Supplies, drugs & other prices at Banner Del E. Webb Medical Center
Sun City West, AZ · every code in this section with a posted price and a Medicare benchmark.
39 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $361.57 | $1,730 | 0.4× |
| 2d tte w or w/o fol w/con,fu (C8924) | $270.03 | $1,292 | 0.7× |
| Admin hepatitis b vaccine (G0010) | $23.94 | $126 | 0.5× |
| Admin influenza virus vac (G0008) | $23.94 | $126 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $23.94 | $126 | 0.5× |
| Catheterize for urine spec (P9612) | $14.43 | $74 | 1.5× |
| Direct refer hospital observ (G0379) | $302.80 | $654 | 0.5× |
| Fern test (Q0114) | $10.16 | $66 | 1.0× |
| Flt3 gene itd variants quan (0046U) | $320.40 | $1,800 | 0.8× |
| Instlj fecal microbiota ssp (0780T) | $170.02 | $552 | 1.2× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $112.71 | $578 | 0.9× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $288.89 | $1,623 | 0.5× |
| NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Other Outpatient (0049U) | $404.95 | $2,275 | 1.0× |
| Oth resp proc, group (G0239) | $54 | $270 | 1.4× |
| Oth resp proc, indiv (G0238) | $42.60 | $213 | 1.4× |
| Perc d-e cor revasc chro sin (C9607) likely a partial charge, not the full procedure |
$5,823.79 | $31,824 | 0.3× |
| Perc d-e cor revasc t cabg s (C9604) unusually low: confirm this is the full procedure |
$5,187.14 | $28,345 | 0.4× |
| Perc d-e cor stent ather s (C9602) likely a partial charge, not the full procedure |
$5,817.94 | $31,792 | 0.3× |
| Perc drug-el cor stent sing (C9600) unusually low: confirm this is the full procedure |
$5,187.14 | $28,345 | 0.4× |
| Prostate biopsy, any mthd (G0416) | $207.45 | $922 | 0.5× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $282.96 | $2,160 | 0.4× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$8,720.18 | $27,336 | 0.4× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$8,720.18 | $27,336 | 0.4× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$4,360.09 | $13,668 | 0.4× |
| Revasc lithotr-stent tib/per (C9773) unusually low: confirm this is the full procedure |
$7,126.46 | $22,340 | 0.4× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) unusually low: confirm this is the full procedure |
$7,142.41 | $22,390 | 0.3× |
| Tomosynthesis, mammo (G0279) | $16.85 | $52 | 1.3× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $3,520.80 | $11,037 | 0.6× |
| Transcatheter renal sympath denervation unilat (0338T) unusually low: confirm this is the full procedure |
$2,347.20 | $7,358 | 0.4× |
| Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing… (0088U) | $1,687.26 | $9,479 | 0.5× |
| Trauma respons w/hosp criti (G0390) | $703.59 | $4,990 | 0.5× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $1,869 | $10,500 | 0.5× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) likely a partial charge, not the full procedure |
$3,321.43 | $10,412 | 0.3× |
| Trluml peripheral atherectomy iliac artery ea (0238T) likely a partial charge, not the full procedure |
$4,225.47 | $13,246 | 0.2× |
| Tte w or w/o fol w/con,stres (C8928) | $512.89 | $2,454 | 0.6× |
| Tte w or w/o fol w/cont, com (C8921) | $529.40 | $2,533 | 0.6× |
| Tte w or w/o fol w/cont, f/u (C8922) | $281.10 | $1,345 | 0.3× |
| Tte w or wo fol wcon,doppler (C8929) | $699.73 | $3,348 | 0.8× |
| Unsched dialysis esrd pt hos (G0257) | $435.60 | $1,980 | 0.6× |