Supplies, drugs & other prices at Banner Estrella Medical Center

Phoenix, AZ · every code in this section with a posted price and a Medicare benchmark.

43 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $770.72 $3,133 0.9×
2d tte w or w/o fol w/con,co (C8923) $425.58 $1,730 0.5×
2d tte w or w/o fol w/con,fu (C8924) $317.83 $1,292 0.9×
Admin hepatitis b vaccine (G0010) $18.77 $126 0.4×
Admin influenza virus vac (G0008) $18.77 $126 0.4×
Admin pneumococcal vaccine (G0009) $18.77 $126 0.4×
Catheterize for urine spec (P9612) $19.17 $74 2.1×
Direct refer hospital observ (G0379) $204.05 $654 0.3×
Extrnl counterpulse, per tx (G0166) $334.92 $1,018 2.4×
Fern test (Q0114) $10.43 $66 1.1×
Flt3 gene itd variants quan (0046U) $336.60 $1,800 0.8×
Instlj fecal microbiota ssp (0780T) $207.55 $552 1.5×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $303.50 $1,623 0.6×
NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Other Outpatient (0049U) $425.42 $2,275 1.0×
Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) $139.50 $746 0.6×
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure
$6,014.74 $31,824 0.3×
Perc d-e cor revasc t cabg s (C9604)
unusually low: confirm this is the full procedure
$5,357.20 $28,345 0.4×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$6,008.69 $31,792 0.3×
Perc drug-el cor stent sing (C9600) $15,844.86 $28,345 1.3×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$3,095.61 $7,999 0.4×
Perq Sacral Augmt Unilat Inj (0200T)
unusually low: confirm this is the full procedure
$2,482.22 $6,414 0.3×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
likely a partial charge, not the full procedure
$1,216.03 $6,434 0.1×
Prostate biopsy, any mthd (G0416) $227.73 $922 0.6×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $529.20 $2,160 0.7×
Revasc intra lithotrip-ather (C9766) $10,579.03 $27,336 0.5×
Revasc intra lithotrip-stent (C9765) $10,579.03 $27,336 0.5×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure
$5,289.52 $13,668 0.4×
Revasc lithotr-ather tib/per (C9774) $10,579.03 $27,336 0.5×
Revasc lithotrip tibi/perone (C9772)
unusually low: confirm this is the full procedure
$5,414.52 $13,991 0.4×
Revasc lithotrip-stent-ather (C9767) $14,105.38 $36,448 0.7×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
unusually low: confirm this is the full procedure
$8,664.93 $22,390 0.4×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T)
unusually low: confirm this is the full procedure
$4,029.44 $10,412 0.3×
Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing… (0088U) $1,772.57 $9,479 0.6×
Trauma respons w/hosp criti (G0390) $435.93 $3,302.50 0.3×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $1,963.50 $10,500 0.6×
Trluml Perip Athrc Renal Art (0234T)
unusually low: confirm this is the full procedure
$4,029.44 $10,412 0.3×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
unusually low: confirm this is the full procedure
$4,029.44 $10,412 0.3×
Trluml peripheral atherectomy iliac artery ea (0238T)
likely a partial charge, not the full procedure
$5,126.20 $13,246 0.3×
Tte w or w/o fol w/con,stres (C8928) $603.68 $2,454 0.7×
Tte w or w/o fol w/cont, com (C8921) $623.12 $2,533 0.7×
Tte w or w/o fol w/cont, f/u (C8922) $330.87 $1,345 0.4×
Tte w or wo fol wcon,doppler (C8929) $823.61 $3,348 1.0×
Unsched dialysis esrd pt hos (G0257) $437.58 $1,980 0.6×