Supplies, drugs & other prices at Banner – University Medical Center South

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,104.38 $3,875 1.3×
2d tte w or w/o fol w/con,co (C8923) $627 $2,200 0.7×
2d tte w or w/o fol w/con,fu (C8924) $292.12 $1,025 0.8×
Admin hepatitis b vaccine (G0010) $8.71 $105 0.2×
Admin influenza virus vac (G0008) $8.71 $105 0.2×
Admin pneumococcal vaccine (G0009) $8.71 $105 0.2×
Catheterize for urine spec (P9612) $13.98 $79 1.5×
Direct refer hospital observ (G0379) $228.90 $654 0.4×
Flt3 gene itd variants quan (0046U) $307.80 $1,800 0.8×
Instlj fecal microbiota ssp (0780T) $115.81 $376 0.8×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $277.53 $1,623 0.5×
NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Other Outpatient (0049U) $389.03 $2,275 1.0×
Pemivibart infusion (M0224) $211.80 $706 0.5×
Perc d-e cor revasc chro sin (C9607)
likely a partial charge, not the full procedure
$3,530.39 $30,699 0.2×
Perc d-e cor revasc t cabg s (C9604)
likely a partial charge, not the full procedure
$3,144.45 $27,343 0.3×
Perc d-e cor stent ather s (C9602)
likely a partial charge, not the full procedure
$3,526.70 $30,667 0.2×
Perc drug-el cor stent sing (C9600)
likely a partial charge, not the full procedure
$3,144.45 $27,343 0.3×
Perq Sacral Augmt Bilat Inj (0201T) $4,971.72 $9,434 0.6×
Perq Sacral Augmt Unilat Inj (0200T) $4,142.75 $7,861 0.5×
Prostate biopsy, any mthd (G0416) $341.98 $1,217 0.9×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $293.76 $2,160 0.4×
Tee w or w/o fol w/cont,cong (C8926) $888.63 $3,118 1.1×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $14,165.23 $26,879 1.1×
Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing… (0088U) $1,620.91 $9,479 0.5×
Trauma respons w/hosp criti (G0390) $1,474.94 $4,990 1.0×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $1,795.50 $10,500 0.5×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $14,165.23 $26,879 1.1×
Trluml peripheral atherectomy iliac artery ea (0238T) $10,623.79 $20,159 0.5×
Tte w or w/o contr, cont ecg (C8930) $920.55 $3,230 1.1×
Tte w or w/o fol w/con,stres (C8928) $717.92 $2,519 0.9×
Tte w or w/o fol w/cont, com (C8921) $760.66 $2,669 0.9×
Tte w or w/o fol w/cont, f/u (C8922) $357.67 $1,255 0.4×
Tte w or wo fol wcon,doppler (C8929) $842.18 $2,955 1.0×
Unsched dialysis esrd pt hos (G0257) $346.50 $1,980 0.5×
Visit esketamine 56m or less (G2082) $736.68 $2,186 0.7×
Visit esketamine, > 56m (G2083) $1,076.38 $3,194 0.6×