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 |
|---|---|---|---|---|
| Rheumatoid factor qualitative CPT 86430 | $14.56 | $70.00 | $6.14 – $52.50 | 28 |
| Rheumatoid factor quantitative CPT 86431 | $11.44 | $55.00 | $5.67 – $13.50 | 28 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $77.78 | $331.00 | $79.00 – $248.25 | 28 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $108.57 | $462.00 | $79.00 – $346.50 | 28 |
| Rib X-ray (3 views, both sides) CPT 71110 | $79.66 | $339.00 | $79.00 – $254.25 | 28 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $643.08 | $1,666.00 | $360.00 – $1,249.50 | 28 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,089.68 | $2,823.00 | $988.05 – $2,483.53 | 28 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,221.69 | $3,165.00 | $1,019.45 – $2,483.53 | 28 |
| Rpl tun cvc wo subq port CPT 36581 | $1,520.07 | $3,938.00 | $1,378.30 – $5,032.01 | 28 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $9,813.71 – $9,813.71 | 1 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Rsv assay w/optic CPT 87807 | $10.72 | $40.00 | $13.10 – $30.00 | 28 |
| Rubella antibody igg CPT 86762 | $11.65 | $56.00 | $14.39 – $33.00 | 28 |
| Rubeola antibody igg CPT 86765 | $12.48 | $60.00 | $12.88 – $29.25 | 28 |
| Russell viper venom diluted CPT 85613 | $13.56 | $60.00 | $9.58 – $45.00 | 28 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $674.24 | $2,752.00 | $396.56 – $2,064.00 | 28 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $85.07 | $362.00 | $79.00 – $271.50 | 28 |
| Salmonella antibody CPT 86768 | $15.18 | $73.00 | $13.19 – $54.75 | 28 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $232.58 | $1,285.00 | $166.84 – $963.75 | 28 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $114.57 | $633.00 | $79.00 – $474.75 | 28 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $189.33 | $1,046.00 | $79.00 – $784.50 | 28 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $233.49 | $1,290.00 | $79.00 – $967.50 | 28 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $266.43 | $1,472.00 | $79.00 – $1,104.00 | 17 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $231.32 | $1,278.00 | $79.00 – $958.50 | 17 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $897.45 | $2,325.00 | $813.75 – $2,590.32 | 28 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $2,052.04 – $9,813.71 | 6 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $575.40 – $3,268.08 | 7 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $575.40 – $3,268.08 | 7 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $35,610.48 | $131,404.00 | $14.00 – $969.55 | 17 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $299.88 | $714.00 | $79.00 – $535.50 | 28 |
| Sedimentation rate erythrocyte automated CPT 85652 | $2.03 | $9.00 | $2.70 – $6.75 | 28 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $16.73 | $178.00 | $35.60 – $241.00 | 16 |
| Semen analysis w/count CPT 89310 | $6.24 | $26.00 | $3.75 – $19.50 | 28 |
| Serpina1 gene CPT 81332 | $84.77 | $346.00 | $43.65 – $259.50 | 28 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $751.80 – $2,440.42 | 6 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $2,264.89 | $13,895.00 | $62.60 – $234.75 | 17 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $65.10 | $217.00 | $44.93 – $162.75 | 28 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $70.74 | $301.00 | $58.65 – $225.75 | 28 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $85.30 | $363.00 | $61.39 – $467.28 | 17 |
| Shoulder MRI (with and without contrast) CPT 73223 | $675.99 | $3,654.00 | $266.89 – $2,740.50 | 17 |
| Shoulder MRI (with contrast) CPT 73222 | $563.32 | $3,045.00 | $518.51 – $3,070.63 | 17 |
| Shoulder MRI (without contrast) CPT 73221 | $450.66 | $2,436.00 | $166.84 – $1,827.00 | 17 |
| Shoulder X-ray CPT 73030 | $91.18 | $388.00 | $58.65 – $347.17 | 17 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $65.56 | $279.00 | $55.80 – $347.17 | 17 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $76.61 | $326.00 | $79.00 – $244.50 | 28 |
| Sialography s&i CPT 70390 | $161.68 | $688.00 | $137.60 – $987.59 | 17 |
| Sickling rbc CPT 85660 | $12.66 | $56.00 | $5.51 – $42.00 | 28 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $575.40 – $2,440.42 | 7 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $751.80 – $2,440.42 | 6 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $751.80 – $2,440.42 | 6 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $194.62 | $901.00 | $40.35 – $675.75 | 28 |
| Sinus CT scan (with and without contrast) CPT 70488 | $402.16 | $2,285.00 | $129.45 – $1,713.75 | 28 |
| Sinus CT scan (with contrast) CPT 70487 | $335.10 | $1,904.00 | $129.45 – $1,428.00 | 28 |
| Sinus CT scan (without contrast) CPT 70486 | $268.05 | $1,523.00 | $79.00 – $1,142.25 | 28 |
| Sinus/juglr venogram s&i CPT 75860 | $963.26 | $4,099.00 | $292.90 – $5,032.01 | 28 |
| Sinus X-ray (complete) CPT 70220 | $79.66 | $339.00 | $58.65 – $254.25 | 28 |
| Sinus X-ray (limited) CPT 70210 | $66.97 | $285.00 | $58.65 – $213.75 | 28 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $26.64 | $154.00 | $30.80 – $115.50 | 16 |
| Skull X-ray (1 to 3 views) CPT 70250 | $79.43 | $338.00 | $79.00 – $253.50 | 28 |
| Skull X-ray (complete) CPT 70260 | $101.05 | $430.00 | $79.00 – $322.50 | 28 |
| Slco1b1 gene com variants CPT 81328 | $128.62 | $525.00 | $174.81 – $393.75 | 28 |
| Sling suprapubic suburetheral HCPCS C1771 | $7,122.96 | $26,284.00 | $538.00 – $10,945.77 | 17 |
| Slitting of prepuce CPT 54001 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Slp eval non-spch gen comm dev CPT 92605 | $67.96 | $482.00 | $81.00 – $361.50 | 15 |
| Slp ther svc non-spch gen CPT 92606 | $36.00 | $383.00 | $76.60 – $287.25 | 15 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $129.01 | $549.00 | $129.45 – $411.75 | 28 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,178.14 – $3,268.08 | 6 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $18.22 | $68.00 | $5.39 – $42.75 | 28 |
| Smear gram stain CPT 87205 | $34.04 | $127.00 | $4.27 – $9.75 | 28 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $19.30 | $72.00 | $5.99 – $48.00 | 28 |
| Smear wet mount CPT 87210 | $14.20 | $53.00 | $5.82 – $13.50 | 28 |
| Snrpn/ube3a gene CPT 81331 | $71.54 | $292.00 | $51.07 – $219.00 | 28 |
| Sodium 24 hour urine CPT 84300 | $12.46 | $72.00 | $5.06 – $12.00 | 28 |
| Sodium serum/plasma/whole blood CPT 84295 | $17.65 | $102.00 | $4.81 – $67.50 | 28 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $4,909.22 – $4,909.22 | 1 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $4,909.22 – $4,909.22 | 1 |
| Specific gravity body fluid CPT 84315 | $1.73 | $10.00 | $3.28 – $7.50 | 28 |
| Specimen fat stain CPT 89125 | $4.32 | $18.00 | $5.88 – $13.50 | 28 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $54.05 | $575.00 | $81.00 – $1,049.52 | 16 |
| Speech evaluation complex CPT 70371 | $175.54 | $747.00 | $166.84 – $560.25 | 28 |
| Speech Therapy Session (one-on-one) CPT 92507 | $36.75 | $391.00 | $78.20 – $293.25 | 16 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $4,909.22 – $4,909.22 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $4,909.22 – $4,909.22 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $707.15 | $1,832.00 | $460.08 – $1,374.00 | 28 |
| Spine X-ray (single view, one level) CPT 72020 | $57.10 | $243.00 | $58.65 – $182.25 | 28 |
| Split blood or products CPT 86985 | $87.60 | $365.00 | $1.30 – $273.96 | 28 |
| Sputum specimen collection CPT 89220 | $87.60 | $365.00 | $32.35 – $273.96 | 28 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $53.20 | $566.00 | $81.00 – $526.35 | 16 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $14,244.84 | $52,564.00 | $118.80 – $13,062.88 | 17 |
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.