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 |
|---|---|---|---|---|
| Hand X-ray (2 views, both hands) CPT 73120 | $101.06 | $326.00 | $65.20 – $467.28 | 15 |
| Haptoglobin quantitative CPT 83010 | $11.56 | $59.00 | $12.58 – $39.75 | 25 |
| Hba1/hba2 full gene sequence CPT 81259 | $881.76 | $2,891.00 | $600.00 – $2,168.25 | 25 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $612.56 | $1,976.00 | $129.45 – $1,482.00 | 25 |
| Hcg qualitative CPT 84703 | $49.00 | $250.00 | $7.52 – $187.50 | 25 |
| Hcg quantitative CPT 84702 | $59.78 | $305.00 | $15.05 – $42.75 | 25 |
| Hc nm kidney imaging with flow CPT 78701 | $865.60 | $2,705.00 | $273.41 – $2,028.75 | 25 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $603.52 | $1,886.00 | $354.82 – $1,414.50 | 25 |
| Head CT scan (with and without contrast) CPT 70470 | $470.73 | $2,439.00 | $129.45 – $1,829.25 | 25 |
| Head CT scan (with contrast) CPT 70460 | $392.37 | $2,033.00 | $129.45 – $1,524.75 | 25 |
| Head CT scan (without contrast) CPT 70450 | $313.82 | $1,626.00 | $79.00 – $1,219.50 | 25 |
| Heart first pass add-on CPT 78496 | $403.20 | $1,260.00 | $101.21 – $945.00 | 14 |
| Heart image spect CPT 78494 | $401.28 | $1,254.00 | $273.41 – $940.50 | 25 |
| Heart infarct image CPT 78466 | $543.04 | $1,697.00 | $273.41 – $1,272.75 | 25 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $88.97 | $287.00 | $57.40 – $347.17 | 15 |
| Helicobacter pylori antibody igm CPT 86677 | $27.07 | $78.00 | $16.85 – $58.50 | 25 |
| Hematocrit CPT 85014 | $2.22 | $8.00 | $2.37 – $6.00 | 25 |
| Hemodialysis one evaluation CPT 90935 | $505.02 | $2,215.00 | $474.40 – $1,661.25 | 25 |
| Hemoglobin CPT 85018 | $15.51 | $56.00 | $2.37 – $6.00 | 25 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $11.56 | $59.00 | $8.20 – $44.25 | 25 |
| Hemoglobin plasma CPT 83051 | $11.56 | $59.00 | $7.31 – $44.25 | 25 |
| Hemoglobin urine CPT 83069 | $2.35 | $12.00 | $3.95 – $9.00 | 25 |
| Hemolysins/agglutinins auto CPT 86940 | $170.03 | $490.00 | $8.77 – $367.50 | 25 |
| Hemolysins and agglutinins incubated CPT 86941 | $12.84 | $37.00 | $12.11 – $27.75 | 25 |
| Hemophilus influenza antibdy CPT 86684 | $21.51 | $62.00 | $15.84 – $46.50 | 25 |
| Heparin assay CPT 85520 | $96.95 | $350.00 | $13.09 – $262.50 | 25 |
| Heparin bolus from bag HCPCS J1644 | $2.12 | $62.50 | $0.22 – $46.88 | 15 |
| Heparin neutralization CPT 85525 | $9.97 | $36.00 | $11.84 – $27.00 | 25 |
| Heparin-protamine tolerance CPT 85530 | $11.08 | $40.00 | $13.09 – $30.00 | 25 |
| Hepatitis a antibody igm CPT 86709 | $58.30 | $168.00 | $11.26 – $126.00 | 25 |
| Hepatitis b core antibody igm CPT 86705 | $61.42 | $177.00 | $11.77 – $132.75 | 25 |
| Hepatitis b core antibody total CPT 86704 | $19.08 | $55.00 | $12.05 – $41.25 | 25 |
| Hepatitis b surface antibody CPT 86706 | $19.08 | $55.00 | $10.74 – $41.25 | 25 |
| Hepatitis c antibody CPT 86803 | $64.19 | $185.00 | $14.27 – $138.75 | 25 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Herpes simplex 1 ag if CPT 87274 | $20.16 | $60.00 | $11.98 – $45.00 | 25 |
| Herpes simplex 2 ag if CPT 87273 | $20.16 | $60.00 | $11.98 – $45.00 | 25 |
| Herpes simplex type 1 antibody igg CPT 86695 | $18.39 | $53.00 | $13.19 – $30.00 | 25 |
| Herpes simplex type 2 antibody igg CPT 86696 | $20.47 | $59.00 | $19.35 – $44.25 | 25 |
| Herpes simplex virus isolation CPT 87255 | $34.27 | $102.00 | $33.86 – $76.50 | 25 |
| Heterophile antibodies screening CPT 86308 | $5.55 | $16.00 | $5.18 – $12.00 | 25 |
| Hhv-6 dna quant CPT 87533 | $42.34 | $126.00 | $41.76 – $94.50 | 25 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $101.06 | $326.00 | $79.00 – $244.50 | 25 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $116.87 | $377.00 | $79.00 – $282.75 | 25 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $80.91 | $261.00 | $52.20 – $347.17 | 15 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Hip X-ray CPT 73502 | $98.27 | $317.00 | $58.65 – $347.17 | 15 |
| Histamine CPT 83088 | $17.44 | $89.00 | $29.53 – $66.75 | 25 |
| Histochemical stains add-on CPT 88314 | $92.92 | $348.00 | $22.59 – $261.00 | 15 |
| Hla class i high defin qual CPT 86832 | $337.28 | $972.00 | $323.75 – $729.00 | 25 |
| Hla class ii high defin qual CPT 86833 | $339.37 | $978.00 | $325.80 – $733.50 | 25 |
| Hla class i&ii antibody qual CPT 86828 | $66.97 | $193.00 | $64.19 – $144.75 | 25 |
| Hla class ii phenotype qual CPT 86831 | $85.36 | $246.00 | $81.88 – $184.50 | 25 |
| Hla class i phenotype qual CPT 86830 | $99.59 | $287.00 | $95.52 – $215.25 | 25 |
| Hla i & ii type verify lr CPT 81371 | $594.44 | $1,949.00 | $404.52 – $910.50 | 25 |
| Hla i & ii typing hr CPT 81378 | $316.28 | $1,037.00 | $345.57 – $777.75 | 25 |
| Hla i & ii typing lr CPT 81370 | $591.09 | $1,938.00 | $402.12 – $1,453.50 | 25 |
| Hla ii typing 1 loc hr CPT 81382 | $181.78 | $596.00 | $123.68 – $447.00 | 25 |
| Hla i low res one antigen equiv ea CPT 81374 | $109.50 | $359.00 | $74.33 – $167.25 | 25 |
| Hla i typing 1 locus hr CPT 81380 | $162.26 | $532.00 | $177.25 – $399.00 | 25 |
| Hla i typing complete hr CPT 81379 | $307.14 | $1,007.00 | $335.38 – $755.25 | 25 |
| Hla i typing complete lr CPT 81372 | $593.22 | $1,945.00 | $403.59 – $1,458.75 | 25 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $249.79 | $819.00 | $169.90 – $614.25 | 25 |
| Hla i typing low res one locus ea CPT 81373 | $187.27 | $614.00 | $127.43 – $460.50 | 25 |
| Hla typing dr/dq CPT 86816 | $31.58 | $91.00 | $30.17 – $68.25 | 25 |
| Hla x-math non-cytotoxic CPT 86825 | $114.16 | $329.00 | $109.49 – $246.75 | 25 |
| Homocysteine CPT 83090 | $11.37 | $58.00 | $17.92 – $43.50 | 25 |
| Homogenization tissue CPT 87176 | $6.05 | $18.00 | $5.88 – $13.50 | 25 |
| Homovanillic acid (hva) CPT 83150 | $13.33 | $68.00 | $22.41 – $51.00 | 25 |
| Hpv types 16 & 18 only CPT 87625 | $40.99 | $122.00 | $40.55 – $91.50 | 25 |
| H pylori (c-13) breath CPT 83013 | $39.79 | $203.00 | $67.36 – $152.25 | 25 |
| Human epididymis protein 4 (he4) CPT 86305 | $33.66 | $97.00 | $13.98 – $72.75 | 25 |
| Hysterosalpingography s&i CPT 74740 | $213.28 | $688.00 | $166.84 – $516.00 | 25 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $3,196.92 – $9,813.71 | 6 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $1,901.83 – $3,741.03 | 6 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $1,901.83 – $3,741.03 | 6 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $3,196.92 – $3,741.03 | 6 |
| I-123 ioflupane diag HCPCS A9584 | $2,480.48 | $7,775.80 | $1,388.02 – $5,831.85 | 25 |
| I131 iodide cap, rx HCPCS A9517 | $61.41 | $203.00 | $17.07 – $152.25 | 25 |
| Iaadi respiratory synctial virus CPT 87280 | $20.16 | $60.00 | $13.42 – $45.00 | 25 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $35.62 | $106.00 | $35.09 – $79.50 | 25 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $47.19 | $136.00 | $45.23 – $102.00 | 25 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $35,347.68 | $131,404.00 | $8,760.00 – $44,930.25 | 15 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $34,708.25 | $122,644.00 | $12,264.00 – $45,990.00 | 15 |
| Icd crtp serena MRI HCPCS C2621 | $11,783.28 | $43,804.00 | $1,221.00 – $18,445.05 | 15 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $9,297.68 | $32,854.00 | $539.00 – $43,304.34 | 15 |
| Ifnl3 gene CPT 81283 | $67.40 | $221.00 | $73.37 – $165.75 | 25 |
| Igh gene rearrange amp meth CPT 81261 | $290.97 | $954.00 | $197.99 – $715.50 | 25 |
| Igh@ var region somatic mutation analy CPT 81263 | $432.80 | $1,419.00 | $294.52 – $1,064.25 | 25 |
| Igk rearrangeabn clonal pop CPT 81264 | $254.06 | $833.00 | $172.73 – $624.75 | 25 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $72.36 | $271.00 | $54.20 – $203.25 | 14 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $203.45 | $762.00 | $211.16 – $632.61 | 25 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $97.46 | $365.00 | $108.14 – $301.36 | 25 |
| Iliac/fem angio cath insert HCPCS G0278 | $553.80 | $2,769.00 | $93.17 – $12,389.00 | 14 |
| Iliac revasc add-on 37222 CPT 37222 | $4,537.96 | $10,062.00 | $1,170.00 – $5,878.00 | 15 |
| Immune complex assay CPT 86332 | $25.68 | $74.00 | $24.37 – $55.50 | 25 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $21.86 | $63.00 | $20.81 – $47.25 | 25 |
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.