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 |
|---|---|---|---|---|
| Anti mog serum - sendout CPT 86362 | $174.10 | $837.00 | $12.05 – $64.50 | 28 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $11.86 | $57.00 | $12.05 – $40.50 | 28 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $12.90 | $62.00 | $12.05 – $46.50 | 28 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $4,909.22 – $4,909.22 | 1 |
| Antinuclear antibodies CPT 86038 | $11.02 | $53.00 | $12.09 – $39.75 | 28 |
| Antinuclear antibodies titer CPT 86039 | $23.92 | $115.00 | $11.16 – $44.25 | 28 |
| Antiphosphatidylserine antibody CPT 86148 | $11.86 | $57.00 | $16.07 – $42.75 | 28 |
| Antistreptolysin o titer CPT 86060 | $11.86 | $57.00 | $7.30 – $42.75 | 28 |
| Antithrombin iii activity CPT 85300 | $14.24 | $63.00 | $11.85 – $42.00 | 28 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $167.16 | $398.00 | $79.00 – $298.50 | 28 |
| Apl(pml-rara) quant - sendout CPT 81315 | $244.76 | $999.00 | $207.31 – $749.25 | 28 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $3,668.82 – $7,292.89 | 6 |
| Application finger splntstatic 29130 CPT 29130 | $10.33 | $164.00 | $32.80 – $338.82 | 17 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | not published | not published | $1,243.64 – $3,268.08 | 6 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | not published | not published | $1,243.64 – $3,268.08 | 6 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $4,749.00 | $17,524.00 | $118.80 – $560.87 | 17 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $3,741.03 – $8,928.20 | 6 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $4.16 | $66.00 | $13.20 – $241.00 | 16 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Apply forearm splintdynamic 29126 CPT 29126 | $40.76 | $647.00 | $81.00 – $338.82 | 17 |
| Apply of finger splint 29131 CPT 29131 | $9.58 | $152.00 | $30.40 – $338.82 | 17 |
| #aptt mix-1:1 incubated CPT 87532 | $32.16 | $120.00 | $35.09 – $90.00 | 28 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $24.54 | $118.00 | $12.05 – $88.50 | 28 |
| Aquaporin-4 antibody cba each CPT 86052 | $72.80 | $350.00 | $12.05 – $168.75 | 28 |
| Aquaporin-4 antibody elisa CPT 86051 | $55.74 | $268.00 | $11.53 – $201.00 | 28 |
| Aquatic exercise - group charge CPT 97150 | $36.36 | $120.00 | $24.00 – $241.00 | 16 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $389.69 | $2,153.00 | $241.82 – $1,614.75 | 17 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $311.68 | $1,722.00 | $79.00 – $1,291.50 | 17 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $141.54 | $337.00 | $79.00 – $252.75 | 28 |
| Arterial blood draw/perc 36620 CPT 36620 | $265.57 | $688.00 | $137.60 – $2,440.42 | 18 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $8,928.20 – $9,813.71 | 6 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $9,813.71 – $11,504.39 | 6 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $9,813.71 – $11,504.39 | 6 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $9,813.71 – $11,504.39 | 6 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $295.29 | $765.00 | $102.00 – $4,018.00 | 17 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $517.63 | $1,341.00 | $178.80 – $3,152.00 | 17 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $587.88 | $1,523.00 | $189.35 – $2,440.42 | 17 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $284.48 | $737.00 | $98.20 – $4,018.00 | 17 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $450.46 | $1,167.00 | $155.60 – $2,440.42 | 17 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $5,254.47 – $5,254.47 | 1 |
| Arthrodesis pantalar CPT 28705 | not published | not published | $4,620.72 – $11,504.39 | 6 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | not published | not published | $4,909.22 – $4,909.22 | 1 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Arthroplasty finger joint 26535 CPT 26535 | not published | not published | $2,052.04 – $5,254.47 | 6 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $2,052.04 – $5,254.47 | 6 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $1,872.88 – $2,036.24 | 6 |
| Ascenda two piece catheter HCPCS C1772 | $13,888.75 | $51,250.00 | $1,221.00 – $41,345.29 | 17 |
| Asp & inj bone cyst CPT 20615 | $338.14 | $876.00 | $306.60 – $1,124.85 | 28 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $1,292.33 | $3,348.00 | $1,170.00 – $3,275.01 | 28 |
| Aspirate pleura without imaging 32554 CPT 32554 | not published | not published | $392.67 – $2,440.42 | 6 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $736.49 | $1,908.00 | $450.93 – $1,431.00 | 28 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $369.02 | $956.00 | $334.60 – $1,124.85 | 28 |
| Assay acid phosphatase CPT 84060 | $10.90 | $63.00 | $7.64 – $47.25 | 28 |
| Assay alkaline phosphatase CPT 84078 | $4.32 | $25.00 | $8.26 – $18.75 | 28 |
| Assay dir meas fr estradiol CPT 82681 | $14.53 | $84.00 | $27.94 – $63.00 | 28 |
| Assay duodenal fluid trypsin CPT 84485 | $3.81 | $22.00 | $7.20 – $16.50 | 28 |
| Assay free hydroxyproline CPT 83500 | $19.38 | $112.00 | $22.65 – $84.00 | 28 |
| Assay of breath ethanol CPT 82075 | $15.57 | $90.00 | $30.00 – $67.50 | 28 |
| Assay of corticosterone CPT 82528 | $14.36 | $83.00 | $22.52 – $62.25 | 28 |
| Assay of digoxin free CPT 80163 | $6.92 | $40.00 | $13.28 – $30.00 | 28 |
| Assay of feces porphyrins CPT 84126 | $29.93 | $173.00 | $39.11 – $129.75 | 28 |
| Assay of fluoride CPT 82735 | $49.30 | $285.00 | $18.54 – $213.75 | 28 |
| Assay of interleukin-6 (il-6) CPT 83529 | $18.86 | $109.00 | $17.27 – $81.75 | 28 |
| Assay of osteocalcin CPT 83937 | $15.57 | $90.00 | $29.85 – $67.50 | 28 |
| Assay of procainamide w/metab CPT 80192 | $8.82 | $51.00 | $16.75 – $38.25 | 28 |
| Assay of prostaglandin CPT 84150 | $48.44 | $280.00 | $41.77 – $210.00 | 28 |
| Assay of somatostatin CPT 84307 | $14.19 | $82.00 | $18.28 – $61.50 | 28 |
| Assay of thiocyanate CPT 84430 | $6.06 | $35.00 | $11.63 – $26.25 | 28 |
| Assay of tyrosine CPT 84510 | $17.30 | $100.00 | $10.63 – $75.00 | 28 |
| Assay of urine sulfate CPT 84392 | $12.46 | $72.00 | $5.49 – $12.75 | 28 |
| Assay toxin or antitoxin CPT 87230 | $21.17 | $79.00 | $19.74 – $45.00 | 28 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $44.09 | $469.00 | $81.00 – $428.49 | 16 |
| Assess cyst contrast inject CPT 49424 | $171.00 | $443.00 | $88.60 – $4,018.00 | 17 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $3.12 | $13.00 | $4.27 – $9.75 | 28 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $3,624.41 – $15,138.00 | 7 |
| Ast/sgot CPT 84450 | $22.32 | $129.00 | $5.18 – $57.00 | 28 |
| Aud rehab postling hear loss CPT 92633 | $28.95 | $308.00 | $61.60 – $241.00 | 16 |
| Aud rehab pre-ling hear loss CPT 92630 | $34.97 | $372.00 | $74.40 – $279.00 | 16 |
| Augment injectable kit 3.0cc HCPCS C1734 | $4,749.00 | $17,524.00 | $62.60 – $1,158.73 | 17 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | not published | not published | $130.17 – $258.70 | 6 |
| Baclofen eval charges CPT 97750 | $14.60 | $164.00 | $32.80 – $241.00 | 16 |
| Bacterial meningitis antigen CPT 86403 | $15.39 | $74.00 | $11.54 – $39.75 | 28 |
| Bacterial vaginosis pcr CPT 87801 | $367.70 | $1,372.00 | $70.20 – $158.25 | 28 |
| #bac vag cand-c. albicans naa CPT 87481 | $63.52 | $237.00 | $35.09 – $177.75 | 28 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $14.60 | $164.00 | $32.80 – $241.00 | 16 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $245.34 | $1,044.00 | $129.45 – $783.00 | 28 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $220.43 | $938.00 | $129.45 – $703.50 | 28 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $125.49 | $534.00 | $129.45 – $400.50 | 28 |
| Bartonella dna pcr-sendout CPT 87471 | $28.41 | $106.00 | $35.09 – $79.50 | 28 |
| B cells total count CPT 86355 | $23.71 | $114.00 | $37.73 – $85.50 | 28 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $7.54 | $37.71 | $7.54 – $276.58 | 17 |
| #_benzodiazconfur CPT 80346 | $28.72 | $166.00 | $11.20 – $85.13 | 16 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $16.02 | $77.00 | $25.45 – $57.75 | 28 |
| Beta-2 microglobulin CPT 82232 | $10.03 | $58.00 | $16.18 – $36.75 | 28 |
| Beta-amyloid 1-40 CPT 82233 | $51.90 | $300.00 | $60.00 – $225.00 | 16 |
| Beta-amyloid 1-42 CPT 82234 | $78.02 | $451.00 | $60.02 – $338.25 | 16 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $516.40 | $1,871.00 | $189.35 – $935.25 | 28 |
| Biliary endoscopy thru skin CPT 47555 | $1,384.97 | $3,588.00 | $1,255.80 – $5,642.01 | 28 |
| Biliary endoscopy thru skin CPT 47556 | $1,573.34 | $4,076.00 | $1,426.60 – $16,644.74 | 28 |
| Bilicheck CPT 88720 | $2.77 | $16.00 | $5.02 – $12.00 | 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.