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 |
|---|---|---|---|---|
| Removal of metatarsal heads CPT 28114 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Removal of ovary(s) 58940 CPT 58940 | not published | not published | $3,055.00 – $9,813.71 | 2 |
| Removal of ovary/tube(s) CPT 58720 | not published | not published | $4,552.00 – $9,813.71 | 2 |
| Removal of tendon lesion CPT 27630 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Removal of testis CPT 54520 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| Removal of testis CPT 54530 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Removal of thyroid CPT 60240 | not published | not published | $3,668.82 – $7,292.89 | 6 |
| Removal of toe lesions CPT 28108 | not published | not published | $1,009.45 – $3,268.08 | 6 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $8,292.54 | $18,387.00 | $3,741.03 – $18,404.36 | 25 |
| Removal sutr and stapl no anes CPT 15854 | $106.39 | $341.00 | $68.20 – $2,083.00 | 16 |
| Removal sutr or stapl no anes CPT 15853 | $85.18 | $273.00 | $54.60 – $2,083.00 | 16 |
| Removal sutr/staple req anes CPT 15851 | not published | not published | $1,243.64 – $2,440.42 | 6 |
| Removal tunnled intprtnl cath CPT 49422 | not published | not published | $2,074.70 – $2,440.42 | 6 |
| Remove bladder stone CPT 52317 | not published | not published | $806.00 – $2,440.42 | 7 |
| Remove bladder stone CPT 52318 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Remove cva lumen obstruct CPT 75902 | $141.36 | $456.00 | $91.20 – $342.00 | 14 |
| Remove intact mammary implant CPT 19328 | not published | not published | $2,289.36 – $2,440.42 | 6 |
| Remove limb nerve lesion CPT 64782 | not published | not published | $1,271.93 – $3,741.03 | 6 |
| Remove lower leg bone lesion CPT 27635 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Remove pilonidal cyst compl CPT 11772 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Remove renal tube w/fluoro CPT 50389 | $718.44 | $1,593.00 | $212.40 – $4,018.00 | 15 |
| Remvl peritoneal fb frm cavity CPT 49402 | not published | not published | $2,307.97 – $3,268.08 | 6 |
| Renal function panel CPT 80069 | $52.92 | $270.00 | $8.68 – $202.50 | 25 |
| Renal venogram bil s&i CPT 75833 | $1,361.83 | $4,393.00 | $318.30 – $5,535.21 | 25 |
| Reopen fallopian tube CPT 58350 | not published | not published | $3,741.03 – $3,741.03 | 1 |
| Repair achilles tendon CPT 27650 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Repair biceps tendon CPT 23430 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Repair bladder defect CPT 57288 | not published | not published | $3,196.92 – $5,254.47 | 6 |
| Repair deformity of toe CPT 28313 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Repair foot dislocation CPT 28615 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Repair/graft of thigh muscle CPT 27386 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Repair/graft radius or ulna CPT 25405 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Repair lower leg tendons CPT 27675 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Repair of achilles tendon CPT 27654 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Repair of ankle ligament CPT 27695 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Repair of ankle ligament CPT 27698 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Repair of ankle ligaments CPT 27696 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Repair of foot bones CPT 28320 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Repair of foot tendon CPT 28200 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Repair of humerus CPT 24430 | not published | not published | $3,741.03 – $8,928.20 | 6 |
| Repair of hydrocele 55060 CPT 55060 | not published | not published | $2,230.35 – $4,620.72 | 6 |
| Repair of kneecap tendon CPT 27380 | not published | not published | $2,440.42 – $4,542.09 | 6 |
| Repair of knee ligament CPT 27405 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Repair of leg tendon each CPT 27658 | not published | not published | $2,052.04 – $2,440.42 | 6 |
| Repair of metatarsals CPT 28322 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Repair of ruptured tendon CPT 24342 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Repair of thigh muscle CPT 27385 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Repair of tibia CPT 27720 | not published | not published | $4,542.09 – $9,813.71 | 6 |
| Repair rectum & vagina CPT 57250 | not published | not published | $3,196.92 – $5,254.47 | 6 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Repair shoulder capsule CPT 23462 | not published | not published | $4,542.09 – $7,292.89 | 6 |
| Repair toe dislocation CPT 28645 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Repair vagina/perineum CPT 57210 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Replace duod/jej tube perc CPT 49451 | $561.50 | $1,245.00 | $435.75 – $1,648.80 | 25 |
| Replace g/c tube perc CPT 49450 | $414.92 | $920.00 | $322.00 – $1,648.80 | 25 |
| Replace g-j tube perc CPT 49452 | $690.93 | $1,532.00 | $536.20 – $1,648.80 | 25 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Reposition pm/icd lead CPT 33215 | $2,042.58 | $4,529.00 | $1,585.15 – $5,535.21 | 25 |
| Repos lv lead pm/icd CPT 33226 | $2,709.61 | $6,008.00 | $2,074.70 – $5,535.21 | 25 |
| Repr elbow lat ligmnt w/tiss CPT 24343 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Repr elbw med ligmnt w/tissu CPT 24345 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Reptilase test CPT 85635 | $8.31 | $30.00 | $9.85 – $22.50 | 25 |
| Rerepair ing hernia blocked CPT 49521 | not published | not published | $2,307.97 – $9,813.71 | 6 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | $2,307.97 – $7,292.89 | 6 |
| #resp virpnl dfa-adenovirus CPT 87260 | $14.78 | $44.00 | $14.43 – $33.00 | 25 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $16.80 | $50.00 | $16.43 – $37.50 | 25 |
| Resp virus 6-11 targets CPT 87632 | $220.08 | $655.00 | $218.06 – $491.25 | 25 |
| Reticulated platelet assay CPT 85055 | $44.32 | $160.00 | $35.74 – $120.00 | 25 |
| Reticulocyte direct measurement automated CPT 85046 | $15.79 | $57.00 | $5.57 – $42.75 | 25 |
| Revasc intra lithotrip-ather HCPCS C9766 | $12,328.54 | $27,336.00 | $5,849.00 – $31,578.74 | 25 |
| Revasc intra lithotrip-stent HCPCS C9765 | $12,328.54 | $27,336.00 | $4,972.00 – $31,578.74 | 25 |
| Revasc intravasc lithotripsy HCPCS C9764 | $6,164.27 | $13,668.00 | $4,783.80 – $19,943.57 | 25 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $16,438.05 | $36,448.00 | $5,849.00 – $31,578.74 | 25 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $6,309.94 | $13,991.00 | $4,896.85 – $19,943.57 | 25 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $1,271.93 – $3,268.08 | 6 |
| Revise lower leg tendon CPT 27691 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Revision of bladder neck CPT 52500 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| Revision of calf tendon CPT 27687 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Revision of foot tendon CPT 28238 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Revision of penis CPT 54430 | not published | not published | $9,813.71 – $9,813.71 | 1 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $4,542.09 – $7,292.89 | 6 |
| Revision tips CPT 37183 | $4,772.48 | $10,582.00 | $3,593.71 – $10,026.70 | 25 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $8,928.20 – $14,853.00 | 7 |
| Rheumatoid factor qualitative CPT 86430 | $24.29 | $70.00 | $6.14 – $52.50 | 25 |
| Rheumatoid factor quantitative CPT 86431 | $19.08 | $55.00 | $5.67 – $13.50 | 25 |
| R hrt cath chd abnl nt cnj CPT 93594 | $1,593.60 | $7,968.00 | $2,101.79 – $5,976.00 | 25 |
| R hrt cath chd nml nt cnj CPT 93593 | $1,274.80 | $6,374.00 | $2,101.79 – $5,656.38 | 25 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $102.61 | $331.00 | $79.00 – $248.25 | 25 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $143.22 | $462.00 | $79.00 – $346.50 | 25 |
| Rib X-ray (3 views, both sides) CPT 71110 | $105.09 | $339.00 | $79.00 – $254.25 | 25 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $5.97 | $42.07 | $8.41 – $391.93 | 15 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $2,461.60 | $12,308.00 | $2,101.79 – $9,231.00 | 25 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $2,184.00 | $10,920.00 | $2,101.79 – $8,190.00 | 25 |
| Rmvl icd by tv extr CPT 33244 | $2,887.75 | $6,403.00 | $2,241.05 – $6,400.09 | 25 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $12,662.73 | $28,077.00 | $4,018.00 – $39,473.94 | 25 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $13,190.40 | $29,247.00 | $4,018.00 – $56,383.59 | 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.