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 |
|---|---|---|---|---|
| Dna trichomonas CPT 87660 | $16.35 | $61.00 | $20.05 – $45.75 | 28 |
| Doppler echo complete CPT 93320 | $312.26 | $1,148.00 | $137.71 – $2,128.00 | 16 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $208.51 | $1,152.00 | $81.16 – $864.00 | 28 |
| Dornhoffer fixed part w/window HCPCS L8614 | $59,350.08 | $219,004.00 | $10,074.00 – $105,185.97 | 17 |
| Dpyd gene common variants CPT 81232 | $206.54 | $843.00 | $174.81 – $393.75 | 28 |
| Drainage lymph node lesion 38300 CPT 38300 | $1,523.16 | $3,946.00 | $1,170.00 – $4,575.65 | 28 |
| Drainage of kidney lesion CPT 50390 | $590.19 | $1,529.00 | $203.80 – $4,018.00 | 17 |
| Drain bladder by trocar/cath CPT 51101 | $694.41 | $1,799.00 | $326.00 – $1,626.53 | 28 |
| Drain cath image guided visceral pq CPT 49405 | $865.80 | $2,243.00 | $785.05 – $2,590.32 | 28 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $396.04 | $1,026.00 | $344.74 – $1,107.15 | 28 |
| Drain shoulder bursa 23031 CPT 23031 | $1,464.10 | $3,793.00 | $758.60 – $5,307.00 | 17 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,510.82 | $9,265.00 | $170.00 – $854.24 | 17 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $114.36 | $422.00 | $18.78 – $268.59 | 17 |
| Drug assay caffeine CPT 80155 | $20.07 | $116.00 | $38.57 – $87.00 | 28 |
| Drug assay posaconazole CPT 80187 | $20.41 | $118.00 | $27.11 – $88.50 | 28 |
| Drug assay voriconazole CPT 80285 | $21.97 | $127.00 | $27.11 – $95.25 | 28 |
| Drug asy hydroxychloroquine CPT 80220 | $50.34 | $291.00 | $18.64 – $218.25 | 28 |
| Drug of abuse screen urine CPT 80305 | $11.07 | $64.00 | $12.60 – $48.00 | 28 |
| Drug screening tapentadol CPT 80372 | $9.69 | $56.00 | $11.20 – $54.48 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $77.68 | $449.00 | $62.14 – $140.25 | 28 |
| Ductogram sgl duct CPT 77053 | $187.76 | $799.00 | $159.80 – $987.59 | 17 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $146.61 | $810.00 | $79.00 – $607.50 | 28 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $221.72 | $1,225.00 | $166.76 – $918.75 | 28 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $370.14 | $2,045.00 | $166.84 – $1,533.75 | 28 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,084.88 – $3,268.08 | 6 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,084.88 – $3,268.08 | 6 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,084.88 – $2,440.42 | 6 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $43.20 | $200.00 | $15.03 – $150.00 | 28 |
| Ecg external < 48 hours recording CPT 93225 | $128.78 | $425.00 | $50.65 – $318.75 | 28 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $176.66 | $583.00 | $63.31 – $437.25 | 28 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $728.42 | $2,678.00 | $350.10 – $2,008.50 | 28 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $280.98 | $1,033.00 | $166.84 – $774.75 | 28 |
| Echocardiography doppler color flow mapping CPT 93325 | $165.92 | $610.00 | $63.52 – $2,128.00 | 16 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $910.66 | $3,348.00 | $518.51 – $2,511.00 | 28 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $351.42 | $1,292.00 | $266.89 – $969.00 | 28 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $156.40 | $575.00 | $68.22 – $2,128.00 | 16 |
| Echo exam of fetal heart CPT 76825 | $606.90 | $1,445.00 | $350.10 – $1,083.75 | 28 |
| Echo exam of fetal heart CPT 76826 | $288.96 | $688.00 | $166.84 – $516.00 | 28 |
| Echo exam of fetal heart CPT 76827 | $322.56 | $768.00 | $79.00 – $576.00 | 28 |
| Echo exam of fetal heart CPT 76828 | $253.26 | $603.00 | $79.00 – $452.25 | 28 |
| Echo exam uterus 76831- CPT 76831 | $288.96 | $688.00 | $166.84 – $516.00 | 28 |
| Echograp trans r pros study CPT 76873 | $221.76 | $528.00 | $79.00 – $396.00 | 28 |
| Echo guidance radiotherapy CPT 76965 | $488.04 | $1,162.00 | $110.95 – $871.50 | 16 |
| Echo guide for amniocentesis CPT 76946 | $148.68 | $354.00 | $61.39 – $265.50 | 16 |
| Echo guide for artery repair CPT 76936 | $262.92 | $626.00 | $191.73 – $497.85 | 28 |
| Echo guide for heart biopsy CPT 76932 | $238.98 | $569.00 | $96.10 – $426.75 | 16 |
| Echo guide for transfusion CPT 76941 | $261.24 | $622.00 | $124.40 – $466.50 | 16 |
| Echo guide ova aspiration CPT 76948 | $114.24 | $272.00 | $39.20 – $204.00 | 14 |
| Echo stress CPT 93350 | $533.94 | $1,963.00 | $350.10 – $1,472.25 | 28 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $681.63 | $2,506.00 | $350.10 – $1,879.50 | 28 |
| Echo transesophageal CPT 93314 | $640.83 | $2,356.00 | $471.20 – $2,128.00 | 16 |
| Echo transthoracic CPT 93303 | $551.07 | $2,026.00 | $350.10 – $1,519.50 | 28 |
| Echo transthoracic CPT 93304 | $292.67 | $1,076.00 | $350.10 – $876.59 | 28 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $376.45 | $1,384.00 | $166.84 – $1,038.00 | 28 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $207.21 | $1,771.00 | $191.73 – $1,328.25 | 28 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $151.98 | $1,299.00 | $353.64 – $974.25 | 28 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $143.91 | $1,230.00 | $191.73 – $922.50 | 28 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $243.71 | $2,083.00 | $191.73 – $1,562.25 | 28 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $168.83 | $1,443.00 | $191.73 – $1,082.25 | 28 |
| Eeg recording awake and asleep CPT 95819 | $171.29 | $1,464.00 | $191.73 – $1,098.00 | 28 |
| E equine encephalitis igg CPT 86652 | $13.52 | $65.00 | $13.19 – $48.75 | 28 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $3,645.68 – $3,741.03 | 6 |
| Egd lesion ablation CPT 43270 | not published | not published | $1,178.14 – $3,741.03 | 7 |
| Egd remove foreign body CPT 43247 | not published | not published | $586.96 – $3,268.08 | 7 |
| Egd varices ligation CPT 43244 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Egfr gene com variants CPT 81235 | $238.63 | $974.00 | $324.58 – $730.50 | 28 |
| EKG (Tracing Only) CPT 93005 | $99.14 | $459.00 | $15.93 – $344.25 | 28 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $79.66 | $339.00 | $58.65 – $347.17 | 17 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $86.48 | $368.00 | $58.65 – $347.17 | 17 |
| Electrd sq emblem s-icd HCPCS C1896 | $5,342.49 | $19,714.00 | $539.00 – $4,236.64 | 17 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $12.37 | $139.00 | $27.80 – $241.00 | 16 |
| Electrical stimulation/unattended 97014 CPT 97014 | $9.43 | $106.00 | $21.20 – $241.00 | 16 |
| Electroconvulsive therapy 90870 CPT 90870 | $425.44 | $1,404.00 | $353.64 – $1,053.00 | 28 |
| Electrolyte panel CPT 80051 | $38.58 | $223.00 | $7.01 – $138.75 | 28 |
| Electron microscopy diagnostic CPT 88348 | $469.09 | $1,712.00 | $475.71 – $1,306.01 | 28 |
| Encephalitis, california igg/igm CPT 86651 | $13.52 | $65.00 | $13.19 – $48.75 | 28 |
| Encephalitis, st louis igg/igm CPT 86653 | $13.52 | $65.00 | $13.19 – $48.75 | 28 |
| Encephalitis, western equine igg/igm CPT 86654 | $13.52 | $65.00 | $13.19 – $48.75 | 28 |
| Endo cath bile duct s&i CPT 74328 | $220.20 | $937.00 | $62.10 – $702.75 | 16 |
| Endo cath panc duct s&i CPT 74329 | $223.48 | $951.00 | $63.04 – $713.25 | 16 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $2,273.53 – $3,268.08 | 6 |
| Endoscopy swallow (fees) vid CPT 92612 | $101.10 | $717.00 | $81.00 – $537.75 | 16 |
| Enzyme histochemistry CPT 88319 | $469.09 | $1,712.00 | $186.19 – $1,306.01 | 28 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $8.06 | $26.60 | $0.17 – $3.31 | 17 |
| Epstein barr early antigen antibody CPT 86663 | $11.44 | $55.00 | $13.12 – $41.25 | 28 |
| Epstein barr nuclear antigen antibody CPT 86664 | $11.23 | $54.00 | $15.29 – $34.50 | 28 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $12.90 | $62.00 | $18.14 – $41.25 | 28 |
| Ercp biliary & pancreas CPT 74330 | $258.97 | $1,102.00 | $72.98 – $826.50 | 16 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $3,268.08 – $3,645.68 | 6 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $2,273.53 – $3,268.08 | 6 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $2,273.53 – $3,268.08 | 6 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $3,268.08 – $3,645.68 | 6 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $2,273.53 – $3,268.08 | 6 |
| ER Visit (level 1, minor) CPT 99281 | $271.88 | $657.00 | $54.54 – $492.75 | 28 |
| ER Visit (level 2) CPT 99282 | $634.34 | $1,163.00 | $88.87 – $872.25 | 28 |
| ER Visit (level 3) CPT 99283 | $1,129.66 | $1,669.00 | $138.24 – $1,251.75 | 28 |
| ER Visit (level 4) CPT 99284 | $1,618.05 | $2,175.00 | $221.18 – $1,631.25 | 28 |
| ER Visit (level 5, high severity) CPT 99285 | $1,722.97 | $2,675.00 | $332.40 – $2,006.25 | 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.