Procedures & surgery prices at Banner Payson Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $343.55 $616 0.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $190.96 $397 0.2×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure
$3,710.92 $7,715 0.2×
Amniocentesis diagnostic (59000) $254.45 $529 0.3×
Amniocentesis therapeutic (59001) $561.81 $1,168 1.7×
Application cast elbow finger short arm (29075)
range across 6 matching MRF lines
$4.73–$7.10 $110–$165 varies
Application Cast Finger (29086) $12.56 $292 0.1×
Application Finger Splint Dynamic (29131)
range across 4 matching MRF lines
$2.49–$13.51 $58 varies
Application finger splint static (29130)
range across 4 matching MRF lines
$2.15–$11.65 $50 varies
Application long arm splint shoulder hand (29105)
range across 6 matching MRF lines
$24–$36.12 $103–$155 varies
Application of rigid total contact leg cast (29445) $226.69 $397 0.8×
Application Short Arm Splint Dynamic (29126)
range across 12 matching MRF lines
$10.45–$85.04 $243–$365 varies
Application short arm splint forearm-hand static (29125)
range across 12 matching MRF lines
$2.92–$23.77 $68–$102 varies
Apply hand/wrist cast (29085)
range across 6 matching MRF lines
$5.03–$7.57 $117–$176 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines
$122.19–$183.29 $214–$321 varies
Arterial puncture (36600) $38.93 $85 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines
$107.74–$161.62 $224–$336 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines
$208.75–$313.13 $434–$651 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines
$194.32–$291.49 $404–$606 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines
$259.26–$389.13 $539–$809 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines
$103.90–$155.84 $216–$324 varies
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines
$315.06–$472.82 $655–$983 varies
Aspiration & Injection Treatment Bone Cyst (20615) $210.20 $437 0.3×
Aspiration and/or injection thyroid cyst (60300) $211.16 $439 0.3×
Aspiration bladder insert suprapubic catheter (51102) $1,029.34 $2,140 0.5×
Aspiration Bladder Needle (51100) $32.71 $68 0.1×
Aspiration bladder trocar/intracatheter (51101) $3,387.68 $7,043 3.7×
Avulsion nail plate partial/complete simple 1 (11730) $34.26 $60 0.2×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure
$1,104.86 $2,297 0.1×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
likely a partial charge, not the full procedure
$977.87 $2,033 0.1×
Biopsy Abdominal Mass (49180) $292.93 $609 0.2×
Biopsy bone open superficial (20240) $960.99 $1,683 0.3×
Biopsy bone trocar/needle deep (20225) $650.31 $1,352 0.4×
Biopsy Bone Trocar/Needle Superficial (20220) $393.94 $819 0.2×
Biopsy muscle percutaneous needle (20206) $608.46 $1,265 0.3×
Biopsy Muscle Superficial (20200) $684.63 $1,199 0.4×
Biopsy of liver, needle; percutaneous (47000) $337.18 $701 0.2×
Biopsy Pleura Percutaneous Needle (32400) $346.32 $720 0.2×
Biopsy Salivary Gland Needle (42400) $546.90 $1,137 0.7×
Biopsy soft tissue neck/thorax (21550) $1,197.69 $2,490 0.7×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040)
range across 3 matching MRF lines
$626.26–$939.39 $1,302–$1,953 varies
Biopsy Spinal Cord Percutaneous Needle (62269) $703.70 $1,463 0.4×
Bladder instillation anticarcinogenic agent (51720) $231.83 $406 0.3×
Bladder Irrigation (51700)
range across 2 matching MRF lines
$123.62–$124.39 $257 varies
Blood Transfusion Service (36430)
range across 6 matching MRF lines
$265.35–$398.27 $561–$842 varies
Bx breast 1st lesion us imag (19083) $851.37 $1,770 0.5×
Change Cystostomy Tube Simple (51705) $111.59 $232 0.4×
Change of Windpipe Airway (31502) $154.40 $321 0.6×
Chemical Cautery Tissue (17250) $122.19 $214 0.6×
Circumcision w/clamp/oth dev w/block (54150) $150.48 $266 0.1×
Collect Blood From Catheter Venous Nos (36592) $94.21 $165 0.7×
Complex drainage wound (10180) $175.87 $308 0.1×
Conversion ext bil drg cath (47535) $854.26 $1,776 0.2×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $863.88 $1,796 0.5×
Deb Musc/Fascia 20 Sq Cm/< (11043) $940.44 $1,647 1.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,406.94 $2,464 0.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $45.68 $80 0.1×
Declot vascular device (36593)
range across 2 matching MRF lines
$99.57–$118.20 $207 varies
Delivery of placenta (59414)
range across 2 matching MRF lines
$650.98–$1,579.03 $1,345 varies
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines
$45.21–$53.67 $94 varies
Drain shoulder bursa (23031) $1,028.38 $2,138 0.3×
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines
$198.65–$298.22 $413–$620 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$165.94–$196.99 $345 varies
Draw Blood Off Venous Device (36591) $93.07 $163 0.7×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $1,041.37 $2,165 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $110.20 $193 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $53.67 $94 0.3×
Dx lmbr spi pnxr w/fluor/CT (62328) $441.08 $917 0.6×
Epidural Blood Patch (62273)
range across 3 matching MRF lines
$229.92–$272.94 $478 varies
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $573.35 $1,192 0.2×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 3 matching MRF lines
$816.74–$1,225.11 $1,698–$2,547 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $235.69 $490 0.1×
External cephalic version (59412) $551.78 $470 0.2×
Fetal Contraction Stress Test (59020) $370.94 $466 1.7×
Fetal non-stress test (59025) $254.72 $320 1.2×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $649.83 $1,351 0.9×
Fine needle aspiration without imaging guidance (10021) $124.10 $258 0.3×
Fluid Pressure Muscle (20950) $299.11 $618 0.4×
Fluoro exam of g/colon tube (49465) $106.78 $222 0.4×
Fna Bx W/Fluor Gdn 1St Les (10007) $78.88 $164 0.1×
Fna bx w/us gdn 1st les (10005) $610.39 $1,269 0.8×
Gene analysis for detection of infectious agent and drug resistance gene (0112U) $478.91 $1,069 1.3×
Guide Cathet Fluid Drainage (10030) $203.46 $423 0.3×
I&d abscess simple (10060) $34.26 $60 0.2×
Image Cath Fluid Colxn Visc (49405) $895.14 $1,861 0.5×
Image Cath Fluid Peri/Retro (49406) $900.91 $1,873 0.5×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
likely a partial charge, not the full procedure
$1,192.88 $2,480 0.1×
Incision & drainage abscess complicated/multiple (10061) $175.87 $308 0.4×
Incisional biopsy skin single lesion (11106) $138.18 $242 0.2×
Inj W/Fluor Eval Cv Device (36598) $151.03 $314 0.7×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 6 matching MRF lines
$266.47–$402.20 $554–$831 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines
$277.54–$416.55 $577–$866 varies
Injection Into Brain Canal (61055) $294.37 $612 0.9×
Injection single/mlt trigger point 1/2 muscles (20552) $87.06 $181 0.3×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $303.99 $632 0.3×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $388.17 $807 0.4×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $388.17 $807 0.4×
Ins endovas vena cava filtr (37191)
unusually low: confirm this is the full procedure
$2,144.30 $4,458 0.4×
Insert Bladder Cath Complex (51703) $102.93 $214 0.7×
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines
$747.95–$1,122.17 $1,555–$2,333 varies
Insert cervical dilator (59200) $490.73 $418 1.5×
Insert non-tunnel cv cath (36556) $440.12 $915 0.1×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $406.93 $846 0.2×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines
$67.34–$79.94 $140 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines
$44.25–$52.53 $92 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $443.48 $922 0.3×
Insj Picc Rs&I <5 Yr (36572) $432.90 $900 0.6×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $428.09 $890 0.3×
Intro Gastrointestinal Tube (44500) $287.64 $598 0.3×
Intubation endotracheal emergency procedure (31500) $227.77 $462 0.9×
Laryngoscopy flexible diagnostic (31575) $215.01 $447 1.0×
Myelography Lumbar Injection (62305) $390.57 $812 0.5×
Myelography Lumbar Injection (62304) $469.94 $977 0.6×
Myelography via lumbar injection rs&i cervical (62302) $195.29 $406 0.2×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $195.29 $406 0.2×
N Block Inj Celiac Pelus (64530) $341.51 $710 0.4×
N block inj intercost sng (64420)
range across 6 matching MRF lines
$224.15–$338.32 $466–$699 varies
N Block Lumbar/Thoracic (64520) $416.06 $865 0.4×
Nasal/Orogastric W/Tube Plmt (43752) $123.14 $256 0.3×
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines
$618.08–$927.37 $1,285–$1,928 varies
Needle Biopsy Pancreas (48102) $381.91 $794 0.2×
Neuro alys b-amyl 1-42&1-40 (0358U) $351.68 $785 1.4×
Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) $211.01 $471 1.3×
Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) $211.01 $471 1.3×
Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) $560.45 $1,251 1.3×
Nfct ds fungal pathogen id DNA 15 fungal targets (0140U) $211.01 $471 1.3×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $2,857.79 $6,379 1.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 4 matching MRF lines
$228.48–$345.09 $475–$713 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $255.89 $532 0.1×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $854.26 $1,776 0.2×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 3 matching MRF lines
$194.80–$292.45 $405–$608 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 3 matching MRF lines
$523.33–$784.99 $1,088–$1,632 varies
Nudt15 & tpmt gene analysis common variants (0169U) $626.75 $1,399 1.3×
Onc pan-tumor DNA&RNA next-generation sequencing (0211U) $11,363.52 $25,365 1.3×
Onc pncrs DNA&mrna seq 74 (0313U) $4,838.40 $10,800 1.3×
Penile Plethysmography (54240) $160.17 $333 0.7×
Percut Ablate Liver Rf (47382)
unusually low: confirm this is the full procedure
$2,508.90 $5,216 0.4×
Percut Drain/Inject Renal Cyst (50390)
range across 3 matching MRF lines
$724.87–$1,087.54 $1,507–$2,261 varies
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines
$878.31–$883.78 $1,826 varies
Perq dev breast 1st us imag (19285) $309.76 $644 0.4×
Perq device breast 1st imag (19281) $276.58 $575 0.2×
Perq Radiofreq Ablation Tx, Pul Tumor (32998)
range across 3 matching MRF lines
$2,776.81–$4,165.46 $5,773–$8,660 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $529.58 $1,101 0.7×
Placement of needle for intraosseous infusion (36680) $113.74 $235 0.2×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
likely a partial charge, not the full procedure
$675.32 $1,404 0.1×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 3 matching MRF lines
$1,070.22–$1,605.58 $2,225–$3,338 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $854.26 $1,776 0.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $1,196.73 $2,488 0.3×
Pseudoaneurysm Injection Trt (36002) $174.60 $363 0.3×
Punch biopsy skin single lesion (11104) $130.19 $228 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $114.48 $238 0.3×
Puncture Aspiration Cyst Breast (19000) $117.36 $244 0.2×
Puncture shunt tube/reservoir aspiration/inj px (61070) $190 $395 0.3×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $419.43 $872 0.4×
Remove Intrauterine Device (58301) $171.82 $355 0.5×
Remove renal tube w/fluoro (50389)
range across 3 matching MRF lines
$195.29–$292.93 $406–$609 varies
Renal Biopsy Perq (50200)
range across 3 matching MRF lines
$543.53–$815.30 $1,130–$1,695 varies
Reposition Gastrostomy Tube (43761) $357.38 $743 1.3×
Reposition Venous Catheter (36597) $332.85 $692 0.2×
Respir iadna 18 viral&2 bact (0115U) $370.50 $827 1.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $153.44 $319 0.2×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $588.26 $1,223 0.4×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $410.29 $853 0.6×
Skin sub graft face/nk/hf/g (15275) $356.30 $624 0.5×
Skin sub graft trnk/arm/leg (15271) $376.86 $660 0.5×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$242.42–$287.78 $504 varies
Strapping ankle (29540)
range across 6 matching MRF lines
$37.51–$56.39 $161–$242 varies
Strapping elbow or wrist (29260)
range across 6 matching MRF lines
$11.65–$17.50 $271–$407 varies
Strapping hand/finger (29280) $10.10 $235 0.2×
Strapping knee (29530)
range across 6 matching MRF lines
$54.99–$82.48 $236–$354 varies
Strapping shoulder (29240)
range across 12 matching MRF lines
$10.15–$82.48 $236–$354 varies
Strapping thorax (29200) $12.73 $296 0.1×
Strapping toes (29550) $91.10 $391 1.4×
Strapping Unna Boot (29580)
range across 3 matching MRF lines
$66.81–$100.50 $117–$176 varies
Tangential biopsy skin single lesion (11102) $103.92 $182 0.2×
Ther Spi Pnxr Csf Fluor/Ct (62329) $350.17 $728 0.5×
Thyroid biopsy (60100) $330.93 $688 0.4×
Trimming Nondystrophic Nails Any Number (11719) $18.84 $33 0.3×
Trnsplj Don-Drv Cll-Fr Dna (0118U) $3,700.48 $8,260 1.3×

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.