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 |
|---|---|---|---|---|
| Cmv pcr-sendout CPT 87496 | $28.41 | $106.00 | $35.09 – $79.50 | 28 |
| Co2 monitor per day CPT 94681 | $92.32 | $763.00 | $191.73 – $572.25 | 28 |
| Coagulation time activated teg CPT 85347 | $2.94 | $13.00 | $4.28 – $9.75 | 28 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $96.82 | $594.00 | $62.60 – $234.75 | 17 |
| Cold agglutinin screen (arc) CPT 86156 | $5.20 | $25.00 | $8.07 – $18.75 | 28 |
| Cold agglutinin titer CPT 86157 | $5.20 | $25.00 | $8.06 – $18.75 | 28 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $5,461.19 | $20,152.00 | $339.25 – $2,338.22 | 17 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $75.20 | $320.00 | $58.65 – $347.17 | 17 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $91.19 | $359.00 | $81.16 – $269.25 | 28 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $118.87 | $468.00 | $81.16 – $351.00 | 28 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $575.40 – $3,268.08 | 7 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $751.80 – $2,440.42 | 7 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $4,925.87 – $9,813.71 | 6 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | $1,901.83 – $2,440.42 | 6 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $204.07 – $3,268.08 | 6 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $87.60 | $365.00 | $1.89 – $273.96 | 28 |
| Compatibility test each unit electronic CPT 86923 | $87.60 | $365.00 | $1.43 – $273.96 | 28 |
| Compatibility test each unit immediate spin technique CPT 86920 | $87.60 | $365.00 | $1.78 – $273.96 | 28 |
| Complement antigen each component c3 CPT 86160 | $60.74 | $292.00 | $12.00 – $27.00 | 28 |
| Complement fixation each CPT 86171 | $6.45 | $31.00 | $10.01 – $23.25 | 28 |
| Concentration infection agents any type CPT 87015 | $34.30 | $128.00 | $6.68 – $15.75 | 28 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Conization of cervix CPT 57520 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Connector tis 2x10mm HCPCS C9352 | $1,654.46 | $6,105.00 | $282.60 – $5,949.38 | 17 |
| Consultation pathology during surgery CPT 88329 | $56.99 | $208.00 | $24.53 – $156.00 | 28 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $29.59 | $108.00 | $12.26 – $81.00 | 17 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $100.01 | $365.00 | $69.25 – $273.96 | 28 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $88.78 | $324.00 | $36.08 – $85.50 | 28 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $133.99 | $489.00 | $24.53 – $366.75 | 28 |
| Consult comp w/report rfrd material CPT 88325 | $210.71 | $769.00 | $108.14 – $576.75 | 28 |
| Contrast x-ray gallbladder CPT 74290 | $173.20 | $737.00 | $129.45 – $552.75 | 28 |
| Contrast x-ray of ankle CPT 73615 | $405.17 | $1,101.00 | $220.20 – $1,580.51 | 17 |
| Contrast x-ray of elbow CPT 73085 | $405.17 | $1,101.00 | $220.20 – $1,580.51 | 17 |
| Contrast x-ray of hip CPT 73525 | $456.32 | $1,240.00 | $248.00 – $1,580.51 | 17 |
| Contrast x-ray of knee joint CPT 73580 | $405.17 | $1,101.00 | $220.20 – $1,580.51 | 17 |
| Contrast x-ray of wrist CPT 73115 | $401.12 | $1,090.00 | $218.00 – $1,580.51 | 17 |
| Controller infinity pt dbs HCPCS C1787 | $3,765.54 | $13,895.00 | $977.00 – $3,663.75 | 17 |
| Coombs direct CPT 86880 | $26.42 | $127.00 | $5.39 – $95.25 | 28 |
| Coombs indirect titer reference CPT 86886 | $75.92 | $365.00 | $5.18 – $273.75 | 28 |
| Core ndl bx lng/med perq CPT 32408 | $1,229.41 | $3,185.00 | $1,020.08 – $2,590.32 | 28 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Cortisol total am CPT 82533 | $55.88 | $323.00 | $16.30 – $43.50 | 28 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | not published | $0.04 | $0.01 – $170.78 | 17 |
| Co-treatment - group 15 mins, st CPT 92508 | $38.79 | $128.00 | $25.60 – $241.00 | 16 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $2,573.42 | $9,496.00 | $33.20 – $1,866.21 | 17 |
| #covid19rsv-rsv CPT 87634 | $56.55 | $211.00 | $70.20 – $158.25 | 28 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $11.02 | $53.00 | $13.03 – $30.00 | 28 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $322.12 | $1,451.00 | $136.21 – $1,088.25 | 28 |
| C-peptide CPT 84681 | $10.90 | $63.00 | $20.81 – $47.25 | 28 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $343.07 | $1,243.00 | $191.73 – $932.25 | 28 |
| C-reactive protein CPT 86140 | $23.71 | $114.00 | $5.18 – $12.00 | 28 |
| C-reactive protein high sensitivity CPT 86141 | $27.25 | $131.00 | $12.95 – $42.75 | 28 |
| C-reactive protein, quantitative CPT 86406 | $16.85 | $81.00 | $10.64 – $44.25 | 28 |
| Creatine kinase CPT 82550 | $36.33 | $210.00 | $6.51 – $41.25 | 28 |
| Creatine kinase isoenzymes CPT 82552 | $10.21 | $59.00 | $13.39 – $44.25 | 28 |
| Creatine kinase mb CPT 82553 | $11.42 | $66.00 | $11.55 – $49.50 | 28 |
| Creatine - sendout CPT 82540 | $10.38 | $60.00 | $4.64 – $45.00 | 28 |
| Creatinine CPT 82565 | $20.76 | $120.00 | $5.12 – $83.25 | 28 |
| Creatinine 24 hour urine CPT 82570 | $27.16 | $157.00 | $5.18 – $12.00 | 28 |
| Creatinine clearance urine CPT 82575 | $5.02 | $29.00 | $9.46 – $21.75 | 28 |
| #creutz-prot.,western blot CPT 84182 | $26.81 | $155.00 | $29.21 – $66.00 | 28 |
| Critical care each additional 30 minutes CPT 99292 | $1,050.73 | $3,807.00 | $761.40 – $2,855.25 | 16 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $2,101.19 | $7,613.00 | $502.19 – $5,709.75 | 28 |
| Cryoprecipitate each unit HCPCS P9012 | $24.12 | $89.00 | $29.90 – $101.62 | 28 |
| Cryptococcus abs qn - sendout CPT 86641 | $9.15 | $44.00 | $14.41 – $33.00 | 28 |
| Cryptosporidium antigen CPT 87272 | $29.75 | $111.00 | $11.98 – $45.75 | 28 |
| Crystal identification light microscopy CPT 89060 | $17.28 | $72.00 | $7.33 – $54.00 | 28 |
| CT 3d report other modality w/workstation CPT 76377 | $309.96 | $738.00 | $147.60 – $553.50 | 16 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $465.35 | $2,571.00 | $129.45 – $1,928.25 | 17 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $722.19 | $3,990.00 | $241.82 – $2,992.50 | 28 |
| CT Angiogram of the Abdomen CPT 74175 | $507.52 | $2,804.00 | $129.45 – $2,103.00 | 28 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $379.13 | $2,446.00 | $129.45 – $1,834.50 | 28 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $669.34 | $3,698.00 | $129.45 – $2,773.50 | 28 |
| CT Angiogram of the Head CPT 70496 | $450.74 | $2,561.00 | $129.45 – $1,920.75 | 28 |
| CT Angiogram of the Neck CPT 70498 | $411.84 | $2,340.00 | $129.45 – $1,755.00 | 28 |
| CT angio hrt w/3d image CPT 75574 | $388.90 | $2,509.00 | $129.45 – $1,881.75 | 28 |
| CT angio pelvis CPT 72191 | $558.02 | $3,083.00 | $129.45 – $2,312.25 | 28 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $491.05 | $2,713.00 | $129.45 – $2,034.75 | 17 |
| CT bone density axial CPT 77078 | $64.98 | $359.00 | $58.65 – $269.25 | 28 |
| CT guidance for needle placement CPT 77012 | $283.18 | $1,827.00 | $327.94 – $1,370.25 | 16 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $467.46 | $1,113.00 | $222.60 – $834.75 | 16 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $149.49 – $2,440.42 | 6 |
| CT guid parench tis ablat CPT 77013 | $241.34 | $1,557.00 | $311.40 – $1,167.75 | 16 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $401.14 | $2,588.00 | $58.65 – $1,941.00 | 28 |
| CT hrt w/3d image CPT 75572 | $353.86 | $2,283.00 | $129.45 – $1,712.25 | 28 |
| CT limited or localized follow-up study CPT 76380 | $90.83 | $586.00 | $58.65 – $439.50 | 28 |
| CT lwr extremity w/o&w/dye CPT 73702 | $443.09 | $2,448.00 | $129.45 – $1,836.00 | 17 |
| CT scan for localization CPT 77011 | $313.10 | $2,020.00 | $341.00 – $1,515.00 | 16 |
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.