Banner Boswell Medical Center
10401 West Thunderbird Blvd, Sun City, AZ · Banner Health · · NPI 1952560914
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 |
|---|---|---|---|---|
| Ghs quinidine CPT 80194 | $9.06 | $60.00 | $14.60 – $48.00 | 28 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,009.45 – $2,856.54 | 6 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $13.18 | $72.00 | $15.89 – $57.60 | 28 |
| Ghs reticulocyte count CPT 85044 | $2.40 | $13.00 | $4.31 – $10.40 | 28 |
| Ghs sensitivity (per antimicro) CPT 87184 | $4.19 | $23.00 | $7.48 – $18.40 | 28 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $184.01 | $763.00 | $250.73 – $702.62 | 28 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $225.00 | $933.00 | $250.73 – $746.40 | 28 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $143.01 | $593.00 | $130.17 – $474.40 | 28 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $279.50 | $1,159.00 | $130.17 – $927.20 | 28 |
| Ghs somatosensory testing lower extremit CPT 95926 | $286.50 | $1,188.00 | $191.73 – $950.40 | 28 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $630.87 | $2,616.00 | $353.64 – $2,092.80 | 28 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $380.02 – $1,863.43 | 6 |
| Ghs urine, porphyrins quant CPT 84120 | $9.36 | $62.00 | $14.71 – $49.60 | 28 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $338.14 | $1,544.00 | $353.64 – $1,235.20 | 28 |
| Giardia ag if CPT 87269 | $11.10 | $61.00 | $13.61 – $48.80 | 28 |
| Giardia lamblia antibody CPT 86674 | $12.26 | $67.00 | $14.72 – $53.60 | 28 |
| Gi inhouse confirmation CPT 87045 | $11.47 | $63.00 | $9.44 – $23.20 | 28 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $850.08 | $2,769.00 | $586.96 – $2,215.20 | 28 |
| Glucagon plasma - sendout CPT 82943 | $10.12 | $67.00 | $14.29 – $53.60 | 28 |
| Glucose 1 hr post dose CPT 82950 | $2.27 | $15.00 | $4.75 – $12.00 | 28 |
| Glucose body fluid CPT 82945 | $9.21 | $61.00 | $3.93 – $9.60 | 28 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $5.89 | $39.00 | $12.87 – $31.20 | 28 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $1.81 | $12.00 | $3.92 – $9.60 | 28 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $8.76 | $58.00 | $18.58 – $44.80 | 28 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $8.76 | $58.00 | $18.52 – $45.60 | 28 |
| Graft axiofill 1000mg HCPCS J3590 | $11.89 | $49.30 | $7.10 – $39.44 | 13 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $33.58 | $136.50 | $14.80 – $128.82 | 15 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $17,779.40 | $72,274.00 | $539.00 – $4,867.31 | 17 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $14,546.96 | $59,134.00 | $118.80 – $2,873.51 | 17 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $163.15 | $663.20 | $44.70 – $564.45 | 15 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $21.97 | $89.30 | $12.49 – $113.47 | 15 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $17,801.05 | $72,362.00 | $62.60 – $3,038.08 | 17 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,595.80 | $6,487.00 | $170.00 – $730.64 | 17 |
| Granulocyte pheresis ea unit HCPCS P9050 | $608.50 | $5,385.00 | $310.57 – $4,308.00 | 17 |
| G-tube reposition CPT 43761 | $387.55 | $1,341.00 | $192.95 – $1,072.80 | 28 |
| Guided cath fluid drainage 10030 CPT 10030 | $746.49 | $2,583.00 | $360.00 – $2,066.40 | 28 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,167.62 | $13,895.00 | $33.20 – $827.82 | 17 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $952.38 | $6,105.00 | $62.60 – $250.40 | 17 |
| Guid loc target vol rad tx CPT 77387 | $130.18 | $349.00 | $69.80 – $2,200.00 | 17 |
| Gw stiffened micro access kit HCPCS C1894 | $2,392.10 | $15,334.00 | $19.20 – $135.10 | 17 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $27.04 | $169.00 | $33.80 – $241.00 | 16 |
| Hand X-ray CPT 73130 | $87.84 | $360.00 | $58.65 – $347.17 | 17 |
| Hand X-ray (2 views, both hands) CPT 73120 | $79.54 | $326.00 | $65.20 – $467.28 | 17 |
| Haptoglobin quantitative CPT 83010 | $8.91 | $59.00 | $12.58 – $42.40 | 28 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,243.64 – $2,495.41 | 6 |
| Hba1/hba2 full gene sequence CPT 81259 | $656.26 | $2,891.00 | $600.00 – $2,312.80 | 28 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $138.02 | $608.00 | $202.40 – $486.40 | 28 |
| Hbb full gene sequence CPT 81364 | $355.03 | $1,564.00 | $324.58 – $1,251.20 | 28 |
| Hbot, full body chamber, 30m HCPCS G0277 | $226.21 | $938.00 | $86.48 – $750.40 | 28 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $482.14 | $1,976.00 | $129.45 – $1,580.80 | 28 |
| Hcg qualitative CPT 84703 | $37.75 | $250.00 | $7.52 – $200.00 | 28 |
| Hcg quantitative CPT 84702 | $46.06 | $305.00 | $15.05 – $45.60 | 28 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $126.92 | $668.00 | $0.01 – $534.40 | 16 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $939.96 | $2,520.00 | $513.63 – $2,016.00 | 28 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $1,678.13 | $4,499.00 | $513.63 – $3,599.20 | 28 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $3,016.08 | $8,086.00 | $513.63 – $6,468.80 | 28 |
| Hdr rdncl skn surf brachytx CPT 77767 | $1,158.16 | $3,105.00 | $175.22 – $2,484.00 | 28 |
| Hdr rdncl skn surf brachytx CPT 77768 | $1,739.30 | $4,663.00 | $175.22 – $3,730.40 | 28 |
| Head CT scan (with and without contrast) CPT 70470 | $429.26 | $2,439.00 | $129.45 – $1,951.20 | 28 |
| Head CT scan (with contrast) CPT 70460 | $357.81 | $2,033.00 | $129.45 – $1,626.40 | 28 |
| Head CT scan (without contrast) CPT 70450 | $286.18 | $1,626.00 | $79.00 – $1,300.80 | 28 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $70.03 | $287.00 | $57.40 – $347.17 | 17 |
| Helicobacter pylori antibody igm CPT 86677 | $14.27 | $78.00 | $16.85 – $62.40 | 28 |
| Hematocrit CPT 85014 | $1.48 | $8.00 | $2.37 – $6.40 | 28 |
| Hemodialysis one evaluation CPT 90935 | $478.44 | $2,215.00 | $474.40 – $1,772.00 | 28 |
| Hemoglobin CPT 85018 | $10.36 | $56.00 | $2.37 – $6.40 | 28 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $8.91 | $59.00 | $8.20 – $20.00 | 28 |
| Hemoglobin plasma CPT 83051 | $8.91 | $59.00 | $7.31 – $47.20 | 28 |
| Hemoglobin urine CPT 83069 | $1.81 | $12.00 | $3.95 – $9.60 | 28 |
| Hemolysins/agglutinins auto CPT 86940 | $89.67 | $490.00 | $8.77 – $392.00 | 28 |
| Hemolysins and agglutinins incubated CPT 86941 | $6.77 | $37.00 | $12.11 – $29.60 | 28 |
| Hemophilus influenza antibdy CPT 86684 | $11.35 | $62.00 | $15.84 – $49.60 | 28 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $575.40 – $1,863.43 | 6 |
| Heparin assay CPT 85520 | $64.75 | $350.00 | $13.09 – $280.00 | 28 |
| Heparin neutralization CPT 85525 | $6.66 | $36.00 | $11.84 – $28.80 | 28 |
| Heparin-protamine tolerance CPT 85530 | $7.40 | $40.00 | $13.09 – $32.00 | 28 |
| Hepatitis a antibody igm CPT 86709 | $30.74 | $168.00 | $11.26 – $134.40 | 28 |
| Hepatitis b core antibody igm CPT 86705 | $32.39 | $177.00 | $11.77 – $141.60 | 28 |
| Hepatitis b core antibody total CPT 86704 | $10.06 | $55.00 | $12.05 – $44.00 | 28 |
| Hepatitis b surface antibody CPT 86706 | $10.06 | $55.00 | $10.74 – $44.00 | 28 |
| Hepatitis c antibody CPT 86803 | $33.85 | $185.00 | $14.27 – $148.00 | 28 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $2,307.97 – $3,528.24 | 6 |
| Herpes simplex 1 ag if CPT 87274 | $10.92 | $60.00 | $11.98 – $48.00 | 28 |
| Herpes simplex 2 ag if CPT 87273 | $10.92 | $60.00 | $11.98 – $48.00 | 28 |
| Herpes simplex type 1 antibody igg CPT 86695 | $9.70 | $53.00 | $13.19 – $32.00 | 28 |
| Herpes simplex type 2 antibody igg CPT 86696 | $10.80 | $59.00 | $19.35 – $47.20 | 28 |
| Herpes simplex virus isolation CPT 87255 | $18.56 | $102.00 | $33.86 – $81.60 | 28 |
| Heterophile antibodies screening CPT 86308 | $2.93 | $16.00 | $5.18 – $12.80 | 28 |
| Hhv-6 dna quant CPT 87533 | $22.93 | $126.00 | $41.76 – $100.80 | 28 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $79.54 | $326.00 | $79.00 – $260.80 | 28 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $91.99 | $377.00 | $79.00 – $301.60 | 28 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $63.68 | $261.00 | $52.20 – $347.17 | 17 |
| Hip X-ray CPT 73502 | $77.35 | $317.00 | $58.65 – $347.17 | 17 |
| Histamine CPT 83088 | $13.44 | $89.00 | $29.53 – $71.20 | 28 |
| Histochemical stains add-on CPT 88314 | $76.21 | $348.00 | $22.59 – $278.40 | 17 |
| Hla class i high defin qual CPT 86832 | $177.88 | $972.00 | $323.75 – $777.60 | 28 |
| Hla class ii high defin qual CPT 86833 | $178.97 | $978.00 | $325.80 – $782.40 | 28 |
| Hla class i&ii antibody qual CPT 86828 | $35.32 | $193.00 | $64.19 – $154.40 | 28 |
| Hla class ii phenotype qual CPT 86831 | $45.02 | $246.00 | $81.88 – $196.80 | 28 |
| Hla class i phenotype qual CPT 86830 | $52.52 | $287.00 | $95.52 – $229.60 | 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.