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 |
|---|---|---|---|---|
| X-ray exam entire spi 4/5 vw CPT 72083 | $160.74 | $684.00 | $79.00 – $513.00 | 28 |
| X-ray exam entire spi 6/> vw CPT 72084 | $191.29 | $814.00 | $79.00 – $610.50 | 28 |
| X-ray exam of arm infant CPT 73092 | $122.90 | $523.00 | $79.00 – $467.28 | 17 |
| X-ray exam of femur 1 CPT 73551 | $56.87 | $242.00 | $48.40 – $347.17 | 17 |
| X-ray exam of jaw joint CPT 70328 | $75.20 | $320.00 | $58.65 – $347.17 | 17 |
| X-ray exam of jaw joint CPT 70332 | $405.90 | $1,103.00 | $166.84 – $987.59 | 17 |
| X-ray exam of mastoids CPT 70120 | $120.55 | $513.00 | $79.00 – $467.28 | 17 |
| X-ray exam of middle ear CPT 70134 | $133.24 | $567.00 | $180.57 – $876.59 | 28 |
| X-ray exam of perineum CPT 74775 | $277.77 | $1,182.00 | $166.84 – $886.50 | 28 |
| X-ray exam of salivary gland CPT 70380 | $55.22 | $235.00 | $58.65 – $176.25 | 28 |
| X-ray exam of tear duct CPT 70170 | $152.51 | $649.00 | $166.84 – $486.75 | 28 |
| X-ray exam si joints CPT 72200 | $76.61 | $326.00 | $79.00 – $244.50 | 28 |
| X-ray exam thorac spine4/>vw CPT 72074 | $94.70 | $403.00 | $79.00 – $302.25 | 28 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $56.87 | $242.00 | $48.40 – $347.17 | 17 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $92.35 | $393.00 | $78.60 – $467.28 | 17 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $104.34 | $444.00 | $79.00 – $333.00 | 28 |
| X-ray joint survey 1 view CPT 77077 | $83.89 | $357.00 | $79.00 – $267.75 | 28 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $110.68 | $471.00 | $58.65 – $353.25 | 17 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $86.71 | $369.00 | $79.00 – $276.75 | 28 |
| X-ray mandible ltd <4 views CPT 70100 | $80.37 | $342.00 | $58.65 – $256.50 | 28 |
| X-ray nose to rectum for foreign body child CPT 76010 | $79.43 | $338.00 | $58.65 – $253.50 | 28 |
| X-ray optic foramina CPT 70190 | $98.23 | $418.00 | $58.65 – $347.17 | 17 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $258.74 | $1,101.00 | $216.71 – $825.75 | 28 |
| X-ray ribs 2 views left CPT 71100 | $67.91 | $289.00 | $57.80 – $347.17 | 17 |
| X-ray sella turcica CPT 70240 | $80.37 | $342.00 | $58.65 – $256.50 | 28 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $249.57 | $1,062.00 | $141.74 – $876.59 | 28 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $188.70 | $803.00 | $79.00 – $602.25 | 28 |
| X-ray small intestine follow-through study CPT 74248 | $68.85 | $293.00 | $58.60 – $219.75 | 16 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $99.40 | $423.00 | $58.65 – $317.25 | 28 |
| X-ray surgical specimen CPT 76098 | $120.79 | $514.00 | $75.58 – $876.59 | 28 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $84.60 | $360.00 | $58.65 – $270.00 | 28 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $120.55 | $513.00 | $129.45 – $384.75 | 28 |
| Zika virus dna/rna amp probe CPT 87662 | $53.60 | $200.00 | $51.31 – $150.00 | 28 |
| Zika virus igm antibody CPT 86794 | $67.60 | $325.00 | $16.85 – $243.75 | 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.