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 |
|---|---|---|---|---|
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $3,668.82 – $15,138.00 | 7 |
| Gammaglobulin iga CPT 82784 | $24.70 | $126.00 | $9.30 – $42.00 | 25 |
| Gammaglobulin ige CPT 82785 | $11.37 | $58.00 | $16.46 – $43.50 | 25 |
| Gamma glutamyltransferase CPT 82977 | $12.15 | $62.00 | $7.20 – $16.50 | 25 |
| Gastroesophageal reflux test CPT 91034 | $249.63 | $795.00 | $278.25 – $933.11 | 25 |
| Gated heart multiple CPT 78473 | $1,057.92 | $3,306.00 | $273.41 – $2,479.50 | 25 |
| Generator barostim neo2 2014 HCPCS C1767 | $37,187.33 | $131,404.00 | $5,694.00 – $61,483.50 | 15 |
| Generator emblem MRI sicd subq HCPCS C1722 | $29,456.58 | $109,504.00 | $8,760.00 – $44,930.25 | 15 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $0.07 | $2.00 | $0.40 – $12.58 | 15 |
| Gentamicin peak therapeutic drug level CPT 80170 | $9.80 | $50.00 | $16.38 – $37.50 | 25 |
| G-esoph reflx tst w/electrod CPT 91035 | $615.75 | $1,961.00 | $353.64 – $1,470.75 | 25 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $575.40 – $2,440.42 | 6 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $11.56 | $59.00 | $9.81 – $44.25 | 25 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $10.19 | $52.00 | $17.11 – $39.00 | 25 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $253.15 | $830.00 | $102.26 – $622.50 | 25 |
| Ghs antibodies (torch) igm CPT 86694 | $15.27 | $44.00 | $14.39 – $33.00 | 25 |
| Ghs aspiration bladder - needle CPT 51100 | $247.60 | $549.00 | $192.15 – $427.71 | 25 |
| Ghs bladder cath - complex-foley CPT 51703 | $156.50 | $347.00 | $101.17 – $275.15 | 25 |
| Ghs change cysto/gastrost CPT 43762 | not published | not published | $192.95 – $2,440.42 | 6 |
| Ghs chemo IV push, ea addtl CPT 96411 | $114.65 | $379.00 | $44.93 – $284.25 | 25 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $110.21 | $328.00 | $35.09 – $246.00 | 25 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $1,009.45 – $2,440.42 | 6 |
| Ghs community re-entry 15 minutes CPT 97537 | $22.54 | $115.00 | $23.00 – $241.00 | 14 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $21.86 | $63.00 | $15.21 – $47.25 | 25 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $643.13 | $1,426.00 | $460.08 – $1,217.87 | 25 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $180.89 | $598.00 | $101.17 – $448.50 | 25 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $7.29 | $21.00 | $6.98 – $15.75 | 25 |
| Ghs fish cytogen CPT 88271 | $21.94 | $104.00 | $21.42 – $78.00 | 25 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $52.12 | $247.00 | $51.19 – $185.25 | 25 |
| Ghs flow volume loop CPT 94375 | $21.32 | $410.00 | $131.29 – $547.63 | 25 |
| Ghs hcv amplificaiton CPT 87521 | $35.62 | $106.00 | $35.09 – $79.50 | 25 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $16.31 | $47.00 | $15.49 – $35.25 | 25 |
| Ghs histoplasma antigen CPT 87385 | $51.07 | $152.00 | $13.25 – $114.00 | 25 |
| Ghs HIV antibody CPT 86703 | $14.57 | $42.00 | $13.71 – $31.50 | 25 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Ghs immun0electrophoresis CPT 86320 | $31.23 | $90.00 | $29.92 – $67.50 | 25 |
| Ghs inf midline insertion CPT 36140 | $601.18 | $1,333.00 | $266.60 – $4,018.00 | 15 |
| Ghs inhibitor screen CPT 85335 | $62.33 | $225.00 | $12.87 – $29.25 | 25 |
| Ghs insertion of needle - bone CPT 36680 | $182.52 | $585.00 | $195.91 – $701.75 | 25 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $39.69 | $88.00 | $17.60 – $4,018.00 | 15 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $7.20 | $26.00 | $8.60 – $19.50 | 25 |
| Ghs mbp CPT 83873 | $12.35 | $63.00 | $17.20 – $47.25 | 25 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $223.72 | $505.00 | $101.00 – $378.75 | 14 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $223.72 | $505.00 | $101.00 – $534.72 | 14 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $245.86 | $555.00 | $111.00 – $436.86 | 14 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $112.97 | $255.00 | $51.00 – $191.25 | 14 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $112.97 | $255.00 | $51.00 – $331.30 | 14 |
| Ghs myocardial strain img spckl track CPT 93356 | $105.29 | $428.00 | $67.87 – $2,128.00 | 14 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $980.93 | $2,175.00 | $290.00 – $2,240.74 | 16 |
| Ghs nerve blk intercostal, single level CPT 64420 | $784.29 | $1,739.00 | $231.80 – $2,083.00 | 16 |
| Ghs ng placement w fluoro guidance CPT 43752 | $404.55 | $897.00 | $195.91 – $701.75 | 25 |
| Ghs o2 saturation CPT 82810 | $5.88 | $30.00 | $9.77 – $22.50 | 25 |
| Ghs opcc repair cvp without subq port CPT 36575 | $779.33 | $1,728.00 | $392.67 – $1,296.00 | 25 |
| Ghs ot prosthetic training/15 min CPT 97761 | $25.68 | $131.00 | $26.20 – $241.00 | 14 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $29.99 | $153.00 | $30.60 – $241.00 | 14 |
| Ghs ot work hardening-additional hours CPT 97546 | $38.41 | $222.00 | $44.40 – $241.00 | 14 |
| Ghs pacing - transcutaneous CPT 92953 | $340.08 | $1,090.00 | $381.50 – $1,150.79 | 25 |
| Ghs phenylketonurid CPT 84030 | $3.33 | $17.00 | $5.50 – $12.75 | 25 |
| Ghs picc line insert < 5 CPT 36568 | $956.12 | $2,120.00 | $742.00 – $2,731.89 | 25 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $11.76 | $60.00 | $9.66 – $45.00 | 25 |
| Ghs protoporphyrins fract CPT 84202 | $21.76 | $111.00 | $14.35 – $83.25 | 25 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $76.64 | $443.00 | $81.00 – $332.25 | 14 |
| Ghs quinidine CPT 80194 | $11.76 | $60.00 | $14.60 – $45.00 | 25 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $24.98 | $72.00 | $15.89 – $54.00 | 25 |
| Ghs reticulocyte count CPT 85044 | $3.60 | $13.00 | $4.31 – $9.75 | 25 |
| Ghs sedimentation rate CPT 85651 | $3.60 | $13.00 | $4.27 – $9.75 | 25 |
| Ghs sensitivity (per antimicro) CPT 87184 | $7.73 | $23.00 | $7.48 – $17.25 | 25 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $96.30 | $300.00 | $60.00 – $442.73 | 14 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $94.80 | $400.00 | $80.00 – $470.96 | 14 |
| Ghs st - re-eval for alt comm CPT 92597 | $133.43 | $563.00 | $81.00 – $422.25 | 14 |
| Ghs urine, porphyrins quant CPT 84120 | $12.15 | $62.00 | $14.71 – $46.50 | 25 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $467.06 | $1,544.00 | $353.64 – $1,158.00 | 25 |
| Giardia ag if CPT 87269 | $20.50 | $61.00 | $13.61 – $45.75 | 25 |
| Giardia lamblia antibody CPT 86674 | $23.25 | $67.00 | $14.72 – $50.25 | 25 |
| Gi inhouse confirmation CPT 87045 | $21.17 | $63.00 | $9.44 – $21.75 | 25 |
| Glucagon plasma - sendout CPT 82943 | $13.13 | $67.00 | $14.29 – $50.25 | 25 |
| Glucose 1 hr post dose CPT 82950 | $2.94 | $15.00 | $4.75 – $11.25 | 25 |
| Glucose body fluid CPT 82945 | $11.96 | $61.00 | $3.93 – $9.00 | 25 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $7.64 | $39.00 | $12.87 – $29.25 | 25 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $2.35 | $12.00 | $3.92 – $9.00 | 25 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $11.37 | $58.00 | $18.58 – $42.00 | 25 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $11.37 | $58.00 | $18.52 – $42.75 | 25 |
| Graft axiofill 1000mg HCPCS J3590 | $14.91 | $49.30 | $0.97 – $5.07 | 11 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $38.63 | $136.50 | $14.80 – $168.70 | 13 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $29,750.09 | $105,124.00 | $539.00 – $6,374.42 | 15 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $16,734.92 | $59,134.00 | $118.80 – $3,763.26 | 15 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $592.46 | $2,093.50 | $67.05 – $739.22 | 13 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $25.27 | $89.30 | $12.49 – $148.60 | 13 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $20,478.45 | $72,362.00 | $62.60 – $3,978.79 | 15 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,520.56 | $5,373.00 | $170.00 – $956.87 | 15 |
| Granulocyte pheresis ea unit HCPCS P9050 | $1,023.15 | $5,385.00 | $325.00 – $4,038.75 | 15 |
| G-tube reposition CPT 43761 | $604.79 | $1,341.00 | $192.95 – $1,005.75 | 25 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,164.93 | $2,583.00 | $360.00 – $1,937.25 | 25 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,973.53 | $13,895.00 | $33.20 – $1,084.14 | 15 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,306.47 | $6,105.00 | $62.60 – $234.75 | 15 |
| Gw stiffened micro access kit HCPCS C1894 | $2,441.44 | $8,627.00 | $19.20 – $176.93 | 15 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $33.12 | $169.00 | $33.80 – $241.00 | 14 |
| Hand X-ray CPT 73130 | $111.60 | $360.00 | $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.