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 |
|---|---|---|---|---|
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $586.96 – $3,268.08 | 7 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $190.65 | $615.00 | $129.45 – $461.25 | 25 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $187.86 | $606.00 | $129.45 – $454.50 | 25 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $586.96 – $3,268.08 | 7 |
| Urea nitrogen CPT 84520 | $26.46 | $135.00 | $3.95 – $83.25 | 25 |
| Urea nitrogen 24 hour urine CPT 84540 | $10.19 | $52.00 | $5.56 – $39.00 | 25 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $4,797.00 – $9,813.71 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $329.22 | $1,062.00 | $166.84 – $796.50 | 25 |
| Urethrocystography void s&i CPT 74455 | $213.28 | $688.00 | $166.84 – $516.00 | 25 |
| Uric acid blood CPT 84550 | $27.44 | $140.00 | $4.52 – $105.00 | 25 |
| Uric acid urine CPT 84560 | $14.11 | $72.00 | $5.08 – $12.00 | 25 |
| Urinalysis microscopic only CPT 81015 | $3.09 | $10.00 | $3.05 – $7.50 | 25 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $2.16 | $7.00 | $2.17 – $5.25 | 25 |
| Urinalysis (with microscopy) CPT 81001 | $37.39 | $121.00 | $3.17 – $90.75 | 25 |
| Urinalysis (without microscopy) CPT 81003 | $33.06 | $107.00 | $2.25 – $5.25 | 25 |
| Urine Culture Test CPT 87086 | $89.71 | $267.00 | $8.07 – $200.25 | 25 |
| Urine pregnancy test CPT 81025 | $60.56 | $196.00 | $8.61 – $43.50 | 25 |
| Urography, antegrade CPT 74425 | $419.43 | $1,353.00 | $241.82 – $1,014.75 | 25 |
| Urography inf drip &/or bolus CPT 74410 | $725.09 | $2,339.00 | $129.45 – $1,754.25 | 25 |
| Vaccine Administration (one shot) CPT 90471 | $18.02 | $126.00 | $36.84 – $125.15 | 25 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $3,196.92 – $9,813.71 | 6 |
| Vag hyst including t/o CPT 58262 | not published | not published | $3,196.92 – $9,813.71 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $10.39 | $53.00 | $13.54 – $39.75 | 25 |
| Vancomycin peak therapeutic drug level CPT 80202 | $39.59 | $202.00 | $13.54 – $30.75 | 25 |
| Varicella zoster antibody igg CPT 86787 | $18.39 | $53.00 | $12.88 – $29.25 | 25 |
| Vasectomy CPT 55250 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Veeg cont 2-12 hrs CPT 95713 | $353.62 | $1,169.00 | $353.64 – $933.11 | 25 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $495.19 | $1,637.00 | $550.03 – $1,789.18 | 25 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $325.79 | $1,077.00 | $191.73 – $807.75 | 25 |
| Veeg unmon 12-26 hrs CPT 95714 | $424.41 | $1,403.00 | $353.64 – $1,052.25 | 25 |
| Veeg unmon 2-12 hrs CPT 95711 | $282.84 | $935.00 | $191.73 – $701.25 | 25 |
| Vein x-ray kidney CPT 75831 | $1,134.60 | $3,660.00 | $275.45 – $12,286.55 | 15 |
| Vein x-ray liver w/hemodynam CPT 75885 | $1,526.13 | $4,923.00 | $290.20 – $5,535.21 | 25 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,526.13 | $4,923.00 | $290.20 – $5,535.21 | 25 |
| Vein x-ray liver without hemodyn CPT 75887 | $907.37 | $2,927.00 | $292.90 – $5,535.21 | 25 |
| Venogram ext bil s&i CPT 75822 | $707.42 | $2,282.00 | $263.58 – $2,731.89 | 25 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $604.50 | $1,950.00 | $238.13 – $6,035.47 | 15 |
| Venous mech thrombectomy CPT 37187 | $5,452.14 | $12,089.00 | $4,231.15 – $19,943.57 | 25 |
| Venous m-thrombectomy add-on CPT 37188 | $3,870.93 | $8,583.00 | $2,074.70 – $6,437.25 | 25 |
| Ventilator each subsequent day CPT 94003 | $785.55 | $3,033.00 | $351.81 – $2,274.75 | 25 |
| Ventilator Management (first day) CPT 94002 | $981.35 | $3,789.00 | $351.81 – $2,841.75 | 25 |
| Version cephalic external CPT 59412 | $859.69 | $1,945.00 | $653.52 – $5,591.54 | 25 |
| Very long chain fatty acids CPT 82726 | $40.18 | $205.00 | $19.75 – $153.75 | 25 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $191.89 | $619.00 | $129.45 – $464.25 | 25 |
| Virus isolation addl studies ea CPT 87253 | $21.84 | $65.00 | $20.20 – $45.75 | 25 |
| Vital capacity test CPT 94150 | $12.06 | $232.00 | $77.95 – $275.15 | 25 |
| Vitamin b-12 CPT 82607 | $32.14 | $164.00 | $15.08 – $123.00 | 25 |
| Vitamin D Test CPT 82306 | $17.44 | $89.00 | $29.60 – $66.75 | 25 |
| Vkorc1 gene CPT 81355 | $80.83 | $265.00 | $88.20 – $198.75 | 25 |
| Volume measurement urine timed CPT 81050 | $3.40 | $11.00 | $3.64 – $8.25 | 25 |
| Vulvectomy radical partial CPT 56630 | not published | not published | $3,196.92 – $9,813.71 | 6 |
| Vulvectomy simple partial CPT 56620 | not published | not published | $1,901.83 – $5,254.47 | 6 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $23.18 | $134.00 | $26.80 – $241.00 | 14 |
| Warde 1003990 aldosterone CPT 82088 | $52.92 | $270.00 | $40.75 – $92.25 | 25 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $34.10 | $174.00 | $27.80 – $63.00 | 25 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $11.96 | $61.00 | $12.90 – $45.75 | 25 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $14.90 | $76.00 | $25.25 – $57.00 | 25 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $16.07 | $82.00 | $15.50 – $61.50 | 25 |
| Warde 1015200 kappa light chain free CPT 83521 | $13.52 | $69.00 | $17.27 – $45.75 | 25 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $11.56 | $59.00 | $8.02 – $44.25 | 25 |
| Warde 3008005 oligoclonal bands CPT 83916 | $16.27 | $83.00 | $27.39 – $62.25 | 25 |
| Warde 3016000 west nile virus antibody CPT 86788 | $24.98 | $72.00 | $16.85 – $54.00 | 25 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $24.98 | $72.00 | $14.39 – $54.00 | 25 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $19.08 | $55.00 | $12.25 – $41.25 | 25 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $9.07 | $27.00 | $8.90 – $20.25 | 25 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $23.86 | $71.00 | $17.98 – $53.25 | 25 |
| Warde 3400852 arsenic CPT 82175 | $18.62 | $95.00 | $18.97 – $47.25 | 25 |
| Warde 3708165 mercury urine CPT 83825 | $17.25 | $88.00 | $16.26 – $36.75 | 25 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $34.35 | $99.00 | $18.40 – $74.25 | 25 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $20.82 | $60.00 | $11.53 – $42.00 | 25 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $30.77 | $157.00 | $8.10 – $18.75 | 25 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $22.74 | $116.00 | $38.62 – $87.00 | 25 |
| Warde aldolase CPT 82085 | $10.39 | $53.00 | $9.71 – $39.75 | 25 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $27.64 | $141.00 | $16.87 – $38.25 | 25 |
| Warde amiodarone therapeutic drug level CPT 80151 | $17.64 | $90.00 | $18.64 – $67.50 | 25 |
| Warde analysis gene hfe common variants CPT 81256 | $96.08 | $315.00 | $65.36 – $236.25 | 25 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $240.95 | $790.00 | $163.96 – $369.00 | 25 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $34.50 | $176.00 | $35.20 – $132.00 | 14 |
| Warde anti-mullerian hormone CPT 82166 | $23.52 | $120.00 | $38.62 – $87.00 | 25 |
| Warde apolipoprotein b CPT 82172 | $15.09 | $77.00 | $21.09 – $48.00 | 25 |
| Warde bile acids CPT 82239 | $12.35 | $63.00 | $17.12 – $47.25 | 25 |
| Warde cadmium blood CPT 82300 | $13.92 | $71.00 | $23.64 – $53.25 | 25 |
| Warde calcitonin CPT 82308 | $15.88 | $81.00 | $26.79 – $60.75 | 25 |
| Warde calculus (stone) infrared CPT 82365 | $14.50 | $74.00 | $12.90 – $55.50 | 25 |
| Warde clozapine therapeutic drug level CPT 80159 | $13.33 | $68.00 | $20.15 – $51.00 | 25 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $56.45 | $288.00 | $21.96 – $216.00 | 25 |
| Warde collagen cross links c-telopeptide CPT 82523 | $22.15 | $113.00 | $18.68 – $51.00 | 25 |
| Warde complement total hemolytic CPT 86162 | $21.17 | $61.00 | $20.32 – $45.75 | 25 |
| Warde copper CPT 82525 | $41.36 | $211.00 | $12.41 – $47.25 | 25 |
| Warde cryoglobulin CPT 82595 | $12.35 | $63.00 | $6.47 – $47.25 | 25 |
| Warde erythropoietin CPT 82668 | $11.17 | $57.00 | $18.79 – $42.75 | 25 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $21.17 | $61.00 | $12.09 – $45.75 | 25 |
| Warde folic acid rbc CPT 82747 | $10.78 | $55.00 | $17.65 – $41.25 | 25 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $10.98 | $56.00 | $9.70 – $42.00 | 25 |
| Warde gastrin CPT 82941 | $11.37 | $58.00 | $17.63 – $43.50 | 25 |
| Warde growth hormone (hgh) CPT 83003 | $10.00 | $51.00 | $16.67 – $38.25 | 25 |
| Warde haloperidol therapeutic drug level CPT 80173 | $19.40 | $99.00 | $15.78 – $74.25 | 25 |
| Warde helminth antibody strongyloides igg CPT 86682 | $24.64 | $71.00 | $13.01 – $48.00 | 25 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $13.92 | $71.00 | $12.87 – $53.25 | 25 |
| Warde hepatitis a antibody CPT 86708 | $19.08 | $55.00 | $12.39 – $41.25 | 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.