Banner Del Webb Medical Center
14502 West Meeker Boulevard, Sun City West, AZ · Banner Health · · NPI 1588823553
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 |
|---|---|---|---|---|
| Lam facetec & foramot crv CPT 63045 | not published | not published | $3,818.00 – $15,138.00 | 7 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $2,837.28 – $15,138.00 | 7 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $3,818.00 – $15,138.00 | 7 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $2,837.28 – $15,138.00 | 7 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $3,668.82 – $15,138.00 | 7 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $1,455.44 – $3,668.82 | 6 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $1,797.68 – $3,668.82 | 6 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $1,797.68 – $3,668.82 | 6 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $2,044.24 – $3,668.82 | 6 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $2,044.24 – $6,458.05 | 6 |
| Laparoscopy lysis CPT 58660 | not published | not published | $2,044.24 – $3,668.82 | 6 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $1,455.44 – $3,668.82 | 6 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $2,044.24 – $3,668.82 | 6 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $2,044.24 – $6,458.05 | 6 |
| Laparo urethral suspension CPT 51990 | not published | not published | $2,044.24 – $3,668.82 | 6 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $3,818.00 – $6,458.05 | 6 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | not published | $3,818.00 – $3,818.00 | 1 |
| Lap enterolysis CPT 44180 | not published | not published | $3,668.82 – $3,818.00 | 6 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $1,797.68 – $3,668.82 | 6 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $2,837.28 – $3,668.82 | 6 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $949.44 – $3,668.82 | 6 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $3,818.00 – $6,458.05 | 6 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $3,818.00 – $6,458.05 | 6 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $949.44 – $3,668.82 | 6 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $297.63 | $933.00 | $124.40 – $4,018.00 | 17 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $1,271.44 – $2,246.06 | 6 |
| Laryngoscopy telescopic CPT 31579 | $333.36 | $1,045.00 | $272.97 – $836.00 | 28 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $1,271.44 – $2,246.06 | 6 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $1,455.44 – $2,246.06 | 6 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $1,797.68 – $2,246.06 | 6 |
| Laser surgery of prostate CPT 52647 | not published | not published | $3,200.08 – $3,818.00 | 6 |
| Laser surgery of prostate CPT 52648 | not published | not published | $3,200.08 – $3,818.00 | 6 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $7,972.64 | $30,664.00 | $539.00 – $2,420.58 | 17 |
| Lead capillary CPT 83655 | $12.17 | $79.00 | $12.11 – $29.60 | 28 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $7,972.64 | $30,664.00 | $539.00 – $2,156.00 | 17 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $5,125.64 | $19,714.00 | $539.00 – $2,908.51 | 17 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $445.70 | $2,073.00 | $166.84 – $1,658.40 | 28 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $357.00 | $2,040.00 | $129.45 – $1,632.00 | 17 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $285.60 | $1,632.00 | $79.00 – $1,305.60 | 17 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $447.20 | $2,080.00 | $166.84 – $1,664.00 | 28 |
| Leishmania antibody CPT 86717 | $4.85 | $37.00 | $12.25 – $29.60 | 28 |
| Lens, intraocular (new tech) HCPCS C1780 | $376.10 | $1,413.00 | $282.60 – $1,130.40 | 17 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $574.13 | $2,157.00 | $118.80 – $475.20 | 16 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $574.13 | $2,157.00 | $118.80 – $475.20 | 16 |
| Levetiracetam therapeutic drug level CPT 80177 | $9.70 | $63.00 | $13.25 – $32.00 | 28 |
| Liberta rc ipg HCPCS C1820 | $22,777.04 | $87,604.00 | $977.00 – $30,820.00 | 17 |
| Lidocaine therapeutic drug level CPT 80176 | $6.93 | $45.00 | $14.69 – $36.00 | 28 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $1,000,667.18 | $3,759,504.00 | $1.84 – $3,007,603.20 | 13 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $1,909.92 – $1,909.92 | 1 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,020.08 – $1,271.44 | 6 |
| Lipase CPT 83690 | $38.35 | $249.00 | $6.89 – $41.60 | 28 |
| Lipoprotein blood high res frac & quant CPT 83701 | $15.71 | $102.00 | $33.86 – $81.60 | 28 |
| Lipoprotein blood quant CPT 83704 | $15.86 | $103.00 | $34.19 – $82.40 | 28 |
| Lipoprotein direct measurement hdl CPT 83718 | $18.94 | $123.00 | $8.19 – $20.00 | 28 |
| Lipoprotein direct measurement ldl CPT 83721 | $14.48 | $94.00 | $10.50 – $25.60 | 28 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $15.86 | $103.00 | $34.19 – $82.40 | 28 |
| Lithium therapeutic drug level CPT 80178 | $8.01 | $52.00 | $6.61 – $41.60 | 28 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $3,176.15 | $17,356.00 | $413.61 – $13,884.80 | 15 |
| Liver Function Test CPT 80076 | $44.20 | $287.00 | $8.17 – $229.60 | 28 |
| Liver/spleen imag static only CPT 78215 | $310.37 | $1,464.00 | $273.41 – $1,171.20 | 28 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $273.06 | $1,288.00 | $212.12 – $1,030.40 | 28 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,455.44 – $2,052.04 | 6 |
| Low back disk surgery CPT 63030 | not published | not published | $2,837.28 – $15,138.00 | 7 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $680.75 | $3,890.00 | $129.45 – $3,112.00 | 28 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $567.35 | $3,242.00 | $241.44 – $2,593.60 | 28 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $453.78 | $2,593.00 | $79.00 – $2,074.40 | 28 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $453.25 | $3,626.00 | $266.89 – $2,900.80 | 28 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $377.75 | $3,022.00 | $266.89 – $2,417.60 | 28 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $302.12 | $2,417.00 | $166.84 – $1,933.60 | 28 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $102.75 | $441.00 | $45.78 – $352.80 | 28 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $117.20 | $503.00 | $61.92 – $402.40 | 28 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $138.87 | $596.00 | $73.38 – $476.80 | 28 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $73.63 | $316.00 | $37.44 – $347.17 | 17 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $3,818.00 – $6,458.05 | 6 |
| Lumbar diskogram s&i CPT 72295 | $836.94 | $3,592.00 | $112.96 – $3,434.14 | 28 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $2,837.28 – $11,504.39 | 6 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $50.08 | $642.00 | $98.59 – $547.63 | 28 |
| Lung function test (mbc/mvv) CPT 94200 | $17.63 | $226.00 | $38.66 – $180.80 | 28 |
| Lung Function Test (Spirometry) CPT 94010 | $39.62 | $508.00 | $56.05 – $406.40 | 28 |
| Lung perfusion imaging CPT 78580 | $330.93 | $1,561.00 | $273.41 – $1,248.80 | 28 |
| Lymphatics/lymph node imaging CPT 78195 | $456.65 | $2,154.00 | $354.82 – $1,723.20 | 28 |
| Lymphocyte transformation mitogen CPT 86353 | $19.39 | $148.00 | $49.03 – $118.40 | 28 |
| Macroscopic exam arthropod CPT 87168 | $2.61 | $13.00 | $4.27 – $10.40 | 28 |
| Macroscopic exam parasite CPT 87169 | $11.66 | $58.00 | $4.31 – $46.40 | 28 |
| Magnesium CPT 83735 | $20.33 | $132.00 | $6.70 – $16.80 | 28 |
| Mammosite ced HCPCS C1728 | $3,612.70 | $13,895.00 | $221.98 – $1,130.40 | 17 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,009.45 – $1,271.44 | 6 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $636.64 – $636.64 | 1 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,587.30 | $6,105.00 | $62.60 – $250.40 | 17 |
| Mastectomy partial CPT 19301 | not published | not published | $1,455.44 – $2,289.36 | 6 |
| Mast mod rad CPT 19307 | not published | not published | $2,837.28 – $4,012.11 | 6 |
| Mastoids complete CPT 70130 | $194.79 | $836.00 | $71.82 – $668.80 | 17 |
| Mastopexy CPT 19316 | not published | not published | $1,797.68 – $4,012.11 | 6 |
| Mast simple complete CPT 19303 | not published | not published | $1,797.68 – $4,012.11 | 6 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $23.92 | $92.00 | $9.54 – $52.96 | 15 |
| M.avium-intra dna amp prob CPT 87561 | $21.31 | $106.00 | $35.09 – $84.80 | 28 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $9.70 | $63.00 | $14.46 – $50.40 | 28 |
| Mayo aathr protein s free CPT 85306 | $12.61 | $66.00 | $15.32 – $48.00 | 28 |
| Mayo activated protein c resistance assay CPT 85307 | $12.61 | $66.00 | $15.32 – $52.80 | 28 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $46.20 | $300.00 | $37.37 – $240.00 | 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.