CT scan
Published cash priceTypical insured rateLowest insured rate
Banner Goldfield Medical Center — CT scan| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Head CTCPT 70450 · 51 plans in file | Published cash price$267 | Typical insured rate$38922 plans | Lowest insured rate$162 |
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| Chest CTCPT 71250 · 51 plans in file | Published cash price$270 | Typical insured rate$56822 plans | Lowest insured rate$162 |
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| Chest CT with contrastCPT 71260 · 51 plans in file | Published cash price$338 | Typical insured rate$77622 plans | Lowest insured rate$271 |
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| Abdomen and pelvis CTCPT 74176 · 51 plans in file | Published cash price$516 | Typical insured rate$84322 plans | Lowest insured rate$369 |
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| Abdomen and pelvis CT with contrastCPT 74177 · 51 plans in file | Published cash price$645 | Typical insured rate$95722 plans | Lowest insured rate$540 |
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X-ray
Published cash priceTypical insured rateLowest insured rate
Banner Goldfield Medical Center — X-ray| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Chest X-rayCPT 71046 · 51 plans in file | Published cash price$91.26 | Typical insured rate$16022 plans | Lowest insured rate$61.05 |
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| Knee X-rayCPT 73562 · 32 plans in file | Published cash price$51.30 | Typical insured rate$13921 plans | Lowest insured rate$87.63 |
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| Lower back X-rayCPT 72100 · 51 plans in file | Published cash price$65.55 | Typical insured rate$16822 plans | Lowest insured rate$78.79 |
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| Shoulder X-rayCPT 73030 · 32 plans in file | Published cash price$53.01 | Typical insured rate$14321 plans | Lowest insured rate$70.78 |
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Ultrasound
Published cash priceTypical insured rateLowest insured rate
Banner Goldfield Medical Center — Ultrasound| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Abdominal ultrasoundCPT 76700 · 48 plans in file | Published cash price$114 | Typical insured rate$28819 plans | Lowest insured rate$162 |
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| Pelvic ultrasoundCPT 76856 · 48 plans in file | Published cash price$89.71 | Typical insured rate$25819 plans | Lowest insured rate$162 |
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| Transvaginal ultrasoundCPT 76830 · 48 plans in file | Published cash price$105 | Typical insured rate$26619 plans | Lowest insured rate$133 |
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| Thyroid ultrasoundCPT 76536 · 48 plans in file | Published cash price$88.64 | Typical insured rate$25519 plans | Lowest insured rate$162 |
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| Breast ultrasoundCPT 76641 · 29 plans in file | Published cash price$72.80 | Typical insured rate$20718 plans | Lowest insured rate$176 |
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Lab tests
Published cash priceTypical insured rateLowest insured rate
Banner Goldfield Medical Center — Lab tests| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| CMPCPT 80053 · 51 plans in file | Published cash price$127 | Typical insured rate$25.1722 plans | Lowest insured rate$15.10 |
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| BMPCPT 80048 · 51 plans in file | Published cash price$71.63 | Typical insured rate$20.1822 plans | Lowest insured rate$12.10 |
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| CBCCPT 85025 · 51 plans in file | Published cash price$5.02–$29.68 | Typical insured rate$14.7022 plans | Lowest insured rate$10.80 |
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| Lipid panelCPT 80061 · 51 plans in file | Published cash price$13.11–$32.49 | Typical insured rate$31.5822 plans | Lowest insured rate$19.15 |
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| TSH testCPT 84443 · 51 plans in file | Published cash price$9.69–$46.74 | Typical insured rate$31.7022 plans | Lowest insured rate$22.95 |
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| A1c testCPT 83036 · 51 plans in file | Published cash price$8.93 | Typical insured rate$21.1622 plans | Lowest insured rate$13.89 |
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| UrinalysisCPT 81001 · 51 plans in file | Published cash price$21.48 | Typical insured rate$7.5722 plans | Lowest insured rate$4.53 |
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| Vitamin D testCPT 82306 · 51 plans in file | Published cash price$16.91 | Typical insured rate$55.5922 plans | Lowest insured rate$40.05 |
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| PSA testCPT 84153 · 51 plans in file | Published cash price$10.64 | Typical insured rate$34.7722 plans | Lowest insured rate$25.20 |
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| Urine cultureCPT 87086 · 51 plans in file | Published cash price$36.98 | Typical insured rate$19.2622 plans | Lowest insured rate$11.54 |
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ER visit
Published cash priceTypical insured rateLowest insured rate
Banner Goldfield Medical Center — ER visit| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| ER visit level 3CPT 99283 · 46 plans in file | Published cash price$643 | Typical insured rate$1,37619 plans | Lowest insured rate$422 |
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| ER visit level 4CPT 99284 · 46 plans in file | Published cash price$1,081 | Typical insured rate$1,78219 plans | Lowest insured rate$646 |
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| ER visit level 5CPT 99285 · 46 plans in file | Published cash price$1,480 | Typical insured rate$1,85219 plans | Lowest insured rate$921 |
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About this price file
- File:
900981239_banner-goldfield-medical-center_standardcharges.csv, last updated September 23, 2026 (hospital's price transparency page). - Financial assistance: we have not yet verified a link to this hospital's policy — ask the hospital's billing office.
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