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 |
|---|---|---|---|---|
| Pt wheelchair management each 15 minutes CPT 97542 | $14.33 | $161.00 | $32.20 – $241.00 | 16 |
| Punc of shunt for asp or inj CPT 61070 | $364.77 | $945.00 | $330.75 – $1,107.15 | 28 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $57.12 | $238.00 | $68.29 – $206.07 | 28 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $228.90 | $593.00 | $207.55 – $638.75 | 28 |
| Puncture spinal lumbar diagnostic CPT 62270 | $487.52 | $1,263.00 | $424.37 – $1,107.15 | 28 |
| Pyruvate CPT 84210 | $7.61 | $44.00 | $14.48 – $33.00 | 28 |
| Pyruvate kinase CPT 84220 | $32.35 | $187.00 | $9.44 – $140.25 | 28 |
| Quest t3 uptake CPT 84479 | $9.69 | $56.00 | $6.47 – $42.00 | 28 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $41.88 | $209.40 | $56.20 – $157.05 | 28 |
| Rapid Strep Test CPT 87880 | $13.40 | $50.00 | $16.53 – $37.50 | 28 |
| Rbc count only automated CPT 85041 | $2.26 | $10.00 | $3.02 – $7.50 | 28 |
| Rbc serum pretx incubj drugs CPT 86975 | $176.38 | $848.00 | $1.59 – $637.95 | 28 |
| Recon, cta for surg plan HCPCS G0288 | $408.89 | $2,638.00 | $231.13 – $1,978.50 | 14 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $10,168.42 – $14,853.00 | 7 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Reconstruction knee CPT 27429 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $8,928.20 – $14,853.00 | 7 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $189.70 | $700.00 | $188.93 – $775.98 | 28 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $193.49 | $714.00 | $98.78 – $290.97 | 28 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $94.85 | $350.00 | $117.60 – $408.96 | 28 |
| Red blood cells washed each unit HCPCS P9022 | $134.69 | $497.00 | $148.18 – $634.49 | 28 |
| Refill/maint pump/resvr syst CPT 96522 | $144.90 | $483.00 | $147.54 – $362.25 | 28 |
| Relieve bladder contracture CPT 52640 | not published | not published | $2,230.35 – $3,268.08 | 6 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $3.84 | $19.20 | $4.85 – $14.40 | 28 |
| Rem endovas vena cava filter CPT 37193 | $3,836.45 | $9,939.00 | $2,074.70 – $7,454.25 | 28 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $661.60 | $1,714.00 | $392.67 – $1,285.50 | 28 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $912.89 | $2,365.00 | $827.75 – $2,483.53 | 28 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Removal of breast lesion CPT 19120 | not published | not published | $2,289.36 – $3,741.03 | 6 |
| Removal of foot lesion CPT 28080 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Removal of foot lesion CPT 28090 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Removal of foot lesion CPT 28104 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Removal of heel bone CPT 28118 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Removal of heel spur CPT 28119 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Removal of implant deep CPT 20680 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Removal of tendon lesion CPT 27630 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Removal of toe lesions CPT 28108 | not published | not published | $1,009.45 – $3,268.08 | 6 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | not published | not published | $130.17 – $2,440.42 | 6 |
| Removal sutr and stapl no anes CPT 15854 | $94.12 | $341.00 | $68.20 – $1,910.00 | 18 |
| Removal sutr or stapl no anes CPT 15853 | $75.35 | $273.00 | $54.60 – $1,910.00 | 18 |
| Remove anal fist subq CPT 46270 | not published | not published | $1,771.46 – $3,741.03 | 6 |
| Remove ankle joint lining CPT 27625 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Remove bladder stone CPT 52317 | not published | not published | $806.00 – $2,440.42 | 7 |
| Remove bladder stone CPT 52318 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Remove epididymis lesion CPT 54840 | not published | not published | $1,299.92 – $4,620.72 | 6 |
| Remove esophagus obstruction CPT 74235 | $161.68 | $688.00 | $137.60 – $516.00 | 16 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $1,771.46 – $3,741.03 | 6 |
| Remove int/ext hem 1 group CPT 46255 | not published | not published | $1,771.46 – $3,741.03 | 6 |
| Remove pilonidal cyst compl CPT 11772 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Remove renal tube w/fluoro CPT 50389 | $614.90 | $1,593.00 | $212.40 – $4,018.00 | 17 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $3,624.41 – $15,138.00 | 7 |
| Remove spine fixation device CPT 22850 | not published | not published | $8,928.20 – $9,813.71 | 6 |
| Remove thyroid duct lesion CPT 60280 | not published | not published | $3,668.82 – $4,620.72 | 6 |
| Renal function panel CPT 80069 | $46.71 | $270.00 | $8.68 – $202.50 | 28 |
| Renal venogram bil s&i CPT 75833 | $1,032.36 | $4,393.00 | $318.30 – $5,032.01 | 28 |
| Repair achilles tendon CPT 27650 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Repair biceps tendon CPT 23430 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Repair bladder defect CPT 57288 | not published | not published | $3,196.92 – $5,254.47 | 6 |
| Repair deformity of toe CPT 28313 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Repair foot dislocation CPT 28555 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Repair foot dislocation CPT 28615 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Repair/graft of foot tendon CPT 28210 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Repair lower leg tendons CPT 27675 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Repair of achilles tendon CPT 27654 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Repair of ankle ligament CPT 27695 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Repair of ankle ligament CPT 27698 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Repair of ankle ligaments CPT 27696 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Repair of circumcision CPT 54163 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Repair of foot bones CPT 28320 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Repair of foot tendon CPT 28200 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Repair of leg tendon each CPT 27658 | not published | not published | $2,052.04 – $2,440.42 | 6 |
| Repair of leg tendon each CPT 27659 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Repair of metatarsals CPT 28322 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Repair of thigh muscle CPT 27385 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Repair of urethra injury CPT 53505 | not published | not published | $3,200.08 – $3,268.08 | 6 |
| Repair rectum & vagina CPT 57250 | not published | not published | $3,196.92 – $5,254.47 | 6 |
| Repair/revise wrist joint CPT 25320 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Replace duod/jej tube perc CPT 49451 | $480.57 | $1,245.00 | $435.75 – $1,498.90 | 28 |
| Replace g/c tube perc CPT 49450 | $355.12 | $920.00 | $322.00 – $1,498.90 | 28 |
| Replace g-j tube perc CPT 49452 | $591.35 | $1,532.00 | $536.20 – $1,498.90 | 28 |
| Reptilase test CPT 85635 | $6.78 | $30.00 | $9.85 – $22.50 | 28 |
| #resp virpnl dfa-adenovirus CPT 87260 | $11.79 | $44.00 | $14.43 – $33.00 | 28 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $13.40 | $50.00 | $16.43 – $37.50 | 28 |
| Resp virus 6-11 targets CPT 87632 | $175.54 | $655.00 | $218.06 – $491.25 | 28 |
| Reticulated platelet assay CPT 85055 | $36.16 | $160.00 | $35.74 – $120.00 | 28 |
| Reticulocyte direct measurement automated CPT 85046 | $12.88 | $57.00 | $5.57 – $42.75 | 28 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $1,271.93 – $3,268.08 | 6 |
| Revise lower leg tendon CPT 27691 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Revision of big toe CPT 28310 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Revision of bladder neck CPT 52500 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| Revision of calf tendon CPT 27687 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Revision of foot CPT 28116 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Revision of foot tendon CPT 28238 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Revision of penis CPT 54430 | not published | not published | $9,813.71 – $9,813.71 | 1 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $4,542.09 – $7,292.89 | 6 |
| Revision of urethra CPT 53450 | not published | not published | $2,230.35 – $2,440.42 | 6 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $2,374.59 – $2,440.42 | 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.