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 |
|---|---|---|---|---|
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $1,271.93 – $3,268.08 | 6 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $351.59 | $2,157.00 | $62.60 – $348.85 | 17 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $2,189.42 | $13,432.00 | $282.60 – $5,698.91 | 17 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $502.53 | $3,083.00 | $323.80 – $3,062.45 | 17 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $2,264.89 | $13,895.00 | $539.00 – $6,047.38 | 17 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $1,887.54 | $11,580.00 | $33.20 – $325.06 | 17 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $2,264.89 | $13,895.00 | $538.00 – $2,017.50 | 17 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $1,887.54 | $11,580.00 | $62.60 – $555.76 | 17 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $2,264.89 | $13,895.00 | $118.80 – $1,391.75 | 17 |
| Cath bi-dir df smarttouch HCPCS C1732 | $3,570.35 | $21,904.00 | $431.40 – $4,300.87 | 17 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $2,856.41 | $17,524.00 | $616.60 – $2,312.25 | 17 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $1,510.20 | $9,265.00 | $62.60 – $348.85 | 17 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $628.04 | $3,853.00 | $118.80 – $473.04 | 17 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $796.26 | $4,885.00 | $33.20 – $1,388.44 | 17 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $17.76 | $74.00 | $3.00 – $55.50 | 28 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $1,257.71 | $4,641.00 | $33.20 – $5,081.94 | 17 |
| Cath hawkone s directional HCPCS C1714 | $2,856.41 | $17,524.00 | $977.00 – $7,787.12 | 17 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $3,765.54 | $13,895.00 | $118.80 – $4,054.84 | 17 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $2,499.44 | $15,334.00 | $170.00 – $1,754.64 | 17 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $1,044.16 | $3,853.00 | $118.80 – $445.50 | 17 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $8,903.43 | $32,854.00 | $3,066.80 – $37,162.61 | 17 |
| Cath place 1st order venous 36011 CPT 36011 | $565.49 | $1,465.00 | $293.00 – $4,018.00 | 17 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $143.21 | $371.00 | $74.20 – $4,018.00 | 17 |
| Cath steerable flex adv 12f HCPCS C1766 | $1,510.20 | $9,265.00 | $282.60 – $2,086.84 | 17 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $5,342.49 | $19,714.00 | $538.00 – $2,017.50 | 17 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $460.80 | $2,827.00 | $62.60 – $234.75 | 17 |
| #cbg+cort-cbg CPT 84449 | $9.34 | $54.00 | $18.00 – $40.50 | 28 |
| Cdna analysis for variants CPT 81403 | $218.78 | $893.00 | $185.20 – $417.00 | 28 |
| Cebpa gene full sequence CPT 81218 | $285.67 | $1,166.00 | $241.90 – $874.50 | 28 |
| #celiac hla-dq8 CPT 81383 | $80.36 | $328.00 | $109.13 – $246.00 | 28 |
| Cell count body fluid CPT 89050 | $3.60 | $15.00 | $4.72 – $11.25 | 28 |
| Cell count w differential body fluid CPT 89051 | $4.08 | $17.00 | $5.60 – $12.75 | 28 |
| Cell function assay w/stim CPT 86352 | $84.86 | $408.00 | $135.86 – $306.00 | 28 |
| Cell marker study CPT 88182 | $168.00 | $600.00 | $36.08 – $450.00 | 28 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $7,292.89 – $7,292.89 | 1 |
| #cf-97variants CPT 81220 | $657.09 | $2,682.00 | $556.60 – $2,011.50 | 28 |
| Change cystostomy tube simple CPT 51705 | $204.19 | $529.00 | $185.15 – $396.75 | 28 |
| Change g-tube to g-j perc CPT 49446 | $790.91 | $2,049.00 | $717.15 – $3,032.78 | 28 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $1,299.92 – $2,440.42 | 6 |
| Change of windpipe airway 31502 CPT 31502 | $140.12 | $363.00 | $127.05 – $371.25 | 28 |
| Chemo adm cns w/lmbr punct CPT 96450 | $216.96 | $716.00 | $225.29 – $537.00 | 28 |
| Chemo intralesional over 7 CPT 96406 | $152.12 | $502.00 | $147.54 – $376.50 | 28 |
| Chemo intralesional up to 7 96405 CPT 96405 | $97.57 | $322.00 | $44.93 – $241.50 | 28 |
| Chemotherapy injection 96542 CPT 96542 | $122.42 | $404.00 | $135.74 – $530.28 | 28 |
| Chemotx admn pertl cav impl CPT 96446 | $152.42 | $503.00 | $87.11 – $530.28 | 28 |
| Chest 2 vws w oblique CPT 71048 | $108.53 | $443.00 | $79.00 – $332.25 | 28 |
| Chest apical lordotic proj CPT 71047 | $89.67 | $366.00 | $58.65 – $274.50 | 28 |
| Chest CT scan (with and without contrast) CPT 71270 | $637.30 | $3,521.00 | $129.45 – $2,640.75 | 28 |
| Chest CT scan (with contrast) CPT 71260 | $531.05 | $2,934.00 | $129.45 – $2,200.50 | 28 |
| Chest CT scan (without contrast) CPT 71250 | $424.81 | $2,347.00 | $79.00 – $1,760.25 | 28 |
| Chest Physiotherapy (first session) CPT 94667 | $63.27 | $285.00 | $81.16 – $213.75 | 28 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $66.60 | $300.00 | $81.16 – $225.00 | 28 |
| Chest Ultrasound CPT 76604 | $185.22 | $441.00 | $79.00 – $330.75 | 28 |
| Chest X-ray CPT 71046 | $80.36 | $328.00 | $58.65 – $246.00 | 28 |
| Chest X-ray (single view) CPT 71045 | $66.64 | $272.00 | $58.65 – $204.00 | 28 |
| Chimerism anal no cell selec CPT 81267 | $245.00 | $1,000.00 | $207.46 – $467.25 | 28 |
| Chimerism anal w/cell select CPT 81268 | $307.96 | $1,257.00 | $260.79 – $942.75 | 28 |
| Chlamydia culture CPT 87110 | $19.03 | $71.00 | $19.60 – $53.25 | 28 |
| Chlamydia trachomatis ag if CPT 87270 | $9.65 | $36.00 | $11.98 – $27.00 | 28 |
| Chlamydia type CPT 87140 | $15.28 | $57.00 | $5.57 – $42.00 | 28 |
| Chlnggrphy intraop addl s&i CPT 74301 | $121.26 | $516.00 | $26.49 – $387.00 | 16 |
| Chloride CPT 82435 | $15.22 | $88.00 | $4.60 – $60.00 | 28 |
| Chloride 24 hour urine CPT 82436 | $3.11 | $18.00 | $5.75 – $13.50 | 28 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $157.45 | $670.00 | $35.52 – $502.50 | 16 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $1,941.19 | $5,029.00 | $936.00 – $5,642.01 | 28 |
| Cholesterol CPT 82465 | $9.69 | $56.00 | $4.35 – $41.25 | 28 |
| Cholesterol body fluid CPT 84999 | $28.20 | $163.00 | $10.20 – $129.21 | 16 |
| Cholesterol (Lipid) Test CPT 80061 | $53.46 | $309.00 | $13.39 – $38.25 | 28 |
| Cholinesterase CPT 82480 | $10.38 | $60.00 | $7.87 – $45.00 | 28 |
| Chrom analysis CPT 88273 | $47.04 | $168.00 | $34.81 – $126.00 | 28 |
| Chromatography CPT 83021 | $9.51 | $55.00 | $18.06 – $41.25 | 28 |
| Chromogenic substrate assay CPT 85130 | $14.01 | $62.00 | $11.89 – $46.50 | 28 |
| Chromo high res and frag x - sendout CPT 81243 | $67.38 | $275.00 | $57.04 – $206.25 | 28 |
| Chromosome analys amniotic CPT 88269 | $234.36 | $837.00 | $173.66 – $627.75 | 28 |
| Chromosome analysis 100 CPT 88249 | $233.80 | $835.00 | $173.17 – $626.25 | 28 |
| Chromosome analysis 15-20 cell count CPT 88262 | $169.40 | $605.00 | $125.49 – $399.00 | 28 |
| Chromosome analysis 5 CPT 88261 | $222.32 | $794.00 | $264.34 – $595.50 | 28 |
| Chromosome analys placenta CPT 88267 | $158.48 | $566.00 | $188.57 – $424.50 | 28 |
| Chromosome count additional CPT 88285 | $36.40 | $130.00 | $26.91 – $97.50 | 28 |
| Chromosome karyotype study CPT 88280 | $45.36 | $162.00 | $33.47 – $121.50 | 28 |
| Chromosome study additional CPT 88289 | $46.48 | $166.00 | $34.43 – $124.50 | 28 |
| Chronic urticaria - sendout CPT 86343 | $13.31 | $64.00 | $12.46 – $48.00 | 28 |
| Chylomicron screen, bf - sendout CPT 82664 | $32.00 | $185.00 | $61.50 – $138.75 | 28 |
| Cine/video x-rays CPT 76120 | $532.04 | $2,264.00 | $79.00 – $1,698.00 | 28 |
| Cine/video x-rays add-on CPT 76125 | $138.88 | $591.00 | $35.52 – $443.25 | 16 |
| Circum 28 days or older CPT 54161 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Circumcision (newborn) CPT 54150 | $170.90 | $564.00 | $81.27 – $3,275.01 | 28 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $389.06 | $1,588.00 | $329.51 – $1,191.00 | 28 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $2,264.89 | $13,895.00 | $323.80 – $3,548.07 | 17 |
| Claviculectomy partial CPT 23120 | not published | not published | $2,052.04 – $5,254.47 | 6 |
| Clip ligating vesolock lg HCPCS C1760 | $5,935.98 | $21,904.00 | $62.60 – $1,660.05 | 17 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $1,009.45 – $3,268.08 | 6 |
| Clot factor fletcher fact CPT 85292 | $37.52 | $166.00 | $18.93 – $124.50 | 28 |
| Clot factor viii reltd antgn CPT 85244 | $14.01 | $62.00 | $20.42 – $46.50 | 28 |
| Clot factor xii hageman CPT 85280 | $17.18 | $76.00 | $19.35 – $57.00 | 28 |
| Clot factor xiii fibrin scrn CPT 85291 | $6.33 | $28.00 | $9.11 – $21.00 | 28 |
| Clot factor xiii fibrin stab CPT 85290 | $22.15 | $98.00 | $16.34 – $73.50 | 28 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | not published | not published | $1,009.45 – $2,440.42 | 6 |
| #cmvcul-virus inoculation shell CPT 87254 | $28.41 | $106.00 | $19.56 – $48.00 | 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.