Visits & medical services prices at Banner Gateway Medical Center
Gilbert, AZ · every code in this section with a posted price and a Medicare benchmark.
216 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $393.26 | $1,141 | 1.7× |
| Aep neurodiagnostic i&r (92653) | $394.98 | $1,146 | 1.7× |
| Aep threshold estimation mlt frequencies i&r (92652) | $532.84 | $1,546 | 2.3× |
| Airway resistance by oscillometry (94728) | $77.76 | $288 | 0.6× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $42.05 | $163 | 1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$31.48–$35.50 | $122 | varies |
| Application on-body injector (96377) | $107.18 | $348 | 2.1× |
| Assessment of aphasia per hr (96105) | $174.94 | $469 | 1.8× |
| Behavral qualit analys voice (92524) | $211.12 | $566 | 1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $173.34 | $642 | 0.4× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$71.47–$80.61 | $277 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $273.84 | $1,304 | 1.2× |
| Cardiopulmonary exercise testing (94621) | $342.63 | $1,269 | 0.9× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$232.44–$387.82 | $1,243 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$540.70–$597.30 | $1,733 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) range across 3 matching MRF lines |
$45.92–$66.39 | $178 | varies |
| Chemo Admin Peritoneal Cavity (96446) | $164.98 | $503 | 0.5× |
| Chemo Anti-Neopl Sq/Im (96401) | $264.70 | $807 | 3.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $122.67 | $374 | 1.6× |
| Chemo Ia Push (96420) | $148.91 | $454 | 0.4× |
| Chemo Intralesional Over 7 (96406) | $164.66 | $502 | 0.7× |
| Chemo intralesional up to 7 (96405) | $105.62 | $322 | 1.4× |
| Chemo IV infusion addl hr (96415) | $59.59 | $166 | 0.8× |
| Chemo IV push addl drug (96411) | $124.31 | $379 | 1.6× |
| Chemother Prolong Infuse W/Pump (96416) | $273.20 | $761 | 0.8× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $267.10 | $744 | 0.8× |
| Chemotherapy Into Cns (96450) | $234.85 | $716 | 0.7× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $343.92 | $958 | 1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $122.42 | $341 | 1.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $260.28 | $725 | 0.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $218.45 | $666 | 0.6× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $132.51 | $404 | 0.4× |
| Chest Wall Manipulation (94668) | $56.10 | $300 | 0.4× |
| Color/duplex Doppler, complete (93975) | $455.43 | $1,786 | 1.8× |
| Color/duplex Doppler, limited (93976) | $290.96 | $1,141 | 2.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 4 matching MRF lines |
$29.67–$33.46 | $115 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $271.34 | $1,451 | 1.2× |
| Cpt initial (94667) | $53.30 | $285 | 0.4× |
| Critical care first hour (99291) | $2,375.26 | $7,613 | 2.7× |
| Debridement Open Wound 20 Sq Cm< (97597) | $99.59 | $386 | 0.5× |
| Developmental tst admin phys/qhp 1st hour (96112) | $175.43 | $509 | 1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $327.68 | $1,285 | 1.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $161.42 | $633 | 1.4× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $256.53 | $1,006 | 2.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $528.62 | $2,073 | 2.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $375.36 | $1,472 | 3.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $530.40 | $2,080 | 2.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $328.95 | $1,290 | 2.9× |
| Duplex Scan Hemodialysis Access (93990) | $206.55 | $810 | 1.9× |
| Duplex up extrem art bilat (93930) | $521.48 | $2,045 | 2.0× |
| Duplex up extrem art unilat/ltd (93931) | $325.89 | $1,278 | 2.9× |
| Echo Congenital Complete (93303) | $571.33 | $2,026 | 1.0× |
| Echo Heart Xthoracic,Limited (93308) | $291.31 | $1,033 | 1.1× |
| Echo transesophageal (93312) | $706.69 | $2,506 | 1.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $684.98 | $2,429 | 1.2× |
| Eeg 41-60 Minutes (95812) | $828.83 | $1,771 | 3.6× |
| EEG awake and asleep (95819) | $685.15 | $1,464 | 3.0× |
| EEG awake drowsy (95816) | $575.64 | $1,230 | 2.5× |
| EEG cerebral death evaluation (95824) | $607.93 | $1,299 | 1.5× |
| EEG cont rec w/video by tech min 8 channels (95700) | $279.86 | $598 | 1.2× |
| EEG extended monitoring 61-119 minutes (95813) | $974.84 | $2,083 | 4.2× |
| Eeg Sleep Only (95822) | $675.32 | $1,443 | 2.9× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $350.06 | $748 | 1.5× |
| EEG w/o vid 2-12hr cont mntr (95707) | $437.58 | $935 | 1.9× |
| EEG w/o vid ea 12-26hr intmt (95709) | $577.98 | $1,235 | 1.5× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $612.61 | $1,309 | 1.5× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $402.95 | $861 | 1.7× |
| EEG wo vid ea 12-26hr unmntr (95708) | $525.10 | $1,122 | 1.3× |
| EKG signal averaged (93278) | $187.41 | $901 | 3.0× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$35.86–$40.45 | $139 | varies |
| Electrocardiogram Tracing (93005) | $95.47 | $459 | 1.5× |
| Electroconvulsive Therapy (90870) | $483.90 | $1,404 | 0.5× |
| Emergency Dept Visit Level 2 (99282) | $674.98 | $1,163 | 4.1× |
| Emergency Dept Visit Level 3 (99283) | $1,064.42 | $1,669 | 3.7× |
| Emergency Dept Visit Level 4 (99284) | $1,563.48 | $2,175 | 3.5× |
| Emg 3 Extremities (95863) | $310.88 | $902 | 2.3× |
| Emg 4 Extremities (95864) | $363.62 | $1,055 | 2.6× |
| Endomyocardial Biopsy (93505) | $1,930.10 | $5,600 | 0.6× |
| Er level 1 (99281) | $470.92 | $657 | 5.2× |
| Er level v (99285) | $1,666.36 | $2,675 | 2.6× |
| Evaluate pt use of inhaler (94664) | $65.45 | $350 | 0.3× |
| Evaluate Speech Production (92522) | $176.06 | $472 | 1.6× |
| Evaluate Swallowing Function (92610) | $118.44 | $423 | 1.4× |
| Evaluation of speech fluency (92521) | $160.76 | $431 | 1.2× |
| Exhaled Air Analysis O2 (94680) | $207.90 | $770 | 1.5× |
| Extracranial Bilat Study (93880) | $490.62 | $1,924 | 1.9× |
| Extracranial Uni/Ltd Study (93882) | $266.73 | $1,046 | 2.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $303.43 | $1,076 | 0.5× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $222.32 | $794 | 1.5× |
| Flexible endoscopic eval swallow c/v rec (92612) | $200.76 | $717 | 1.0× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $144.20 | $515 | 0.6× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $416.52 | $890 | 0.5× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $307.66 | $795 | 0.8× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $758.91 | $1,961 | 0.8× |
| Gi tract capsule endoscopy (91110) | $1,071.60 | $2,769 | 1.1× |
| Group Therapeutic Procedures (97150) | $41.36 | $120 | 2.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$440.79–$790.76 | $2,215 | varies |
| Holter monitor recording (93225) | $146.48 | $425 | 1.0× |
| Immunization administration (90471) | $23.31 | $126 | 0.3× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $194.04 | $563 | 0.5× |
| Insert/Place Heart Catheter (93503) | $1,443.78 | $4,189 | 0.9× |
| Intracranial Complete Study (93886) | $293.50 | $1,151 | 1.2× |
| Iontophoresis 15 min (97033) | $56.74 | $195 | 3.0× |
| Irrig Drug Delivery Device (96523) | $105.95 | $344 | 1.7× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$56.89–$58.97 | $189 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$181.80–$188.45 | $604 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$104.75–$108.58 | $348 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$69.83–$72.38 | $232 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$155.54–$157.56 | $505 | varies |
| Laryngeal Function Studies (92520) | $127.57 | $342 | 0.9× |
| Liver Elastography W/O Imag W/I&R (91200) | $325.37 | $381 | 2.4× |
| Low frequency non-thermal us (97610) range across 4 matching MRF lines |
$76.88–$86.72 | $298 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $61.02 | $226 | 1.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $312.38 | $1,225 | 1.4× |
| Mechanical chest wall oscillation per session (94669) | $97.61 | $522 | 0.4× |
| Methacholine challenge (94070) | $216.81 | $803 | 0.5× |
| Motility study esophagus (91010) | $466.72 | $1,206 | 1.2× |
| Motion Fluoroscopy/Swallow (92611) | $201.60 | $720 | 2.2× |
| Muscle Test 2 Limbs (95861) | $250.91 | $728 | 1.8× |
| Muscle Test Nonparaspinal (95870) | $85.13 | $247 | 0.6× |
| Muscle Test One Limb (95860) | $175.43 | $509 | 1.2× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $160.96 | $467 | 0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $60.63 | $235 | 0.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $110.94 | $430 | 0.3× |
| Nerve Conduction Studies 1-2 Studies (95907) | $103.05 | $299 | 0.4× |
| Nerve Conduction Studies 11-12 Studies (95912) | $279.86 | $812 | 0.7× |
| Nerve conduction studies 13 or more studies (95913) | $323.98 | $940 | 0.8× |
| Nerve Conduction Studies 3-4 Studies (95908) | $160.96 | $467 | 0.7× |
| Nerve conduction studies 5-6 studies (95909) | $194.04 | $563 | 0.8× |
| Nerve conduction studies 7-8 studies (95910) | $246.43 | $715 | 0.6× |
| Nerve Conduction Studies 9-10 Studies (95911) | $274 | $795 | 0.7× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $131.66 | $382 | 1.0× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$42.31–$47.72 | $164 | varies |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $206.01 | $763 | 0.5× |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
$96.03–$123.09 | $330 | varies |
| Oral Speech Device Eval (92597) | $210 | $563 | 3.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 4 matching MRF lines |
$36.38–$41.03 | $141 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$33.80–$38.12 | $131 | varies |
| Ot eval high complexity (97167) | $145.12 | $522 | 1.4× |
| Ot Eval Low Complex (97165) | $87.29 | $314 | 0.9× |
| Ot Eval Moderate Complexity (97166) | $115.93 | $417 | 1.2× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$43.60–$49.18 | $169 | varies |
| Ot paraffin bath (97018) | $19.21 | $66 | 3.2× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 4 matching MRF lines |
$33.80–$38.12 | $131 | varies |
| Ot Re-Eval Est Plan Care (97168) | $75.62 | $272 | 1.1× |
| Oxygen Uptake Rest Indirect (94690) | $198.18 | $734 | 3.1× |
| Penile Vascular Study,Ltd or F/U (93981) | $219.81 | $862 | 2.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $55.35 | $296 | 0.2× |
| Phlebotomy therapeutic (99195) | $240.24 | $780 | 1.7× |
| Physical Performance Test (97750) range across 4 matching MRF lines |
$42.31–$47.72 | $164 | varies |
| Plethysmography (94726) | $127.98 | $474 | 0.3× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$3,588.60 | $10,412 | 0.3× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) range across 2 matching MRF lines |
$33.80–$38.12 | $131 | varies |
| Pt Eval High Complex (97163) | $139.37 | $522 | 1.4× |
| Pt eval low complex 20 min (97161) | $83.84 | $314 | 0.9× |
| Pt Eval Mod Complex (97162) | $111.34 | $417 | 1.1× |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$34.57–$38.99 | $134 | varies |
| Pt group caregiver training (97552) range across 3 matching MRF lines |
$30.96–$44.76 | $120 | varies |
| Pt Re-Eval Est Plan Care (97164) | $72.62 | $272 | 1.1× |
| Pulm function test by gas (94727) | $103.68 | $384 | 0.4× |
| Pulmonary service/procedure (94799) | $62.37 | $231 | 0.5× |
| Pulmonary Stress Testing (94618) | $146.34 | $542 | 1.0× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $271.04 | $880 | 0.8× |
| Refill/Maint Portable Pump (96521) | $150.92 | $490 | 0.7× |
| Refill/Maint Pump/Resvr Syst (96522) | $148.76 | $483 | 0.7× |
| Respiratory flow volume loop (94375) | $110.70 | $410 | 0.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $41.60 | $200 | 0.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $56.24 | $218 | 0.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $209.16 | $747 | 1.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $84 | $300 | 1.8× |
| Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) | $522.29 | $1,116 | 1.3× |
| Self Care Mngment Training (97535) range across 5 matching MRF lines |
$45.92–$66.39 | $178 | varies |
| Sensory Integration Ea 15 Min (97533) | $44.52 | $153 | 0.7× |
| Short-latency somatosens ep std upr limbs (95925) | $424.97 | $1,233 | 1.8× |
| Slp caregiver training 1st 30 min (97550) range across 3 matching MRF lines |
$91.85–$132.79 | $356 | varies |
| Somatosensory Testing (95938) | $901.63 | $2,616 | 1.0× |
| Speech sound lang comprehen (92523) | $214.48 | $575 | 0.9× |
| Spin/Brain Pump Refil & Main (95991) | $158 | $513 | 0.5× |
| Spirometry (94010) | $137.16 | $508 | 0.6× |
| Ssep lower limbs (95926) | $409.46 | $1,188 | 1.8× |
| Standardized Cognitive Performance Testing (96125) | $211.12 | $566 | 2.1× |
| Stress Tte Only (93350) | $553.57 | $1,963 | 0.9× |
| Surfactant Admin Thru Tube (94610) | $45.90 | $170 | 0.2× |
| Temp transcutaneous pacing (92953) | $340.08 | $1,090 | 0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$41.32–$52.97 | $142 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$36.67–$47 | $126 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 4 matching MRF lines |
$35.09–$39.58 | $136 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $149.20 | $400 | 1.5× |
| Ther/Proph/Diag Inj Ia (96373) | $121.35 | $394 | 0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$66.84–$67.70 | $217 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$196.55–$203.74 | $653 | varies |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$41.54–$46.85 | $161 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $949.54 | $2,755 | 2.4× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $198.39 | $778 | 1.8× |
| Tte w/doppler, complete (93306) | $755.20 | $2,678 | 1.3× |
| Tte W/O Doppler Complete (93307) | $390.29 | $1,384 | 1.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $145.84 | $391 | 1.9× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $44.12 | $128 | 1.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$85.93–$87.05 | $279 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $125 | $323 | 0.9× |
| Upr/L Xtremity Art 2 Levels (93922) | $293.76 | $1,152 | 2.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $343.48 | $1,347 | 1.5× |
| Vasopneumatic device (97016) range across 4 matching MRF lines |
$26.83–$30.26 | $104 | varies |
| Veeg 2-12 Hr Cont Mntr (95713) | $547.09 | $1,169 | 1.4× |
| Veeg 2-12 hr intmt mntr (95712) | $504.04 | $1,077 | 1.3× |
| Veeg 2-12 hr unmonitored (95711) | $437.58 | $935 | 1.9× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $722.59 | $1,544 | 1.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $656.60 | $1,403 | 1.6× |
| Veeg ea 12-26hr cont mntr (95716) | $766.12 | $1,637 | 0.8× |
| Vent Mgmt Inpat Init Day (94002) | $708.54 | $3,789 | 1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $567.17 | $3,033 | 0.9× |
| Visual Evoked Potential Test (95930) | $357.07 | $1,036 | 1.5× |
| Vital capacity, total (94150) | $62.64 | $232 | 0.5× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $750.20 | $1,603 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 4 matching MRF lines |
$41.54–$46.85 | $161 | varies |
| Whirlpool Therapy (97022) | $34.31 | $133 | 2.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.