Visits & medical services prices at Banner – University Medical Center South

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650)
likely a partial charge, not the full procedure
$1,799.69 $15,382 0.2×
Aep Neurodiagnostic I&R (92653) $213.41 $722 0.9×
Aep threshold estimation mlt frequencies i&r (92652) $213.41 $722 0.9×
Analyze Neurostim Complex (95972) $131.24 $444 1.3×
Assessment of aphasia (96105) $50.37 $345 0.5×
Behavioral and qualitative analysis of voice and resonance (92524) $68.04 $466 0.6×
Biofeedback training any modality (90901) $34.18 $192 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $117.57 $442 0.3×
Canalith Repositioning (95992) $38.45 $216 0.9×
Capsule endoscopy (91110) $678.83 $2,204 0.7×
Cardiac Stress Tst,Tracing Only (93017) $496.32 $1,551 2.2×
Cardiopulmonary resuscitation (92950) $114.60 $559 0.5×
Cardioversion (92960) $469.32 $2,777 0.7×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $1,617.25 $14,063 0.5×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $1,805.27 $15,698 0.5×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $17,878.48 $33,925 0.9×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $1,742.60 $15,153 0.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $1,653.82 $14,381 0.5×
Chemo Hormon Antineopl Sq/Im (96402) $100.79 $341 1.3×
Chemo IV push addl drug (96411) $116.75 $395 1.5×
Chemo Iv Push Sngl Drug (96409) $208.68 $706 0.6×
Chemother, IV infusion, 1 hr (96413) $264.19 $1,129 0.7×
Chemother, IV infusion, ea add hr (96415) $55.22 $236 0.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $224.64 $760 2.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $129.64 $554 1.7×
Color/duplex Doppler, complete (93975) $357.12 $1,223 1.4×
Color/duplex Doppler, limited (93976) $210.82 $722 1.9×
Coronary artery angio s&i (93454) $1,406.34 $12,229 0.4×
Cortical mapping 1st hr (95961) $329.84 $1,520 0.4×
Cpap initiation and management (94660) $339.28 $1,655 1.5×
Cpt initial (94667) $44.07 $215 0.3×
Critical care (99291) $1,699.27 $7,689 1.9×
Debridement Open Wound 20 Sq Cm< (97597) $53.04 $298 0.2×
Demo &/or eval,pt use,aerosol device (94664) $97.58 $476 0.4×
Dermatological procedure (96999) $216.20 $575 1.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $303.68 $1,040 1.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $157.10 $538 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $221.34 $758 0.9×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $131.11 $449 1.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $405.88 $1,390 1.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $252 $863 2.3×
Dup-scan xtr veins unilateral/limited study (93971) $230.39 $789 2.1×
Duplex hemodialysis access (93990) $93.15 $319 0.8×
Duplex scan extracranial art compl bi study (93880) $256.08 $877 1.0×
Echo Heart Xthoracic,Limited (93308) $233.70 $820 0.9×
Echo transesophageal (93312) $883.50 $3,100 1.5×
Echo Transesophageal - Congenital Tee Complete (93315) $710.79 $2,494 1.2×
Echo Transthoracic - Congenital Tte Complete (93303) $608.47 $2,135 1.0×
Echo Transthoracic - Congenital Tte Limited (93304) $286.14 $1,004 0.5×
EEG awake asleep (95819) $374.76 $1,727 1.6×
EEG awake drowsy (95816) $250.42 $1,154 1.1×
EEG coma or sleep only (95822) $351.54 $1,620 1.5×
EEG cont rec w/video by tech min 8 channels (95700) $99.39 $458 0.4×
Eeg Extended Monitoring 61-119 Minutes (95813) $560.08 $2,581 2.4×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $158.19 $729 0.7×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $261.05 $1,203 0.7×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $237.40 $1,094 0.6×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $276.89 $1,276 0.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $182.06 $839 0.8×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $197.90 $912 0.9×
EKG (93005) $38.93 $189 0.6×
EKG rhythm strip (93041) $18.75 $91 0.3×
Ekg Signal Averaging (93278) $67.57 $328 1.1×
Electroconvulsive Therapy (90870) $545.42 $1,633 0.6×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $459.82 $2,119 2.0×
Endomyocardial biopsy (93505) $467.02 $4,061 0.1×
Ep & ablate supravent arrhyt (93653)
likely a partial charge, not the full procedure
$4,647.12 $39,719 0.2×
Ep & ablate ventric tachy (93654)
likely a partial charge, not the full procedure
$4,360.82 $37,272 0.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,582.30 $39,165 0.6×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $344.56 $2,945 0.3×
Ep Esophageal Recording Atria+Pacing (93616) $954.37 $8,157 0.7×
Er level 1 (99281) $357.97 $625 4.0×
Er level ii (99282) $384.16 $1,107 2.3×
Er level iii (99283) $601.94 $1,588 2.1×
Er level IV (99284) $1,044.44 $2,069 2.3×
Er level v (99285) $1,344.61 $2,754 2.1×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $44.97 $308 0.6×
Evaluation of speech fluency (92521) $68.04 $466 0.5×
Evaluation of speech sound production (92522) $51.10 $350 0.5×
Evaluation of swallowing function (92610) $48.81 $319 0.6×
Evaluation with prescription of speech-generating alternative (92607) $66.40 $434 0.5×
External ECG rec>48hr<7d recording (93242) $73.01 $247 1.8×
External Ecg Scanning Analysis Report (93226) $165.23 $559 2.6×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $62.82 $359 0.3×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $287.67 $934 0.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $824.82 $2,678 0.9×
Group Therapeutic Procedures (97150) $29.85 $101 1.7×
Hast w/report (94452) $55.06 $207 0.4×
Hemodialysis (90935) $383.20 $2,215 0.5×
High altitude simulation test (94453) $75.28 $283 0.5×
Holter Monitor Recording (93225) $110.84 $375 0.8×
Icd Device Interrogate (93289) $61.19 $523 1.5×
Ilr Device Eval Progr (93285) $61.19 $523 1.5×
Immunization Admin (90471) $8.71 $105 0.1×
Ins swan ganz bedside (93503) $464.93 $4,008 0.3×
Interrog dev eval icpms phys/qhp in person (93290) $61.19 $523 1.5×
Interrogate subq defib (93261) $65.52 $560 1.6×
Interrogation eval in person wr defibrillator (93292) $61.19 $523 1.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $72.94 $194 1.2×
IV infusion hydration each additional hour (96361) $47.93 $184 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $183.92 $706 0.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $97.42 $374 1.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $332.51 $961 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $69.30 $266 1.4×
IV push initial (96374) $119.57 $318 0.5×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $1,236.37 $10,751 0.4×
Laryngeal Function Studies (92520) $56.79 $389 0.4×
Manual therapy 15 min (97140) $40 $218 1.4×
Massage 15 min (97124) $25.14 $137 0.8×
Mechanical chest wall oscillation (94669) $97.58 $476 0.4×
Mechanical traction (97012) $23.85 $134 1.7×
Methacholine challenge (94070) $122.36 $460 0.3×
Motility study esophagus (91010) $353.89 $1,149 0.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $79.80 $456 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $176.66 $605 1.2×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $275.65 $944 1.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $24.78 $135 0.5×
Ot Contrast Bath Ea 15 Min (97034) $26.34 $148 1.9×
Ot eval high complex 60 min (97167) $56.74 $288 0.6×
Ot eval low complex 30 min (97165) $45.90 $233 0.5×
Ot eval mod complex 45 min (97166) $48.66 $247 0.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $35.96 $196 0.7×
Ot re-eval est plan care (97168) $36.64 $186 0.5×
Paraffin bath (97018) $9.83 $52 1.6×
Perq transcath closure pda (93582)
likely a partial charge, not the full procedure
$2,688.78 $22,981 0.1×
Plethysmography (94726) $117.04 $440 0.3×
Pm device eval in person (93288) $61.19 $523 1.5×
Pm device progr eval dual (93280) $49.14 $420 1.2×
Pm device progr eval multi (93281) $55.58 $475 1.4×
Pm device progr eval sngl (93279) $42.59 $364 1.1×
Pm/Icd Remote Tech Serv (93296) $61.19 $523 1.5×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $65.52 $560 1.6×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $91.26 $780 2.3×
Programming of dual lead implantable defibrillator system (93283) $80.73 $690 2.0×
Programming of single lead implantable defibrillator system (93282) $70.32 $601 1.8×
Prq balloon valvuloplasty aortic valve (92986) $8,691.28 $16,492 1.4×
Prq card revasc chronic 1vsl (92943)
likely a partial charge, not the full procedure
$2,824.29 $24,559 0.2×
Prq Card Stent W/Angio 1 Vsl (92928)
likely a partial charge, not the full procedure
$2,515.51 $21,874 0.2×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure
$2,821.30 $24,533 0.1×
Prq revasc byp graft 1 vsl (92937)
likely a partial charge, not the full procedure
$2,515.51 $21,874 0.2×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
likely a partial charge, not the full procedure
$4,096.42 $35,621 0.2×
Prq trluml coronary angio/atherect one art/brnch (92924)
likely a partial charge, not the full procedure
$2,645.92 $23,008 0.2×
Prq trluml coronary angioplasty one art/branch (92920)
likely a partial charge, not the full procedure
$1,820.57 $15,831 0.3×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
likely a partial charge, not the full procedure
$1,929.56 $16,492 0.2×
Pt Electric Current Therapy (97033) $29.36 $160 1.5×
Pt eval high complex 45 min (97163) $48.96 $288 0.5×
Pt eval low complex 20 min (97161) $39.61 $233 0.4×
Pt Gait Training Therapy (97116) $24.59 $134 0.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $32.84 $179 1.0×
Pt Physical Performance Test (97750) $22.96 $129 0.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $41.99 $247 0.4×
Pt re-evaluation (97164) $31.62 $186 0.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $23.50 $132 0.7×
Pt Ultrasound Therapy (97035) $28.26 $154 2.0×
R & l hrt cath w/njx l ventriculog img s&i (93453) $1,684.06 $14,644 0.5×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $1,926.83 $16,755 0.6×
R hrt art/grft angio (93457) $1,945.46 $16,917 0.6×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $1,363.44 $11,856 0.4×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $897.58 $7,805 0.3×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $2,123.70 $18,467 0.6×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $1,536.86 $13,364 0.4×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $1,475.34 $12,829 0.4×
Refill/maint, portable pump (96521) $173.34 $461 0.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $61.48 $208 1.5×
Repet tms tx initial w/map/motr threshld/del&m (90867) $280.12 $745 1.2×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $195.14 $519 0.6×
Right heart cath (93451) $908.62 $7,901 0.3×
Rt Chest Wall Manipulation,Subsequent (94668) $51.04 $249 0.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $26.77 $175 0.6×
Sensory Integration Ea 15 Min (97533) $29.91 $163 0.5×
Speech group therapy (92508) $39.90 $135 1.7×
Speech sound lang comprehen (92523) $82.05 $562 0.4×
Spirometry (94010) $94.70 $356 0.4×
Standardized Cognitive Performance Testing (96125) $53.73 $368 0.5×
Stress echo (93350) $574.28 $2,015 1.0×
Stress Tte Complete (93351) $736.44 $2,584 1.3×
Surfactant Admin Thru Tube (94610) $62.51 $235 0.3×
Temp transcutaneous pacing (92953) $220.34 $997 0.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $23.81 $126 1.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $23.06 $122 1.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $40 $274 0.4×
Ther/Proph/Diag Inj Sc/Im (96372) $95.50 $254 1.2×
Therap repetitive tms tx subseq delivery & mng (90868) $175.59 $467 0.8×
Therapeutic Activities (97530) $27.16 $148 0.8×
Therapeutic phlebotomy (99195) $272.22 $724 1.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $673.74 $2,364 1.2×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $501.60 $1,760 2.0×
Tx atrial fib pulm vein isol (93656)
likely a partial charge, not the full procedure
$4,645.60 $39,706 0.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $49.06 $336 0.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $70.69 $374 0.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $75.82 $254 1.5×
Unlisted Cardiovascular Service/Procedure (93799) $826.56 $7,187.50 6.0×
Unlisted pulmonary service/procedure (94799) $89.38 $336 0.7×
Valvuloplasty pulmonary valve (92990) $7,173 $13,611 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $370.26 $1,268 1.5×
Vasc Duplex Scan Extracranial,Limited (93882) $164.10 $562 1.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $227.18 $778 1.0×
Veeg by tech 2-12 hours unmonitored (95711) $197.90 $912 0.9×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $247.38 $1,140 0.6×
Veeg by tech 2-12 hr intermittent monitoring (95712) $227.63 $1,049 0.6×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $346.12 $1,595 0.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $326.37 $1,504 0.8×
Veeg Ea 12-26 Hr Unmntr (95714) $296.86 $1,368 0.7×
Ventilation assist & mgmt inpatient 1st day (94002) $402.62 $1,964 0.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $362.23 $1,767 0.5×
Vital capacity total (94150) $56.13 $211 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $24.78 $135 0.8×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $165.82 $561 1.6×