25 | 28 |
| Pelvic MRI (with contrast) CPT 72196 | $459.36 | $2,483.00 | $266.89 – $1,862.25 | 28 |
| Pelvic MRI (without contrast) CPT 72195 | $367.41 | $1,986.00 | $166.84 – $1,489.50 | 28 |
| Pelvic Ultrasound (complete) CPT 76856 | $325.08 | $774.00 | $79.00 – $580.50 | 28 |
| Pelvic Ultrasound (limited) CPT 76857 | $274.68 | $654.00 | $79.00 – $490.50 | 28 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $83.66 | $356.00 | $78.84 – $267.00 | 28 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $103.63 | $441.00 | $79.00 – $330.75 | 28 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $0.41 | $15.10 | $0.88 – $11.32 | 17 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $8,903.43 | $32,854.00 | $977.00 – $14,605.88 | 17 |
| Penile vascular study CPT 93980 | $182.09 | $1,006.00 | $79.00 – $754.50 | 28 |
| Penile vascular study CPT 93981 | $156.02 | $862.00 | $79.00 – $646.50 | 28 |
| Penis study CPT 54240 | $182.58 | $473.00 | $165.55 – $497.85 | 28 |
| Pericardiocentesis wwo imaging CPT 33016 | $963.46 | $2,496.00 | $873.60 – $2,483.53 | 28 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $1,901.83 – $5,254.47 | 6 |
| Peritoneogram rs&i CPT 74190 | $194.34 | $827.00 | $277.87 – $876.59 | 28 |
| Pertussis ag if CPT 87265 | $9.65 | $36.00 | $11.98 – $27.00 | 28 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $36,797.46 | $135,784.00 | $62.60 – $5,309.38 | 17 |
| Ph body fluid CPT 83986 | $17.99 | $104.00 | $3.58 – $38.25 | 28 |
| Phencyclidine (pcp) CPT 83992 | $11.59 | $67.00 | $1.94 – $76.42 | 17 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $2.66 | $98.50 | $19.70 – $157.11 | 17 |
| Phenobarbital therapeutic drug level CPT 80184 | $10.21 | $59.00 | $15.30 – $39.75 | 28 |
| Phenytoin total therapeutic drug level CPT 80185 | $9.17 | $53.00 | $13.25 – $39.75 | 28 |
| Phlebotomy therapeutic CPT 99195 | $234.00 | $780.00 | $81.16 – $585.00 | 28 |
| Phosphorus CPT 84100 | $20.93 | $121.00 | $4.74 – $90.75 | 28 |
| Phosphorus 24 hour urine CPT 84105 | $12.80 | $74.00 | $5.78 – $13.50 | 28 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $131.02 | $522.00 | $81.00 – $397.42 | 16 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $78.81 | $314.00 | $62.80 – $397.42 | 16 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $104.67 | $417.00 | $81.00 – $397.42 | 16 |
| Physical Therapy Re-Evaluation CPT 97164 | $68.27 | $272.00 | $54.40 – $270.15 | 16 |
| Pik3ca gene trgt seq alys CPT 81309 | $202.12 | $825.00 | $274.83 – $618.75 | 28 |
| Pin caspar distraction 12mm HCPCS C1821 | $9,496.92 | $35,044.00 | $977.00 – $3,663.75 | 17 |
| Pinworm exam CPT 87172 | $3.48 | $13.00 | $4.27 – $9.75 | 28 |
| Place duod/jej tube perc CPT 49441 | $1,173.05 | $3,039.00 | $1,063.65 – $3,032.78 | 28 |
| Place gastrostomy tube perc CPT 49440 | $983.91 | $2,549.00 | $892.15 – $3,032.78 | 28 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,164.30 | $5,607.00 | $747.60 – $11,751.00 | 17 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $119.78 | $442.00 | $47.63 – $331.50 | 28 |
| Platelet aggregation each agent teg CPT 85576 | $51.30 | $227.00 | $24.91 – $56.25 | 28 |
| Platelet automated CPT 85049 | $3.16 | $14.00 | $4.48 – $10.50 | 28 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $198.10 | $731.00 | $245.62 – $778.74 | 28 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $253.11 | $934.00 | $264.43 – $1,080.19 | 28 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $508.13 | $1,875.00 | $325.00 – $1,314.00 | 28 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $2,788.08 | $7,223.00 | $963.00 – $15,138.00 | 17 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $3,898.99 | $10,101.00 | $1,346.80 – $15,138.00 | 17 |
| Plmt nephroureteral catheter CPT 50433 | $2,568.44 | $6,654.00 | $887.20 – $11,751.00 | 17 |
| Plmt ureteral stent prq CPT 50694 | $3,639.21 | $9,428.00 | $1,257.00 – $15,138.00 | 17 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $55.71 | $322.00 | $26.07 – $59.25 | 28 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $4,909.22 – $4,909.22 | 1 |
| Potassium 24 hour urine CPT 84133 | $12.11 | $70.00 | $4.73 – $41.25 | 28 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | $0.04 | $0.01 – $0.47 | 17 |
| Potassium serum/plasma/whole blood CPT 84132 | $20.76 | $120.00 | $4.76 – $44.25 | 28 |
| Pq thr inj ext pse CPT 36002 | $297.22 | $770.00 | $154.00 – $4,018.00 | 17 |
| Pr application splint static short arm CPT 29125 | $32.82 | $521.00 | $69.40 – $338.82 | 17 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Pr correction hammertoe CPT 28285 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Prealbumin CPT 84134 | $9.34 | $54.00 | $14.59 – $40.50 | 28 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $1,178.14 – $3,268.08 | 6 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $301.56 | $718.00 | $79.00 – $538.50 | 28 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $224.70 | $535.00 | $79.00 – $401.25 | 28 |
| Pregnancy Ultrasound (limited) CPT 76815 | $212.10 | $505.00 | $79.00 – $378.75 | 28 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $380.02 – $3,268.08 | 6 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $1,243.64 – $3,268.08 | 6 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $75.92 | $365.00 | $1.78 – $273.96 | 28 |
| Pretreat rbc absorption reference CPT 86978 | $57.62 | $277.00 | $1.78 – $207.75 | 28 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $36.00 | $150.00 | $1.49 – $112.50 | 28 |
| Pretreat rbc w enzyme reference CPT 86971 | $104.88 | $437.00 | $1.19 – $327.75 | 28 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $1,020.08 – $2,440.42 | 6 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $250.73 – $2,440.42 | 6 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | not published | not published | $250.73 – $2,440.42 | 6 |
| Pr incision & drainage abscess simple/single CPT 10060 | not published | not published | $130.17 – $441.40 | 6 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $204.07 – $3,268.08 | 6 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $154.85 | $555.00 | $71.23 – $416.25 | 16 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,271.93 – $3,268.08 | 6 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $8,567.93 | $52,564.00 | $117.60 – $1,642.27 | 17 |
| Procalcitonin CPT 84145 | $35.64 | $206.00 | $27.22 – $154.50 | 28 |
| Progesterone CPT 84144 | $10.90 | $63.00 | $20.86 – $47.25 | 28 |
| Prolactin CPT 84146 | $10.21 | $59.00 | $19.38 – $44.25 | 28 |
| _propoxygc/msur CPT 80367 | $9.69 | $56.00 | $11.20 – $54.48 | 16 |
| Prostate biopsy, any mthd HCPCS G0416 | $252.63 | $922.00 | $132.86 – $691.50 | 28 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $3,200.08 – $4,620.72 | 6 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $1,820.58 | $6,718.00 | $539.00 – $4,329.34 | 17 |
| Protein c activity CPT 85303 | $9.49 | $42.00 | $13.84 – $31.50 | 28 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $12.46 | $72.00 | $10.74 – $54.00 | 28 |
| Protein s total CPT 85305 | $14.46 | $64.00 | $11.61 – $43.50 | 28 |
| Protein total 24 hour urine CPT 84156 | $9.69 | $56.00 | $3.67 – $9.00 | 28 |
| Protein total body fluid CPT 84157 | $9.69 | $56.00 | $4.00 – $9.00 | 28 |
| Protein total serum plasma whole blood CPT 84155 | $9.69 | $56.00 | $3.67 – $42.00 | 28 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $13.11 | $58.00 | $3.94 – $43.50 | 28 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $2,307.97 – $9,813.71 | 6 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $195.91 – $201.90 | 6 |
| Pr removal intrauterine device CPT 58301 | $131.38 | $476.00 | $166.60 – $486.31 | 28 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $250.73 – $2,440.42 | 6 |
| PSA (Prostate) Test CPT 84153 | $9.69 | $56.00 | $18.39 – $42.00 | 28 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $5.43 | $61.00 | $8.79 – $241.00 | 15 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $12.29 | $195.00 | $39.00 – $241.00 | 16 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $10.86 | $122.00 | $24.40 – $241.00 | 16 |
| Pten gene full sequence CPT 81321 | $441.00 | $1,800.00 | $600.00 – $1,350.00 | 28 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $24.65 | $277.00 | $55.40 – $241.00 | 16 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $8.57 | $136.00 | $27.20 – $241.00 | 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.