SelfPayRates
Hospital Phoenix-Mesa-Chandler, AZ

Banner Ironwood Medical Center

Banner Ironwood Medical Center in San Tan Valley, AZ publishes cash prices for 29 common procedures listed here, from its own machine-readable price file updated Mar 2, 2026. Click a procedure to compare it with other hospitals nearby.

37000 North Gantzel Road, San Tan Valley, AZ 85140 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN&PELVIS W CNT $573.23 $3,167.00 82%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN&PELVIS W CNT $573.23 $3,167.00 82%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CNT $286.18 $1,626.00 82%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CNT $286.18 $1,626.00 82%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CNT $442.91 $2,447.00 82%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CNT $442.91 $2,447.00 82%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CNT $399.96 $2,424.00 84%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CNT $399.96 $2,424.00 84%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CNT $599.94 $3,636.00 84%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&WO CNT $599.94 $3,636.00 84%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CNT $282.79 $2,417.00 88%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CNT $282.79 $2,417.00 88%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US UTERUS PREG 14+WK GEST SGL $301.56 $718.00 58%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US UTERUS PREG 14+WK GEST SGL $301.56 $718.00 58%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $286.44 $682.00 58%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $286.44 $682.00 58%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMP $364.98 $869.00 58%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN CMP $364.98 $869.00 58%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LS 4+ VW $118.20 $503.00 77%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LS 4+ VW $118.20 $503.00 77%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 LAB PANEL METAB BASIC W CA TOTAL $77.16 $446.00 83%
Basic metabolic panel (blood test) inpatient CPT 80048 LAB PANEL METAB BASIC W CA TOTAL $77.16 $446.00 83%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB PANEL LIPID NS $8.82 $51.00 83%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB PANEL LIPID $53.46 $309.00 83%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB PANEL LIPID NS $8.82 $51.00 83%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB PANEL LIPID $53.46 $309.00 83%
Complete blood count (CBC) with differential CPT 85025 LAB HEMO PLT AUTO W AUTO SCAN $5.42 $24.00 77%
Complete blood count (CBC) with differential CPT 85025 LAB CBC AUTO W AUTO DIFF $42.71 $189.00 77%
Complete blood count (CBC) with differential inpatient CPT 85025 LAB HEMO PLT AUTO W AUTO SCAN $5.42 $24.00 77%
Complete blood count (CBC) with differential inpatient CPT 85025 LAB CBC AUTO W AUTO DIFF $42.71 $189.00 77%
Complete blood count (CBC), no differential CPT 85027 LAB CBC AUTO WO DIFF $31.87 $141.00 77%
Complete blood count (CBC), no differential inpatient CPT 85027 LAB CBC AUTO WO DIFF $31.87 $141.00 77%
Comprehensive metabolic panel (blood test) CPT 80053 LAB PANEL METAB COMP $136.50 $789.00 83%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LAB PANEL METAB COMP $136.50 $789.00 83%
Kidney function blood test panel CPT 80069 LAB PANEL FUNCTION RENAL $46.71 $270.00 83%
Kidney function blood test panel inpatient CPT 80069 LAB PANEL FUNCTION RENAL $46.71 $270.00 83%
Liver function blood test panel CPT 80076 LAB PANEL FUNCTION HEPATIC $49.65 $287.00 83%
Liver function blood test panel inpatient CPT 80076 LAB PANEL FUNCTION HEPATIC $49.65 $287.00 83%
PSA (prostate-specific antigen) blood test, free CPT 84154 LAB PSA FREE $9.69 $56.00 83%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 LAB PSA FREE $9.69 $56.00 83%
PSA (prostate-specific antigen) blood test, total CPT 84153 LAB PSA TOTAL $9.69 $56.00 83%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB PSA TOTAL $9.69 $56.00 83%
Partial thromboplastin time (PTT) clotting test CPT 85730 LAB PTT PLASMA/BLD WHL $34.13 $151.00 77%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB PTT PLASMA/BLD WHL $34.13 $151.00 77%
Prothrombin time (PT/INR) clotting test CPT 85610 LAB PROTHROMBIN TIME $28.48 $126.00 77%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB PROTHROMBIN TIME $28.48 $126.00 77%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB THYROID STIMULATING HORMONE NS $8.82 $51.00 83%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB THYROID STIMULATING HORMONE $56.74 $328.00 83%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB THYROID STIMULATING HORMONE NS $8.82 $51.00 83%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB THYROID STIMULATING HORMONE $56.74 $328.00 83%
Urinalysis with microscope exam, automated CPT 81001 LAB UA AUTO W MICRO $43.92 $121.00 64%
Urinalysis with microscope exam, automated inpatient CPT 81001 LAB UA AUTO W MICRO $43.92 $121.00 64%
Urinalysis without microscope exam, automated CPT 81003 LAB UA PH AUTO WO MICRO $2.54 $7.00 64%
Urinalysis without microscope exam, automated CPT 81003 LAB UA KETONES AUTO WO MICRO $2.54 $7.00 64%
Urinalysis without microscope exam, automated CPT 81003 LAB UA GRAVITY SPCFC AUTO WO MICRO $19.24 $53.00 64%
Urinalysis without microscope exam, automated CPT 81003 LAB UA AUTO WO MICRO $26.86 $74.00 64%
Urinalysis without microscope exam, automated CPT 81003 POC UA AUTO WO MICRO $38.84 $107.00 64%
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA KETONES AUTO WO MICRO $2.54 $7.00 64%
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA PH AUTO WO MICRO $2.54 $7.00 64%
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA GRAVITY SPCFC AUTO WO MICRO $19.24 $53.00 64%
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA AUTO WO MICRO $26.86 $74.00 64%
Urinalysis without microscope exam, automated inpatient CPT 81003 POC UA AUTO WO MICRO $38.84 $107.00 64%
Urinalysis without microscope exam, manual CPT 81002 LAB UA NONAUTO WO MICRO $3.99 $11.00 64%
Urinalysis without microscope exam, manual CPT 81002 LAB UA REDUCING SUBSTANCE $3.99 $11.00 64%
Urinalysis without microscope exam, manual CPT 81002 POC UA NONAUTO WO MICRO DIPSTICK $3.99 $11.00 64%
Urinalysis without microscope exam, manual inpatient CPT 81002 LAB UA NONAUTO WO MICRO $3.99 $11.00 64%
Urinalysis without microscope exam, manual inpatient CPT 81002 LAB UA REDUCING SUBSTANCE $3.99 $11.00 64%
Urinalysis without microscope exam, manual inpatient CPT 81002 POC UA NONAUTO WO MICRO DIPSTICK $3.99 $11.00 64%

Surgery and procedures

ProcedureCash price List priceOff list
Prostate biopsy CPT 55700 BX PROSTATE NDL/PUNCH SGL/MULT $621.85 $1,611.00 61%
Prostate biopsy inpatient CPT 55700 BX PROSTATE NDL/PUNCH SGL/MULT $621.85 $1,611.00 61%

Doctor visits and therapy

ProcedureCash price List priceOff list
New patient office visit, about 30 minutes CPT 99203 VISIT NEW LEVEL 3 $128.62 $375.00 66%
New patient office visit, about 30 minutes CPT 99203 VISIT OB TRIAGE NEW LEVEL 3 $1,659.71 $2,210.00 25%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT NEW LEVEL 3 $128.62 $375.00 66%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT OB TRIAGE NEW LEVEL 3 $1,659.71 $2,210.00 25%
New patient office visit, about 45 minutes CPT 99204 VISIT NEW LEVEL 4 $164.64 $480.00 66%
New patient office visit, about 45 minutes CPT 99204 VISIT OB TRIAGE NEW LEVEL 4 $1,997.66 $2,660.00 25%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT NEW LEVEL 4 $164.64 $480.00 66%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT OB TRIAGE NEW LEVEL 4 $1,997.66 $2,660.00 25%
New patient office visit, about 60 minutes CPT 99205 VISIT NEW LEVEL 5 $202.37 $590.00 66%
New patient office visit, about 60 minutes CPT 99205 VISIT OB TRIAGE NEW LEVEL 5 $2,673.56 $3,560.00 25%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT NEW LEVEL 5 $202.37 $590.00 66%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT OB TRIAGE NEW LEVEL 5 $2,673.56 $3,560.00 25%

Source file: https://images.pricetransparency.healthcare/public-mrfs/banner/900412842_banner-ironwood-medical-center_standardcharges.csv