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 |
|---|---|---|---|---|
| Treatment of ankle fracture CPT 27823 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Treatment of fibula fracture CPT 27784 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Treatment of foot infection CPT 28002 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Treatment of miscarriage CPT 59821 | not published | not published | $1,901.83 – $5,254.47 | 6 |
| Treatment of tibia fracture CPT 27758 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Treat spinal cord lesion CPT 62280 | $516.47 | $1,338.00 | $468.30 – $1,423.34 | 28 |
| Treat spinal cord lesion CPT 62281 | $520.71 | $1,349.00 | $472.15 – $1,423.34 | 28 |
| Treat thigh fracture CPT 27236 | not published | not published | $4,542.09 – $9,813.71 | 6 |
| Treat thigh fracture CPT 27245 | not published | not published | $715.30 – $9,813.71 | 7 |
| Treat toe fracture CPT 28525 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Treat ulnar fracture CPT 24685 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Treponema pallidum antibody CPT 86780 | $15.39 | $74.00 | $13.24 – $30.00 | 28 |
| Trg gene rearrangement anal CPT 81342 | $237.89 | $971.00 | $201.50 – $728.25 | 28 |
| Trichinella antibody CPT 86784 | $14.35 | $69.00 | $12.56 – $51.75 | 28 |
| #tricyclicantidprssnt CPT 80337 | $15.92 | $92.00 | $18.40 – $73.64 | 16 |
| Triglycerides CPT 84478 | $27.33 | $158.00 | $5.74 – $67.50 | 28 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $2,074.36 – $8,928.20 | 6 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $2,836.71 | $7,349.00 | $1,469.80 – $5,878.00 | 17 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $2,129.95 | $5,518.00 | $1,931.30 – $5,032.01 | 28 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $2,553.56 – $4,620.72 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $1,456.16 – $2,312.73 | 6 |
| Troponin quantitative CPT 84484 | $57.26 | $331.00 | $12.47 – $28.50 | 28 |
| Tte w or without fol w/con,stres HCPCS C8928 | $667.49 | $2,454.00 | $518.51 – $1,840.50 | 28 |
| Tte w or without fol w/cont, com HCPCS C8921 | $688.98 | $2,533.00 | $518.51 – $1,899.75 | 28 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $365.84 | $1,345.00 | $451.92 – $1,263.09 | 28 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $3,668.82 – $3,741.03 | 6 |
| Ugt1a1 gene analy common variants CPT 81350 | $276.36 | $1,128.00 | $234.00 – $526.50 | 28 |
| Ultrasound breast complete CPT 76641 | $264.60 | $630.00 | $79.00 – $315.00 | 16 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $203.70 | $485.00 | $58.65 – $242.25 | 16 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $163.80 | $390.00 | $79.00 – $292.50 | 28 |
| Ultrasound dx ophth b-scan CPT 76512 | $155.40 | $370.00 | $72.12 – $277.50 | 16 |
| Ultrasound encephalogram CPT 76506 | $311.64 | $742.00 | $79.00 – $556.50 | 28 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $234.36 | $558.00 | $79.00 – $418.50 | 28 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $267.12 | $636.00 | $79.00 – $477.00 | 28 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $327.60 | $780.00 | $112.56 – $585.00 | 16 |
| Ultrasound guidance for vascular access CPT 76937 | $257.04 | $612.00 | $67.40 – $459.00 | 16 |
| Ultrasound guide intraoperative CPT 76998 | $285.18 | $679.00 | $124.67 – $509.25 | 16 |
| Ultrasound guide tissue ablation CPT 76940 | $204.12 | $486.00 | $97.20 – $364.50 | 16 |
| Ultrasound hips infant dynamic CPT 76885 | $236.04 | $562.00 | $58.65 – $421.50 | 28 |
| Ultrasound infant hips ltd without stress CPT 76886 | $172.62 | $411.00 | $58.65 – $308.25 | 28 |
| Ultrasound joint complete left CPT 76881 | $196.56 | $468.00 | $44.03 – $351.00 | 28 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $222.18 | $529.00 | $95.77 – $396.75 | 16 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $146.16 | $348.00 | $62.26 – $261.00 | 16 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $366.66 | $873.00 | $166.84 – $654.75 | 28 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $213.36 | $508.00 | $79.00 – $381.00 | 28 |
| Ultrasound prostate/transrectal CPT 76872 | $227.64 | $542.00 | $79.00 – $406.50 | 28 |
| Ultrasound spinal canal and contents CPT 76800 | $329.28 | $784.00 | $79.00 – $588.00 | 28 |
| Ultrasound transabd ea addl gest CPT 76812 | $307.86 | $733.00 | $62.26 – $549.75 | 16 |
| Unlisted hematology&coagj px CPT 85999 | $12.88 | $57.00 | $11.40 – $129.21 | 16 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $123.48 – $2,440.42 | 6 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $3,668.82 – $5,254.47 | 6 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $3,668.82 – $5,254.47 | 6 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $149.49 – $3,741.03 | 6 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $149.49 – $2,196.38 | 6 |
| Unlisted transfusion med px CPT 86999 | $64.32 | $268.00 | $17.81 – $39.75 | 28 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $253.44 | $1,980.00 | $474.40 – $1,485.00 | 28 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $82.72 | $352.00 | $58.65 – $347.17 | 17 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $595.31 | $3,289.00 | $129.45 – $2,466.75 | 28 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $476.21 | $2,631.00 | $79.00 – $1,973.25 | 28 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $421.90 | $3,606.00 | $266.89 – $2,704.50 | 28 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $351.59 | $3,005.00 | $266.89 – $2,253.75 | 28 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $281.27 | $2,404.00 | $166.84 – $1,803.00 | 28 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $76.61 | $326.00 | $79.00 – $244.50 | 28 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $88.36 | $376.00 | $79.00 – $282.00 | 28 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $586.96 – $2,440.42 | 7 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $586.96 – $3,268.08 | 7 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $144.52 | $615.00 | $129.45 – $461.25 | 28 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $142.41 | $606.00 | $129.45 – $454.50 | 28 |
| Urea nitrogen CPT 84520 | $23.35 | $135.00 | $3.95 – $83.25 | 28 |
| Urea nitrogen 24 hour urine CPT 84540 | $9.00 | $52.00 | $5.56 – $39.00 | 28 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $249.57 | $1,062.00 | $166.84 – $796.50 | 28 |
| Urethrocystography void s&i CPT 74455 | $161.68 | $688.00 | $166.84 – $516.00 | 28 |
| Uric acid blood CPT 84550 | $24.22 | $140.00 | $4.52 – $105.00 | 28 |
| Uric acid urine CPT 84560 | $12.46 | $72.00 | $5.08 – $12.00 | 28 |
| Urinalysis microscopic only CPT 81015 | $3.63 | $10.00 | $3.05 – $7.50 | 28 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $2.54 | $7.00 | $2.17 – $5.25 | 28 |
| Urinalysis (with microscopy) CPT 81001 | $43.92 | $121.00 | $3.17 – $90.75 | 28 |
| Urinalysis (without microscopy) CPT 81003 | $38.84 | $107.00 | $2.25 – $5.25 | 28 |
| Urine Culture Test CPT 87086 | $71.56 | $267.00 | $8.07 – $200.25 | 28 |
| Urine pregnancy test CPT 81025 | $71.15 | $196.00 | $8.61 – $43.50 | 28 |
| Urography, antegrade CPT 74425 | $317.96 | $1,353.00 | $241.82 – $1,014.75 | 28 |
| Urography inf drip &/or bolus CPT 74410 | $549.66 | $2,339.00 | $129.45 – $1,754.25 | 28 |
| Vaccine Administration (one shot) CPT 90471 | $10.84 | $126.00 | $36.84 – $113.78 | 28 |
| Vaginal bx CPT 58999 | not published | not published | $123.48 – $2,440.42 | 6 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $3,196.92 – $9,813.71 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $9.17 | $53.00 | $13.54 – $39.75 | 28 |
| Vancomycin peak therapeutic drug level CPT 80202 | $34.95 | $202.00 | $13.54 – $30.75 | 28 |
| Varicella zoster antibody igg CPT 86787 | $11.02 | $53.00 | $12.88 – $29.25 | 28 |
| Vasectomy CPT 55250 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Vein x-ray kidney CPT 75831 | $860.10 | $3,660.00 | $275.45 – $12,286.55 | 17 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,156.90 | $4,923.00 | $290.20 – $5,032.01 | 28 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | not published | not published | $15.34 – $57.70 | 2 |
| Venogram ext bil s&i CPT 75822 | $536.27 | $2,282.00 | $263.58 – $2,483.53 | 28 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $458.25 | $1,950.00 | $238.13 – $6,035.47 | 17 |
| Ventilator each subsequent day CPT 94003 | $673.33 | $3,033.00 | $351.81 – $2,274.75 | 28 |
| Ventilator Management (first day) CPT 94002 | $841.16 | $3,789.00 | $351.81 – $2,841.75 | 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.