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 |
|---|---|---|---|---|
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $5,349.82 – $6,458.05 | 6 |
| Tobramycin peak therapeutic drug level CPT 80200 | $9.60 | $49.00 | $16.13 – $36.75 | 25 |
| Toe X-ray (both feet) CPT 73660 | $77.81 | $251.00 | $50.20 – $347.17 | 15 |
| Total hysterectomy CPT 58150 | not published | not published | $6,739.00 – $9,813.71 | 2 |
| Total Knee Replacement CPT 27447 | not published | not published | $8,928.20 – $19,627.42 | 7 |
| Total tau CPT 84394 | $88.40 | $451.00 | $21.52 – $338.25 | 14 |
| Toxoplasma antibody igg CPT 86777 | $21.86 | $63.00 | $14.39 – $33.00 | 25 |
| Toxoplasma antibody igm CPT 86778 | $20.82 | $60.00 | $14.41 – $33.00 | 25 |
| Tpmt gene com vrnts CPT 81335 | $257.12 | $843.00 | $174.81 – $393.75 | 25 |
| Transcath biopsy CPT 37200 | $1,312.86 | $2,911.00 | $1,018.85 – $9,506.48 | 25 |
| Transcatheter bx s&i CPT 75970 | $584.04 | $1,884.00 | $101.12 – $1,413.00 | 14 |
| Transferrin CPT 84466 | $29.20 | $149.00 | $12.76 – $29.25 | 25 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $267.34 | $682.00 | $79.00 – $511.50 | 25 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $225.01 | $574.00 | $79.00 – $430.50 | 25 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $0.88 | $6.17 | $1.23 – $81.58 | 15 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $1,199.41 | $3,965.00 | $380.42 – $2,326.93 | 25 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $127.12 | $594.00 | $85.60 – $530.08 | 13 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $3,668.82 – $7,292.89 | 6 |
| Treat elbow fracture CPT 24586 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Treat elbow fracture CPT 24635 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Treat finger fracture each CPT 26727 | not published | not published | $2,052.04 – $7,292.89 | 6 |
| Treat humerus fracture CPT 24515 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Treat humerus fracture CPT 24516 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Treat humerus fracture CPT 24575 | not published | not published | $3,741.03 – $8,928.20 | 6 |
| Treat humerus fracture CPT 24582 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Treat kneecap fracture CPT 27524 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Treat lower leg joint CPT 27829 | not published | not published | $3,268.08 – $4,542.09 | 6 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | not published | not published | $1,901.83 – $5,254.47 | 6 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | not published | not published | $1,901.83 – $5,254.47 | 6 |
| Treatment of ankle fracture CPT 27792 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Treatment of ankle fracture CPT 27814 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Treatment of ankle fracture CPT 27822 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Treat radius fracture CPT 24665 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Treat radius fracture CPT 24666 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Treat toe dislocation CPT 28666 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Treat toe fracture CPT 28525 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Treat ulnar fracture CPT 24685 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Treponema pallidum antibody CPT 86780 | $25.68 | $74.00 | $13.24 – $30.00 | 25 |
| Trg gene rearrangement anal CPT 81342 | $296.15 | $971.00 | $201.50 – $728.25 | 25 |
| Trichinella antibody CPT 86784 | $23.94 | $69.00 | $12.56 – $51.75 | 25 |
| #tricyclicantidprssnt CPT 80337 | $18.03 | $92.00 | $18.40 – $73.64 | 14 |
| Triglycerides CPT 84478 | $30.97 | $158.00 | $5.74 – $67.50 | 25 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $4,888.84 | $10,840.00 | $2,168.00 – $8,130.00 | 15 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $3,314.40 | $7,349.00 | $1,469.80 – $5,878.00 | 15 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $4,971.82 | $11,024.00 | $3,858.40 – $19,943.57 | 25 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $2,488.62 | $5,518.00 | $1,931.30 – $5,535.21 | 25 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $3,087.10 | $6,845.00 | $2,395.75 – $9,506.48 | 25 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $1,214.09 | $2,692.00 | $942.20 – $5,535.21 | 25 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $1,048.12 | $2,324.00 | $813.40 – $5,535.21 | 25 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $1,776.04 | $3,938.00 | $1,378.30 – $5,535.21 | 25 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $2,553.56 – $4,620.72 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $1,456.16 – $2,312.73 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $1,243.64 – $3,741.03 | 6 |
| Troponin quantitative CPT 84484 | $64.88 | $331.00 | $12.47 – $28.50 | 25 |
| Tte w or without fol w/con,stres HCPCS C8928 | $603.68 | $2,454.00 | $518.51 – $1,840.50 | 25 |
| Tte w or without fol w/cont, com HCPCS C8921 | $623.12 | $2,533.00 | $518.51 – $1,899.75 | 25 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $330.87 | $1,345.00 | $451.92 – $1,389.40 | 25 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $3,668.82 – $3,741.03 | 6 |
| Ugt1a1 gene analy common variants CPT 81350 | $344.04 | $1,128.00 | $234.00 – $526.50 | 25 |
| Ultrasound breast complete CPT 76641 | $246.96 | $630.00 | $79.00 – $315.00 | 14 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $190.12 | $485.00 | $58.65 – $242.25 | 14 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $152.88 | $390.00 | $79.00 – $292.50 | 25 |
| Ultrasound encephalogram CPT 76506 | $290.86 | $742.00 | $79.00 – $556.50 | 25 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $218.74 | $558.00 | $79.00 – $418.50 | 25 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $249.31 | $636.00 | $79.00 – $477.00 | 25 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $305.76 | $780.00 | $112.56 – $585.00 | 14 |
| Ultrasound guidance for vascular access CPT 76937 | $239.90 | $612.00 | $67.40 – $459.00 | 14 |
| Ultrasound guide intraoperative CPT 76998 | $266.17 | $679.00 | $124.67 – $509.25 | 14 |
| Ultrasound hips infant dynamic CPT 76885 | $220.30 | $562.00 | $58.65 – $421.50 | 25 |
| Ultrasound infant hips ltd without stress CPT 76886 | $161.11 | $411.00 | $58.65 – $308.25 | 25 |
| Ultrasound joint complete left CPT 76881 | $183.46 | $468.00 | $44.03 – $351.00 | 25 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $207.37 | $529.00 | $95.77 – $396.75 | 14 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $136.42 | $348.00 | $62.26 – $261.00 | 14 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $342.22 | $873.00 | $166.84 – $654.75 | 25 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $199.14 | $508.00 | $79.00 – $381.00 | 25 |
| Ultrasound prostate/transrectal CPT 76872 | $212.46 | $542.00 | $79.00 – $406.50 | 25 |
| Ultrasound spinal canal and contents CPT 76800 | $307.33 | $784.00 | $79.00 – $588.00 | 25 |
| Ultrasound transabd ea addl gest CPT 76812 | $287.34 | $733.00 | $62.26 – $549.75 | 14 |
| Unlisted hematology&coagj px CPT 85999 | $15.79 | $57.00 | $11.40 – $129.21 | 14 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $123.48 – $2,440.42 | 6 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $3,668.82 – $5,254.47 | 6 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $3,668.82 – $3,741.03 | 6 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $149.49 – $3,741.03 | 6 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $149.49 – $2,196.38 | 6 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $149.49 – $2,440.42 | 6 |
| Unlisted transfusion med px CPT 86999 | $90.32 | $268.00 | $17.81 – $43.06 | 25 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $451.44 | $1,980.00 | $474.40 – $1,485.00 | 25 |
| Upgrade pm system CPT 33214 | $5,763.33 | $12,779.00 | $4,018.00 – $18,404.36 | 25 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $109.12 | $352.00 | $58.65 – $347.17 | 15 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $871.58 | $3,289.00 | $129.45 – $2,466.75 | 25 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $697.22 | $2,631.00 | $79.00 – $1,973.25 | 25 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $515.66 | $3,606.00 | $266.89 – $2,704.50 | 25 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $429.71 | $3,005.00 | $266.89 – $2,253.75 | 25 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $343.77 | $2,404.00 | $166.84 – $1,803.00 | 25 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $101.06 | $326.00 | $79.00 – $244.50 | 25 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $116.56 | $376.00 | $79.00 – $282.00 | 25 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $586.96 – $2,440.42 | 7 |
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.