Supplies, drugs & other prices at Banner - University Medical Center Phoenix
Phoenix, AZ · every code in this section with a posted price and a Medicare benchmark.
70 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $770.72 | $3,133 | 0.9× |
| 2d tte w or w/o fol w/con,co (C8923) | $425.58 | $1,730 | 0.5× |
| 2d tte w or w/o fol w/con,fu (C8924) | $317.83 | $1,292 | 0.9× |
| 3d anat seg imaging preop (C8001) | $45.56 | $251 | 0.3× |
| Admin hepatitis b vaccine (G0010) | $23.44 | $126 | 0.5× |
| Admin influenza virus vac (G0008) | $23.44 | $126 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $23.44 | $126 | 0.5× |
| Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide Other Diagnostic Radiology FS (0561T) | $16.25 | $95 | 0.1× |
| Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic… (0559T) | $19.67 | $115 | 0.1× |
| Catheterize for urine spec (P9612) | $12.73 | $74 | 1.4× |
| Direct refer hospital observ (G0379) | $268.14 | $654 | 0.4× |
| Extrnl counterpulse, per tx (G0166) | $298.27 | $1,018 | 2.1× |
| Fern test (Q0114) | $10.56 | $66 | 1.1× |
| Flt3 gene itd variants quan (0046U) | $502.20 | $1,800 | 1.2× |
| Hbot, full body chamber, 30m (G0277) | $360.19 | $938 | 2.5× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) | $1,849.53 | $4,012 | 2.5× |
| Insertion of substernal implantable defibrillator electrode (0572T) likely a partial charge, not the full procedure |
$2,378.87 | $8,119 | 0.3× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) likely a partial charge, not the full procedure |
$5,298.04 | $14,799 | 0.2× |
| Instlj fecal microbiota ssp (0780T) | $234.60 | $552 | 1.7× |
| Interrogation dev eval icds w/ss eltrd in person (0576T) | $45.42 | $155 | 1.1× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $452.82 | $1,623 | 0.8× |
| Non-ophthalmic fva (C9733) | $247.88 | $879 | 0.7× |
| NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Other Outpatient (0049U) | $634.72 | $2,275 | 1.6× |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) | $208.13 | $746 | 0.8× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) | $166.67 | $969 | 0.5× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $166.67 | $969 | 0.5× |
| Oth resp proc, group (G0239) | $52.38 | $270 | 1.3× |
| Oth resp proc, indiv (G0238) | $41.32 | $213 | 1.3× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$8,433.36 | $31,824 | 0.4× |
| Perc d-e cor revasc t cabg s (C9604) | $7,511.42 | $28,345 | 0.6× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$8,424.88 | $31,792 | 0.4× |
| Perc drug-el cor stent sing (C9600) | $7,511.42 | $28,345 | 0.6× |
| Perq Sacral Augmt Bilat Inj (0201T) unusually low: confirm this is the full procedure |
$2,863.64 | $7,999 | 0.4× |
| Perq Sacral Augmt Unilat Inj (0200T) likely a partial charge, not the full procedure |
$2,296.21 | $6,414 | 0.3× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) likely a partial charge, not the full procedure |
$1,705.01 | $6,434 | 0.1× |
| Place device/marker, non pro (C9728) | $853.83 | $2,385 | 0.6× |
| Prgrmg dev eval icds ss ip (0575T) | $45.42 | $155 | 1.1× |
| Prostate biopsy, any mthd (G0416) | $256.32 | $922 | 0.7× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $456.38 | $2,377 | 0.5× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $456.38 | $2,377 | 0.5× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $410.40 | $2,160 | 0.6× |
| Remote interrogation device evaluation of implantable cardioverter-defibrillator system with lead under breastbone,… (0579T) | $90.54 | $309 | 2.3× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $2,006.76 | $6,849 | 0.5× |
| Revasc intra lithotrip-ather (C9766) | $9,786.29 | $27,336 | 0.5× |
| Revasc intra lithotrip-stent (C9765) | $9,786.29 | $27,336 | 0.5× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$4,893.14 | $13,668 | 0.4× |
| Revasc lithotrip tibi/perone (C9772) unusually low: confirm this is the full procedure |
$5,008.78 | $13,991 | 0.4× |
| Revasc lithotrip-stent-ather (C9767) | $13,048.38 | $36,448 | 0.7× |
| Rmvl substernal implantable defibrillator eltrd (0573T) | $2,265.48 | $7,732 | 0.6× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $621.33 | $2,227 | 0.8× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) likely a partial charge, not the full procedure |
$5,933.35 | $22,390 | 0.3× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) unusually low: confirm this is the full procedure |
$8,015.62 | $22,390 | 0.4× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $4,752.09 | $13,274 | 0.8× |
| Therapeutic procd strg endur (G0237) | $27.74 | $143 | 0.9× |
| Therapeutic ultrafiltration (0692T) | $730.12 | $2,219 | 0.4× |
| Tomosynthesis, mammo (G0279) | $23.82 | $52 | 1.9× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) unusually low: confirm this is the full procedure |
$3,727.50 | $10,412 | 0.3× |
| Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing… (0088U) | $2,644.64 | $9,479 | 0.8× |
| Trauma respons w/hosp criti (G0390) | $2,480.29 | $10,645 | 1.7× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $2,929.50 | $10,500 | 0.8× |
| Trluml Perip Athrc Renal Art (0234T) unusually low: confirm this is the full procedure |
$3,727.50 | $10,412 | 0.3× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) unusually low: confirm this is the full procedure |
$3,727.50 | $10,412 | 0.3× |
| Trluml peripheral atherectomy iliac artery ea (0238T) likely a partial charge, not the full procedure |
$4,742.07 | $13,246 | 0.2× |
| Tte w or w/o contr, cont ecg (C8930) | $747.10 | $3,037 | 0.9× |
| Tte w or w/o fol w/con,stres (C8928) | $603.68 | $2,454 | 0.7× |
| Tte w or w/o fol w/cont, com (C8921) | $623.12 | $2,533 | 0.7× |
| Tte w or w/o fol w/cont, f/u (C8922) | $330.87 | $1,345 | 0.4× |
| Tte w or wo fol wcon,doppler (C8929) | $823.61 | $3,348 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) | $378.18 | $1,980 | 0.5× |
| Vasc emb/occ w/prs cath (C9797) likely a partial charge, not the full procedure |
$5,824.30 | $16,269 | 0.3× |