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 |
|---|---|---|---|---|
| CT 3d report other modality w/workstation CPT 76377 | $201.76 | $718.00 | $97.96 – $574.40 | 16 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $359.92 | $2,834.00 | $129.45 – $2,267.20 | 17 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $527.94 | $4,157.00 | $241.82 – $3,325.60 | 29 |
| CT Angiogram of the Abdomen CPT 74175 | $394.08 | $3,103.00 | $129.45 – $2,482.40 | 29 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $247.80 | $1,709.00 | $129.45 – $1,367.20 | 29 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $394.72 | $3,108.00 | $129.45 – $2,486.40 | 29 |
| CT Angiogram of the Head CPT 70496 | $334.21 | $2,611.00 | $129.45 – $2,088.80 | 29 |
| CT Angiogram of the Neck CPT 70498 | $409.34 | $3,198.00 | $129.45 – $2,558.40 | 29 |
| CT angio hrt w/3d image CPT 75574 | $334.66 | $2,308.00 | $129.45 – $1,846.40 | 29 |
| CT angio pelvis CPT 72191 | $462.53 | $3,642.00 | $129.45 – $2,913.60 | 29 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $292.48 | $2,303.00 | $129.45 – $1,842.40 | 17 |
| CT guidance for needle placement CPT 77012 | $155.44 | $1,072.00 | $196.94 – $908.00 | 16 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $551.01 | $1,789.00 | $137.47 – $1,431.20 | 16 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $149.49 – $1,466.47 | 6 |
| CT guid parench tis ablat CPT 77013 | $152.54 | $1,052.00 | $210.40 – $908.00 | 16 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $216.77 | $1,495.00 | $58.65 – $1,196.00 | 29 |
| CT hrt w/3d image CPT 75572 | $254.91 | $1,758.00 | $129.45 – $1,406.40 | 29 |
| CT limited or localized follow-up study CPT 76380 | $72.35 | $499.00 | $58.65 – $399.20 | 29 |
| CT lwr extremity w/o&w/dye CPT 73702 | $342.77 | $2,699.00 | $129.45 – $2,159.20 | 17 |
| CT scan for localization CPT 77011 | $224.46 | $1,548.00 | $309.60 – $1,238.40 | 16 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $502.79 | $3,959.00 | $241.82 – $3,167.20 | 29 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $418.97 | $3,299.00 | $241.82 – $2,639.20 | 29 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $335.15 | $2,639.00 | $166.84 – $2,111.20 | 29 |
| CT t-spine w /wo contrast CPT 72130 | $425.45 | $3,350.00 | $129.45 – $2,680.00 | 29 |
| CT uppr extremity w/o&w/dye CPT 73202 | $278.51 | $2,193.00 | $129.45 – $1,754.40 | 17 |
| Culture aerobic additional method definitive id each CPT 87077 | $17.20 | $103.00 | $5.00 – $20.00 | 29 |
| Culture afb any source CPT 87116 | $10.86 | $65.00 | $10.80 – $26.40 | 29 |
| Culture anaerobic additional method definitive id each CPT 87076 | $19.71 | $118.00 | $8.08 – $20.00 | 29 |
| Culture anaerobic except blood CPT 87075 | $22.55 | $135.00 | $9.47 – $108.00 | 29 |
| Culture bacteria anaerobic CPT 87073 | $4.84 | $29.00 | $9.66 – $23.20 | 29 |
| Culture bact stool aero addl path ea CPT 87046 | $10.52 | $63.00 | $9.44 – $23.20 | 29 |
| Culture body fluid CPT 87070 | $22.55 | $135.00 | $8.62 – $20.80 | 29 |
| Culture fungi definitive id mold CPT 87107 | $23.05 | $138.00 | $10.32 – $49.60 | 29 |
| Culture fungi definitive id yeast CPT 87106 | $22.71 | $136.00 | $10.32 – $49.60 | 29 |
| Culture fungi other (except blood) CPT 87102 | $13.03 | $78.00 | $8.41 – $48.00 | 29 |
| Culture fungi skin/hair/nail CPT 87101 | $9.85 | $59.00 | $7.71 – $47.20 | 29 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $10.69 | $64.00 | $14.61 – $51.20 | 29 |
| Culture mycoplasma any source CPT 87109 | $10.52 | $63.00 | $15.39 – $50.40 | 29 |
| Culture quantitative aerobic other source CPT 87071 | $10.19 | $61.00 | $9.89 – $48.80 | 29 |
| Culture screening strep group a CPT 87081 | $21.88 | $131.00 | $6.63 – $16.00 | 29 |
| Culture typing glc/hplc CPT 87143 | $6.35 | $38.00 | $12.52 – $30.40 | 29 |
| Culture typing immunologic CPT 87147 | $14.20 | $85.00 | $5.18 – $12.80 | 29 |
| Culture urine each isolate CPT 87088 | $4.18 | $25.00 | $8.09 – $20.00 | 29 |
| Cutter lead HCPCS C1773 | $11,922.77 | $56,506.00 | $226.40 – $905.60 | 17 |
| Cv line/pic reposition CPT 36597 | $958.61 | $1,819.00 | $636.65 – $2,731.89 | 29 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $10.30 | $66.00 | $14.32 – $52.80 | 29 |
| Cyclic citrullinated peptide antibody CPT 86200 | $8.02 | $59.00 | $12.95 – $47.20 | 29 |
| Cyclosporine 2 hour CPT 80158 | $9.05 | $58.00 | $18.05 – $44.00 | 29 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $18,528.53 | $65,704.00 | $168.80 – $26,671.43 | 17 |
| Cyp2c19 gene com variants CPT 81225 | $149.62 | $875.00 | $291.36 – $700.00 | 29 |
| Cyp2c9 gene com variants CPT 81227 | $89.78 | $525.00 | $174.81 – $420.00 | 29 |
| Cyp2d6 gene com variants CPT 81226 | $231.36 | $1,353.00 | $450.91 – $1,082.40 | 29 |
| Cyp3a4 gene common variants CPT 81230 | $89.78 | $525.00 | $174.81 – $420.00 | 29 |
| Cyp3a5 gene common variants CPT 81231 | $89.78 | $525.00 | $174.81 – $420.00 | 29 |
| Cystatin c CPT 82610 | $8.74 | $56.00 | $18.52 – $44.80 | 29 |
| Cystic fibrosis cftr CPT 81223 | $350.04 | $2,047.00 | $499.00 – $1,637.60 | 29 |
| Cystine urine quantitative CPT 82131 | $14.20 | $91.00 | $22.98 – $72.80 | 29 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $232.23 | $754.00 | $55.86 – $628.06 | 29 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $1,963.82 – $2,230.35 | 6 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $1,963.82 – $2,230.35 | 6 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $1,963.82 – $2,230.35 | 6 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $2,230.35 – $2,248.02 | 6 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $2,248.02 – $3,200.08 | 6 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,299.92 – $1,963.82 | 6 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,299.92 – $1,963.82 | 6 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $1,299.92 – $1,963.82 | 6 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $1,299.92 – $1,963.82 | 6 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $2,230.35 – $3,157.46 | 6 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $416.71 – $5,013.00 | 7 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,299.92 – $1,963.82 | 6 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $1,014.00 – $1,963.82 | 7 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $2,067.42 | $3,923.00 | $1,299.92 – $3,602.51 | 29 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $2,230.35 – $2,248.02 | 6 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $2,230.35 – $2,248.02 | 6 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $2,776.63 – $3,200.08 | 6 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $2,776.63 – $3,200.08 | 6 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $2,586.00 – $3,200.08 | 7 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $2,586.00 – $3,200.08 | 7 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,230.35 – $2,776.63 | 6 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $1,299.92 – $1,963.82 | 6 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,299.92 – $1,963.82 | 6 |
| Cytogenetics 25-99 CPT 88274 | $41.06 | $174.00 | $42.38 – $102.40 | 29 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $8.16 | $60.00 | $14.39 – $44.80 | 29 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $8.30 | $61.00 | $16.85 – $40.80 | 29 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $37.52 | $159.00 | $36.08 – $127.20 | 29 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $30.68 | $130.00 | $26.61 – $104.00 | 29 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $23.36 | $99.00 | $20.26 – $79.20 | 29 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $19.82 | $84.00 | $24.53 – $69.02 | 29 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $9.44 | $40.00 | $8.00 – $32.00 | 17 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $86.14 | $365.00 | $41.64 – $301.36 | 29 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $82.13 | $348.00 | $36.08 – $153.60 | 29 |
| Cytopath smear oth prep screen & interp CPT 88161 | $12.51 | $53.00 | $17.89 – $43.06 | 29 |
| Cytotoxic antibody screening CPT 86808 | $12.24 | $90.00 | $29.68 – $72.00 | 29 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $13.76 | $48.80 | $12.23 – $39.04 | 29 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $1,901.83 – $1,963.82 | 6 |
| Dch validity tests CPT 81002 | $2.12 | $11.00 | $3.48 – $8.80 | 29 |
| Deamidated gliadin antibody iga CPT 86258 | $8.02 | $59.00 | $11.53 – $29.60 | 29 |
| Debridement (>20 cm) charge pt CPT 97598 | $37.20 | $209.00 | $41.80 – $268.00 | 17 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $1,020.08 – $1,963.82 | 6 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $202.17 – $983.33 | 6 |
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.