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 |
|---|---|---|---|---|
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $2,510.82 | $9,265.00 | $33.20 – $293.70 | 17 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $9,496.92 | $35,044.00 | $118.80 – $4,729.50 | 17 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $2,510.82 | $9,265.00 | $282.60 – $2,610.68 | 17 |
| St evaluate speech sound production CPT 92522 | $44.37 | $472.00 | $81.00 – $505.21 | 16 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $101.52 | $720.00 | $81.00 – $540.00 | 16 |
| Stimulants synthetic CPT 80371 | $27.68 | $160.00 | $32.00 – $120.00 | 16 |
| Strep a ag ia CPT 87430 | $13.67 | $51.00 | $16.81 – $38.25 | 28 |
| Strep b dna amp probe CPT 87653 | $28.41 | $106.00 | $35.09 – $79.50 | 28 |
| Stress test pulmonary CPT 94618 | $65.58 | $542.00 | $63.61 – $406.50 | 28 |
| Stress tte complete CPT 93351 | $660.69 | $2,429.00 | $350.10 – $1,821.75 | 28 |
| Str markers specimen anal CPT 81265 | $349.62 | $1,427.00 | $233.07 – $842.25 | 28 |
| Sulfonylurea screen qn-sendout CPT 80377 | $30.79 | $178.00 | $35.60 – $133.50 | 16 |
| Surgical pathology level 1 gross examination only CPT 88300 | $15.34 | $56.00 | $17.89 – $42.00 | 28 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $35.35 | $129.00 | $17.89 – $96.75 | 28 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $91.24 | $333.00 | $36.08 – $249.75 | 28 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $139.19 | $508.00 | $36.08 – $282.00 | 28 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $311.26 | $1,136.00 | $211.16 – $852.00 | 28 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $469.09 | $1,712.00 | $475.71 – $1,306.01 | 28 |
| Susceptibility agar dilution per agent CPT 87181 | $17.69 | $66.00 | $4.75 – $11.25 | 28 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $15.01 | $56.00 | $4.75 – $42.00 | 28 |
| Susceptibility mic per plate CPT 87186 | $57.89 | $216.00 | $8.65 – $45.00 | 28 |
| Suscept studies macrobroth dilution ea CPT 87188 | $30.82 | $115.00 | $6.64 – $43.50 | 28 |
| Svc venogram s&i CPT 75827 | $301.27 | $1,282.00 | $264.90 – $2,483.53 | 28 |
| Swallowing Evaluation (Bedside) CPT 92610 | $59.64 | $423.00 | $81.00 – $457.01 | 16 |
| Swallowing Therapy Session CPT 92526 | $31.02 | $330.00 | $66.00 – $247.50 | 16 |
| Sweat collection by iontophoresis CPT 89230 | $27.36 | $114.00 | $5.10 – $85.50 | 28 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $10.82 | $52.00 | $4.40 – $39.00 | 28 |
| System pacing micra av HCPCS C1786 | $10,619.03 | $35,044.00 | $2,315.00 – $29,701.26 | 17 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $33,181.90 | $109,504.00 | $3,504.00 – $29,701.26 | 17 |
| T3 (triiodothyronine) free CPT 84481 | $12.28 | $71.00 | $16.94 – $40.50 | 28 |
| T3 (triiodothyronine) total CPT 84480 | $7.44 | $43.00 | $14.18 – $32.25 | 28 |
| T4 (thyroxine) free CPT 84439 | $36.68 | $212.00 | $9.02 – $49.50 | 28 |
| T4 (thyroxine) total CPT 84436 | $9.69 | $56.00 | $6.87 – $42.00 | 28 |
| Tacrolimus therapeutic drug level CPT 80197 | $11.07 | $64.00 | $13.73 – $42.75 | 28 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $85.30 | $363.00 | $58.65 – $272.25 | 28 |
| Target gsa panel hmtlmph neop CPT 81450 | $896.70 | $3,660.00 | $759.53 – $2,745.00 | 28 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,446.42 | $14,067.00 | $2,027.05 – $10,550.25 | 28 |
| Target gsa panel organ neop CPT 81445 | $705.84 | $2,881.00 | $597.91 – $1,345.50 | 28 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $62.40 | $300.00 | $100.00 – $225.00 | 28 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $38.69 | $186.00 | $61.98 – $139.50 | 28 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $29.33 | $141.00 | $46.98 – $105.75 | 28 |
| T cells absolute cd 4 count CPT 86361 | $16.85 | $81.00 | $26.78 – $60.75 | 28 |
| T cells total count CPT 86359 | $23.71 | $114.00 | $37.73 – $85.50 | 28 |
| Tendon shortening CPT 26477 | not published | not published | $2,052.04 – $2,440.42 | 6 |
| Test stress cardiovascular tracing only CPT 93017 | $395.14 | $1,304.00 | $92.37 – $978.00 | 28 |
| Theophylline therapeutic drug level CPT 80198 | $7.44 | $43.00 | $14.14 – $32.25 | 28 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $14.33 | $161.00 | $32.20 – $241.00 | 16 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $12.73 | $143.00 | $28.60 – $241.00 | 16 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $315.37 | $1,342.00 | $129.45 – $1,006.50 | 28 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $86.95 | $370.00 | $58.65 – $347.17 | 17 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,305.84 | $3,383.00 | $392.67 – $4,018.00 | 17 |
| Throat x-ray & fluoroscopy CPT 70370 | $124.08 | $528.00 | $58.65 – $396.00 | 28 |
| Thrombin time CPT 85670 | $12.66 | $56.00 | $5.77 – $42.00 | 28 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $23.28 | $103.00 | $6.47 – $77.25 | 28 |
| Thyroglobulin antibody CPT 86800 | $19.97 | $96.00 | $15.91 – $42.75 | 28 |
| Thyroid (TSH) Test CPT 84443 | $56.74 | $328.00 | $16.80 – $38.25 | 28 |
| Thyroid Ultrasound CPT 76536 | $248.22 | $591.00 | $79.00 – $443.25 | 28 |
| Thyroxine binding globulin (tbg) CPT 84442 | $7.78 | $45.00 | $14.78 – $33.75 | 28 |
| Tilt table study CPT 93660 | $2,567.66 | $2,755.00 | $353.64 – $2,066.25 | 28 |
| Tissue culture placenta CPT 88235 | $203.00 | $725.00 | $150.30 – $543.75 | 28 |
| Tissue culture skin/biopsy CPT 88233 | $190.12 | $679.00 | $140.73 – $317.25 | 28 |
| Tissue culture tumor CPT 88239 | $199.08 | $711.00 | $147.52 – $533.25 | 28 |
| Tissue exam koh skin/hair/nails CPT 87220 | $57.62 | $215.00 | $4.27 – $48.00 | 28 |
| Tissue transglutaminase iga CPT 86364 | $12.27 | $59.00 | $11.53 – $26.25 | 28 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $3,741.03 – $6,458.05 | 6 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $4,724.44 – $6,458.05 | 6 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $4,233.19 – $6,458.05 | 6 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $5,349.82 – $6,458.05 | 6 |
| Tobramycin peak therapeutic drug level CPT 80200 | $8.48 | $49.00 | $16.13 – $36.75 | 28 |
| Toe X-ray (both feet) CPT 73660 | $58.98 | $251.00 | $50.20 – $347.17 | 17 |
| Total Hip Replacement CPT 27130 | not published | not published | $8,928.20 – $19,627.42 | 7 |
| Total hysterectomy CPT 58150 | not published | not published | $6,739.00 – $9,813.71 | 2 |
| Total Knee Replacement CPT 27447 | not published | not published | $8,928.20 – $19,627.42 | 7 |
| Total tau CPT 84394 | $78.02 | $451.00 | $21.52 – $338.25 | 16 |
| Toxoplasma antibody igg CPT 86777 | $13.10 | $63.00 | $14.39 – $33.00 | 28 |
| Toxoplasma antibody igm CPT 86778 | $12.48 | $60.00 | $14.41 – $33.00 | 28 |
| Tpmt gene com vrnts CPT 81335 | $206.54 | $843.00 | $174.81 – $393.75 | 28 |
| Transcath biopsy CPT 37200 | $1,123.65 | $2,911.00 | $1,018.85 – $8,642.25 | 28 |
| Transcatheter bx s&i CPT 75970 | $442.74 | $1,884.00 | $101.12 – $1,413.00 | 16 |
| Transferrin CPT 84466 | $25.78 | $149.00 | $12.76 – $29.25 | 28 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $286.44 | $682.00 | $79.00 – $511.50 | 28 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $241.08 | $574.00 | $79.00 – $430.50 | 28 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $511.48 | $3,965.00 | $380.42 – $2,115.39 | 28 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $96.82 | $594.00 | $85.60 – $530.08 | 15 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $3,668.82 – $7,292.89 | 6 |
| Treat finger fracture each CPT 26727 | not published | not published | $2,052.04 – $7,292.89 | 6 |
| Treat heel fracture CPT 28415 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Treat kneecap fracture CPT 27524 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Treat knee fracture CPT 27535 | not published | not published | $1,303.00 – $9,813.71 | 7 |
| Treat knee fracture CPT 27536 | not published | not published | $4,382.00 – $9,813.71 | 7 |
| Treat lower leg fracture CPT 27827 | not published | not published | $3,741.03 – $8,928.20 | 6 |
| Treat lower leg joint CPT 27829 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | not published | not published | $1,901.83 – $5,254.47 | 6 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | not published | not published | $1,901.83 – $5,254.47 | 6 |
| Treatment of ankle fracture CPT 27792 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Treatment of ankle fracture CPT 27814 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Treatment of ankle fracture CPT 27822 | not published | not published | $3,741.03 – $4,542.09 | 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.