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 |
|---|---|---|---|---|
| Parathyroid planar img w/tomo spect CPT 78071 | $710.08 | $2,219.00 | $273.41 – $1,664.25 | 25 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Partial hysterectomy CPT 58180 | not published | not published | $6,739.00 – $9,813.71 | 2 |
| Partial removal foot fascia CPT 28060 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Partial removal of foot bone CPT 28288 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Partial removal of tibia CPT 27640 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Partial removal of toe CPT 28160 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Part removal of metatarsal CPT 28110 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Part removal of metatarsal CPT 28113 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Pdgfra gene CPT 81314 | $301.64 | $989.00 | $329.51 – $741.75 | 25 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $778.04 | $2,936.00 | $129.45 – $2,202.00 | 25 |
| Pelvic CT scan (with contrast) CPT 72193 | $648.46 | $2,447.00 | $129.45 – $1,835.25 | 25 |
| Pelvic CT scan (without contrast) CPT 72192 | $518.60 | $1,957.00 | $79.00 – $1,467.75 | 25 |
| Pelvic MRI (with and without contrast) CPT 72197 | $649.42 | $2,979.00 | $266.89 – $2,234.25 | 25 |
| Pelvic MRI (with contrast) CPT 72196 | $541.29 | $2,483.00 | $266.89 – $1,862.25 | 25 |
| Pelvic MRI (without contrast) CPT 72195 | $432.95 | $1,986.00 | $166.84 – $1,489.50 | 25 |
| Pelvic Ultrasound (complete) CPT 76856 | $303.41 | $774.00 | $79.00 – $580.50 | 25 |
| Pelvic Ultrasound (limited) CPT 76857 | $256.37 | $654.00 | $79.00 – $490.50 | 25 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $110.36 | $356.00 | $78.84 – $267.00 | 25 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $136.71 | $441.00 | $79.00 – $330.75 | 25 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $0.01 | $0.39 | $0.08 – $3.83 | 15 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $10,537.22 | $37,234.00 | $977.00 – $14,605.88 | 15 |
| Penile vascular study CPT 93980 | $263.57 | $1,006.00 | $79.00 – $754.50 | 25 |
| Penile vascular study CPT 93981 | $225.84 | $862.00 | $79.00 – $646.50 | 25 |
| Perc d-e cor revasc chro add HCPCS C9608 | $4,773.80 | $23,869.00 | $936.00 – $44,521.00 | 15 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $6,364.80 | $31,824.00 | $8,481.00 – $31,578.74 | 25 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $4,251.80 | $21,259.00 | $936.00 – $15,944.25 | 15 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $5,669.00 | $28,345.00 | $7,281.13 – $21,258.75 | 25 |
| Perc d-e cor stent ather s HCPCS C9602 | $6,358.40 | $31,792.00 | $8,481.00 – $31,578.74 | 25 |
| Perc drug-el cor stent bran HCPCS C9601 | $4,251.80 | $21,259.00 | $1,170.00 – $15,944.25 | 15 |
| Perc drug-el cor stent sing HCPCS C9600 | $5,669.00 | $28,345.00 | $7,281.13 – $21,258.75 | 25 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $1,080.60 | $2,396.00 | $479.20 – $4,640.00 | 15 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,125.70 | $2,496.00 | $873.60 – $2,731.89 | 25 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $1,901.83 – $5,254.47 | 6 |
| Pertussis ag if CPT 87265 | $12.10 | $36.00 | $11.98 – $27.00 | 25 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $38,426.87 | $135,784.00 | $62.60 – $5,309.38 | 15 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Ph body fluid CPT 83986 | $20.38 | $104.00 | $3.58 – $38.25 | 25 |
| Phencyclidine (pcp) CPT 83992 | $13.13 | $67.00 | $1.94 – $76.42 | 15 |
| Phenobarbital therapeutic drug level CPT 80184 | $11.56 | $59.00 | $15.30 – $39.75 | 25 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | $0.10 | $0.01 – $0.08 | 15 |
| Phenytoin total therapeutic drug level CPT 80185 | $10.39 | $53.00 | $13.25 – $39.75 | 25 |
| Phlebotomy therapeutic CPT 99195 | $252.72 | $780.00 | $81.16 – $585.00 | 25 |
| Phosphorus CPT 84100 | $23.72 | $121.00 | $4.74 – $90.75 | 25 |
| Phosphorus 24 hour urine CPT 84105 | $14.50 | $74.00 | $5.78 – $13.50 | 25 |
| Photopheresis CPT 36522 | $3,101.98 | $6,878.00 | $2,407.30 – $8,239.36 | 25 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $122.15 | $522.00 | $81.00 – $397.42 | 14 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $73.48 | $314.00 | $62.80 – $397.42 | 14 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $97.58 | $417.00 | $81.00 – $397.42 | 14 |
| Physical Therapy Re-Evaluation CPT 97164 | $63.65 | $272.00 | $54.40 – $270.15 | 14 |
| Pik3ca gene trgt seq alys CPT 81309 | $251.62 | $825.00 | $274.83 – $618.75 | 25 |
| Pin caspar distraction 12mm HCPCS C1821 | $9,917.45 | $35,044.00 | $977.00 – $3,663.75 | 15 |
| Pinworm exam CPT 87172 | $4.37 | $13.00 | $4.27 – $9.75 | 25 |
| Place duod/jej tube perc CPT 49441 | $1,370.59 | $3,039.00 | $1,063.65 – $3,336.05 | 25 |
| Place gastrostomy tube perc CPT 49440 | $1,149.60 | $2,549.00 | $892.15 – $3,336.05 | 25 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,528.76 | $5,607.00 | $747.60 – $11,751.00 | 15 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $319.76 | $709.00 | $141.80 – $2,114.00 | 14 |
| Place non-slctv cath thoracic arta CPT 36221 | $2,545.90 | $5,645.00 | $468.22 – $5,535.21 | 25 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $6,000.56 | $13,305.00 | $468.22 – $6,652.50 | 15 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $83.98 | $442.00 | $47.63 – $331.50 | 25 |
| Platelet aggregation each agent teg CPT 85576 | $62.88 | $227.00 | $24.91 – $56.25 | 25 |
| Platelet automated CPT 85049 | $3.88 | $14.00 | $4.48 – $10.50 | 25 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $138.89 | $731.00 | $245.62 – $856.61 | 25 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $177.46 | $934.00 | $264.43 – $1,188.21 | 25 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $356.25 | $1,875.00 | $325.00 – $1,314.00 | 25 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $2,074.60 | $4,600.00 | $1,610.00 – $6,206.21 | 25 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,257.57 | $7,223.00 | $963.00 – $15,138.00 | 15 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $4,555.55 | $10,101.00 | $1,346.80 – $15,138.00 | 15 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $641.32 | $1,422.00 | $450.93 – $1,237.34 | 25 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $326.98 | $725.00 | $104.47 – $4,018.00 | 13 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $24.65 | $474.00 | $159.26 – $547.63 | 25 |
| Plmt access bil tree sm bwl CPT 47541 | $2,254.55 | $4,999.00 | $1,749.65 – $10,973.24 | 25 |
| Plmt biliary drainage cath CPT 47534 | $2,567.99 | $5,694.00 | $1,992.90 – $6,206.21 | 25 |
| Plmt nephroureteral catheter CPT 50433 | $3,000.95 | $6,654.00 | $887.20 – $11,751.00 | 15 |
| Plmt ureteral stent prq CPT 50694 | $4,252.03 | $9,428.00 | $1,257.00 – $15,138.00 | 15 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $63.11 | $322.00 | $26.07 – $59.25 | 25 |
| Potassium 24 hour urine CPT 84133 | $13.72 | $70.00 | $4.73 – $41.25 | 25 |
| Potassium serum/plasma/whole blood CPT 84132 | $23.52 | $120.00 | $4.76 – $44.25 | 25 |
| Pq dr cath chg w cont s&i CPT 75984 | $262.88 | $848.00 | $158.58 – $636.00 | 14 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $3,607.55 | $7,999.00 | $2,799.65 – $12,562.98 | 25 |
| Pq thr inj ext pse CPT 36002 | $520.90 | $1,155.00 | $154.00 – $4,018.00 | 15 |
| Pr application splint static short arm CPT 29125 | $102.12 | $521.00 | $69.40 – $338.82 | 15 |
| Pr biopsy skin punch single lesion CPT 11104 | not published | not published | $250.73 – $267.41 | 6 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Pr correction hammertoe CPT 28285 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $1,328.19 | $2,945.00 | $589.00 – $4,640.00 | 15 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,170.35 | $2,595.00 | $519.00 – $11,454.85 | 15 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Prealbumin CPT 84134 | $10.58 | $54.00 | $14.59 – $40.50 | 25 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $281.46 | $718.00 | $79.00 – $538.50 | 25 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $209.72 | $535.00 | $79.00 – $401.25 | 25 |
| Pregnancy Ultrasound (limited) CPT 76815 | $197.96 | $505.00 | $79.00 – $378.75 | 25 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $380.02 – $3,268.08 | 6 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $1,243.64 – $3,268.08 | 6 |
| Pressure velocity wire add ves CPT 93572 | $577.60 | $2,888.00 | $577.60 – $12,389.00 | 14 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $126.65 | $365.00 | $1.78 – $301.36 | 25 |
| Pretreat rbc absorption reference CPT 86978 | $96.12 | $277.00 | $1.78 – $207.75 | 25 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $50.55 | $150.00 | $1.49 – $112.50 | 25 |
| Pretreat rbc w enzyme reference CPT 86971 | $147.27 | $437.00 | $1.19 – $327.75 | 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.