Visits & medical services prices at Banner Goldfield Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Assessment of aphasia (96105) $99.98 $469 1.0×
Behavioral and qualitative analysis of voice and resonance (92524) $120.66 $566 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $15.41 $642 0.0×
Canalith Repositioning (95992) $56.23 $277 1.4×
Cardiac Stress Tst,Tracing Only (93017) $277.99 $1,304 1.2×
Cardiopulmonary exercise testing (94621) $30.46 $1,269 0.1×
Cardiopulmonary resuscitation (92950) $277.19 $1,243 1.2×
Cardioversion (92960) $357 $1,733 0.5×
Chemo IV push addl drug (96411) $80.80 $379 1.1×
Chemo Iv Push Sngl Drug (96409) $141.98 $666 0.4×
Chemother, IV infusion, 1 hr (96413) $154.56 $725 0.4×
Chemother, IV infusion, ea add hr (96415) $35.39 $166 0.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $172.04 $807 2.2×
Chemotx Admn Cns Req Spinal Puncture (96450) $152.64 $716 0.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $72.69 $341 0.9×
Color/duplex Doppler, complete (93975) $298.26 $1,786 1.2×
Color/duplex Doppler, limited (93976) $190.55 $1,141 1.7×
Cpap initiation and management (94660) $348.24 $1,451 1.5×
Cpt initial (94667) $68.40 $285 0.5×
Critical care (99291) $1,568.28 $7,613 1.8×
Demo &/or eval,pt use,aerosol device (94664) $84 $350 0.4×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $214.60 $1,285 0.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $105.71 $633 0.9×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $168 $1,006 1.5×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $143.95 $862 1.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $346.19 $2,073 1.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $245.82 $1,472 2.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $341.52 $2,045 1.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $213.43 $1,278 1.9×
Dup-scan xtr veins unilateral/limited study (93971) $215.43 $1,290 1.9×
Duplex hemodialysis access (93990) $135.27 $810 1.2×
Duplex scan extracranial art compl bi study (93880) $321.31 $1,924 1.3×
Echo Heart Xthoracic,Limited (93308) $188.01 $1,033 0.7×
Echo Transthoracic - Congenital Tte Complete (93303) $368.73 $2,026 0.6×
Echo Transthoracic - Congenital Tte Limited (93304) $195.83 $1,076 0.3×
EKG (93005) $93.64 $459 1.5×
EKG rhythm strip (93041) $40.80 $200 0.6×
Ekg Signal Averaging (93278) $183.80 $901 2.9×
Electroconvulsive Therapy (90870) $299.30 $1,404 0.3×
Er level 1 (99281) $190.96 $657 2.1×
Er level ii (99282) $334.19 $1,163 2.0×
Er level iii (99283) $643.45 $1,669 2.2×
Er level IV (99284) $1,081.35 $2,175 2.4×
Er level v (99285) $1,479.51 $2,675 2.3×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $120.02 $563 1.7×
Evaluation of speech fluency (92521) $91.88 $431 0.7×
Evaluation of speech sound production (92522) $100.62 $472 0.9×
Evaluation of swallowing function (92610) $74.45 $423 0.9×
Evaluation with prescription of speech-generating alternative (92607) $131.47 $747 1.1×
External Ecg Scanning Analysis Report (93226) $124.28 $583 2.0×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $169.48 $795 0.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $418.05 $1,961 0.5×
Group Therapeutic Procedures (97150) $25.58 $120 1.4×
Holter Monitor Recording (93225) $90.60 $425 0.6×
Immunization Admin (90471) $16.63 $126 0.2×
Ins swan ganz bedside (93503) $893.01 $4,189 0.5×
IV infusion hydration each additional hour (96361) $41.20 $189 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $131.67 $604 0.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $75.86 $348 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $142.36 $653 0.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $50.58 $232 1.0×
IV push initial (96374) $101.76 $505 0.4×
Low frequency non-thermal us (97610) $57.22 $298 0.3×
Manual therapy 15 min (97140) $32.45 $169 1.2×
Maximum voluntary ventilation (94200) $5.42 $226 0.1×
Methacholine challenge (94070) $19.27 $803 0.0×
Motility study esophagus (91010) $257.10 $1,206 0.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $126.72 $720 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $47.71 $235 0.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $87.29 $430 0.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $192.38 $1,152 1.4×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $18.31 $763 0.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $25.15 $131 0.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $22.08 $115 0.7×
Ot eval high complex 60 min (97167) $89.26 $522 0.9×
Ot eval low complex 30 min (97165) $53.69 $314 0.5×
Ot eval mod complex 45 min (97166) $71.31 $417 0.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $27.07 $141 0.5×
Ot Prosthetic Training, Each 15 Min (97761) $25.15 $131 0.6×
Ot re-eval est plan care (97168) $46.51 $272 0.7×
Paraffin bath (97018) $11.95 $66 2.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $71.04 $296 0.3×
Pt Electric Current Therapy (97033) $35.30 $195 1.9×
Pt Electrical Stimulation (97032) $26.69 $139 1.8×
Pt eval high complex 45 min (97163) $103.88 $522 1.1×
Pt eval low complex 20 min (97161) $62.49 $314 0.6×
Pt Gait Training Therapy (97116) $27.20 $134 0.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $31.48 $164 1.0×
Pt Physical Performance Test (97750) $33.29 $164 1.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $82.98 $417 0.8×
Pt re-evaluation (97164) $54.13 $272 0.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $36.13 $178 1.1×
Pt Ultrasound Therapy (97035) $23.42 $122 1.6×
Pt Whirlpool Therapy (97022) $27 $133 1.7×
Pulmonary stress testing (94618) $13.01 $542 0.1×
Rt Chest Wall Manipulation,Subsequent (94668) $72 $300 0.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $52.80 $300 1.1×
Sensory Integration Ea 15 Min (97533) $27.69 $153 0.5×
Speech group therapy (92508) $27.29 $128 1.1×
Speech sound lang comprehen (92523) $122.58 $575 0.5×
Spirometry (94010) $12.19 $508 0.1×
Stress echo (93350) $357.27 $1,963 0.6×
Stress Tte Complete (93351) $442.08 $2,429 0.8×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $25.70 $142 1.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $22.81 $126 1.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $85.27 $400 0.8×
Ther/Proph/Diag Inj Sc/Im (96372) $43.72 $217 0.6×
Therapeutic Activities (97530) $30.91 $161 0.9×
Therapeutic phlebotomy (99195) $153.66 $780 1.1×
Tilt Table Eval (93660) $587.31 $2,755 1.5×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $192.22 $1,151 0.8×
Transcranial Doppler Limited (93888) $129.93 $778 1.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $487.40 $2,678 0.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $251.89 $1,384 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $83.35 $391 1.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $59.73 $330 0.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $56.22 $279 1.1×
Vasc Duplex Extrem Venous,Bilat (93970) $347.36 $2,080 1.4×
Vasc Duplex Scan Extracranial,Limited (93882) $174.68 $1,046 1.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $204.58 $1,225 0.9×
Ventilation assist & mgmt inpatient 1st day (94002) $909.36 $3,789 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $727.92 $3,033 1.1×
Vital capacity total (94150) $5.57 $232 0.0×
Wheelchair Mgmt Ea 15 Min (97542) $32.68 $161 1.1×