Banner University Medical Center South
2800 East Ajo Way, Tucson, AZ · Banner Health · · NPI 1558759498
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 fish hybrid in situ 100-300 CPT 88275 | $49.56 | $210.00 | $51.19 – $168.00 | 29 |
| Ghs hcv amplificaiton CPT 87521 | $17.70 | $106.00 | $35.09 – $84.80 | 29 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $6.39 | $47.00 | $15.49 – $37.60 | 29 |
| Ghs hgb stability-thal CPT 83068 | $19.66 | $126.00 | $9.47 – $100.80 | 29 |
| Ghs histoplasma antigen CPT 87385 | $25.38 | $152.00 | $13.25 – $121.60 | 29 |
| Ghs HIV antibody CPT 86703 | $8.02 | $59.00 | $13.71 – $33.60 | 29 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $450.93 – $1,466.47 | 6 |
| Ghs immun0electrophoresis CPT 86320 | $12.24 | $90.00 | $29.92 – $72.00 | 29 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | not published | not published | $192.95 – $1,963.82 | 6 |
| Ghs inf midline insertion CPT 36140 | $449.53 | $853.00 | $170.60 – $2,041.00 | 17 |
| Ghs inhibitor screen CPT 85335 | $29.25 | $225.00 | $12.87 – $31.20 | 29 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $596.28 – $1,346.48 | 6 |
| Ghs inj tendon origin/insertion CPT 20551 | $299.86 | $569.00 | $189.35 – $519.12 | 29 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $826.34 | $1,568.00 | $209.00 – $2,041.00 | 17 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,081.40 | $2,052.00 | $273.60 – $3,036.00 | 17 |
| Ghs insertion of needle - bone CPT 36680 | $122.66 | $555.00 | $194.25 – $701.75 | 29 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $65.88 | $125.00 | $25.00 – $2,041.00 | 17 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $250.73 – $1,466.47 | 6 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $250.73 – $1,466.47 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $250.73 – $1,963.82 | 6 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $3.38 | $26.00 | $8.60 – $20.80 | 29 |
| Ghs mbp CPT 83873 | $9.83 | $63.00 | $17.20 – $50.40 | 29 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $194.35 | $650.00 | $81.76 – $520.00 | 16 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $194.35 | $650.00 | $130.00 – $520.00 | 16 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $145.01 | $485.00 | $97.00 – $388.00 | 16 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $97.17 | $325.00 | $38.03 – $260.00 | 16 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $97.17 | $325.00 | $65.00 – $260.00 | 16 |
| Ghs myocardial strain img spckl track CPT 93356 | $143.07 | $502.00 | $40.78 – $1,013.00 | 16 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $380.02 – $1,466.47 | 6 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $711.45 | $1,350.00 | $180.00 – $3,036.00 | 17 |
| Ghs nerve blk intercostal, single level CPT 64420 | $548.08 | $1,040.00 | $138.60 – $3,036.00 | 17 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $596.28 – $1,346.48 | 6 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $596.28 – $1,346.48 | 6 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $830.55 | $1,576.00 | $551.60 – $1,565.67 | 29 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $460.08 – $685.23 | 6 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $460.08 – $685.23 | 6 |
| Ghs ng placement w fluoro guidance CPT 43752 | $229.77 | $436.00 | $152.60 – $701.75 | 29 |
| Ghs o2 saturation CPT 82810 | $4.68 | $30.00 | $9.77 – $24.00 | 29 |
| Ghs opcc repair cvp without subq port CPT 36575 | $434.25 | $824.00 | $288.40 – $1,087.27 | 29 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,378.11 | $2,615.00 | $915.25 – $2,731.89 | 29 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $30.81 | $163.00 | $32.60 – $268.00 | 16 |
| Ghs pacing - transcutaneous CPT 92953 | $220.34 | $997.00 | $348.95 – $1,150.79 | 29 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,087.73 | $2,064.00 | $176.09 – $2,041.00 | 17 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $802.62 | $1,523.00 | $176.09 – $2,041.00 | 17 |
| Ghs phenylketonurid CPT 84030 | $2.65 | $17.00 | $5.50 – $13.60 | 29 |
| Ghs picc line insert < 5 CPT 36568 | $1,269.02 | $2,408.00 | $842.80 – $2,731.89 | 29 |
| Ghs ppd (tb intradermal) CPT 86580 | $7.21 | $53.00 | $14.99 – $43.06 | 29 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $9.36 | $60.00 | $9.66 – $48.00 | 29 |
| Ghs protoporphyrins fract CPT 84202 | $17.32 | $111.00 | $14.35 – $88.80 | 29 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $10.45 | $67.00 | $12.25 – $53.60 | 29 |
| Ghs quinidine CPT 80194 | $9.36 | $60.00 | $14.60 – $48.00 | 29 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,009.45 – $2,248.02 | 6 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $2,052.04 – $2,776.63 | 6 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $9.79 | $72.00 | $15.89 – $57.60 | 29 |
| Ghs reticulocyte count CPT 85044 | $1.69 | $13.00 | $4.31 – $10.40 | 29 |
| Ghs sedimentation rate CPT 85651 | $1.69 | $13.00 | $4.27 – $10.40 | 29 |
| Ghs sensitivity (per antimicro) CPT 87184 | $3.84 | $23.00 | $7.48 – $18.40 | 29 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $246.40 – $250.73 | 6 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $26.77 | $175.00 | $35.00 – $268.00 | 16 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $40.00 | $274.00 | $54.80 – $283.01 | 16 |
| Ghs strapping shoulder - 29240 CPT 29240 | $61.05 | $323.00 | $43.00 – $268.00 | 17 |
| Ghs st - re-eval for alt comm CPT 92597 | $44.97 | $308.00 | $61.60 – $268.00 | 16 |
| Ghs urine, porphyrins quant CPT 84120 | $9.67 | $62.00 | $14.71 – $49.60 | 29 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $326.37 | $1,504.00 | $353.64 – $1,203.20 | 29 |
| Giardia ag if CPT 87269 | $10.19 | $61.00 | $13.61 – $48.80 | 29 |
| Giardia lamblia antibody CPT 86674 | $9.11 | $67.00 | $14.72 – $53.60 | 29 |
| Gi inhouse confirmation CPT 87045 | $10.52 | $63.00 | $9.44 – $23.20 | 29 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $678.83 | $2,204.00 | $586.96 – $1,763.20 | 29 |
| Glucagon plasma - sendout CPT 82943 | $10.45 | $67.00 | $14.29 – $53.60 | 29 |
| Glucose 1 hr post dose CPT 82950 | $2.34 | $15.00 | $4.75 – $12.00 | 29 |
| Glucose body fluid CPT 82945 | $9.52 | $61.00 | $3.93 – $9.60 | 29 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $6.08 | $39.00 | $12.87 – $31.20 | 29 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $1.87 | $12.00 | $3.92 – $9.60 | 29 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $0.42 | $4.30 | $0.43 – $3.44 | 29 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $9.05 | $58.00 | $18.58 – $44.80 | 29 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $9.05 | $58.00 | $18.52 – $45.60 | 29 |
| Graft axiofill 1000mg HCPCS J3590 | $14.57 | $49.30 | $0.97 – $5.41 | 13 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $59.50 | $211.00 | $14.80 – $101.37 | 15 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $20,381.27 | $72,274.00 | $539.00 – $3,830.45 | 17 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $16,675.79 | $59,134.00 | $118.80 – $2,261.38 | 17 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $131.21 | $465.30 | $29.66 – $444.20 | 15 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $25.18 | $89.30 | $9.63 – $89.30 | 15 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $20,406.08 | $72,362.00 | $62.60 – $2,390.89 | 17 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,829.33 | $6,487.00 | $170.00 – $680.00 | 17 |
| Granulocyte pheresis ea unit HCPCS P9050 | $910.07 | $5,385.00 | $244.41 – $4,308.00 | 17 |
| G-tube reposition CPT 43761 | $540.18 | $1,025.00 | $192.95 – $820.00 | 29 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,323.82 | $2,512.00 | $400.00 – $2,009.60 | 29 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,931.84 | $13,895.00 | $33.20 – $651.47 | 17 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,288.15 | $6,105.00 | $62.60 – $250.40 | 17 |
| Gw stiffened micro access kit HCPCS C1894 | $2,931.84 | $13,895.00 | $19.20 – $106.32 | 17 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $41.20 | $218.00 | $43.60 – $268.00 | 16 |
| Hand X-ray CPT 73130 | $126.59 | $411.00 | $58.65 – $409.57 | 17 |
| Hand X-ray (2 views, both hands) CPT 73120 | $110.26 | $358.00 | $57.01 – $551.65 | 17 |
| Haptoglobin quantitative CPT 83010 | $9.20 | $59.00 | $12.58 – $42.40 | 29 |
| Hast w/i&r phys/qhp CPT 94452 | $55.06 | $207.00 | $67.28 – $226.68 | 29 |
| Hast w/oxygen titrate CPT 94453 | $75.28 | $283.00 | $81.16 – $226.68 | 29 |
| Hba1/hba2 full gene sequence CPT 81259 | $307.80 | $1,800.00 | $600.00 – $1,440.00 | 29 |
| Hcg qualitative CPT 84703 | $21.06 | $135.00 | $7.52 – $108.00 | 29 |
| Hcg quantitative CPT 84702 | $24.34 | $156.00 | $15.05 – $45.60 | 29 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $325.62 | $2,010.00 | $288.72 – $1,608.00 | 29 |
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.