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 |
|---|---|---|---|---|
| Fixation of knee joint CPT 27570 | not published | not published | $1,009.45 – $2,440.42 | 6 |
| Flecainide (tambocor)-sendout CPT 80181 | $11.76 | $68.00 | $18.64 – $51.00 | 28 |
| Fl exam g/colon tube w contrast CPT 49465 | $140.50 | $364.00 | $127.40 – $386.44 | 28 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $575.40 – $2,440.42 | 7 |
| Flow cytometry marker each additional CPT 88185 | $82.04 | $293.00 | $12.26 – $236.43 | 17 |
| Flow cytometry one marker technical component CPT 88184 | $213.36 | $762.00 | $132.84 – $575.10 | 28 |
| Flt3 gene CPT 81245 | $195.51 | $798.00 | $165.51 – $598.50 | 28 |
| Flt3 gene analysis CPT 81246 | $432.92 | $1,767.00 | $83.00 – $1,325.25 | 28 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $0.53 | $19.50 | $2.26 – $14.62 | 17 |
| Fluidotherapy charges pt CPT 97022 | $11.84 | $133.00 | $26.60 – $241.00 | 16 |
| Fluid pressure muscle 20950 CPT 20950 | $263.86 | $956.00 | $334.60 – $1,124.85 | 28 |
| Fluorescent antibody titer dna CPT 86256 | $174.10 | $837.00 | $12.05 – $27.75 | 28 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $109.98 | $468.00 | $93.60 – $357.36 | 16 |
| Fluoroguide needle placement CPT 77002 | $121.26 | $516.00 | $103.20 – $416.15 | 16 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $161.68 | $688.00 | $76.52 – $516.00 | 28 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $1.01 | $37.30 | $1.72 – $27.98 | 17 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,146.42 | $2,970.00 | $450.93 – $2,227.50 | 28 |
| Fna bx w/ct gdn ea addl CPT 10010 | $836.85 | $2,168.00 | $433.60 – $4,018.00 | 17 |
| Folic acid CPT 82746 | $7.78 | $45.00 | $14.70 – $33.75 | 28 |
| Foot X-ray CPT 73630 | $86.48 | $368.00 | $58.65 – $347.17 | 17 |
| Foot X-ray (2 views, both feet) CPT 73620 | $73.32 | $312.00 | $58.65 – $347.17 | 17 |
| Forearm X-ray (both sides) CPT 73090 | $76.38 | $325.00 | $58.65 – $347.17 | 17 |
| Fracture assessment via dxa CPT 77086 | $63.45 | $270.00 | $58.65 – $202.50 | 28 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $2,230.35 – $16,014.09 | 7 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $25.20 | $93.00 | $31.25 – $113.66 | 28 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $25.20 | $93.00 | $31.25 – $134.76 | 28 |
| Fresh frozen plasma thawing ea un CPT 86927 | $87.60 | $365.00 | $1.00 – $273.96 | 28 |
| Fructosamine glycated protein CPT 82985 | $9.17 | $53.00 | $16.76 – $39.75 | 28 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $138.65 | $590.00 | $79.00 – $442.50 | 28 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,243.64 – $3,741.03 | 6 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $8,928.20 – $10,168.42 | 6 |
| Fusion of big toe joint CPT 28750 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Fusion of big toe joint CPT 28755 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Fusion of foot bones CPT 28730 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Fusion of foot bones CPT 28740 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Gabapentin non-blood CPT 80355 | $9.69 | $56.00 | $11.20 – $54.48 | 16 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $29.93 | $173.00 | $21.07 – $129.75 | 28 |
| Galactose transferase test CPT 82776 | $6.23 | $36.00 | $11.74 – $27.00 | 28 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $3,668.82 – $15,138.00 | 7 |
| Gammaglobulin iga CPT 82784 | $21.80 | $126.00 | $9.30 – $42.00 | 28 |
| Gammaglobulin ige CPT 82785 | $10.03 | $58.00 | $16.46 – $43.50 | 28 |
| Gamma glutamyltransferase CPT 82977 | $10.73 | $62.00 | $7.20 – $16.50 | 28 |
| Gastroesophageal reflux test CPT 91034 | $305.28 | $795.00 | $278.25 – $848.28 | 28 |
| Generator barostim neo2 2014 HCPCS C1767 | $35,610.48 | $131,404.00 | $5,694.00 – $61,483.50 | 17 |
| Generator emblem MRI sicd subq HCPCS C1722 | $33,181.90 | $109,504.00 | $8,760.00 – $44,930.25 | 17 |
| Gentamicin peak therapeutic drug level CPT 80170 | $8.65 | $50.00 | $16.38 – $37.50 | 28 |
| G-esoph reflx tst w/electrod CPT 91035 | $753.02 | $1,961.00 | $353.64 – $1,470.75 | 28 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $575.40 – $2,440.42 | 6 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $10.21 | $59.00 | $9.81 – $44.25 | 28 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $9.00 | $52.00 | $17.11 – $39.00 | 28 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $203.35 | $830.00 | $102.26 – $622.50 | 28 |
| Ghs antibodies (torch) igm CPT 86694 | $9.15 | $44.00 | $14.39 – $33.00 | 28 |
| Ghs aspiration bladder - needle CPT 51100 | $211.91 | $549.00 | $192.15 – $411.75 | 28 |
| Ghs bladder cath - complex-foley CPT 51703 | $133.94 | $347.00 | $101.17 – $260.25 | 28 |
| Ghs change cysto/gastrost CPT 43762 | not published | not published | $192.95 – $2,440.42 | 6 |
| Ghs chemo >8 hrs CPT 96416 | $110.34 | $761.00 | $225.29 – $570.75 | 28 |
| Ghs chemo IV push, ea addtl CPT 96411 | $114.84 | $379.00 | $44.93 – $284.25 | 28 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $87.90 | $328.00 | $35.09 – $246.00 | 28 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $1,009.45 – $3,268.08 | 6 |
| Ghs community re-entry 15 minutes CPT 97537 | $10.23 | $115.00 | $23.00 – $241.00 | 16 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $13.10 | $63.00 | $15.21 – $47.25 | 28 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $550.44 | $1,426.00 | $460.08 – $1,107.15 | 28 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $4.37 | $21.00 | $6.98 – $15.75 | 28 |
| Ghs fish cytogen CPT 88271 | $29.12 | $104.00 | $21.42 – $78.00 | 28 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $69.16 | $247.00 | $51.19 – $185.25 | 28 |
| Ghs hcv amplificaiton CPT 87521 | $28.41 | $106.00 | $35.09 – $79.50 | 28 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $9.78 | $47.00 | $15.49 – $35.25 | 28 |
| Ghs histoplasma antigen CPT 87385 | $40.74 | $152.00 | $13.25 – $114.00 | 28 |
| Ghs HIV antibody CPT 86703 | $8.74 | $42.00 | $13.71 – $31.50 | 28 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | not published | not published | $751.80 – $3,741.03 | 6 |
| Ghs immun0electrophoresis CPT 86320 | $18.72 | $90.00 | $29.92 – $67.50 | 28 |
| Ghs inhibitor screen CPT 85335 | $50.85 | $225.00 | $12.87 – $29.25 | 28 |
| Ghs insertion of needle - bone CPT 36680 | $161.46 | $585.00 | $195.91 – $637.95 | 28 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $33.97 | $88.00 | $17.60 – $4,018.00 | 17 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $104.40 | $348.00 | $29.00 – $261.00 | 28 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $250.73 – $2,440.42 | 6 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $250.73 – $2,440.42 | 6 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $5.88 | $26.00 | $8.60 – $19.50 | 28 |
| Ghs mbp CPT 83873 | $10.90 | $63.00 | $17.20 – $47.25 | 28 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $140.90 | $505.00 | $101.00 – $378.75 | 16 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $140.90 | $505.00 | $101.00 – $534.72 | 16 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $154.85 | $555.00 | $111.00 – $436.86 | 16 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $71.15 | $255.00 | $51.00 – $191.25 | 16 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $71.15 | $255.00 | $51.00 – $331.30 | 16 |
| Ghs myocardial strain img spckl track CPT 93356 | $116.42 | $428.00 | $67.87 – $2,128.00 | 16 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $839.55 | $2,175.00 | $290.00 – $2,240.74 | 18 |
| Ghs nerve blk intercostal, single level CPT 64420 | $671.25 | $1,739.00 | $231.80 – $2,083.00 | 18 |
| Ghs nerve block celiac plexus CPT 64530 | $520.71 | $1,349.00 | $472.15 – $1,423.34 | 28 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $533.45 | $1,382.00 | $483.70 – $1,423.34 | 28 |
| Ghs nerve block sciatic nerve CPT 64445 | $743.05 | $1,925.00 | $256.60 – $4,018.00 | 17 |
| Ghs ng placement w fluoro guidance CPT 43752 | $346.24 | $897.00 | $195.91 – $672.75 | 28 |
| Ghs o2 saturation CPT 82810 | $5.19 | $30.00 | $9.77 – $22.50 | 28 |
| Ghs opcc repair cvp without subq port CPT 36575 | $667.01 | $1,728.00 | $392.67 – $1,296.00 | 28 |
| Ghs ot prosthetic training/15 min CPT 97761 | $11.66 | $131.00 | $26.20 – $241.00 | 16 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $9.64 | $153.00 | $30.60 – $241.00 | 16 |
| Ghs ot work hardening-additional hours CPT 97546 | $19.76 | $222.00 | $44.40 – $241.00 | 16 |
| Ghs phenylketonurid CPT 84030 | $2.94 | $17.00 | $5.50 – $12.75 | 28 |
| Ghs picc line insert < 5 CPT 36568 | $818.32 | $2,120.00 | $742.00 – $2,483.53 | 28 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $10.38 | $60.00 | $9.66 – $45.00 | 28 |
| Ghs protoporphyrins fract CPT 84202 | $19.20 | $111.00 | $14.35 – $83.25 | 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.