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 |
|---|---|---|---|---|
| CT scan for therapy guide CPT 77014 | $119.50 | $771.00 | $154.20 – $1,013.00 | 16 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $687.80 | $3,800.00 | $241.82 – $2,850.00 | 28 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $573.23 | $3,167.00 | $241.82 – $2,375.25 | 28 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $458.47 | $2,533.00 | $166.84 – $1,899.75 | 28 |
| CT t-spine w /wo contrast CPT 72130 | $714.41 | $3,947.00 | $129.45 – $2,960.25 | 28 |
| CT uppr extremity w/o&w/dye CPT 73202 | $467.52 | $2,583.00 | $129.45 – $1,937.25 | 17 |
| Culture aerobic additional method definitive id each CPT 87077 | $27.60 | $103.00 | $5.00 – $18.75 | 28 |
| Culture afb any source CPT 87116 | $93.26 | $348.00 | $10.80 – $24.75 | 28 |
| Culture anaerobic additional method definitive id each CPT 87076 | $31.62 | $118.00 | $8.08 – $18.75 | 28 |
| Culture anaerobic except blood CPT 87075 | $99.43 | $371.00 | $9.47 – $278.25 | 28 |
| Culture bacteria anaerobic CPT 87073 | $7.77 | $29.00 | $9.66 – $21.75 | 28 |
| Culture bact stool aero addl path ea CPT 87046 | $16.88 | $63.00 | $9.44 – $21.75 | 28 |
| Culture body fluid CPT 87070 | $73.16 | $273.00 | $8.62 – $19.50 | 28 |
| Culture fungi definitive id mold CPT 87107 | $36.98 | $138.00 | $10.32 – $46.50 | 28 |
| Culture fungi definitive id yeast CPT 87106 | $36.45 | $136.00 | $10.32 – $46.50 | 28 |
| Culture fungi other (except blood) CPT 87102 | $20.90 | $78.00 | $8.41 – $45.00 | 28 |
| Culture fungi skin/hair/nail CPT 87101 | $15.81 | $59.00 | $7.71 – $44.25 | 28 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $17.15 | $64.00 | $14.61 – $48.00 | 28 |
| Culture mycoplasma any source CPT 87109 | $16.88 | $63.00 | $15.39 – $47.25 | 28 |
| Culture quantitative aerobic other source CPT 87071 | $16.35 | $61.00 | $9.89 – $45.75 | 28 |
| Culture screening strep group a CPT 87081 | $35.11 | $131.00 | $6.63 – $15.00 | 28 |
| Culture typing glc/hplc CPT 87143 | $10.18 | $38.00 | $12.52 – $28.50 | 28 |
| Culture typing immunologic CPT 87147 | $22.78 | $85.00 | $5.18 – $12.00 | 28 |
| Culture urine each isolate CPT 87088 | $6.70 | $25.00 | $8.09 – $18.75 | 28 |
| Cutter lead HCPCS C1773 | $5,176.72 | $31,759.00 | $226.40 – $1,260.93 | 17 |
| Cv line/pic reposition CPT 36597 | $762.74 | $1,976.00 | $691.60 – $2,483.53 | 28 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $11.42 | $66.00 | $14.32 – $49.50 | 28 |
| Cyclic citrullinated peptide antibody CPT 86200 | $12.27 | $59.00 | $12.95 – $44.25 | 28 |
| Cyclosporine 2 hour CPT 80158 | $10.03 | $58.00 | $18.05 – $41.25 | 28 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $17,805.78 | $65,704.00 | $168.80 – $44,385.13 | 17 |
| Cyp2c19 gene com variants CPT 81225 | $343.98 | $1,404.00 | $291.36 – $656.25 | 28 |
| Cyp2c9 gene com variants CPT 81227 | $128.62 | $525.00 | $174.81 – $393.75 | 28 |
| Cyp2d6 gene com variants CPT 81226 | $331.48 | $1,353.00 | $450.91 – $1,014.75 | 28 |
| Cyp3a4 gene common variants CPT 81230 | $128.62 | $525.00 | $174.81 – $393.75 | 28 |
| Cyp3a5 gene common variants CPT 81231 | $128.62 | $525.00 | $174.81 – $393.75 | 28 |
| Cystatin c CPT 82610 | $9.69 | $56.00 | $18.52 – $42.00 | 28 |
| Cystic fibrosis cftr CPT 81223 | $589.22 | $2,405.00 | $499.00 – $1,803.75 | 28 |
| Cystine urine quantitative CPT 82131 | $15.74 | $91.00 | $22.98 – $68.25 | 28 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $239.23 | $1,018.00 | $105.61 – $763.50 | 28 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $3,268.08 – $6,704.18 | 6 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $2,230.35 – $3,268.08 | 6 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $3,200.08 – $3,741.03 | 6 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $1,299.92 – $3,741.03 | 6 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $2,230.35 – $5,254.47 | 6 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $416.71 – $5,570.00 | 7 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $2,586.00 – $5,254.47 | 7 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $2,586.00 – $4,620.72 | 7 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,230.35 – $4,620.72 | 6 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Cytogenetics 25-99 CPT 88274 | $57.40 | $205.00 | $42.38 – $96.00 | 28 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $12.48 | $60.00 | $14.39 – $42.00 | 28 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $12.69 | $61.00 | $16.85 – $38.25 | 28 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $52.08 | $186.00 | $36.08 – $139.50 | 28 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $42.84 | $153.00 | $26.61 – $114.75 | 28 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $32.76 | $117.00 | $20.26 – $87.75 | 28 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $88.20 | $315.00 | $24.53 – $236.25 | 28 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $13.16 | $47.00 | $9.40 – $37.60 | 17 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $102.20 | $365.00 | $37.48 – $273.96 | 28 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $114.52 | $409.00 | $36.08 – $144.00 | 28 |
| Cytopath smear oth prep screen & interp CPT 88161 | $61.04 | $218.00 | $17.89 – $163.50 | 28 |
| Cytotoxic antibody screening CPT 86808 | $18.72 | $90.00 | $29.68 – $67.50 | 28 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $1,901.83 – $3,741.03 | 6 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Dch pulmonary stress test CPT 94621 | $153.55 | $1,269.00 | $191.73 – $951.75 | 28 |
| Dch validity tests CPT 81002 | $3.99 | $11.00 | $3.48 – $8.25 | 28 |
| Deamidated gliadin antibody iga CPT 86258 | $12.27 | $59.00 | $11.53 – $27.75 | 28 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $250.73 – $852.54 | 6 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $380.02 – $3,268.08 | 6 |
| Decalcification CPT 88311 | $11.78 | $43.00 | $8.60 – $34.05 | 17 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $203.04 | $526.00 | $176.74 – $530.28 | 28 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,271.93 – $4,620.72 | 6 |
| Delivery of placenta 59414 CPT 59414 | $3,040.38 | $3,420.00 | $932.00 – $5,083.22 | 28 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $77.70 | $350.00 | $85.98 – $325.17 | 28 |
| Desoxycorticosterone CPT 82633 | $16.09 | $93.00 | $30.98 – $69.75 | 28 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $1,243.64 – $2,440.42 | 6 |
| Developmental screen/score/document 96110 CPT 96110 | $38.26 | $407.00 | $71.18 – $305.25 | 17 |
| Device ablt adv novasure HCPCS C1886 | $1,887.54 | $11,580.00 | $1,221.00 – $4,578.75 | 17 |
| Device sut capio slim opn HCPCS C2631 | $3,138.18 | $11,580.00 | $484.20 – $1,898.04 | 17 |
| Device tiss remov myosure reach HCPCS C1782 | $2,264.89 | $13,895.00 | $538.00 – $2,567.13 | 17 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $11.59 | $67.00 | $22.23 – $50.25 | 28 |
| Diabetes (HbA1c) Test CPT 83036 | $30.62 | $177.00 | $9.71 – $132.75 | 28 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $3,668.82 – $3,741.03 | 6 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $178.72 | $463.00 | $119.18 – $347.25 | 28 |
| Digoxin total therapeutic drug level CPT 80162 | $9.17 | $53.00 | $13.28 – $39.75 | 28 |
| Dilate urethra stricture CPT 53605 | not published | not published | $2,230.35 – $3,268.08 | 6 |
| Dilator fascial 10fx20cm HCPCS C2627 | $351.59 | $2,157.00 | $50.20 – $213.02 | 17 |
| Dilat xst trc ndurlgc px CPT 50436 | $1,351.39 | $3,501.00 | $466.80 – $15,138.00 | 17 |
| Dilat xst trc new access rcs CPT 50437 | $2,290.52 | $5,934.00 | $791.20 – $6,560.00 | 17 |
| Disaccharidases CPT 82657 | $62.63 | $362.00 | $22.17 – $50.25 | 28 |
| Discography cerv/thor spine CPT 72285 | $835.19 | $3,554.00 | $309.12 – $3,121.95 | 28 |
| Dna antibody native/double stranded CPT 86225 | $12.90 | $62.00 | $13.74 – $31.50 | 28 |
| Dna gardnerella CPT 87510 | $16.35 | $61.00 | $20.05 – $45.75 | 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.