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 |
|---|---|---|---|---|
| Esophageal dilat s&i CPT 74360 | $124.78 | $531.00 | $72.74 – $398.25 | 16 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,178.14 – $2,440.42 | 6 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,178.14 – $2,440.42 | 6 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $586.96 – $2,440.42 | 6 |
| Esophagus motility study CPT 91010 | $463.10 | $1,206.00 | $353.64 – $904.50 | 28 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Established Patient Office Visit (level 1) CPT 99211 | $217.79 | $290.00 | $27.00 – $101.25 | 16 |
| Established Patient Office Visit (level 2) CPT 99212 | $551.98 | $735.00 | $43.00 – $161.25 | 16 |
| Established Patient Office Visit (level 3) CPT 99213 | $1,107.72 | $1,475.00 | $54.54 – $240.00 | 16 |
| Established Patient Office Visit (level 4) CPT 99214 | $1,708.53 | $2,275.00 | $54.54 – $322.50 | 16 |
| Established Patient Office Visit (level 5) CPT 99215 | $2,406.96 | $3,205.00 | $54.54 – $401.25 | 16 |
| Estradiol total CPT 82670 | $14.53 | $84.00 | $27.94 – $63.00 | 28 |
| Estrogens total-sendout CPT 82672 | $11.42 | $66.00 | $21.70 – $49.50 | 28 |
| Ethylene glycol -sendout CPT 82693 | $14.01 | $81.00 | $14.90 – $60.75 | 28 |
| Euglobulin lysis CPT 85360 | $5.88 | $26.00 | $8.41 – $19.50 | 28 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $1,901.83 – $5,254.47 | 6 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $105.33 | $747.00 | $81.00 – $885.41 | 16 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $51.03 | $295.00 | $98.11 – $221.25 | 28 |
| Evaluation of speech fluency 92521 CPT 92521 | $40.51 | $431.00 | $81.00 – $622.35 | 16 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $276.66 | $913.00 | $182.60 – $684.75 | 16 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $1,718.26 – $4,620.72 | 6 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $450.93 – $2,440.42 | 6 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $1,020.08 – $2,440.42 | 6 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Exchange drainage catheter CPT 49423 | $1,009.00 | $2,614.00 | $914.90 – $3,032.78 | 28 |
| Exchange nephrostomy cath CPT 50435 | $1,647.83 | $4,269.00 | $569.20 – $4,018.00 | 17 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $1,020.08 – $4,620.72 | 6 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | $450.93 – $2,440.42 | 6 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Excis partial tal calc CPT 28120 | not published | not published | $2,052.04 – $7,292.89 | 6 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $1,771.46 – $3,268.08 | 6 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $2,510.82 | $9,265.00 | $539.00 – $3,225.52 | 17 |
| Exploration of spinal fusion CPT 22830 | not published | not published | $8,928.20 – $9,813.71 | 6 |
| Explore parathyroid glands CPT 60500 | not published | not published | $3,687.39 – $7,292.89 | 6 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | not published | not published | $1,020.08 – $4,620.72 | 6 |
| External chromosome analysis 20-25 cells CPT 88264 | $340.48 | $1,216.00 | $144.61 – $912.00 | 28 |
| External newborn metabolic screening panel HCPCS S3620 | $56.40 | $235.00 | $47.00 – $189.18 | 16 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $11.02 | $53.00 | $1.78 – $39.75 | 28 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $369.32 | $1,319.00 | $143.75 – $989.25 | 28 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $27.04 | $130.00 | $17.93 – $40.50 | 28 |
| Eye Socket (Orbit) X-ray CPT 70200 | $101.75 | $433.00 | $79.00 – $324.75 | 28 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $503.01 | $2,858.00 | $129.45 – $2,143.50 | 28 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $419.23 | $2,382.00 | $129.45 – $1,786.50 | 28 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $335.28 | $1,905.00 | $79.00 – $1,428.75 | 28 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $503.42 | $3,051.00 | $266.89 – $2,288.25 | 28 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $335.61 | $2,034.00 | $166.84 – $1,525.50 | 28 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $74.73 | $318.00 | $58.65 – $238.50 | 28 |
| Facial Bones X-ray (complete) CPT 70150 | $82.48 | $351.00 | $79.00 – $263.25 | 28 |
| Factor ix CPT 85250 | $17.85 | $79.00 | $19.04 – $56.25 | 28 |
| Factor viii CPT 85240 | $14.92 | $66.00 | $17.90 – $49.50 | 28 |
| Fat/lipids feces qualitative CPT 82705 | $11.76 | $68.00 | $5.10 – $51.00 | 28 |
| Fatty acids nonesterified CPT 82725 | $11.94 | $69.00 | $18.77 – $51.75 | 28 |
| #fecal-sodium CPT 84302 | $10.03 | $58.00 | $4.86 – $11.25 | 28 |
| Feeding tube reposition CPT 74355 | $220.90 | $940.00 | $97.66 – $705.00 | 16 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $12.80 | $74.00 | $18.64 – $55.50 | 28 |
| Fern test HCPCS Q0114 | $11.42 | $66.00 | $9.74 – $49.50 | 28 |
| Ferritin CPT 82728 | $38.41 | $222.00 | $13.63 – $166.50 | 28 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $408.66 | $973.00 | $79.00 – $729.75 | 28 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $623.35 | $914.00 | $123.48 – $685.50 | 28 |
| Fetal fibronectin CPT 82731 | $33.56 | $194.00 | $64.41 – $145.50 | 28 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $13.33 | $59.00 | $7.73 – $44.25 | 28 |
| Fetal hemoglobin rosette CPT 85461 | $6.55 | $29.00 | $9.36 – $21.75 | 28 |
| Fetal non stress test CPT 59025 | $426.93 | $626.00 | $123.48 – $469.50 | 28 |
| #_fet/norfentcnfrmur CPT 80354 | $11.59 | $67.00 | $11.20 – $54.48 | 16 |
| Fibrin degradation d dimer quantitative CPT 85379 | $72.32 | $320.00 | $10.18 – $240.00 | 28 |
| Fibrin degradation products CPT 85362 | $18.08 | $80.00 | $6.89 – $15.75 | 28 |
| Fibrinogen activity CPT 85384 | $48.36 | $214.00 | $9.72 – $22.50 | 28 |
| Fibrinolytic antiplasmin CPT 85410 | $5.42 | $24.00 | $7.71 – $18.00 | 28 |
| Fibrinolytic plasminogen CPT 85415 | $18.98 | $84.00 | $17.19 – $63.00 | 28 |
| Fibrinolytic plasminogen CPT 85421 | $7.01 | $31.00 | $10.18 – $23.25 | 28 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $16.05 | $71.00 | $6.53 – $42.75 | 28 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $5,935.98 | $21,904.00 | $1,172.20 – $4,395.75 | 17 |
| Filter vena cava fem denali HCPCS C1880 | $2,510.82 | $9,265.00 | $281.40 – $2,353.82 | 17 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $945.70 | $2,450.00 | $450.93 – $1,837.50 | 28 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $825.65 | $2,139.00 | $427.80 – $4,018.00 | 17 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $502.19 | $1,301.00 | $260.20 – $4,018.00 | 17 |
| Fine needle asp without image guide 10021 CPT 10021 | $550.05 | $1,425.00 | $250.73 – $1,068.75 | 28 |
| Finger X-ray (both hands) CPT 73140 | $61.10 | $260.00 | $52.00 – $347.17 | 17 |
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.