Banner Ocotillo Medical Center
1405 S Alma School Rd, Chandler, AZ · Banner Health · · NPI 1972139004
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $17.25 | $88.00 | $29.28 – $66.00 | 25 |
| 17-hydroxypregnenolone CPT 84143 | $13.52 | $69.00 | $22.81 – $51.75 | 25 |
| 17-ketosteroids CPT 83586 | $15.68 | $80.00 | $12.80 – $60.00 | 25 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $770.72 | $3,133.00 | $518.51 – $2,349.75 | 25 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $425.58 | $1,730.00 | $518.51 – $1,389.40 | 25 |
| 2nd order venous cath CPT 36012 | $726.11 | $1,610.00 | $322.00 – $4,018.00 | 15 |
| 3d recon without postprocess indpndt CPT 76376 | $172.48 | $440.00 | $62.76 – $330.00 | 14 |
| 5' nucleotidase - sendout CPT 83915 | $19.40 | $99.00 | $11.15 – $74.25 | 25 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $24.64 | $71.00 | $12.01 – $53.25 | 25 |
| Abd aorta w/runoff s&i CPT 75630 | $3,185.60 | $5,792.00 | $259.37 – $5,535.21 | 25 |
| Abd/low ext cath 1st CPT 36245 | $1,149.15 | $2,548.00 | $468.22 – $4,018.00 | 15 |
| Abd/low ext cath 2nd CPT 36246 | $1,403.96 | $3,113.00 | $468.22 – $4,018.00 | 15 |
| Abd/low ext cath 3rd CPT 36247 | $1,767.02 | $3,918.00 | $468.22 – $4,018.00 | 15 |
| Abd/low ext cath addl CPT 36248 | $909.22 | $2,016.00 | $236.47 – $4,018.00 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $467.93 | $1,786.00 | $166.84 – $1,339.50 | 25 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $298.94 | $1,141.00 | $79.00 – $855.75 | 25 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $707.55 | $2,670.00 | $129.45 – $2,002.50 | 25 |
| Abdominal CT scan (with contrast) CPT 74160 | $589.62 | $2,225.00 | $129.45 – $1,668.75 | 25 |
| Abdominal CT scan (without contrast) CPT 74150 | $471.70 | $1,780.00 | $79.00 – $1,335.00 | 25 |
| Abdominal MRI (with and without contrast) CPT 74183 | $689.97 | $3,165.00 | $266.89 – $2,373.75 | 25 |
| Abdominal MRI (with contrast) CPT 74182 | $575.08 | $2,638.00 | $266.89 – $1,978.50 | 25 |
| Abdominal MRI (without contrast) CPT 74181 | $459.98 | $2,110.00 | $166.84 – $1,582.50 | 25 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,268.40 | $1,710.00 | $586.96 – $1,648.80 | 25 |
| Abdominal Ultrasound (complete) CPT 76700 | $340.65 | $869.00 | $79.00 – $651.75 | 25 |
| Abdominal Ultrasound (limited) CPT 76705 | $168.25 | $658.00 | $79.00 – $493.50 | 25 |
| Abdominal X-ray (2 views) CPT 74019 | $167.09 | $539.00 | $79.00 – $404.25 | 25 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $222.89 | $719.00 | $79.00 – $539.25 | 25 |
| Abdominal X-ray (single view) CPT 74018 | $137.02 | $442.00 | $58.65 – $331.50 | 25 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $591.26 | $1,311.00 | $458.85 – $1,648.80 | 25 |
| Abl1 gene CPT 81170 | $441.03 | $1,446.00 | $300.00 – $1,084.50 | 25 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $1,732.40 | $8,662.00 | $101.17 – $3,609.00 | 25 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $586.96 – $3,268.08 | 6 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,048.58 | $2,325.00 | $813.75 – $2,849.35 | 25 |
| Acetylcholine receptor modulating antibody CPT 86043 | $27.07 | $78.00 | $12.05 – $58.50 | 25 |
| Acute hepatitis panel CPT 80074 | $88.79 | $453.00 | $47.63 – $339.75 | 25 |
| Acyclovir 400 mg tablet HCPCS J8499 | $14.04 | $46.40 | $0.00 – $9.46 | 12 |
| #acylcarnitineprfl CPT 82017 | $22.54 | $115.00 | $16.87 – $86.25 | 25 |
| Adapter b 8 channel 10cm HCPCS C1883 | $6,198.83 | $21,904.00 | $225.20 – $8,374.90 | 15 |
| Adenovirus antibody,serum - quest CPT 86603 | $21.17 | $61.00 | $12.87 – $45.75 | 25 |
| Adh-sendout CPT 84588 | $19.99 | $102.00 | $33.94 – $76.50 | 25 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $50.21 | $166.00 | $44.93 – $125.15 | 25 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $103.15 | $341.00 | $44.93 – $255.75 | 25 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $219.31 | $725.00 | $225.29 – $583.31 | 25 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $201.46 | $666.00 | $147.54 – $583.31 | 25 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $244.12 | $807.00 | $44.93 – $605.25 | 25 |
| Administration immunization each additional vaccine CPT 90472 | $8.72 | $61.00 | $12.20 – $118.00 | 15 |
| Administration vaccine influenza virus HCPCS G0008 | $18.02 | $126.00 | $29.00 – $94.50 | 25 |
| Administration vaccine pneumococcal HCPCS G0009 | $18.02 | $126.00 | $29.00 – $94.50 | 25 |
| Aep hearing status deter i&r CPT 92651 | $345.15 | $1,141.00 | $101.17 – $855.75 | 25 |
| _afb id by dna probe rflx ast CPT 87149 | $24.53 | $73.00 | $20.05 – $54.75 | 25 |
| #afb mycobacteria suscep. #1 CPT 87190 | $21.17 | $63.00 | $7.31 – $47.25 | 25 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $116.94 | $347.00 | $50.00 – $260.25 | 25 |
| Air injection into abdomen 49400 CPT 49400 | $185.36 | $411.00 | $82.20 – $4,018.00 | 15 |
| Albumin body fluid quantitative each specimen CPT 82042 | $11.37 | $58.00 | $7.78 – $18.00 | 25 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $10.98 | $56.00 | $5.78 – $42.00 | 25 |
| Albumin serum plasma or whole blood CPT 82040 | $24.70 | $126.00 | $4.95 – $93.75 | 25 |
| Alkaline phosphatase CPT 84075 | $27.24 | $139.00 | $5.18 – $103.50 | 25 |
| Allergen alpha lactalbumin ige CPT 86008 | $27.76 | $80.00 | $17.93 – $48.00 | 25 |
| Allergen egg white ige CPT 86003 | $19.43 | $56.00 | $5.22 – $41.25 | 25 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $20.47 | $59.00 | $7.97 – $42.00 | 25 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $238.00 | $841.00 | $121.19 – $931.24 | 13 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $127.66 | $451.10 | $0.72 – $539.40 | 13 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $57.31 | $202.50 | $25.22 – $166.67 | 15 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $4,959.29 | $17,524.00 | $539.00 – $2,021.25 | 15 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $38.02 | $194.00 | $64.41 – $145.50 | 25 |
| Alpha-fetoprotein amniotic CPT 82106 | $10.00 | $51.00 | $17.00 – $38.25 | 25 |
| Alpha-fetoprotein tumor marker CPT 82105 | $10.00 | $51.00 | $16.77 – $38.25 | 25 |
| Alt/sgpt CPT 84460 | $25.48 | $130.00 | $5.30 – $44.25 | 25 |
| Aluminum - quest CPT 82108 | $15.09 | $77.00 | $25.48 – $57.75 | 25 |
| Amantadine (symmetrel)-sendout CPT 80375 | $36.65 | $187.00 | $29.40 – $110.25 | 14 |
| Aminolevulinic acid delta CPT 82135 | $14.70 | $75.00 | $16.45 – $56.25 | 25 |
| Amitriptyline (elavil) -sendout CPT 80335 | $13.33 | $68.00 | $6.00 – $73.64 | 14 |
| Ammonia CPT 82140 | $41.75 | $213.00 | $14.57 – $86.25 | 25 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $538.49 | $1,194.00 | $417.90 – $1,531.28 | 25 |
| Amniocentesis therapeutic CPT 59001 | $1,279.49 | $2,837.00 | $204.07 – $2,127.75 | 25 |
| Amphetamine confirm urine -sendout CPT 80324 | $30.58 | $156.00 | $11.20 – $66.83 | 14 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $2,052.04 – $9,813.71 | 6 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Amylase CPT 82150 | $66.84 | $341.00 | $6.48 – $15.00 | 25 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $87.42 | $446.00 | $76.80 – $288.00 | 14 |
| Anal pressure record CPT 91122 | $355.76 | $1,133.00 | $191.73 – $849.75 | 25 |
| Analysis gene f2 20210g>a variant CPT 81240 | $96.68 | $317.00 | $65.69 – $148.50 | 25 |
| Analysis gene f5 leiden variant CPT 81241 | $107.97 | $354.00 | $73.37 – $265.50 | 25 |
| Anca screen with reflex to titer -quest CPT 86021 | $19.08 | $55.00 | $15.05 – $34.50 | 25 |
| An cholangiogram percutaneous compl CPT 47531 | $647.19 | $1,435.00 | $468.22 – $6,206.21 | 25 |
| An fluoro guide for cvp CPT 77001 | $144.46 | $466.00 | $93.20 – $375.90 | 14 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $8,210.00 | $18,204.00 | $2,427.20 – $9,813.71 | 15 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $9,818.72 | $21,771.00 | $2,902.80 – $10,885.50 | 15 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $4,303.44 | $9,542.00 | $1,170.00 – $5,878.00 | 15 |
| Angiotensin ii CPT 82163 | $17.44 | $89.00 | $20.52 – $66.75 | 25 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $1,590.70 | $5,258.50 | $2.81 – $14.62 | 11 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $9,013.69 | $19,986.00 | $2,664.80 – $9,993.00 | 15 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $3,172.33 | $7,034.00 | $937.80 – $4,018.00 | 15 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $8,630.79 | $19,137.00 | $3,593.71 – $9,568.50 | 25 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Ankle X-ray CPT 73610 | $115.63 | $373.00 | $58.65 – $347.17 | 15 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.