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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ProcedurePosted cashPosted gross× Medicare
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines
$22.08–$24.77 $122 varies
Assessment of aphasia per hr (96105) $99.98 $469 1.0×
Behavral qualit analys voice (92524) $120.66 $566 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $15.41 $642 0.0×
Canalith repositioning proc (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)
range across 2 matching MRF lines
$256.06–$298.32 $1,243 varies
Cardioversion (92960) $357 $1,733 0.5×
Chemo Anti-Neopl Sq/Im (96401) $172.04 $807 2.2×
Chemo IV infusion addl hr (96415) $35.39 $166 0.5×
Chemo IV push addl drug (96411) $80.80 $379 1.1×
Chemotherapy Into Cns (96450) $152.64 $716 0.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $72.69 $341 0.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $154.56 $725 0.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $141.98 $666 0.4×
Chest Wall Manipulation (94668) $72 $300 0.5×
Color/duplex Doppler, complete (93975) $298.26 $1,786 1.2×
Color/duplex Doppler, limited (93976) $190.55 $1,141 1.7×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 4 matching MRF lines
$20.81–$23.35 $115 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $348.24 $1,451 1.5×
Cpt initial (94667) $68.40 $285 0.5×
Critical care first hour (99291) $1,568.28 $7,613 1.8×
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 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 Xtr Veins Complete Bilateral Study (93970) $347.36 $2,080 1.4×
Dup-scan xtr veins unilateral/limited study (93971) $215.43 $1,290 1.9×
Duplex Scan Hemodialysis Access (93990) $135.27 $810 1.2×
Duplex up extrem art bilat (93930) $341.52 $2,045 1.3×
Duplex up extrem art unilat/ltd (93931) $213.43 $1,278 1.9×
Echo Congenital Complete (93303) $368.73 $2,026 0.6×
Echo Heart Xthoracic,Limited (93308) $188.01 $1,033 0.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $442.08 $2,429 0.8×
EKG signal averaged (93278) $183.80 $901 2.9×
Electrical Stimulation Ea 15 Min (97032)
range across 4 matching MRF lines
$25.16–$28.22 $139 varies
Electrocardiogram Tracing (93005) $93.64 $459 1.5×
Electroconvulsive Therapy (90870) $299.30 $1,404 0.3×
Emergency Dept Visit Level 2 (99282) $334.19 $1,163 2.0×
Emergency Dept Visit Level 3 (99283) $643.45 $1,669 2.2×
Emergency Dept Visit Level 4 (99284) $1,081.35 $2,175 2.4×
Er level 1 (99281) $190.96 $657 2.1×
Er level v (99285) $1,479.51 $2,675 2.3×
Evaluate pt use of inhaler (94664) $84 $350 0.4×
Evaluate Speech Production (92522) $100.62 $472 0.9×
Evaluate Swallowing Function (92610) $74.45 $423 0.9×
Evaluation of speech fluency (92521) $91.88 $431 0.7×
External Ecg Scanning Analysis Report (93226) $124.28 $583 2.0×
Extracranial Bilat Study (93880) $321.31 $1,924 1.3×
Extracranial Uni/Ltd Study (93882) $174.68 $1,046 1.6×
F-up/limited tthrc echo congenital car anomaly (93304) $195.83 $1,076 0.3×
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 administration (90471) $16.63 $126 0.2×
Insert/Place Heart Catheter (93503) $893.01 $4,189 0.5×
Intracranial Complete Study (93886) $192.22 $1,151 0.8×
Iontophoresis 15 min (97033) $35.30 $195 1.9×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$38.93–$43.47 $189 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$124.42–$138.92 $604 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$71.69–$80.04 $348 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$47.79–$53.36 $232 varies
IV push initial (96374)
range across 2 matching MRF lines
$99.48–$104.03 $505 varies
Low frequency non-thermal us (97610)
range across 4 matching MRF lines
$53.94–$60.49 $298 varies
Lung Function Test (Mbc/Mvv) (94200) $5.42 $226 0.1×
Lwr Xtr Vasc Stdy Bilat (93924) $204.58 $1,225 0.9×
Methacholine challenge (94070) $19.27 $803 0.0×
Motility study esophagus (91010) $257.10 $1,206 0.6×
Motion Fluoroscopy/Swallow (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×
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines
$29.68–$33.29 $164 varies
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $18.31 $763 0.0×
Oral Function Therapy (92526)
range across 3 matching MRF lines
$59.73–$70.35 $330 varies
Oral Speech Device Eval (92597) $120.02 $563 1.7×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 4 matching MRF lines
$25.52–$28.62 $141 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 4 matching MRF lines
$23.71–$26.59 $131 varies
Ot eval high complexity (97167) $89.26 $522 0.9×
Ot Eval Low Complex (97165) $53.69 $314 0.5×
Ot Eval Moderate Complexity (97166) $71.31 $417 0.7×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$30.59–$34.31 $169 varies
Ot paraffin bath (97018) $11.95 $66 2.0×
Ot Prosthetic Training, Each 15 Min (97761)
range across 4 matching MRF lines
$23.71–$26.59 $131 varies
Ot Re-Eval Est Plan Care (97168) $46.51 $272 0.7×
Penile Vascular Study,Ltd or F/U (93981) $143.95 $862 1.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $71.04 $296 0.3×
Phlebotomy therapeutic (99195) $153.66 $780 1.1×
Physical Performance Test (97750) $33.29 $164 1.0×
Pt Eval High Complex (97163) $103.88 $522 1.1×
Pt eval low complex 20 min (97161) $62.49 $314 0.6×
Pt Eval Mod Complex (97162) $82.98 $417 0.8×
Pt gait training 15 min (97116) $27.20 $134 0.9×
Pt Re-Eval Est Plan Care (97164) $54.13 $272 0.8×
Pulmonary Stress Testing (94618) $13.01 $542 0.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $40.80 $200 0.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $131.47 $747 1.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $52.80 $300 1.1×
Self Care Mngment Training (97535)
range across 5 matching MRF lines
$32.22–$37.95 $178 varies
Sensory Integration Ea 15 Min (97533) $27.69 $153 0.5×
Speech sound lang comprehen (92523) $122.58 $575 0.5×
Spirometry (94010) $12.19 $508 0.1×
Stress Tte Only (93350) $357.27 $1,963 0.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 3 matching MRF lines
$25.70–$30.27 $142 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 3 matching MRF lines
$22.81–$26.86 $126 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $85.27 $400 0.8×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$42.75–$44.70 $217 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$134.52–$150.19 $653 varies
Therapeutic Activities (97530)
range across 4 matching MRF lines
$29.14–$32.68 $161 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $587.31 $2,755 1.5×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $129.93 $778 1.2×
Tte w/doppler, complete (93306) $487.40 $2,678 0.8×
Tte W/O Doppler Complete (93307) $251.89 $1,384 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $83.35 $391 1.1×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $27.29 $128 1.1×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$54.96–$57.47 $279 varies
Upr/L Xtremity Art 2 Levels (93922) $192.38 $1,152 1.4×
Vent Mgmt Inpat Init 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×
Whirlpool Therapy (97022) $27 $133 1.7×

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.