Banner Gateway Medical Center
Banner Gateway Medical Center in Gilbert, AZ publishes cash prices for 33 common procedures listed here, from its own machine-readable price file updated May 1, 2026. Click a procedure to compare it with other hospitals nearby.
1900 North Higley Road, Gilbert, AZ 85234 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN&PELVIS W CNT | $414.88 | $3,167.00 | 87% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN&PELVIS W CNT | $414.88 | $3,167.00 | 87% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CNT | $247.15 | $1,626.00 | 85% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CNT | $247.15 | $1,626.00 | 85% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CNT | $320.56 | $2,447.00 | 87% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CNT | $320.56 | $2,447.00 | 87% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX W/WO CAD BI | $256.46 | $615.00 | 58% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX W/WO CAD BI | $256.46 | $615.00 | 58% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CNT | $412.08 | $2,424.00 | 83% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CNT | $412.08 | $2,424.00 | 83% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CNT | $618.12 | $3,636.00 | 83% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&WO CNT | $618.12 | $3,636.00 | 83% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CNT | $391.55 | $2,417.00 | 84% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CNT | $391.55 | $2,417.00 | 84% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US UTERUS PREG 14+WK GEST SGL | $248.43 | $718.00 | 65% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US UTERUS PREG 14+WK GEST SGL | $248.43 | $718.00 | 65% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCRN W/WO CAD 2 VW BI | $254.28 | $489.00 | 48% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCRN W/WO CAD 2 VW BI | $254.28 | $489.00 | 48% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $235.97 | $682.00 | 65% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $235.97 | $682.00 | 65% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMP | $300.67 | $869.00 | 65% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN CMP | $300.67 | $869.00 | 65% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LS 4+ VW | $149.39 | $503.00 | 70% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LS 4+ VW | $149.39 | $503.00 | 70% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 LAB PANEL METAB BASIC W CA TOTAL | $74.04 | $446.00 | 83% |
| Basic metabolic panel (blood test) inpatient CPT 80048 LAB PANEL METAB BASIC W CA TOTAL | $74.04 | $446.00 | 83% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB PANEL LIPID NS | $8.47 | $51.00 | 83% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB PANEL LIPID | $51.29 | $309.00 | 83% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB PANEL LIPID NS | $8.47 | $51.00 | 83% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB PANEL LIPID | $51.29 | $309.00 | 83% |
| Complete blood count (CBC) with differential CPT 85025 LAB CBC AUTO W AUTO DIFF | $32.70 | $189.00 | 83% |
| Complete blood count (CBC) with differential inpatient CPT 85025 LAB CBC AUTO W AUTO DIFF | $32.70 | $189.00 | 83% |
| Complete blood count (CBC), no differential CPT 85027 LAB CBC AUTO WO DIFF | $24.39 | $141.00 | 83% |
| Complete blood count (CBC), no differential inpatient CPT 85027 LAB CBC AUTO WO DIFF | $24.39 | $141.00 | 83% |
| Comprehensive metabolic panel (blood test) CPT 80053 LAB PANEL METAB COMP | $130.97 | $789.00 | 83% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 LAB PANEL METAB COMP | $130.97 | $789.00 | 83% |
| Kidney function blood test panel CPT 80069 LAB PANEL FUNCTION RENAL | $44.82 | $270.00 | 83% |
| Kidney function blood test panel inpatient CPT 80069 LAB PANEL FUNCTION RENAL | $44.82 | $270.00 | 83% |
| Liver function blood test panel CPT 80076 LAB PANEL FUNCTION HEPATIC | $47.64 | $287.00 | 83% |
| Liver function blood test panel inpatient CPT 80076 LAB PANEL FUNCTION HEPATIC | $47.64 | $287.00 | 83% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 LAB PSA FREE | $9.30 | $56.00 | 83% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 LAB PSA FREE | $9.30 | $56.00 | 83% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 LAB PSA TOTAL | $9.30 | $56.00 | 83% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB PSA TOTAL | $9.30 | $56.00 | 83% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LAB PTT PLASMA/BLD WHL | $26.12 | $151.00 | 83% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB PTT PLASMA/BLD WHL | $26.12 | $151.00 | 83% |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB PROTHROMBIN TIME | $21.80 | $126.00 | 83% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB PROTHROMBIN TIME | $21.80 | $126.00 | 83% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB THYROID STIMULATING HORMONE NS | $8.47 | $51.00 | 83% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB THYROID STIMULATING HORMONE | $54.45 | $328.00 | 83% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB THYROID STIMULATING HORMONE NS | $8.47 | $51.00 | 83% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB THYROID STIMULATING HORMONE | $54.45 | $328.00 | 83% |
| Urinalysis with microscope exam, automated CPT 81001 LAB UA AUTO W MICRO | $27.71 | $121.00 | 77% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 LAB UA AUTO W MICRO | $27.71 | $121.00 | 77% |
| Urinalysis without microscope exam, automated CPT 81003 LAB UA GRAVITY SPCFC AUTO WO MICRO | $12.14 | $53.00 | 77% |
| Urinalysis without microscope exam, automated CPT 81003 LAB UA AUTO WO MICRO | $16.95 | $74.00 | 77% |
| Urinalysis without microscope exam, automated CPT 81003 POC UA AUTO WO MICRO | $24.50 | $107.00 | 77% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA GRAVITY SPCFC AUTO WO MICRO | $12.14 | $53.00 | 77% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA AUTO WO MICRO | $16.95 | $74.00 | 77% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POC UA AUTO WO MICRO | $24.50 | $107.00 | 77% |
| Urinalysis without microscope exam, manual CPT 81002 LAB UA REDUCING SUBSTANCE | $2.52 | $11.00 | 77% |
| Urinalysis without microscope exam, manual CPT 81002 POC UA NONAUTO WO MICRO DIPSTICK | $2.52 | $11.00 | 77% |
| Urinalysis without microscope exam, manual CPT 81002 LAB UA NONAUTO WO MICRO | $2.52 | $11.00 | 77% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC UA NONAUTO WO MICRO DIPSTICK | $2.52 | $11.00 | 77% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 LAB UA NONAUTO WO MICRO | $2.52 | $11.00 | 77% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 LAB UA REDUCING SUBSTANCE | $2.52 | $11.00 | 77% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ/S EPID/SUB L/S W IMG | $881.70 | $2,872.00 | 69% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ/S EPID/SUB L/S W IMG | $881.70 | $2,872.00 | 69% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ/S EPID/SUB L/S WO IMG | $617.38 | $2,011.00 | 69% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ/S EPID/SUB L/S WO IMG | $617.38 | $2,011.00 | 69% |
| Prostate biopsy CPT 55700 BX PROSTATE NDL/PUNCH SGL/MULT | $2,929.03 | $1,611.00 | -82% |
| Prostate biopsy inpatient CPT 55700 BX PROSTATE NDL/PUNCH SGL/MULT | $2,929.03 | $1,611.00 | -82% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 VISIT NEW LEVEL 3 | $103.13 | $375.00 | 72% |
| New patient office visit, about 30 minutes CPT 99203 VISIT OB TRIAGE NEW LEVEL 3 | $1,801.15 | $2,210.00 | 19% |
| New patient office visit, about 30 minutes inpatient CPT 99203 VISIT NEW LEVEL 3 | $103.13 | $375.00 | 72% |
| New patient office visit, about 30 minutes inpatient CPT 99203 VISIT OB TRIAGE NEW LEVEL 3 | $1,801.15 | $2,210.00 | 19% |
| New patient office visit, about 45 minutes CPT 99204 VISIT NEW LEVEL 4 | $132.00 | $480.00 | 73% |
| New patient office visit, about 45 minutes CPT 99204 VISIT OB TRIAGE NEW LEVEL 4 | $2,167.90 | $2,660.00 | 19% |
| New patient office visit, about 45 minutes inpatient CPT 99204 VISIT NEW LEVEL 4 | $132.00 | $480.00 | 73% |
| New patient office visit, about 45 minutes inpatient CPT 99204 VISIT OB TRIAGE NEW LEVEL 4 | $2,167.90 | $2,660.00 | 19% |
| New patient office visit, about 60 minutes CPT 99205 VISIT NEW LEVEL 5 | $162.25 | $590.00 | 73% |
| New patient office visit, about 60 minutes CPT 99205 VISIT OB TRIAGE NEW LEVEL 5 | $2,901.40 | $3,560.00 | 19% |
| New patient office visit, about 60 minutes inpatient CPT 99205 VISIT NEW LEVEL 5 | $162.25 | $590.00 | 73% |
| New patient office visit, about 60 minutes inpatient CPT 99205 VISIT OB TRIAGE NEW LEVEL 5 | $2,901.40 | $3,560.00 | 19% |