Supplies, drugs & other prices at Banner Gateway Medical Center

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

44 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) $883.51 $3,133 1.1×
2d tte w or w/o fol w/con,co (C8923) $487.86 $1,730 0.6×
2d tte w or w/o fol w/con,fu (C8924) $364.34 $1,292 1.0×
Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T)
unusually low: confirm this is the full procedure
$5,182.16 $16,880 0.5×
Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T)
unusually low: confirm this is the full procedure
$3,722.99 $12,127 0.3×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T)
unusually low: confirm this is the full procedure
$2,942.59 $9,585 0.3×
Admin hepatitis b vaccine (G0010) $23.31 $126 0.5×
Admin influenza virus vac (G0008) $23.31 $126 0.5×
Admin pneumococcal vaccine (G0009) $23.31 $126 0.5×
Catheterize for urine spec (P9612) $12.21 $74 1.3×
Direct refer hospital observ (G0379) $72.59 $654 0.1×
Extrnl counterpulse, per tx (G0166) $350.86 $1,018 2.5×
Fern test (Q0114) $10.96 $66 1.1×
Flt3 gene itd variants quan (0046U) $318.60 $1,800 0.8×
Hdr electronic brachytherapy ntrstl/intrcav (0395T) $1,853.54 $4,012 2.5×
Instlj fecal microbiota ssp (0780T) $213.62 $552 1.5×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $287.27 $1,623 0.5×
NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Other Outpatient (0049U) $402.67 $2,275 1.0×
Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) $132.04 $746 0.5×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $159.89 $969 0.5×
Onc Merkel Cll Carc Srm Quan (0058U) $159.89 $969 0.5×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$2,455.69 $7,999 0.3×
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure
$1,969.10 $6,414 0.3×
Place device/marker, non pro (C9728) $732.19 $2,385 0.5×
Prostate biopsy, any mthd (G0416) $194.54 $922 0.5×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $317.52 $2,160 0.4×
Rx Metab Advrs Trgt Seq Alys (0029U) $394.18 $2,227 0.5×
Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T) $1,287.13 $4,179 0.3×
Tomosynthesis, mammo (G0279) $21.68 $52 1.7×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T)
likely a partial charge, not the full procedure
$3,196.48 $10,412 0.3×
Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing… (0088U) $1,677.78 $9,479 0.5×
Trauma respons w/hosp criti (G0390) $1,138.24 $3,302.50 0.8×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $1,858.50 $10,500 0.5×
Trluml Perip Athrc Renal Art (0234T)
likely a partial charge, not the full procedure
$3,196.48 $10,412 0.3×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
likely a partial charge, not the full procedure
$3,196.48 $10,412 0.3×
Trluml peripheral atherectomy iliac artery ea (0238T)
likely a partial charge, not the full procedure
$4,066.52 $13,246 0.2×
Tte w or w/o fol w/con,stres (C8928) $692.03 $2,454 0.8×
Tte w or w/o fol w/cont, com (C8921) $714.31 $2,533 0.9×
Tte w or w/o fol w/cont, f/u (C8922) $379.29 $1,345 0.5×
Tte w or wo fol wcon,doppler (C8929) $944.14 $3,348 1.1×
Unsched dialysis esrd pt hos (G0257) $394.02 $1,980 0.5×
Vasc emb/occ w/prs cath (C9797)
likely a partial charge, not the full procedure
$4,994.58 $16,269 0.3×
Visit to determ ldct elig (G0296) $69.97 $203 0.6×
Warfarin response genotype (0030U) $138.59 $783 1.0×