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 |
|---|---|---|---|---|
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $1,020.08 – $2,440.42 | 6 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $1,020.08 – $2,440.42 | 6 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $250.73 – $2,440.42 | 6 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $8,960.92 | $19,869.00 | $2,649.20 – $15,138.00 | 15 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $2,462.46 | $5,460.00 | $1,092.00 – $4,909.22 | 15 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $204.07 – $3,268.08 | 6 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $245.86 | $555.00 | $71.23 – $416.25 | 14 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,271.93 – $3,268.08 | 6 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $11,248.70 | $52,564.00 | $117.60 – $1,642.27 | 15 |
| Procalcitonin CPT 84145 | $40.38 | $206.00 | $27.22 – $154.50 | 25 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $575.40 – $2,440.42 | 6 |
| Progesterone CPT 84144 | $12.35 | $63.00 | $20.86 – $47.25 | 25 |
| Prolactin CPT 84146 | $11.56 | $59.00 | $19.38 – $44.25 | 25 |
| _propoxygc/msur CPT 80367 | $10.98 | $56.00 | $11.20 – $54.48 | 14 |
| Prostate biopsy, any mthd HCPCS G0416 | $246.17 | $922.00 | $132.86 – $691.50 | 25 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $3,200.08 – $4,620.72 | 6 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $1,901.19 | $6,718.00 | $539.00 – $4,329.34 | 15 |
| Protein c activity CPT 85303 | $11.63 | $42.00 | $13.84 – $31.50 | 25 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $14.11 | $72.00 | $10.74 – $54.00 | 25 |
| Protein s total CPT 85305 | $17.73 | $64.00 | $11.61 – $43.50 | 25 |
| Protein total 24 hour urine CPT 84156 | $10.98 | $56.00 | $3.67 – $9.00 | 25 |
| Protein total body fluid CPT 84157 | $10.98 | $56.00 | $4.00 – $9.00 | 25 |
| Protein total serum plasma whole blood CPT 84155 | $10.98 | $56.00 | $3.67 – $42.00 | 25 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $16.07 | $58.00 | $3.94 – $43.50 | 25 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $2,307.97 – $9,813.71 | 6 |
| Prq card angio/athrect addl CPT 92925 | $3,651.00 | $18,255.00 | $2,034.11 – $34,038.00 | 15 |
| Prq cardiac angio addl art CPT 92921 | $2,413.00 | $12,065.00 | $1,711.65 – $34,038.00 | 15 |
| Prq card revasc chronic addl CPT 92944 | $3,819.00 | $19,095.00 | $2,130.55 – $27,845.00 | 15 |
| Prq card revasc mi 1 vsl CPT 92941 | $5,091.80 | $25,459.00 | $4,261.09 – $27,845.00 | 15 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $6,364.80 | $31,824.00 | $936.00 – $23,868.00 | 15 |
| Prq card stent w/angio addl CPT 92929 | $3,401.40 | $17,007.00 | $1,900.27 – $27,845.00 | 15 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $4,535.20 | $22,676.00 | $3,798.36 – $19,943.57 | 25 |
| Prq revasc byp graft addl CPT 92938 | $3,401.40 | $17,007.00 | $1,899.18 – $27,845.00 | 15 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $4,535.20 | $22,676.00 | $3,800.48 – $19,943.57 | 25 |
| Prq trluml c angiop 1art&/br CPT 92920 | $3,217.20 | $16,086.00 | $3,593.71 – $12,064.50 | 25 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $4,868.00 | $24,340.00 | $4,068.17 – $19,943.57 | 25 |
| Prq trluml revsc ch occ ant CPT 92943 | $5,091.80 | $25,459.00 | $4,261.09 – $19,943.57 | 25 |
| Pr removal drug delivery implant CPT 11982 | $311.64 | $691.00 | $195.91 – $701.75 | 25 |
| Pr removal intrauterine device CPT 58301 | $148.51 | $476.00 | $166.60 – $534.95 | 25 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | not published | not published | $130.17 – $410.05 | 6 |
| PSA (Prostate) Test CPT 84153 | $10.98 | $56.00 | $18.39 – $42.00 | 25 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $10.55 | $61.00 | $8.79 – $241.00 | 13 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $38.22 | $195.00 | $39.00 – $241.00 | 14 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $23.91 | $122.00 | $24.40 – $241.00 | 14 |
| Pten gene full sequence CPT 81321 | $549.00 | $1,800.00 | $600.00 – $1,350.00 | 25 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $47.92 | $277.00 | $55.40 – $241.00 | 14 |
| Pt wheelchair management each 15 minutes CPT 97542 | $31.56 | $161.00 | $32.20 – $241.00 | 14 |
| Pulmonary vent imaging CPT 78579 | $394.24 | $1,232.00 | $273.41 – $924.00 | 25 |
| Punc of shunt for asp or inj CPT 61070 | $426.20 | $945.00 | $330.75 – $1,217.87 | 25 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $80.21 | $238.00 | $68.29 – $226.68 | 25 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $267.44 | $593.00 | $207.55 – $702.62 | 25 |
| Puncture spinal lumbar diagnostic CPT 62270 | $569.61 | $1,263.00 | $442.05 – $1,217.87 | 25 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $1.09 | $32.00 | $6.40 – $80.64 | 15 |
| Pyruvate CPT 84210 | $8.62 | $44.00 | $14.48 – $33.00 | 25 |
| Pyruvate kinase CPT 84220 | $36.65 | $187.00 | $9.44 – $140.25 | 25 |
| Quest t3 uptake CPT 84479 | $10.98 | $56.00 | $6.47 – $42.00 | 25 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $525.12 | $1,641.00 | $551.38 – $2,295.83 | 25 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,117.12 | $3,491.00 | $946.81 – $2,618.25 | 25 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,206.72 | $3,771.00 | $946.81 – $2,828.25 | 25 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $659.20 | $2,060.00 | $692.16 – $2,295.83 | 25 |
| Radphm lcl tumor plr sgl day CPT 78800 | $348.80 | $1,090.00 | $273.41 – $817.50 | 25 |
| Rapid Strep Test CPT 87880 | $16.80 | $50.00 | $16.53 – $37.50 | 25 |
| Rbc count only automated CPT 85041 | $2.77 | $10.00 | $3.02 – $7.50 | 25 |
| Rbc serum pretx incubj drugs CPT 86975 | $294.26 | $848.00 | $1.59 – $701.75 | 25 |
| Recon, cta for surg plan HCPCS G0288 | $377.23 | $2,638.00 | $231.13 – $1,978.50 | 12 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $10,168.42 – $14,853.00 | 7 |
| Reconstruct head of radius CPT 24365 | not published | not published | $5,254.47 – $8,928.20 | 6 |
| Reconstruct head of radius CPT 24366 | not published | not published | $5,254.47 – $8,928.20 | 6 |
| Reconstruction knee CPT 27427 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $5,254.47 – $14,853.00 | 7 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $8,928.20 – $14,853.00 | 7 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $133.00 | $700.00 | $188.93 – $853.58 | 25 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $135.66 | $714.00 | $98.78 – $320.07 | 25 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $66.50 | $350.00 | $117.60 – $449.86 | 25 |
| Red blood cells washed each unit HCPCS P9022 | $94.43 | $497.00 | $148.18 – $697.93 | 25 |
| Redo endovas vena cava filtr CPT 37192 | $4,464.90 | $9,900.00 | $2,074.70 – $7,425.00 | 25 |
| Release of foot tendon CPT 28220 | not published | not published | $1,009.45 – $2,440.42 | 6 |
| Release of lower leg tendon CPT 27680 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Release of shoulder ligament CPT 23415 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Relocation skin pocket aicd CPT 33223 | $2,153.52 | $4,775.00 | $1,243.64 – $3,581.25 | 25 |
| Relocation skin pocket pm CPT 33222 | $2,029.95 | $4,501.00 | $1,243.64 – $3,375.75 | 25 |
| Rem endovas vena cava filter CPT 37193 | $4,482.49 | $9,939.00 | $2,074.70 – $7,454.25 | 25 |
| Removal biliary drg cath CPT 47537 | $948.90 | $2,104.00 | $586.96 – $1,648.80 | 25 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $773.01 | $1,714.00 | $392.67 – $1,285.50 | 25 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,066.62 | $2,365.00 | $827.75 – $2,731.89 | 25 |
| Removal of ankle implant CPT 27704 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Removal of bone for graft CPT 20900 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Removal of breast lesion CPT 19120 | not published | not published | $2,289.36 – $3,741.03 | 6 |
| Removal of fallopian tube 58700 CPT 58700 | not published | not published | $3,055.00 – $9,813.71 | 2 |
| Removal of foot fascia CPT 28062 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Removal of foot lesion CPT 28080 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Removal of foot lesion CPT 28090 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Removal of foot lesion CPT 28104 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Removal of heel bone CPT 28118 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Removal of heel spur CPT 28119 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| Removal of hydrocele CPT 55040 | not published | not published | $2,307.97 – $3,741.03 | 6 |
| Removal of implant deep CPT 20680 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Removal of kneecap CPT 27350 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Removal of metatarsal CPT 28140 | not published | not published | $2,052.04 – $3,741.03 | 6 |
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.