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 mgle voltage-gated calcium channel antibody each CPT 86596 | $154.07 | $444.00 | $12.05 – $333.00 | 25 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $24.29 | $70.00 | $18.40 – $52.50 | 25 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $21.86 | $63.00 | $14.55 – $33.00 | 25 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $98.00 | $500.00 | $18.64 – $42.00 | 25 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $201.60 | $661.00 | $137.00 – $308.25 | 25 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $272.36 | $893.00 | $185.20 – $669.75 | 25 |
| Mayo muramidase CPT 85549 | $15.79 | $57.00 | $18.75 – $42.75 | 25 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $19.78 | $57.00 | $18.40 – $42.75 | 25 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $10.78 | $55.00 | $18.05 – $41.25 | 25 |
| Mayo myoglobin CPT 83874 | $11.56 | $59.00 | $12.92 – $44.25 | 25 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $20.38 | $104.00 | $11.20 – $54.48 | 14 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $10.98 | $56.00 | $11.20 – $54.48 | 14 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $20.38 | $104.00 | $11.20 – $54.48 | 14 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $38.22 | $195.00 | $21.21 – $48.00 | 25 |
| Mayo organic acids qualitative each specimen CPT 83919 | $9.80 | $50.00 | $16.45 – $37.50 | 25 |
| Mayo oxalate 24 hour urine CPT 83945 | $21.36 | $109.00 | $14.45 – $50.25 | 25 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $20.38 | $104.00 | $11.53 – $78.00 | 25 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $21.51 | $62.00 | $15.03 – $46.50 | 25 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $182.17 | $525.00 | $12.05 – $27.75 | 25 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $19.67 | $71.00 | $17.98 – $53.25 | 25 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $12.35 | $63.00 | $13.76 – $47.25 | 25 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $12.15 | $62.00 | $8.44 – $46.50 | 25 |
| Mayo pregnenolone CPT 84140 | $12.35 | $63.00 | $20.67 – $47.25 | 25 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $11.56 | $59.00 | $16.59 – $44.25 | 25 |
| Mayo proinsulin CPT 84206 | $15.88 | $81.00 | $26.69 – $60.75 | 25 |
| Mayo psaft prostate specific antigen free CPT 84154 | $10.98 | $56.00 | $18.39 – $42.00 | 25 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $70.56 | $360.00 | $18.40 – $42.00 | 25 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $15.79 | $57.00 | $13.36 – $42.75 | 25 |
| Mayo receptor assay transferrin soluble CPT 84238 | $98.00 | $500.00 | $36.57 – $82.50 | 25 |
| Mayo renin CPT 84244 | $27.44 | $140.00 | $21.99 – $49.50 | 25 |
| Mayo repu protein electrophoresis urine CPT 84166 | $10.58 | $54.00 | $17.83 – $40.50 | 25 |
| Mayo selenium CPT 84255 | $15.09 | $77.00 | $25.53 – $57.75 | 25 |
| Mayo serotonin CPT 84260 | $18.23 | $93.00 | $30.98 – $69.75 | 25 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $24.64 | $71.00 | $19.35 – $53.25 | 25 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $11.17 | $57.00 | $13.73 – $42.75 | 25 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $129.08 | $372.00 | $20.95 – $184.50 | 14 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $21.51 | $62.00 | $4.27 – $39.00 | 25 |
| Mayo tau phosphorylated 217 each CPT 84393 | $88.40 | $451.00 | $21.52 – $262.50 | 14 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $307.14 | $1,007.00 | $208.92 – $755.25 | 25 |
| Mayo tgrp testosterone free CPT 84402 | $15.09 | $77.00 | $25.47 – $57.75 | 25 |
| Mayo tgrp testosterone total CPT 84403 | $15.29 | $78.00 | $25.81 – $58.50 | 25 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $21.95 | $112.00 | $22.17 – $84.00 | 25 |
| Mayo thyroglobulin CPT 84432 | $16.07 | $82.00 | $16.06 – $42.75 | 25 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $27.76 | $80.00 | $10.18 – $60.00 | 25 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $24.98 | $72.00 | $12.39 – $28.50 | 25 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $13.13 | $67.00 | $11.20 – $54.48 | 14 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $34.70 | $100.00 | $14.16 – $75.00 | 25 |
| Mayo vasoactive intestinal peptide CPT 84586 | $31.36 | $160.00 | $35.33 – $120.00 | 25 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $14.50 | $74.00 | $20.24 – $55.50 | 25 |
| Mayo vitamin b3 (niacin) CPT 84591 | $18.42 | $94.00 | $17.06 – $39.00 | 25 |
| Mayo vitamin k CPT 84597 | $16.66 | $85.00 | $13.72 – $63.75 | 25 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $15.48 | $79.00 | $13.25 – $59.25 | 25 |
| #mec-opiates CPT 80356 | $10.98 | $56.00 | $11.20 – $54.48 | 14 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $143.23 | $506.10 | $101.22 – $720.59 | 15 |
| Metabolic Blood Panel (Basic) CPT 80048 | $87.42 | $446.00 | $8.46 – $334.50 | 25 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $154.64 | $789.00 | $10.56 – $591.75 | 25 |
| Methotrexate therapeutic drug level CPT 80204 | $22.74 | $116.00 | $38.57 – $87.00 | 25 |
| Methylphenidate CPT 80360 | $13.13 | $67.00 | $13.40 – $54.48 | 14 |
| Mgmt promoter methylation analysis CPT 81287 | $204.66 | $671.00 | $124.64 – $503.25 | 25 |
| Microdissection laser CPT 88380 | $92.38 | $346.00 | $40.40 – $278.80 | 14 |
| Microdissection manual CPT 88381 | $222.68 | $834.00 | $166.80 – $625.50 | 14 |
| Microsatellite instability CPT 81301 | $319.03 | $1,046.00 | $348.56 – $784.50 | 25 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $106.02 | $342.00 | $58.65 – $256.50 | 25 |
| Middle cerebral artery echo CPT 76821 | $156.41 | $399.00 | $79.00 – $299.25 | 25 |
| Mlh1 gene CPT 81288 | $282.74 | $927.00 | $192.32 – $695.25 | 25 |
| Mnl appl strs jt radiography CPT 77071 | $97.65 | $315.00 | $58.65 – $236.25 | 25 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $7,066.51 | $24,970.00 | $1,221.00 – $29,701.26 | 15 |
| Mopath procedure level 1 CPT 81400 | $94.25 | $309.00 | $63.96 – $231.75 | 25 |
| Mopath procedure level 3 CPT 81402 | $221.12 | $725.00 | $150.33 – $543.75 | 25 |
| Mopath procedure level 5 CPT 81404 | $404.12 | $1,325.00 | $274.83 – $993.75 | 25 |
| Mopath procedure level 6 CPT 81405 | $442.86 | $1,452.00 | $301.35 – $1,089.00 | 25 |
| Mopath procedure level 7 CPT 81406 | $588.96 | $1,931.00 | $282.88 – $1,448.25 | 25 |
| Mopath procedure level 8 CPT 81407 | $1,243.79 | $4,078.00 | $846.27 – $3,058.50 | 25 |
| Mopath procedure level 9 CPT 81408 | $2,939.28 | $9,637.00 | $2,000.00 – $7,227.75 | 25 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $338.56 | $1,268.00 | $108.14 – $951.00 | 25 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $203.45 | $762.00 | $126.04 – $632.61 | 25 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $124.96 | $468.00 | $108.14 – $301.36 | 25 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $53.67 | $201.00 | $40.20 – $161.99 | 14 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $408.24 | $1,529.00 | $108.14 – $1,146.75 | 25 |
| M/phmtrc alysishquant/semiq CPT 88369 | $99.59 | $373.00 | $74.60 – $279.75 | 14 |
| M/phmtrc alys skeletal musc CPT 88355 | $97.46 | $365.00 | $105.60 – $301.36 | 25 |
| MRA abdomen post contrast CPT 74185 | $1,005.51 | $3,324.00 | $443.20 – $1,662.00 | 15 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $814.03 | $2,691.00 | $358.80 – $1,385.41 | 15 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,133.77 | $3,748.00 | $499.60 – $1,873.50 | 15 |
| MRA pelvis CPT 72198 | $946.22 | $3,128.00 | $417.20 – $1,564.50 | 15 |
| MRA spinal canal CPT 72159 | $1,148.29 | $3,796.00 | $506.20 – $1,898.25 | 15 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,160.69 | $3,837.00 | $511.60 – $1,918.50 | 15 |
| MRI breast c- unilateral CPT 77046 | $423.79 | $1,944.00 | $166.84 – $1,458.00 | 15 |
| MRI breast c-+ w/cad uni CPT 77048 | $635.69 | $2,916.00 | $583.20 – $2,187.00 | 15 |
| MRI breast without cont bi CPT 77047 | $635.69 | $2,916.00 | $166.84 – $2,187.00 | 25 |
| MRI breast w IV cont bi CPT 77049 | $953.53 | $4,374.00 | $874.80 – $3,280.50 | 15 |
| MRI chest without contrast CPT 71550 | $372.34 | $1,708.00 | $166.84 – $1,281.00 | 25 |
| MRI chest without & w/contrast CPT 71552 | $558.52 | $2,562.00 | $266.89 – $1,921.50 | 25 |
| MRI chest w IV cont CPT 71551 | $465.43 | $2,135.00 | $518.51 – $1,601.25 | 25 |
| MRI guid ndl plc s&i CPT 77021 | $495.95 | $2,275.00 | $455.00 – $1,706.25 | 14 |
| MRI loex nonjt w IV cont CPT 73719 | $568.76 | $2,609.00 | $241.82 – $1,956.75 | 15 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $454.97 | $2,087.00 | $166.84 – $1,565.25 | 15 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $682.56 | $3,131.00 | $266.89 – $2,348.25 | 15 |
| MRI orbit fac&nck w IV cont CPT 70542 | $455.20 | $2,543.00 | $266.89 – $1,907.25 | 25 |
| MRI tmj CPT 70336 | $541.29 | $2,483.00 | $166.84 – $1,241.25 | 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.