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 |
|---|---|---|---|---|
| Ankle X-ray (2 views, both ankles) CPT 73600 | $105.09 | $339.00 | $58.65 – $347.17 | 15 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $3,196.92 – $5,254.47 | 6 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $53.09 | $153.00 | $12.88 – $114.75 | 25 |
| Antibody elution rbc reference CPT 86860 | $126.65 | $365.00 | $1.59 – $301.36 | 25 |
| Antibody htlv/hiv confirm test CPT 86689 | $174.54 | $503.00 | $19.35 – $354.00 | 25 |
| Antibody htlv-i CPT 86687 | $9.72 | $28.00 | $9.09 – $21.00 | 25 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $82.93 | $239.00 | $18.37 – $42.00 | 25 |
| Antibody id rbc panel CPT 86870 | $256.79 | $762.00 | $2.19 – $632.61 | 25 |
| Antibody influenza virus CPT 86710 | $23.60 | $68.00 | $13.55 – $51.00 | 25 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $21.51 | $62.00 | $12.87 – $46.50 | 25 |
| Antibody screen rbc CPT 86850 | $58.64 | $174.00 | $9.77 – $85.50 | 25 |
| Antibody tetanus CPT 86774 | $21.86 | $63.00 | $14.80 – $47.25 | 25 |
| Antidepressant not specified CPT 80338 | $13.72 | $70.00 | $14.00 – $54.48 | 14 |
| Anti mog serum - sendout CPT 86362 | $290.44 | $837.00 | $12.05 – $64.50 | 25 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $19.78 | $57.00 | $12.05 – $40.50 | 25 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $21.51 | $62.00 | $12.05 – $46.50 | 25 |
| Antinuclear antibodies CPT 86038 | $18.39 | $53.00 | $12.09 – $39.75 | 25 |
| Antinuclear antibodies titer CPT 86039 | $39.90 | $115.00 | $11.16 – $44.25 | 25 |
| Antiphosphatidylserine antibody CPT 86148 | $19.78 | $57.00 | $16.07 – $42.75 | 25 |
| Antistreptolysin o titer CPT 86060 | $19.78 | $57.00 | $7.30 – $42.75 | 25 |
| Antithrombin iii activity CPT 85300 | $17.45 | $63.00 | $11.85 – $42.00 | 25 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $3,196.92 – $7,292.89 | 6 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $156.02 | $398.00 | $79.00 – $298.50 | 25 |
| Apheresis plasma CPT 36514 | $1,477.44 | $4,560.00 | $805.00 – $3,420.00 | 25 |
| Apl(pml-rara) quant - sendout CPT 81315 | $304.70 | $999.00 | $207.31 – $749.25 | 25 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $3,668.82 – $7,292.89 | 6 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | $2,553.56 – $3,268.08 | 6 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | not published | not published | $82.69 – $1,636.41 | 6 |
| Application finger splntstatic 29130 CPT 29130 | $32.14 | $164.00 | $32.80 – $338.82 | 15 |
| Application lower leg splint 29515 CPT 29515 | not published | not published | $102.36 – $338.82 | 6 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | not published | not published | $1,243.64 – $3,268.08 | 6 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | not published | not published | $1,243.64 – $3,268.08 | 6 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $4,959.29 | $17,524.00 | $118.80 – $560.87 | 15 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $3,741.03 – $8,928.20 | 6 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $12.94 | $66.00 | $13.20 – $241.00 | 14 |
| Apply forearm splintdynamic 29126 CPT 29126 | $126.81 | $647.00 | $81.00 – $338.82 | 15 |
| Apply of finger splint 29131 CPT 29131 | $29.79 | $152.00 | $30.40 – $338.82 | 15 |
| #aptt mix-1:1 incubated CPT 87532 | $40.32 | $120.00 | $35.09 – $90.00 | 25 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $40.95 | $118.00 | $12.05 – $88.50 | 25 |
| Aquaporin-4 antibody cba each CPT 86052 | $121.45 | $350.00 | $12.05 – $168.75 | 25 |
| Aquaporin-4 antibody elisa CPT 86051 | $93.00 | $268.00 | $11.53 – $201.00 | 25 |
| Aquatic exercise - group charge CPT 97150 | $36.30 | $120.00 | $24.00 – $241.00 | 14 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $570.55 | $2,153.00 | $241.82 – $1,614.75 | 15 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $456.33 | $1,722.00 | $79.00 – $1,291.50 | 15 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $132.10 | $337.00 | $79.00 – $252.75 | 25 |
| Arterial blood draw/perc 36620 CPT 36620 | $310.29 | $688.00 | $137.60 – $2,440.42 | 16 |
| Artery xray each vessel 7577426 CPT 75774 | $1,111.55 | $2,021.00 | $204.69 – $1,515.75 | 14 |
| Artery xray of abdomen 75726-26 CPT 75726 | $4,252.60 | $7,732.00 | $311.58 – $9,506.48 | 25 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $4,465.45 | $8,119.00 | $276.82 – $12,286.55 | 15 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $4,627.15 | $8,413.00 | $288.88 – $6,309.75 | 25 |
| Artery x-rays lung CPT 75741 | $2,746.15 | $4,993.00 | $283.53 – $12,286.55 | 15 |
| Artery x-rays lungs CPT 75743 | $3,085.50 | $5,610.00 | $288.88 – $5,535.21 | 25 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $3,306.60 | $6,012.00 | $370.37 – $9,506.48 | 25 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $345.02 | $765.00 | $102.00 – $4,018.00 | 15 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $604.79 | $1,341.00 | $178.80 – $3,152.00 | 15 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $686.87 | $1,523.00 | $189.35 – $2,440.42 | 15 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $332.39 | $737.00 | $98.20 – $4,018.00 | 15 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $526.32 | $1,167.00 | $155.60 – $2,440.42 | 15 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $2,052.04 – $5,254.47 | 6 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $1,872.88 – $2,036.24 | 6 |
| Ascenda two piece catheter HCPCS C1772 | $14,503.75 | $51,250.00 | $1,221.00 – $41,345.29 | 15 |
| Asp core fat pad CPT 17999 | $1,778.74 | $3,944.00 | $130.17 – $2,958.00 | 25 |
| Asp & inj bone cyst CPT 20615 | $395.08 | $876.00 | $306.60 – $1,237.34 | 25 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $1,509.95 | $3,348.00 | $1,170.00 – $3,602.51 | 25 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $860.51 | $1,908.00 | $450.93 – $1,431.00 | 25 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $431.16 | $956.00 | $334.60 – $1,237.34 | 25 |
| Assay acid phosphatase CPT 84060 | $12.35 | $63.00 | $7.64 – $47.25 | 25 |
| Assay alkaline phosphatase CPT 84078 | $4.90 | $25.00 | $8.26 – $18.75 | 25 |
| Assay dir meas fr estradiol CPT 82681 | $16.46 | $84.00 | $27.94 – $63.00 | 25 |
| Assay duodenal fluid trypsin CPT 84485 | $4.31 | $22.00 | $7.20 – $16.50 | 25 |
| Assay free hydroxyproline CPT 83500 | $21.95 | $112.00 | $22.65 – $84.00 | 25 |
| Assay of breath ethanol CPT 82075 | $17.64 | $90.00 | $30.00 – $67.50 | 25 |
| Assay of corticosterone CPT 82528 | $16.27 | $83.00 | $22.52 – $62.25 | 25 |
| Assay of digoxin free CPT 80163 | $7.84 | $40.00 | $13.28 – $30.00 | 25 |
| Assay of feces porphyrins CPT 84126 | $33.91 | $173.00 | $39.11 – $129.75 | 25 |
| Assay of fluoride CPT 82735 | $55.86 | $285.00 | $18.54 – $213.75 | 25 |
| Assay of interleukin-6 (il-6) CPT 83529 | $21.36 | $109.00 | $17.27 – $81.75 | 25 |
| Assay of osteocalcin CPT 83937 | $17.64 | $90.00 | $29.85 – $67.50 | 25 |
| Assay of procainamide w/metab CPT 80192 | $10.00 | $51.00 | $16.75 – $38.25 | 25 |
| Assay of prostaglandin CPT 84150 | $54.88 | $280.00 | $41.77 – $210.00 | 25 |
| Assay of somatostatin CPT 84307 | $16.07 | $82.00 | $18.28 – $61.50 | 25 |
| Assay of thiocyanate CPT 84430 | $6.86 | $35.00 | $11.63 – $26.25 | 25 |
| Assay of tyrosine CPT 84510 | $19.60 | $100.00 | $10.63 – $75.00 | 25 |
| Assay of urine sulfate CPT 84392 | $14.11 | $72.00 | $5.49 – $12.75 | 25 |
| Assay toxin or antitoxin CPT 87230 | $26.54 | $79.00 | $19.74 – $45.00 | 25 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $111.15 | $469.00 | $81.00 – $428.49 | 14 |
| Assess cyst contrast inject CPT 49424 | $199.79 | $443.00 | $88.60 – $4,018.00 | 15 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $4.38 | $13.00 | $4.27 – $9.75 | 25 |
| Ast/sgot CPT 84450 | $25.28 | $129.00 | $5.18 – $57.00 | 25 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $13,944.02 | $30,918.00 | $4,018.00 – $15,459.00 | 15 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $15,119.32 | $33,524.00 | $4,018.00 – $16,761.75 | 15 |
| Aud rehab postling hear loss CPT 92633 | $73.00 | $308.00 | $61.60 – $241.00 | 14 |
| Aud rehab pre-ling hear loss CPT 92630 | $88.16 | $372.00 | $74.40 – $279.00 | 14 |
| Augment injectable kit 3.0cc HCPCS C1734 | $4,959.29 | $17,524.00 | $1,158.73 – $13,143.00 | 15 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $1,578.05 | $3,499.00 | $504.21 – $4,909.22 | 13 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $4,586.67 | $10,170.00 | $3,559.50 – $12,562.98 | 25 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | not published | not published | $130.17 – $258.70 | 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.