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 |
|---|---|---|---|---|
| Bilirubin direct CPT 82248 | $27.51 | $159.00 | $5.02 – $116.25 | 28 |
| Bilirubin total CPT 82247 | $22.66 | $131.00 | $5.02 – $42.75 | 28 |
| Biopsy abdominal mass CPT 49180 | $852.67 | $2,209.00 | $773.15 – $2,590.32 | 28 |
| Biopsy bone trocar/needle superficial CPT 20220 | $607.18 | $1,573.00 | $550.55 – $2,590.32 | 28 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $459.22 – $3,268.08 | 6 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $496.40 | $1,286.00 | $450.10 – $4,575.65 | 28 |
| Biopsy muscle percutaneous needle CPT 20206 | $611.42 | $1,584.00 | $554.40 – $2,590.32 | 28 |
| Biopsy needle liver percutaneous CPT 47000 | $897.45 | $2,325.00 | $813.75 – $2,590.32 | 28 |
| Biopsy needle lymph node superficial CPT 38505 | $1,012.86 | $2,624.00 | $349.80 – $4,640.00 | 17 |
| Biopsy of prostate CPT 55700 | $621.85 | $1,611.00 | $563.85 – $3,275.01 | 28 |
| Biopsy of salivary gland 42400 CPT 42400 | $637.29 | $1,651.00 | $450.93 – $1,238.25 | 28 |
| Biospy of bladder CPT 53899 | not published | not published | $192.95 – $2,440.42 | 6 |
| Bladder Catheter Insertion (simple) CPT 51702 | $116.57 | $302.00 | $81.16 – $226.50 | 28 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $230.06 | $596.00 | $192.95 – $447.00 | 28 |
| Bld prd mix CPT 86965 | $98.92 | $365.00 | $1.65 – $273.96 | 28 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $2,113.95 | $12,969.00 | $170.00 – $637.50 | 17 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $2,856.41 | $17,524.00 | $282.60 – $2,344.65 | 17 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $1,887.54 | $11,580.00 | $33.20 – $4,550.02 | 17 |
| Bln press regulation 71-80cm HCPCS C1815 | $6,885.57 | $25,408.00 | $2,316.00 – $8,685.00 | 17 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $9,496.92 | $35,044.00 | $89.40 – $945.90 | 17 |
| Blood Clotting (PT/INR) Test CPT 85610 | $28.48 | $126.00 | $4.29 – $9.75 | 28 |
| Blood Clotting (PTT) Test CPT 85730 | $34.13 | $151.00 | $6.01 – $113.25 | 28 |
| Blood Count (CBC) Test CPT 85025 | $42.71 | $189.00 | $7.77 – $18.00 | 28 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $31.87 | $141.00 | $6.47 – $105.75 | 28 |
| Blood Culture Test CPT 87040 | $96.48 | $360.00 | $10.32 – $270.00 | 28 |
| Blood draw capillary 36416 CPT 36416 | $9.12 | $38.00 | $0.49 – $28.50 | 17 |
| Blood gases o2 saturation direct measurement CPT 82805 | $60.03 | $347.00 | $78.77 – $177.75 | 28 |
| Blood gases ph venous CPT 82800 | $5.71 | $33.00 | $11.00 – $24.75 | 28 |
| Blood, l/r, irradiated HCPCS P9056 | $191.33 | $706.00 | $89.71 – $529.50 | 28 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $10.73 | $62.00 | $15.92 – $46.50 | 28 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $2.25 | $13.00 | $4.23 – $9.75 | 28 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $2.42 | $14.00 | $4.38 – $10.50 | 28 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $2.77 | $16.00 | $5.32 – $12.00 | 28 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $12.20 | $54.00 | $3.80 – $40.50 | 28 |
| Blood split unit HCPCS P9011 | $109.48 | $404.00 | $18.14 – $226.69 | 28 |
| Blood Transfusion CPT 36430 | $553.82 | $1,871.00 | $287.87 – $935.25 | 28 |
| Blood typing abo CPT 86900 | $66.00 | $275.00 | $2.99 – $193.50 | 28 |
| Blood typing ag donor ea ag CPT 86902 | $182.88 | $762.00 | $6.35 – $571.50 | 28 |
| Blood typing patient serum CPT 86904 | $36.72 | $153.00 | $16.34 – $114.75 | 28 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $182.88 | $762.00 | $3.83 – $571.50 | 28 |
| Blood typing rh (d) CPT 86901 | $23.04 | $96.00 | $2.99 – $63.00 | 28 |
| Blood typing rh phenotype complete reference CPT 86906 | $20.16 | $84.00 | $7.75 – $63.00 | 28 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $78.25 | $333.00 | $78.75 – $249.75 | 28 |
| Bone survey-lead poisoning CPT 77074 | $97.05 | $413.00 | $79.00 – $309.75 | 28 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $13.73 | $66.00 | $17.03 – $49.50 | 28 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $11.66 | $131.00 | $26.20 – $241.00 | 16 |
| Braf gene CPT 81210 | $207.27 | $846.00 | $175.40 – $395.25 | 28 |
| Brain biopsy w/ct/mr guide CPT 61751 | $2,354.60 | $6,100.00 | $936.00 – $9,813.71 | 17 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $410.51 | $3,258.00 | $266.89 – $2,443.50 | 28 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $342.09 | $2,715.00 | $241.82 – $2,036.25 | 28 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $273.67 | $2,172.00 | $166.84 – $1,629.00 | 28 |
| Brain MRI (with and without contrast) CPT 70553 | $599.94 | $3,636.00 | $266.89 – $2,727.00 | 28 |
| Brain MRI (with contrast) CPT 70552 | $499.95 | $3,030.00 | $241.82 – $2,272.50 | 28 |
| Brain MRI (without contrast) CPT 70551 | $399.96 | $2,424.00 | $166.84 – $1,818.00 | 28 |
| Brcassure comprehensive panel-sendout CPT 81162 | $1,341.38 | $5,475.00 | $1,824.88 – $4,106.25 | 28 |
| Breastbone (Sternum) X-ray CPT 71120 | $78.02 | $332.00 | $58.65 – $249.00 | 28 |
| Breast punct aspir cyst, bil CPT 19000 | $369.02 | $956.00 | $191.20 – $4,018.00 | 17 |
| Bronchial challenge CPT 94070 | $97.16 | $803.00 | $184.17 – $602.25 | 28 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $2,246.06 – $3,268.08 | 6 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $2,246.06 – $3,268.08 | 6 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | not published | not published | $1,084.88 – $3,268.08 | 6 |
| Br punct aspir ea add, l CPT 19001 | $191.46 | $496.00 | $99.20 – $4,018.00 | 17 |
| Bundled special stain group 1 microorganisms CPT 88312 | $106.31 | $388.00 | $36.08 – $291.00 | 28 |
| Bundled special stain group 2 CPT 88313 | $84.67 | $309.00 | $24.53 – $206.25 | 28 |
| Buprenorphine and metabolite - sendout CPT 80348 | $22.32 | $129.00 | $11.20 – $54.48 | 16 |
| Bur rotalink 2.15mm HCPCS C1724 | $2,856.41 | $17,524.00 | $977.00 – $7,787.12 | 17 |
| Bx bone trocar/ndl deep CPT 20225 | $845.34 | $2,190.00 | $766.50 – $2,590.32 | 28 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $204.07 – $3,268.08 | 6 |
| Bx pancreas pq ndl CPT 48102 | $695.96 | $1,803.00 | $631.05 – $2,590.32 | 28 |
| Bx pleura pq ndl CPT 32400 | $688.24 | $1,783.00 | $624.05 – $2,590.32 | 28 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $1,157.61 | $2,999.00 | $399.80 – $4,018.00 | 17 |
| Bx spinal cord pq ndl CPT 62269 | $859.24 | $2,226.00 | $779.10 – $2,590.32 | 28 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $369.02 | $956.00 | $334.60 – $1,124.85 | 28 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $459.22 – $2,440.42 | 6 |
| C1 esterase inhibitor func - sendout CPT 86161 | $62.40 | $300.00 | $12.00 – $49.50 | 28 |
| Cable cath 22-pin diag HCPCS C1730 | $2,856.41 | $17,524.00 | $118.80 – $1,161.47 | 17 |
| Cadd pump refill CPT 96521 | $147.00 | $490.00 | $147.54 – $367.50 | 28 |
| Calcium 24 hour urine CPT 82340 | $13.32 | $77.00 | $6.03 – $42.00 | 28 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $0.01 | $0.06 | $0.01 – $0.33 | 16 |
| Calcium ionized CPT 82330 | $27.51 | $159.00 | $13.68 – $111.75 | 28 |
| Calcium total CPT 82310 | $22.84 | $132.00 | $5.16 – $42.00 | 28 |
| Calprotectin fecal CPT 83993 | $43.25 | $250.00 | $19.63 – $187.50 | 28 |
| Campylobacter antibody CPT 86625 | $8.32 | $40.00 | $13.12 – $30.00 | 28 |
| Candida dna CPT 87480 | $16.35 | $61.00 | $20.05 – $45.75 | 28 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $30,269.07 | $111,694.00 | $33.20 – $1,267.51 | 17 |
| Cap nerve 2x15mm HCPCS C1763 | $22,553.70 | $83,224.00 | $170.00 – $5,985.61 | 17 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Cap trach decann 15mm HCPCS C1750 | $3,138.18 | $11,580.00 | $62.60 – $681.28 | 17 |
| Carbamazepine free CPT 80157 | $15.57 | $90.00 | $13.25 – $67.50 | 28 |
| Carbamazepine free -sendout CPT 80161 | $15.57 | $90.00 | $18.64 – $43.50 | 28 |
| Carbamazepine total therapeutic drug level CPT 80156 | $9.00 | $52.00 | $14.57 – $39.00 | 28 |
| Carbohydrate deficient transf - sendout CPT 82373 | $9.51 | $55.00 | $18.06 – $41.25 | 28 |
| Carbohydrate urine - sendout CPT 84377 | $39.62 | $229.00 | $5.50 – $171.75 | 28 |
| Carbon dioxide CPT 82374 | $46.71 | $270.00 | $4.88 – $81.00 | 28 |
| Carboxyhemoglobin quantitative CPT 82375 | $12.97 | $75.00 | $12.32 – $27.75 | 28 |
| Carcinoembryonic ag (cea) CPT 82378 | $56.92 | $329.00 | $18.96 – $42.75 | 28 |
| Cardiolipin antibody iga CPT 86147 | $16.64 | $80.00 | $25.45 – $60.00 | 28 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $1,615.16 | $1,733.00 | $407.38 – $1,299.75 | 28 |
| Carotene CPT 82380 | $11.59 | $67.00 | $9.22 – $50.25 | 28 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $348.24 | $1,924.00 | $166.84 – $1,443.00 | 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.