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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ProcedureCash priceGross charge× 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×
Abltj 1/> lvr tum prq rf (47382)
unusually low: confirm this is the full procedure
$2,508.90 $5,216 0.4×
Amniocentesis diagnostic (59000) $254.45 $529 0.3×
Amniocentesis therapeutic (59001) $561.81 $1,168 1.7×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $122.19 $214 0.7×
Application cast elbow finger short arm (29075) $4.73 $110 0.0×
Application Cast Finger (29086) $12.56 $292 0.1×
Application Cast Hand & Lower Forearm Gauntlet (29085) $5.03 $117 0.0×
Application Finger Splint Dynamic (29131) $8 $58 0.1×
Application finger splint static (29130) $6.90 $50 0.0×
Application long arm splint shoulder hand (29105) $24 $103 0.1×
Application Of Rigid Total Contact Leg Cast (29445) $226.69 $397 0.8×
Application Short Arm Splint Dynamic (29126) $36.16 $243 0.3×
Application short arm splint forearm-hand static (29125) $10.12 $68 0.1×
Arterial puncture (36600) $38.93 $85 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $107.74 $224 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $208.75 $434 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $194.32 $404 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $259.26 $539 0.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $103.90 $216 0.3×
Aspir/inj 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×
Avulsion nail plate partial/complete simple 1 (11730) $34.26 $60 0.2×
Biliary Endoscopy Percut,Dil Strict (47555)
likely a partial charge, not the full procedure
$977.87 $2,033 0.1×
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×
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 Pancrea Percutaneous Needle (48102) $381.91 $794 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 Spinal Cord Percutaneous Needle (62269) $703.70 $1,463 0.4×
Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) $626.26 $1,302 0.4×
Bladder Instillation Anticarcinogenic Agent (51720) $231.83 $406 0.3×
Bladder Irrigation Simple (51700) $124 $257 0.5×
Blood patch (62273) $231.35 $478 0.3×
Blood transfusion service (36430) $332.05 $702 0.7×
Brain Shunt Tube/Reserv Injectn (61070) $190 $395 0.3×
Bx abdl/retroperitoneal mass prq needle (49180) $292.93 $609 0.2×
Bx breast 1st lesion us imag (19083) $851.37 $1,770 0.5×
Bx/exc lymph node needle superficial (38505) $618.08 $1,285 0.4×
Change Cystostomy Tube Simple (51705) $111.59 $232 0.4×
Chemical Cautery Tissue (17250) $122.19 $214 0.6×
Chg Collect Blood From Catheter Venous Nos (36592) $94.21 $165 0.7×
Circumcision (54150) $150.48 $266 0.1×
Cisternal/Lateral C1-C2 Puncture W/Injection (61055) $294.37 $612 0.9×
Complete replacement picc rs&i (36584) $588.26 $1,223 0.4×
Complex Drainage, Wound (10180) $175.87 $308 0.1×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $151.03 $314 0.7×
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×
Debridement subcutaneous tissue 20 sq cm/< (11042) $45.68 $80 0.1×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $940.44 $1,647 1.2×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,406.94 $2,464 0.8×
Declot vascular device (36593) $108.88 $207 0.3×
Delivery placenta separate procedure (59414) $1,115 $1,345 0.3×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $441.08 $917 0.6×
Drain bladder by trocar/cath (51101) $3,387.68 $7,043 3.7×
Drain shoulder bursa (23031) $1,028.38 $2,138 0.3×
Drain/inj small joint/bursa w/us (20604) $198.65 $413 0.6×
Drainage of hematoma/fluid (10140) $181.46 $345 0.1×
Drainage of lymph node abscess or lymphadenitis; simple (38300) $1,041.37 $2,165 0.3×
Draw blood off venous device (36591) $93.07 $163 0.7×
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×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $573.35 $1,192 0.2×
Exchange nephrostomy cath (50435) $816.74 $1,698 0.4×
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 bx w/us gdn 1st lesion (10005) $610.39 $1,269 0.8×
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×
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×
Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) $560.45 $1,251 1.3×
Infectious disease (fungi), fungal pathogen identification, DNA (15 fungal targets), blood culture, amplified probe… (0140U) $211.01 $471 1.3×
Inj neurolytic subarachnoid (62280) $388.17 $807 0.4×
Inject Nerv Blck,Celiac Plexus (64530) $341.51 $710 0.4×
Inject Nerv Blck,Intercost,Multpl (64421) $268.14 $554 0.3×
Inject Nerv Blck,Intercostal,One (64420) $225.54 $466 0.3×
Inject Nerv Blck,Paravert Sympath (64520) $416.06 $865 0.4×
Injection aa&/strd sciatic nerve w/img gdn (64445) $277.54 $577 0.4×
Injection aa&/strd trigeminal nerve each branch (64400) $229.90 $475 0.7×
Injection Rx Extremity Pseudoaneurysm (36002) $174.60 $363 0.3×
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×
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 cervical dilator (59200) $490.73 $418 1.5×
Insert non-tunnel cv cath (36556) $440.12 $915 0.1×
Insert picc cath (36569) $428.09 $890 0.3×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $406.93 $846 0.2×
Insert Temp Bladder Cath (51702) $67.76 $140 0.5×
Insert,Non-Indwelling Bladder Catheter (51701) $44.53 $92 0.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $443.48 $922 0.3×
Insertion picc w/rs&i < 5 yr (36572) $432.90 $900 0.6×
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×
Liver Biopsy (47000) $337.18 $701 0.2×
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×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $123.14 $256 0.3×
Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (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 mcrb cll fr DNA untrgt next genrj seq (0152U) $2,857.79 $6,379 1.3×
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) $194.80 $405 0.3×
Njx px antegrde nfrosgrm &/urtrgrm new access (50430) $523.33 $1,088 0.7×
NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common… (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 Drain/Inject Renal Cyst (50390) $724.87 $1,507 1.0×
Pericardiocentesis W/Imaging (33016) $881.04 $1,826 0.5×
Perq dev breast 1st us imag (19285) $309.76 $644 0.4×
Perq device breast 1st imag (19281) $276.58 $575 0.2×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $747.95 $1,555 0.4×
Perq Radiofreq Ablation Tx, Pul Tumor (32998)
unusually low: confirm this is the full procedure
$2,776.81 $5,773 0.4×
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) $1,070.22 $2,225 0.5×
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×
Punch biopsy skin single lesion (11104) $130.19 $228 0.3×
Puncture Aspiration (10160) $114.48 $238 0.3×
Puncture Aspiration Cyst Breast (19000) $117.36 $244 0.2×
Removal biliary drg cath (47537) $419.43 $872 0.4×
Removal of intrauterine device (iud) (58301) $171.82 $355 0.5×
Remove renal tube w/fluoro (50389) $195.29 $406 0.3×
Renal biopsy (50200) $543.53 $1,130 0.3×
Reposition gastrostomy tube (43761) $357.38 $743 1.3×
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×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $410.29 $853 0.6×
Rpsg previously placed cvc under fluor gdnce (36597) $332.85 $692 0.2×
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) $265.10 $504 0.4×
Spinal Puncture Therapeutic (62272) $49.44 $94 0.1×
Strapping ankle (29540) $37.51 $161 0.2×
Strapping elbow/wrist (29260) $11.65 $271 0.2×
Strapping hand/finger (29280) $10.10 $235 0.2×
Strapping knee (29530) $54.99 $236 0.4×
Strapping shoulder (29240) $35.10 $236 0.2×
Strapping thorax (29200) $12.73 $296 0.1×
Strapping toes (29550) $91.10 $391 1.4×
Strapping unna boot (29580) $66.81 $117 0.4×
Tangential biopsy skin single lesion (11102) $103.92 $182 0.2×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $350.17 $728 0.5×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $315.06 $655 0.5×
Thyroid biopsy (60100) $330.93 $688 0.4×
Trach Tube Change (31502) $154.40 $321 0.6×
Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing,… (0118U) $3,700.48 $8,260 1.3×
Treatment of bone cyst (20615) $210.20 $437 0.3×
Trimming Of Nondystrophic Nails, Any Number (11719) $18.84 $33 0.3×