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 |
|---|---|---|---|---|
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $207.28 | $673.00 | $73.07 – $538.40 | 29 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $243.01 | $789.00 | $79.00 – $631.20 | 29 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $361.70 | $2,621.00 | $266.89 – $2,096.80 | 29 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $301.39 | $2,184.00 | $241.82 – $1,747.20 | 29 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $241.09 | $1,747.00 | $166.84 – $1,397.60 | 29 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $389.76 | $3,045.00 | $129.45 – $2,436.00 | 29 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $324.86 | $2,538.00 | $129.45 – $2,030.40 | 29 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $259.84 | $2,030.00 | $79.00 – $1,624.00 | 29 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $1,963.82 – $4,132.71 | 6 |
| Nerve teasing preparations CPT 88362 | $481.07 | $1,712.00 | $232.74 – $1,436.61 | 29 |
| Neurolysis celiac plexus CPT 64680 | $710.92 | $1,349.00 | $472.15 – $1,565.67 | 29 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | $121.40 | $430.50 | $62.04 – $587.75 | 15 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $1,271.93 – $1,466.47 | 6 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $1,271.93 – $1,466.47 | 6 |
| New Patient Office Visit (level 2) CPT 99202 | $64.03 | $190.00 | $32.00 – $128.00 | 16 |
| New Patient Office Visit (level 3) CPT 99203 | $75.83 | $225.00 | $45.00 – $180.00 | 16 |
| New Patient Office Visit (level 4) CPT 99204 | $101.10 | $300.00 | $54.54 – $240.00 | 16 |
| New Patient Office Visit (level 5) CPT 99205 | $126.38 | $375.00 | $54.54 – $300.00 | 16 |
| Njx cath slct p-art angrp bi CPT 93573 | $221.15 | $1,923.00 | $126.53 – $13,103.00 | 16 |
| Njx cth slct p-art angrp uni CPT 93569 | $147.43 | $1,282.00 | $75.91 – $13,103.00 | 16 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,922.50 | $3,648.00 | $416.71 – $4,721.00 | 17 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $321.89 | $1,987.00 | $273.41 – $1,589.60 | 29 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $263.41 | $1,626.00 | $238.67 – $1,300.80 | 29 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $283.01 | $1,747.00 | $354.82 – $1,397.60 | 29 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $134.29 | $436.00 | $52.31 – $348.80 | 29 |
| Npm1 gene CPT 81310 | $172.88 | $1,011.00 | $246.52 – $808.80 | 29 |
| Nras gene variants exon 2&3 CPT 81311 | $207.59 | $1,214.00 | $295.79 – $971.20 | 29 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $1,963.82 – $4,132.71 | 6 |
| Nuclear Stress Test (Heart) CPT 78452 | $687.69 | $4,245.00 | $615.27 – $3,396.00 | 29 |
| Nudt15 gene common variants CPT 81306 | $204.35 | $1,195.00 | $291.36 – $700.00 | 29 |
| Observation direct referral from physician office for admission HCPCS G0379 | $228.90 | $654.00 | $30.00 – $1,078.19 | 29 |
| Observation per hour HCPCS G0378 | $27.43 | $130.00 | $26.00 – $10,636.00 | 18 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $56.74 | $288.00 | $57.60 – $268.00 | 16 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $45.90 | $233.00 | $46.60 – $268.00 | 16 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $48.66 | $247.00 | $49.40 – $268.00 | 16 |
| Onco (ovar) five proteins CPT 81503 | $460.16 | $2,691.00 | $387.77 – $2,152.80 | 29 |
| Oncoprotein dcp CPT 83951 | $30.26 | $194.00 | $64.41 – $155.20 | 29 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $1,963.82 – $2,289.36 | 6 |
| Ophth Ultrasound b & quant a CPT 76510 | $209.06 | $744.00 | $73.12 – $595.20 | 17 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $2,248.02 – $4,466.49 | 6 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $2,776.63 – $4,542.09 | 6 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $2,248.02 – $4,542.09 | 6 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $2,248.02 – $4,542.09 | 6 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $2,248.02 – $4,542.09 | 6 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $2,052.04 – $2,248.02 | 6 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $3,157.46 – $4,542.09 | 6 |
| Optx medial ankle fx CPT 27766 | not published | not published | $2,248.02 – $4,542.09 | 6 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $3,157.46 – $8,928.20 | 6 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $2,776.63 – $8,928.20 | 6 |
| Organic acids total quant ea spec CPT 83918 | $15.76 | $101.00 | $23.60 – $56.80 | 29 |
| Orthopantogram CPT 70355 | $84.70 | $275.00 | $20.83 – $220.00 | 29 |
| Oscillation chest wall mechanical per session CPT 94669 | $97.58 | $476.00 | $116.58 – $380.80 | 29 |
| Osmolality blood CPT 83930 | $8.74 | $56.00 | $6.61 – $44.80 | 29 |
| Osmolality urine CPT 83935 | $8.74 | $56.00 | $6.82 – $44.80 | 29 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $2,052.04 – $2,248.02 | 6 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $2,776.63 – $8,928.20 | 6 |
| Other immunoelectrophoresis CPT 86325 | $9.52 | $70.00 | $23.13 – $56.00 | 29 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $37.04 | $196.00 | $39.20 – $268.00 | 16 |
| Ot re-evaluation patient/family CPT 97168 | $36.64 | $186.00 | $37.20 – $268.00 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $23.06 | $122.00 | $24.40 – $268.00 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $23.81 | $126.00 | $25.20 – $268.00 | 16 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $2,248.02 – $3,196.92 | 6 |
| Palingen or palingen xplus HCPCS Q4173 | $27.97 | $99.20 | $14.29 – $1,248.89 | 15 |
| Parathormone (pth) intact CPT 83970 | $19.34 | $124.00 | $41.28 – $99.20 | 29 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $1,601.78 – $2,191.18 | 6 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $130.17 – $155.46 | 6 |
| Partial exc bone humerus CPT 24140 | not published | not published | $2,052.04 – $2,248.02 | 6 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $2,052.04 – $2,248.02 | 6 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,009.45 – $2,248.02 | 6 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,009.45 – $2,248.02 | 6 |
| Partial removal foot fascia CPT 28060 | not published | not published | $1,963.82 – $2,052.04 | 6 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $1,507.39 – $3,013.74 | 6 |
| Partial removal of fibula CPT 27641 | not published | not published | $1,963.82 – $2,052.04 | 6 |
| Partial removal of foot bone CPT 28288 | not published | not published | $2,052.04 – $2,248.02 | 6 |
| Partial removal of hand bone CPT 26230 | not published | not published | $2,052.04 – $4,382.36 | 6 |
| Partial removal of radius CPT 25230 | not published | not published | $2,052.04 – $2,776.63 | 6 |
| Partial removal of thyroid CPT 60220 | not published | not published | $1,963.82 – $3,668.82 | 6 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,963.82 – $2,052.04 | 6 |
| Partial removal of toe CPT 28160 | not published | not published | $2,052.04 – $2,248.02 | 6 |
| Partial removal of tongue CPT 41120 | not published | not published | $3,157.46 – $3,687.39 | 6 |
| Partial removal of ulna CPT 25240 | not published | not published | $2,052.04 – $2,776.63 | 6 |
| Partial thyroid excision CPT 60210 | not published | not published | $1,963.82 – $3,668.82 | 6 |
| Part removal of metatarsal CPT 28110 | not published | not published | $2,052.04 – $2,248.02 | 6 |
| Part removal of metatarsal CPT 28113 | not published | not published | $2,052.04 – $2,248.02 | 6 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $2,052.04 – $2,248.02 | 6 |
| Pdgfra gene CPT 81314 | $169.12 | $989.00 | $329.51 – $791.20 | 29 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $440.44 | $3,468.00 | $129.45 – $2,774.40 | 29 |
| Pelvic CT scan (with contrast) CPT 72193 | $367.03 | $2,890.00 | $129.45 – $2,312.00 | 29 |
| Pelvic CT scan (without contrast) CPT 72192 | $293.62 | $2,312.00 | $79.00 – $1,849.60 | 29 |
| Pelvic MRI (with and without contrast) CPT 72197 | $673.55 | $4,263.00 | $266.89 – $3,410.40 | 29 |
| Pelvic MRI (with contrast) CPT 72196 | $561.37 | $3,553.00 | $266.89 – $2,842.40 | 29 |
| Pelvic MRI (without contrast) CPT 72195 | $449.04 | $2,842.00 | $166.84 – $2,273.60 | 29 |
| Pelvic Ultrasound (complete) CPT 76856 | $296.74 | $1,056.00 | $79.00 – $844.80 | 29 |
| Pelvic Ultrasound (limited) CPT 76857 | $222.55 | $792.00 | $63.46 – $633.60 | 29 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $133.06 | $432.00 | $38.17 – $345.60 | 29 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $142.60 | $463.00 | $57.98 – $370.40 | 29 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $0.14 | $0.48 | $0.10 – $16.17 | 17 |
| Pemivibart infusion HCPCS M0224 | $211.80 | $706.00 | $101.73 – $792.25 | 29 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $9,264.83 | $32,854.00 | $977.00 – $8,776.81 | 17 |
| Perc cryo ablate renal tum CPT 50593 | $9,923.41 | $18,830.00 | $2,510.60 – $13,586.00 | 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.