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 |
|---|---|---|---|---|
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $11,438.26 | $25,362.00 | $4,018.00 – $39,473.94 | 25 |
| Rmvl icd pulse gen only CPT 33241 | $2,046.19 | $4,537.00 | $1,587.95 – $6,400.09 | 25 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $751.37 | $1,666.00 | $360.00 – $1,249.50 | 25 |
| Rmvl perm pm pulse gen CPT 33233 | $2,246.43 | $4,981.00 | $1,743.35 – $14,554.17 | 25 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $8,789.99 | $19,490.00 | $3,741.03 – $33,538.59 | 25 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $7,960.60 | $17,651.00 | $3,741.03 – $14,554.17 | 25 |
| Rmvl pq iabp CPT 33968 | $1,428.77 | $3,168.00 | $633.60 – $11,665.00 | 15 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,182.97 | $2,623.00 | $450.93 – $1,967.25 | 25 |
| Rmvl tv pm lead dual CPT 33235 | $3,369.42 | $7,471.00 | $2,494.27 – $6,400.09 | 25 |
| Rmvl tv pm lead sgl CPT 33234 | $2,695.63 | $5,977.00 | $2,091.95 – $6,400.09 | 25 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,273.17 | $2,823.00 | $988.05 – $2,731.89 | 25 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $384.32 | $1,201.00 | $273.41 – $900.75 | 25 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $816.32 | $2,551.00 | $857.14 – $2,295.83 | 25 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $1,564.16 | $4,888.00 | $1,073.25 – $3,666.00 | 25 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,427.41 | $3,165.00 | $1,019.45 – $2,731.89 | 25 |
| Rpl tun-cvad w subq port CPT 36582 | $2,079.56 | $4,611.00 | $1,613.85 – $5,535.21 | 25 |
| Rpl tun cvc wo subq port CPT 36581 | $1,776.04 | $3,938.00 | $1,378.30 – $5,535.21 | 25 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $9,813.71 – $9,813.71 | 1 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $3,668.82 – $9,813.71 | 6 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $9,813.71 – $9,813.71 | 1 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $2,307.97 – $4,620.72 | 6 |
| Rsv assay w/optic CPT 87807 | $13.44 | $40.00 | $13.10 – $30.00 | 25 |
| Rubella antibody igg CPT 86762 | $19.43 | $56.00 | $14.39 – $33.00 | 25 |
| Rubeola antibody igg CPT 86765 | $20.82 | $60.00 | $12.88 – $29.25 | 25 |
| Russell viper venom diluted CPT 85613 | $16.62 | $60.00 | $9.58 – $45.00 | 25 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $839.36 | $2,752.00 | $396.56 – $2,064.00 | 25 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $112.22 | $362.00 | $79.00 – $271.50 | 25 |
| Salmonella antibody CPT 86768 | $25.33 | $73.00 | $13.19 – $54.75 | 25 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $336.67 | $1,285.00 | $166.84 – $963.75 | 25 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $165.85 | $633.00 | $79.00 – $474.75 | 25 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $274.05 | $1,046.00 | $79.00 – $784.50 | 25 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $337.98 | $1,290.00 | $79.00 – $967.50 | 25 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $385.66 | $1,472.00 | $79.00 – $1,104.00 | 15 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $334.84 | $1,278.00 | $79.00 – $958.50 | 15 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $2,052.04 – $9,813.71 | 6 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $1,982.71 | $9,265.00 | $62.60 – $1,093.32 | 15 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $575.40 – $3,268.08 | 7 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $575.40 – $3,268.08 | 7 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $37,187.33 | $131,404.00 | $14.00 – $969.55 | 15 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $279.89 | $714.00 | $79.00 – $535.50 | 25 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $2,902.18 | $6,435.00 | $1,170.00 – $4,909.22 | 15 |
| Sedimentation rate erythrocyte automated CPT 85652 | $2.49 | $9.00 | $2.70 – $6.75 | 25 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $42.19 | $178.00 | $35.60 – $241.00 | 14 |
| Semen analysis w/count CPT 89310 | $8.76 | $26.00 | $3.75 – $19.50 | 25 |
| Serpina1 gene CPT 81332 | $105.53 | $346.00 | $43.65 – $259.50 | 25 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $2,973.53 | $13,895.00 | $62.60 – $234.75 | 15 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $70.31 | $217.00 | $44.93 – $162.75 | 25 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $93.31 | $301.00 | $58.65 – $225.75 | 25 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $112.53 | $363.00 | $61.39 – $467.28 | 15 |
| Shoulder MRI (with and without contrast) CPT 73223 | $796.57 | $3,654.00 | $266.89 – $2,740.50 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $663.81 | $3,045.00 | $518.51 – $3,070.63 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $531.05 | $2,436.00 | $166.84 – $1,827.00 | 15 |
| Shoulder X-ray CPT 73030 | $120.28 | $388.00 | $58.65 – $347.17 | 15 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $86.49 | $279.00 | $55.80 – $347.17 | 15 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $101.06 | $326.00 | $79.00 – $244.50 | 25 |
| Sickling rbc CPT 85660 | $15.51 | $56.00 | $5.51 – $42.00 | 25 |
| Sinus CT scan (with and without contrast) CPT 70488 | $441.00 | $2,285.00 | $129.45 – $1,713.75 | 25 |
| Sinus CT scan (with contrast) CPT 70487 | $367.47 | $1,904.00 | $129.45 – $1,428.00 | 25 |
| Sinus CT scan (without contrast) CPT 70486 | $293.94 | $1,523.00 | $79.00 – $1,142.25 | 25 |
| Sinus/juglr venogram s&i CPT 75860 | $1,270.69 | $4,099.00 | $292.90 – $5,535.21 | 25 |
| Sinus X-ray (complete) CPT 70220 | $105.09 | $339.00 | $58.65 – $254.25 | 25 |
| Sinus X-ray (limited) CPT 70210 | $88.35 | $285.00 | $58.65 – $213.75 | 25 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $30.18 | $154.00 | $30.80 – $115.50 | 14 |
| Skull X-ray (1 to 3 views) CPT 70250 | $104.78 | $338.00 | $79.00 – $253.50 | 25 |
| Skull X-ray (complete) CPT 70260 | $133.30 | $430.00 | $79.00 – $322.50 | 25 |
| Slco1b1 gene com variants CPT 81328 | $160.12 | $525.00 | $174.81 – $393.75 | 25 |
| Sling suprapubic suburetheral HCPCS C1771 | $7,438.37 | $26,284.00 | $538.00 – $10,945.77 | 15 |
| Slp eval non-spch gen comm dev CPT 92605 | $154.72 | $482.00 | $81.00 – $361.50 | 13 |
| Slp ther svc non-spch gen CPT 92606 | $90.77 | $383.00 | $76.60 – $287.25 | 13 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $170.19 | $549.00 | $129.45 – $411.75 | 25 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,178.14 – $3,268.08 | 6 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $22.85 | $68.00 | $5.39 – $42.75 | 25 |
| Smear gram stain CPT 87205 | $42.67 | $127.00 | $4.27 – $9.75 | 25 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $24.19 | $72.00 | $5.99 – $48.00 | 25 |
| Smear wet mount CPT 87210 | $17.81 | $53.00 | $5.82 – $13.50 | 25 |
| Snrpn/ube3a gene CPT 81331 | $89.06 | $292.00 | $51.07 – $219.00 | 25 |
| Sodium 24 hour urine CPT 84300 | $14.11 | $72.00 | $5.06 – $12.00 | 25 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $0.06 | $1.80 | $0.17 – $1.35 | 15 |
| Sodium serum/plasma/whole blood CPT 84295 | $18.82 | $96.00 | $4.81 – $67.50 | 25 |
| Specific gravity body fluid CPT 84315 | $1.96 | $10.00 | $3.28 – $7.50 | 25 |
| Specimen fat stain CPT 89125 | $6.07 | $18.00 | $5.88 – $13.50 | 25 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $136.28 | $575.00 | $81.00 – $1,049.52 | 14 |
| Speech evaluation complex CPT 70371 | $231.57 | $747.00 | $166.84 – $560.25 | 25 |
| Speech Therapy Session (one-on-one) CPT 92507 | $92.67 | $391.00 | $78.20 – $293.25 | 14 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $826.23 | $1,832.00 | $460.08 – $1,374.00 | 25 |
| Spine X-ray (single view, one level) CPT 72020 | $75.33 | $243.00 | $58.65 – $182.25 | 25 |
| Spleen imaging CPT 78185 | $326.08 | $1,019.00 | $273.41 – $764.25 | 25 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $2,553.56 – $3,268.08 | 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.