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 |
|---|---|---|---|---|
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $21.86 | $63.00 | $20.81 – $47.25 | 25 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $12.49 | $36.00 | $11.98 – $27.00 | 25 |
| Immunodiffusion nes CPT 86329 | $19.08 | $55.00 | $14.05 – $32.25 | 25 |
| Immunofixation electrophoresis serum CPT 86334 | $49.27 | $142.00 | $22.34 – $51.00 | 25 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $106.80 | $400.00 | $80.00 – $300.00 | 14 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $140.44 | $526.00 | $176.74 – $394.50 | 25 |
| Immunoglobulin assay CPT 86023 | $81.89 | $236.00 | $12.46 – $177.00 | 25 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $30,989.63 | $109,504.00 | $31.80 – $1,267.51 | 15 |
| Implant cochlear osia osi300 HCPCS L8690 | $9,917.45 | $35,044.00 | $118.80 – $19,632.49 | 15 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $3,741.03 – $4,466.49 | 6 |
| Implant ureth bulk agent HCPCS L8606 | $1,727.71 | $6,105.00 | $33.20 – $1,214.20 | 15 |
| In-111 autol wbc diag per dose HCPCS A9570 | $1,007.72 | $3,159.00 | $1,031.39 – $2,369.25 | 25 |
| In-111 pentetreotide HCPCS A9572 | $2,821.24 | $8,844.00 | $1,914.61 – $6,633.00 | 25 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,048.58 | $2,325.00 | $360.00 – $2,849.35 | 25 |
| Incision of achilles tendon CPT 27606 | not published | not published | $2,052.04 – $2,440.42 | 6 |
| Incision of foot fascia CPT 28008 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $1,009.45 – $3,268.08 | 6 |
| Incision of heel bone CPT 28300 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Incision of metatarsal CPT 28306 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Incision of metatarsal CPT 28308 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Incisn of toe tndn CPT 28010 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Infect ag drug suscept pheno predict CPT 87900 | $131.71 | $392.00 | $130.35 – $294.00 | 25 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $259.73 | $773.00 | $257.45 – $579.75 | 25 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $259.73 | $773.00 | $257.45 – $579.75 | 25 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $130.03 | $387.00 | $128.73 – $290.25 | 25 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $259.73 | $773.00 | $257.45 – $579.75 | 25 |
| Infect ag ia optc obs influenza CPT 87804 | $16.80 | $50.00 | $16.55 – $37.50 | 25 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $20.16 | $60.00 | $11.98 – $45.00 | 25 |
| Infect ag if influenza a CPT 87276 | $20.16 | $60.00 | $16.07 – $45.00 | 25 |
| Infect ag if influenza b CPT 87275 | $20.16 | $60.00 | $12.25 – $45.00 | 25 |
| Infect ag if legionella pneumophila CPT 87278 | $15.79 | $47.00 | $15.60 – $35.25 | 25 |
| Infect ag if pneumocystis carinii CPT 87281 | $25.54 | $76.00 | $11.98 – $27.00 | 25 |
| Infect ag if varicella zoster CPT 87290 | $20.16 | $60.00 | $13.42 – $45.00 | 25 |
| Infect ag na hep b amp CPT 87516 | $45.36 | $135.00 | $35.09 – $101.25 | 25 |
| Infect ag na herpes simplex quant CPT 87530 | $43.34 | $129.00 | $42.84 – $96.75 | 25 |
| Infect ag na hpv high-risk types CPT 87624 | $35.62 | $106.00 | $35.09 – $79.50 | 25 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $100.46 | $299.00 | $51.31 – $224.25 | 25 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $420.34 | $1,251.00 | $416.78 – $938.25 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $20.16 | $60.00 | $11.98 – $45.00 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $12.10 | $36.00 | $11.98 – $27.00 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $24.86 | $74.00 | $14.38 – $33.00 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $77.62 | $231.00 | $10.33 – $100.50 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $28.56 | $85.00 | $10.33 – $44.25 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $29.23 | $87.00 | $24.08 – $65.25 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $52.75 | $157.00 | $11.98 – $27.00 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $12.10 | $36.00 | $11.98 – $27.00 | 25 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $21.50 | $64.00 | $11.98 – $48.00 | 25 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $141.46 | $421.00 | $35.09 – $79.50 | 25 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $38.64 | $115.00 | $35.09 – $79.50 | 25 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $37.63 | $112.00 | $37.27 – $84.00 | 25 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $420.34 | $1,251.00 | $416.78 – $938.25 | 25 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $35.62 | $106.00 | $35.09 – $79.50 | 25 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $42.34 | $126.00 | $41.68 – $94.50 | 25 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $35.62 | $106.00 | $35.09 – $79.50 | 25 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $51.74 | $154.00 | $51.31 – $115.50 | 25 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $32.26 | $96.00 | $32.26 – $235.34 | 25 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $35.62 | $106.00 | $35.09 – $79.50 | 25 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $37.30 | $111.00 | $35.09 – $79.50 | 25 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $420.34 | $1,251.00 | $416.78 – $938.25 | 25 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $92.40 | $275.00 | $42.84 – $96.75 | 25 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $43.34 | $129.00 | $42.84 – $96.75 | 25 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $49.39 | $147.00 | $42.84 – $96.75 | 25 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $86.02 | $256.00 | $85.10 – $192.00 | 25 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $143.81 | $428.00 | $142.63 – $321.00 | 25 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $76.66 | $296.00 | $99.46 – $357.69 | 25 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $209.72 | $465.00 | $62.00 – $4,018.00 | 15 |
| Inj dx for sinogram CPT 20501 | $123.12 | $273.00 | $39.34 – $4,018.00 | 13 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $288.19 | $639.00 | $85.20 – $4,018.00 | 15 |
| Injection during cath supravalvular aortography CPT 93567 | $299.80 | $1,499.00 | $299.80 – $12,389.00 | 14 |
| Injection epidural blood patch or clot CPT 62273 | $641.32 | $1,422.00 | $460.08 – $1,217.87 | 25 |
| Injection for arthrography wrist (both sides) CPT 25246 | $323.37 | $717.00 | $95.60 – $4,018.00 | 15 |
| Injection for bladder x-ray CPT 51600 | $230.01 | $510.00 | $102.00 – $4,018.00 | 15 |
| Injection for hip x-ray CPT 27095 | $348.62 | $773.00 | $103.00 – $4,018.00 | 15 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $313.90 | $696.00 | $92.80 – $4,018.00 | 15 |
| Injection for ureter x-ray CPT 50684 | $144.32 | $320.00 | $42.60 – $4,018.00 | 15 |
| Injection into brain canal CPT 61055 | $455.96 | $1,011.00 | $189.35 – $758.25 | 25 |
| Injection jugular CPT 36299 | $218.74 | $485.00 | $97.00 – $4,018.00 | 15 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $670.64 | $1,487.00 | $198.20 – $4,018.00 | 15 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,235.29 | $2,739.00 | $365.20 – $4,018.00 | 15 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,295.27 | $2,872.00 | $460.08 – $2,154.00 | 25 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,295.27 | $2,872.00 | $460.08 – $2,154.00 | 25 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $198.44 | $440.00 | $154.00 – $519.12 | 25 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $225.50 | $500.00 | $175.00 – $519.12 | 25 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $89.10 | $275.00 | $55.00 – $1,910.00 | 15 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $906.96 | $2,011.00 | $460.08 – $1,508.25 | 25 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $906.96 | $2,011.00 | $596.28 – $1,565.67 | 25 |
| Inj for ext venography CPT 36005 | $328.33 | $728.00 | $97.00 – $4,018.00 | 15 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $328.80 | $1,644.00 | $328.80 – $12,389.00 | 14 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $274.00 | $1,370.00 | $274.00 – $12,389.00 | 14 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $888.92 | $1,971.00 | $262.80 – $4,018.00 | 15 |
| Inj proc myelogram lumbar CPT 62284 | $457.76 | $1,015.00 | $203.00 – $4,018.00 | 15 |
| Inj proc sialogram CPT 42550 | $214.68 | $476.00 | $95.20 – $4,018.00 | 15 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $0.62 | $4.90 | $0.10 – $0.84 | 25 |
| Inj retro urethrocysto CPT 51610 | $116.81 | $259.00 | $51.80 – $4,018.00 | 15 |
| Inj w/fluor eval cv device CPT 36598 | $312.99 | $694.00 | $147.54 – $520.50 | 25 |
| Ins cath ren art 1st bi CPT 36252 | $3,564.70 | $7,904.00 | $468.22 – $5,928.00 | 25 |
| Ins cath ren art 1st uni CPT 36251 | $2,745.69 | $6,088.00 | $468.22 – $5,535.21 | 25 |
| Ins cath ren art 2nd+ bi CPT 36254 | $4,588.47 | $10,174.00 | $468.22 – $7,630.50 | 25 |
| Ins cath ren art 2nd+ uni CPT 36253 | $3,516.90 | $7,798.00 | $468.22 – $9,506.48 | 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.