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 |
|---|---|---|---|---|
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $30.97 | $158.00 | $22.00 – $82.50 | 14 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $81.54 | $416.00 | $12.20 – $74.35 | 14 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $11.17 | $57.00 | $14.78 – $42.75 | 25 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $31.36 | $160.00 | $32.00 – $129.12 | 14 |
| Mayo alpha 1 antitrypsin CPT 82103 | $11.56 | $59.00 | $13.44 – $30.75 | 25 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $12.15 | $62.00 | $15.08 – $34.50 | 25 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $30.58 | $156.00 | $11.20 – $54.48 | 14 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $178.73 | $586.00 | $121.63 – $439.50 | 25 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $134.81 | $442.00 | $91.66 – $331.50 | 25 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,704.64 | $5,589.00 | $1,160.00 – $4,191.75 | 25 |
| Mayo androstenedione CPT 82157 | $17.25 | $88.00 | $29.28 – $66.00 | 25 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $11.96 | $61.00 | $14.60 – $45.75 | 25 |
| Mayo antithrombin iii antigen CPT 85301 | $19.11 | $69.00 | $10.81 – $51.75 | 25 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $19.08 | $55.00 | $15.05 – $41.25 | 25 |
| Mayo avwpr vw factor activity CPT 85397 | $45.43 | $164.00 | $30.86 – $123.00 | 25 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $34.10 | $174.00 | $11.20 – $54.48 | 14 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $21.51 | $62.00 | $10.18 – $46.50 | 25 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $212.89 | $698.00 | $144.84 – $523.50 | 25 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $315.68 | $1,035.00 | $214.62 – $776.25 | 25 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $27.07 | $78.00 | $12.90 – $58.50 | 25 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $10.98 | $56.00 | $11.20 – $54.48 | 14 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $24.29 | $70.00 | $13.19 – $52.50 | 25 |
| Mayo brcmg brucella antibody igm CPT 86622 | $23.25 | $67.00 | $8.93 – $50.25 | 25 |
| Mayo c1 esterase inhibitor CPT 83883 | $14.11 | $72.00 | $13.60 – $30.75 | 25 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $16.46 | $84.00 | $11.20 – $54.48 | 14 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $22.54 | $115.00 | $16.87 – $38.25 | 25 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $28.11 | $81.00 | $26.78 – $60.75 | 25 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $111.94 | $367.00 | $122.22 – $275.25 | 25 |
| Mayo ceruloplasmin CPT 82390 | $10.39 | $53.00 | $10.74 – $39.75 | 25 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $13.72 | $70.00 | $14.12 – $32.25 | 25 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $83.28 | $240.00 | $12.88 – $49.50 | 25 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $28.11 | $81.00 | $11.82 – $45.75 | 25 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $21.17 | $61.00 | $12.68 – $45.75 | 25 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $118.58 | $562.00 | $116.49 – $421.50 | 25 |
| Mayo chromium CPT 82495 | $11.96 | $61.00 | $20.28 – $45.75 | 25 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $29.20 | $149.00 | $11.20 – $54.48 | 14 |
| Mayo coccidioides antibody CPT 86635 | $52.74 | $152.00 | $11.47 – $41.25 | 25 |
| Mayo cocou cortisone urine CPT 82542 | $178.16 | $909.00 | $24.09 – $54.75 | 25 |
| Mayo cortisol free CPT 82530 | $10.78 | $55.00 | $16.71 – $41.25 | 25 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $44.07 | $127.00 | $42.13 – $95.25 | 25 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $19.78 | $57.00 | $12.12 – $42.75 | 25 |
| Mayo cyanide CPT 82600 | $15.29 | $78.00 | $19.40 – $58.50 | 25 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $127.23 | $603.00 | $108.14 – $452.25 | 25 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $13.88 | $40.00 | $13.25 – $30.00 | 25 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $14.90 | $76.00 | $25.27 – $57.00 | 25 |
| Mayo dihydrotestosterone CPT 82642 | $17.25 | $88.00 | $12.68 – $66.00 | 25 |
| Mayo efpo chloride stool CPT 82438 | $11.37 | $58.00 | $5.00 – $11.25 | 25 |
| Mayo estriol CPT 82677 | $14.31 | $73.00 | $24.18 – $54.75 | 25 |
| Mayo estrone CPT 82679 | $14.70 | $75.00 | $24.95 – $56.25 | 25 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $20.97 | $107.00 | $16.34 – $80.25 | 25 |
| Mayo everolimus therapeutic drug level CPT 80169 | $11.76 | $60.00 | $13.73 – $45.00 | 25 |
| Mayo factor ii CPT 85210 | $17.73 | $64.00 | $12.98 – $48.00 | 25 |
| Mayo factor v CPT 85220 | $20.78 | $75.00 | $17.65 – $56.25 | 25 |
| Mayo factor vii CPT 85230 | $21.05 | $76.00 | $17.90 – $57.00 | 25 |
| Mayo factor viii vw factor antigen CPT 85246 | $20.50 | $74.00 | $22.94 – $55.50 | 25 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $19.11 | $69.00 | $22.94 – $51.75 | 25 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $24.10 | $87.00 | $22.94 – $55.50 | 25 |
| Mayo factor x CPT 85260 | $21.05 | $76.00 | $17.90 – $40.50 | 25 |
| Mayo factor xi CPT 85270 | $19.11 | $69.00 | $17.90 – $51.75 | 25 |
| Mayo fat/lipids feces quantitative CPT 82710 | $10.00 | $51.00 | $16.80 – $38.25 | 25 |
| Mayo fbl culture fungi blood CPT 87103 | $23.18 | $69.00 | $20.46 – $51.75 | 25 |
| Mayo ffspg allergen clam igg CPT 86001 | $8.33 | $24.00 | $7.82 – $18.00 | 25 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $15.09 | $77.00 | $21.67 – $57.75 | 25 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $905.85 | $2,970.00 | $10.20 – $652.67 | 14 |
| Mayo hemosiderin qualitative urine CPT 83070 | $10.00 | $51.00 | $4.75 – $38.25 | 25 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $36.29 | $108.00 | $35.09 – $79.50 | 25 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $40.99 | $122.00 | $35.09 – $91.50 | 25 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $23.60 | $68.00 | $13.79 – $47.25 | 25 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $58.30 | $168.00 | $25.81 – $126.00 | 25 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $26.37 | $76.00 | $8.89 – $57.00 | 25 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $30.54 | $88.00 | $13.52 – $66.00 | 25 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $16.07 | $82.00 | $27.17 – $61.50 | 25 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $127.40 | $650.00 | $17.27 – $39.00 | 25 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $49.27 | $142.00 | $14.99 – $38.25 | 25 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $21.86 | $63.00 | $20.81 – $47.25 | 25 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $26.02 | $75.00 | $20.81 – $56.25 | 25 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $21.84 | $65.00 | $16.07 – $48.75 | 25 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $51.07 | $152.00 | $11.98 – $114.00 | 25 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $46.70 | $139.00 | $35.09 – $79.50 | 25 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $35.62 | $106.00 | $35.09 – $79.50 | 25 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $35.62 | $106.00 | $35.09 – $79.50 | 25 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $141.46 | $421.00 | $35.09 – $315.75 | 25 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $43.34 | $129.00 | $42.84 – $96.75 | 25 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $101.87 | $334.00 | $72.19 – $250.50 | 25 |
| Mayo infliximab therapeutic drug level CPT 80230 | $52.14 | $266.00 | $38.57 – $199.50 | 25 |
| Mayo inhab inhibin a CPT 86336 | $26.72 | $77.00 | $15.59 – $42.75 | 25 |
| Mayo insft insulin free CPT 83527 | $15.48 | $79.00 | $12.95 – $59.25 | 25 |
| Mayo insulin antibodies CPT 86337 | $22.90 | $66.00 | $21.41 – $49.50 | 25 |
| Mayo iodine CPT 83789 | $14.31 | $73.00 | $24.11 – $54.75 | 25 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $25.68 | $131.00 | $27.11 – $98.25 | 25 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $16.07 | $82.00 | $27.11 – $61.50 | 25 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $12.94 | $66.00 | $13.25 – $49.50 | 25 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $11.56 | $59.00 | $12.79 – $44.25 | 25 |
| Mayo legionella antibody CPT 86713 | $24.98 | $72.00 | $15.30 – $54.00 | 25 |
| Mayo leptospira antibody igm CPT 86720 | $53.44 | $154.00 | $16.20 – $36.75 | 25 |
| Mayo lipoprotein electrophoresis CPT 83700 | $20.19 | $103.00 | $11.26 – $77.25 | 25 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $21.17 | $61.00 | $15.49 – $45.75 | 25 |
| Mayo manganese CPT 83785 | $15.68 | $80.00 | $26.65 – $60.00 | 25 |
| Mayo metanephrines plasma CPT 83835 | $12.94 | $66.00 | $16.94 – $49.50 | 25 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $54.68 | $279.00 | $11.20 – $70.28 | 14 |
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.