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 |
|---|---|---|---|---|
| Warde hepatitis be antibody CPT 86707 | $20.47 | $59.00 | $11.57 – $44.25 | 25 |
| Warde hepatitis delta agent antibody CPT 86692 | $29.49 | $85.00 | $17.16 – $63.75 | 25 |
| Warde immunofixation electrophoresis urine CPT 86335 | $30.88 | $89.00 | $29.35 – $66.75 | 25 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $19.82 | $59.00 | $11.53 – $44.25 | 25 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $259.73 | $773.00 | $257.45 – $579.75 | 25 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $49.97 | $144.00 | $23.57 – $53.25 | 25 |
| Warde lipoprotein (a) CPT 83695 | $11.37 | $58.00 | $14.32 – $42.75 | 25 |
| Warde mitochondrial antibody each CPT 86381 | $26.72 | $77.00 | $25.45 – $57.75 | 25 |
| Warde neutralization rabies CPT 86382 | $44.07 | $127.00 | $16.91 – $51.75 | 25 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $13.52 | $69.00 | $13.25 – $51.75 | 25 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $19.60 | $100.00 | $22.97 – $75.00 | 25 |
| Warde protein c antigen CPT 85302 | $18.01 | $65.00 | $12.01 – $48.75 | 25 |
| Warde sex hormone binding globulin CPT 84270 | $12.94 | $66.00 | $21.73 – $49.50 | 25 |
| Warde somatomedin CPT 84305 | $12.54 | $64.00 | $21.26 – $48.00 | 25 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $12.54 | $64.00 | $5.50 – $48.00 | 25 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $11.56 | $59.00 | $15.76 – $44.25 | 25 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $29.99 | $153.00 | $50.86 – $114.75 | 25 |
| Warde topiramate therapeutic drug level CPT 80201 | $7.06 | $36.00 | $11.92 – $27.00 | 25 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $33.60 | $100.00 | $26.07 – $59.25 | 25 |
| Warde viscosity CPT 85810 | $15.79 | $57.00 | $11.67 – $42.75 | 25 |
| Warde vitamin a CPT 84590 | $12.15 | $62.00 | $11.61 – $46.50 | 25 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $12.54 | $64.00 | $21.23 – $48.00 | 25 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $16.66 | $85.00 | $28.10 – $63.75 | 25 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $11.56 | $59.00 | $9.89 – $44.25 | 25 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $22.74 | $116.00 | $38.50 – $87.00 | 25 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $12.15 | $62.00 | $14.18 – $46.50 | 25 |
| Warde zinc CPT 84630 | $26.46 | $135.00 | $11.39 – $26.25 | 25 |
| Wbc automated CPT 85048 | $2.22 | $8.00 | $2.54 – $6.00 | 25 |
| Western blot test CPT 84181 | $34.10 | $174.00 | $17.03 – $78.00 | 25 |
| Whole blood for transfusion HCPCS P9010 | $123.50 | $650.00 | $108.85 – $487.50 | 25 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $169.29 | $891.00 | $225.26 – $668.25 | 25 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,160.00 | $3,625.00 | $273.41 – $2,718.75 | 25 |
| Whole Skeleton X-ray Survey CPT 77075 | $170.19 | $549.00 | $79.00 – $411.75 | 25 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $40.65 | $235.00 | $47.00 – $258.70 | 15 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $74.39 | $430.00 | $81.00 – $322.50 | 15 |
| Wrist X-ray CPT 73110 | $109.74 | $354.00 | $58.65 – $347.17 | 15 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $92.07 | $297.00 | $58.65 – $347.17 | 15 |
| Xe133 xenon 10mci HCPCS A9558 | $98.25 | $308.00 | $61.60 – $1,402.86 | 14 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $1,243.64 – $3,268.08 | 6 |
| X-ray abdomen >=3 views CPT 74021 | $192.82 | $622.00 | $79.00 – $466.50 | 25 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $333.05 | $1,101.00 | $220.20 – $1,580.51 | 15 |
| X-ray bone length studies CPT 77073 | $118.73 | $383.00 | $79.00 – $287.25 | 25 |
| X-ray bone survey infant CPT 77076 | $326.43 | $1,053.00 | $79.00 – $789.75 | 25 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $212.04 | $684.00 | $79.00 – $513.00 | 25 |
| X-ray exam entire spi 6/> vw CPT 72084 | $252.34 | $814.00 | $79.00 – $610.50 | 25 |
| X-ray exam of arm infant CPT 73092 | $162.13 | $523.00 | $79.00 – $467.28 | 15 |
| X-ray exam of femur 1 CPT 73551 | $75.02 | $242.00 | $48.40 – $347.17 | 15 |
| X-ray exam of jaw joint CPT 70328 | $99.20 | $320.00 | $58.65 – $347.17 | 15 |
| X-ray exam si joints CPT 72200 | $101.06 | $326.00 | $79.00 – $244.50 | 25 |
| X-ray exam thorac spine4/>vw CPT 72074 | $124.93 | $403.00 | $79.00 – $302.25 | 25 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $75.02 | $242.00 | $48.40 – $347.17 | 15 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $121.83 | $393.00 | $78.60 – $467.28 | 15 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $137.64 | $444.00 | $79.00 – $333.00 | 25 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $146.01 | $471.00 | $58.65 – $353.25 | 15 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $114.39 | $369.00 | $79.00 – $276.75 | 25 |
| X-ray mandible ltd <4 views CPT 70100 | $106.02 | $342.00 | $58.65 – $256.50 | 25 |
| X-ray nose to rectum for foreign body child CPT 76010 | $104.78 | $338.00 | $58.65 – $253.50 | 25 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $341.31 | $1,101.00 | $216.71 – $825.75 | 25 |
| X-ray ribs 2 views left CPT 71100 | $89.59 | $289.00 | $57.80 – $347.17 | 15 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $329.22 | $1,062.00 | $141.74 – $964.24 | 25 |
| X-ray small intestine follow-through study CPT 74248 | $90.83 | $293.00 | $58.60 – $219.75 | 14 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $131.13 | $423.00 | $58.65 – $317.25 | 25 |
| X-ray surgical specimen CPT 76098 | $159.34 | $514.00 | $75.58 – $964.24 | 25 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $111.60 | $360.00 | $58.65 – $270.00 | 25 |
| Zika virus dna/rna amp probe CPT 87662 | $67.20 | $200.00 | $51.31 – $150.00 | 25 |
| Zika virus igm antibody CPT 86794 | $112.77 | $325.00 | $16.85 – $243.75 | 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.