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 |
|---|---|---|---|---|
| Split blood or products CPT 86985 | $123.01 | $365.00 | $1.30 – $301.36 | 25 |
| Sputum specimen collection CPT 89220 | $123.01 | $365.00 | $32.35 – $301.36 | 25 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $134.14 | $566.00 | $81.00 – $526.35 | 14 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $134.14 | $566.00 | $81.00 – $487.85 | 14 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $16,493.07 | $36,570.00 | $4,018.00 – $18,285.00 | 15 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $22,932.62 | $81,034.00 | $118.80 – $13,062.88 | 15 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $2,622.00 | $9,265.00 | $33.20 – $293.70 | 15 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $9,917.45 | $35,044.00 | $118.80 – $4,729.50 | 15 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $2,622.00 | $9,265.00 | $282.60 – $2,610.68 | 15 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $10,529.05 | $23,346.00 | $3,112.80 – $11,673.00 | 15 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $5,196.42 | $11,522.00 | $1,170.00 – $5,878.00 | 15 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $14,393.21 | $31,914.00 | $4,018.00 – $15,957.00 | 15 |
| St evaluate speech sound production CPT 92522 | $111.86 | $472.00 | $81.00 – $505.21 | 14 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $231.12 | $720.00 | $81.00 – $540.00 | 14 |
| Stimulants synthetic CPT 80371 | $31.36 | $160.00 | $32.00 – $120.00 | 14 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $597.76 | $1,868.00 | $273.41 – $1,401.00 | 25 |
| Strep a ag ia CPT 87430 | $17.14 | $51.00 | $16.81 – $38.25 | 25 |
| Strep b dna amp probe CPT 87653 | $35.62 | $106.00 | $35.09 – $79.50 | 25 |
| Stress test pulmonary CPT 94618 | $28.18 | $542.00 | $63.61 – $406.50 | 25 |
| Stress tte complete CPT 93351 | $597.53 | $2,429.00 | $350.10 – $1,821.75 | 25 |
| Str markers specimen anal CPT 81265 | $435.24 | $1,427.00 | $233.07 – $842.25 | 25 |
| Sulfonylurea screen qn-sendout CPT 80377 | $34.89 | $178.00 | $35.60 – $133.50 | 14 |
| Surgical pathology level 1 gross examination only CPT 88300 | $14.95 | $56.00 | $17.89 – $43.06 | 25 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $34.44 | $129.00 | $17.89 – $96.75 | 25 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $88.91 | $333.00 | $36.08 – $249.75 | 25 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $135.64 | $508.00 | $36.08 – $282.00 | 25 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $303.31 | $1,136.00 | $211.16 – $852.00 | 25 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $457.10 | $1,712.00 | $475.71 – $1,436.61 | 25 |
| Susceptibility agar dilution per agent CPT 87181 | $22.18 | $66.00 | $4.75 – $11.25 | 25 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $18.82 | $56.00 | $4.75 – $42.00 | 25 |
| Susceptibility mic per plate CPT 87186 | $72.58 | $216.00 | $8.65 – $45.00 | 25 |
| Suscept studies macrobroth dilution ea CPT 87188 | $38.64 | $115.00 | $6.64 – $43.50 | 25 |
| Svc venogram s&i CPT 75827 | $397.42 | $1,282.00 | $264.90 – $2,731.89 | 25 |
| Swallowing Evaluation (Bedside) CPT 92610 | $135.78 | $423.00 | $81.00 – $457.01 | 14 |
| Swallowing Therapy Session CPT 92526 | $78.21 | $330.00 | $66.00 – $247.50 | 14 |
| Sweat collection by iontophoresis CPT 89230 | $38.42 | $114.00 | $5.10 – $93.97 | 25 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $18.04 | $52.00 | $4.40 – $39.00 | 25 |
| System pacing micra av HCPCS C1786 | $9,426.84 | $35,044.00 | $2,315.00 – $29,701.26 | 15 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $29,456.58 | $109,504.00 | $3,504.00 – $29,701.26 | 15 |
| T3 (triiodothyronine) free CPT 84481 | $13.92 | $71.00 | $16.94 – $40.50 | 25 |
| T3 (triiodothyronine) total CPT 84480 | $8.43 | $43.00 | $14.18 – $32.25 | 25 |
| T4 (thyroxine) free CPT 84439 | $41.55 | $212.00 | $9.02 – $49.50 | 25 |
| T4 (thyroxine) total CPT 84436 | $10.98 | $56.00 | $6.87 – $42.00 | 25 |
| Tacrolimus therapeutic drug level CPT 80197 | $12.54 | $64.00 | $13.73 – $42.75 | 25 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $112.53 | $363.00 | $58.65 – $272.25 | 25 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,116.30 | $3,660.00 | $759.53 – $2,745.00 | 25 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $4,290.43 | $14,067.00 | $2,027.05 – $10,550.25 | 25 |
| Target gsa panel organ neop CPT 81445 | $878.70 | $2,881.00 | $597.91 – $1,345.50 | 25 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $104.10 | $300.00 | $100.00 – $225.00 | 25 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $64.54 | $186.00 | $61.98 – $139.50 | 25 |
| Tc-99m bicisate HCPCS A9557 | $788.89 | $2,473.00 | $683.80 – $1,854.75 | 25 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,781.30 | $5,584.00 | $1,040.32 – $4,188.00 | 25 |
| Tc-99m labeled rbc HCPCS A9560 | $237.34 | $744.00 | $100.00 – $558.00 | 14 |
| Tc-99m maa HCPCS A9540 | $43.06 | $135.00 | $27.00 – $173.24 | 14 |
| Tc-99m mebrofenin HCPCS A9537 | $83.58 | $262.00 | $52.40 – $316.92 | 14 |
| Tc-99m medronate HCPCS A9503 | $113.02 | $354.30 | $13.00 – $265.73 | 14 |
| Tc-99m mertiatide HCPCS A9562 | $352.18 | $1,104.00 | $220.80 – $4,473.87 | 13 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $45.62 | $143.00 | $1.69 – $107.25 | 14 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $88.65 | $277.90 | $55.58 – $545.88 | 14 |
| Tc-99m sulfur colloid HCPCS A9541 | $80.71 | $253.00 | $50.60 – $1,531.65 | 14 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $336.23 | $1,054.00 | $85.27 – $790.50 | 14 |
| Tc-99m tilmanocept diag HCPCS A9520 | $765.44 | $2,399.50 | $479.90 – $3,820.25 | 14 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $48.93 | $141.00 | $46.98 – $105.75 | 25 |
| T cells absolute cd 4 count CPT 86361 | $28.11 | $81.00 | $26.78 – $60.75 | 25 |
| T cells total count CPT 86359 | $39.56 | $114.00 | $37.73 – $85.50 | 25 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,009.45 – $3,741.03 | 6 |
| Test stress cardiovascular tracing only CPT 93017 | $485.09 | $1,304.00 | $92.37 – $978.00 | 25 |
| Theophylline therapeutic drug level CPT 80198 | $8.43 | $43.00 | $14.14 – $32.25 | 25 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $31.56 | $161.00 | $32.20 – $241.00 | 14 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $28.03 | $143.00 | $28.60 – $241.00 | 14 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $416.02 | $1,342.00 | $129.45 – $1,006.50 | 25 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $114.70 | $370.00 | $58.65 – $347.17 | 15 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $945.65 | $3,383.00 | $392.67 – $4,018.00 | 15 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,334.08 | $4,169.00 | $273.41 – $3,126.75 | 25 |
| Thrombectmy crnry perq mechanical CPT 92973 | $2,137.80 | $10,689.00 | $2,114.00 – $12,389.00 | 15 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $7,565.98 | $16,776.00 | $3,593.71 – $12,582.00 | 25 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $11,348.51 | $25,163.00 | $4,018.00 – $19,943.57 | 25 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $18,271.36 | $40,513.00 | $4,018.00 – $31,578.74 | 25 |
| Thrombin time CPT 85670 | $15.51 | $56.00 | $5.77 – $42.00 | 25 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $28.53 | $103.00 | $6.47 – $77.25 | 25 |
| Thyroglobulin antibody CPT 86800 | $33.31 | $96.00 | $15.91 – $42.75 | 25 |
| Thyroid imaging CPT 78013 | $339.52 | $1,061.00 | $273.41 – $795.75 | 25 |
| Thyroid met imaging CPT 78015 | $476.80 | $1,490.00 | $273.41 – $1,117.50 | 25 |
| Thyroid mets imag whole body CPT 78018 | $827.52 | $2,586.00 | $354.82 – $1,939.50 | 25 |
| Thyroid (TSH) Test CPT 84443 | $64.29 | $328.00 | $16.80 – $38.25 | 25 |
| Thyroid Ultrasound CPT 76536 | $231.67 | $591.00 | $79.00 – $443.25 | 25 |
| Thyroid uptake measurement CPT 78012 | $196.16 | $613.00 | $205.97 – $706.66 | 25 |
| Thyroxine binding globulin (tbg) CPT 84442 | $8.82 | $45.00 | $14.78 – $33.75 | 25 |
| Tib/per revasc stnt & ather CPT 37235 | $10,758.60 | $23,855.00 | $3,180.60 – $11,927.25 | 15 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $8,722.79 | $19,341.00 | $1,170.00 – $9,670.50 | 15 |
| Tilt table study CPT 93660 | $1,118.53 | $2,755.00 | $353.64 – $2,066.25 | 25 |
| Tissue culture placenta CPT 88235 | $152.98 | $725.00 | $150.30 – $543.75 | 25 |
| Tissue culture skin/biopsy CPT 88233 | $143.27 | $679.00 | $140.73 – $317.25 | 25 |
| Tissue culture tumor CPT 88239 | $150.02 | $711.00 | $147.52 – $533.25 | 25 |
| Tissue exam koh skin/hair/nails CPT 87220 | $72.24 | $215.00 | $4.27 – $48.00 | 25 |
| Tissue transglutaminase iga CPT 86364 | $20.47 | $59.00 | $11.53 – $26.25 | 25 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $3,741.03 – $6,458.05 | 6 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $4,724.44 – $6,458.05 | 6 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $4,233.19 – $6,458.05 | 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.