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 |
|---|---|---|---|---|
| Baclofen eval charges CPT 97750 | $28.37 | $164.00 | $32.80 – $241.00 | 14 |
| Bacterial meningitis antigen CPT 86403 | $25.68 | $74.00 | $11.54 – $39.75 | 25 |
| Bacterial vaginosis pcr CPT 87801 | $460.99 | $1,372.00 | $70.20 – $158.25 | 25 |
| #bac vag cand-c. albicans naa CPT 87481 | $79.63 | $237.00 | $35.09 – $177.75 | 25 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $32.14 | $164.00 | $32.80 – $241.00 | 14 |
| Balloon dilate urtrl strix CPT 50706 | $1,573.09 | $3,488.00 | $465.00 – $4,018.00 | 15 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $323.64 | $1,044.00 | $129.45 – $783.00 | 25 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $290.78 | $938.00 | $129.45 – $703.50 | 25 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $165.54 | $534.00 | $129.45 – $400.50 | 25 |
| Bartonella dna pcr-sendout CPT 87471 | $35.62 | $106.00 | $35.09 – $79.50 | 25 |
| B cells total count CPT 86355 | $39.56 | $114.00 | $37.73 – $85.50 | 25 |
| #_benzodiazconfur CPT 80346 | $32.54 | $166.00 | $11.20 – $85.13 | 14 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $26.72 | $77.00 | $25.45 – $57.75 | 25 |
| Beta-2 microglobulin CPT 82232 | $11.37 | $58.00 | $16.18 – $36.75 | 25 |
| Beta-amyloid 1-40 CPT 82233 | $58.80 | $300.00 | $60.00 – $225.00 | 14 |
| Beta-amyloid 1-42 CPT 82234 | $88.40 | $451.00 | $60.02 – $338.25 | 14 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $583.75 | $1,871.00 | $189.35 – $935.25 | 25 |
| Bilicheck CPT 88720 | $3.14 | $16.00 | $5.02 – $12.00 | 25 |
| Bilirubin direct CPT 82248 | $31.16 | $159.00 | $5.02 – $116.25 | 25 |
| Bilirubin total CPT 82247 | $25.68 | $131.00 | $5.02 – $42.75 | 25 |
| Biopsy abdominal mass CPT 49180 | $996.26 | $2,209.00 | $773.15 – $2,849.35 | 25 |
| Biopsy bone trocar/needle superficial CPT 20220 | $709.42 | $1,573.00 | $550.55 – $2,849.35 | 25 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $459.22 – $3,268.08 | 6 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $869.98 | $1,929.00 | $385.80 – $3,355.47 | 25 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Biopsy muscle percutaneous needle CPT 20206 | $714.38 | $1,584.00 | $554.40 – $2,849.35 | 25 |
| Biopsy needle liver percutaneous CPT 47000 | $1,048.58 | $2,325.00 | $813.75 – $2,849.35 | 25 |
| Biopsy needle lymph node superficial CPT 38505 | $1,183.42 | $2,624.00 | $349.80 – $4,640.00 | 15 |
| Biopsy of heart lining CPT 93505 | $1,120.00 | $5,600.00 | $1,960.00 – $5,535.21 | 25 |
| Biopsy of prostate CPT 55700 | $726.56 | $1,611.00 | $563.85 – $3,602.51 | 25 |
| Biopsy of salivary gland 42400 CPT 42400 | $744.60 | $1,651.00 | $450.93 – $1,238.25 | 25 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,569.48 | $3,480.00 | $464.00 – $4,640.00 | 15 |
| Biospy of bladder CPT 53899 | not published | not published | $192.95 – $2,440.42 | 6 |
| Bladder Catheter Insertion (simple) CPT 51702 | $136.20 | $302.00 | $81.16 – $226.68 | 25 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $268.80 | $596.00 | $192.95 – $447.00 | 25 |
| Bld prd mix CPT 86965 | $69.35 | $365.00 | $1.65 – $301.36 | 25 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $4,874.92 | $22,780.00 | $170.00 – $637.50 | 15 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $2,973.53 | $13,895.00 | $282.60 – $2,344.65 | 15 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $2,973.53 | $13,895.00 | $33.20 – $4,550.02 | 15 |
| Bln press regulation 71-80cm HCPCS C1815 | $21,693.08 | $76,654.00 | $2,316.00 – $8,685.00 | 15 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $9,917.45 | $35,044.00 | $89.40 – $945.90 | 15 |
| Blood Clotting (PT/INR) Test CPT 85610 | $34.90 | $126.00 | $4.29 – $9.75 | 25 |
| Blood Clotting (PTT) Test CPT 85730 | $41.83 | $151.00 | $6.01 – $113.25 | 25 |
| Blood Count (CBC) Test CPT 85025 | $52.35 | $189.00 | $7.77 – $18.00 | 25 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $39.06 | $141.00 | $6.47 – $105.75 | 25 |
| Blood Culture Test CPT 87040 | $120.96 | $360.00 | $10.32 – $270.00 | 25 |
| Blood draw capillary 36416 CPT 36416 | $12.81 | $38.00 | $0.49 – $28.50 | 15 |
| Blood gases o2 saturation direct measurement CPT 82805 | $68.01 | $347.00 | $78.77 – $177.75 | 25 |
| Blood gases ph venous CPT 82800 | $6.47 | $33.00 | $11.00 – $24.75 | 25 |
| Blood, l/r, irradiated HCPCS P9056 | $134.14 | $706.00 | $89.71 – $529.50 | 25 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $12.15 | $62.00 | $15.92 – $46.50 | 25 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $2.55 | $13.00 | $4.23 – $9.75 | 25 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $2.74 | $14.00 | $4.38 – $10.50 | 25 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $3.14 | $16.00 | $5.32 – $12.00 | 25 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $14.96 | $54.00 | $3.80 – $40.50 | 25 |
| Blood split unit HCPCS P9011 | $72.01 | $379.00 | $18.14 – $249.36 | 25 |
| Blood Transfusion CPT 36430 | $377.94 | $1,871.00 | $287.87 – $935.25 | 25 |
| Blood typing abo CPT 86900 | $92.68 | $275.00 | $2.99 – $193.50 | 25 |
| Blood typing ag donor ea ag CPT 86902 | $256.79 | $762.00 | $6.35 – $571.50 | 25 |
| Blood typing patient serum CPT 86904 | $51.56 | $153.00 | $16.34 – $114.75 | 25 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $256.79 | $762.00 | $3.83 – $571.50 | 25 |
| Blood typing rh (d) CPT 86901 | $32.35 | $96.00 | $2.99 – $63.00 | 25 |
| Blood typing rh phenotype complete reference CPT 86906 | $28.31 | $84.00 | $7.75 – $63.00 | 25 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $103.23 | $333.00 | $78.75 – $249.75 | 25 |
| Bone imaging multiple areas CPT 78305 | $853.76 | $2,668.00 | $273.41 – $2,001.00 | 25 |
| Bone/joint imaging ltd area CPT 78300 | $581.12 | $1,816.00 | $273.41 – $1,362.00 | 25 |
| Bone marrow;aspiration only 38220 CPT 38220 | $780.23 | $1,730.00 | $346.00 – $1,899.57 | 25 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $815.41 | $1,808.00 | $361.60 – $1,899.57 | 25 |
| Bone marrow imaging body CPT 78104 | $791.36 | $2,473.00 | $273.41 – $1,854.75 | 25 |
| Bone marrow imaging mult CPT 78103 | $683.84 | $2,137.00 | $273.41 – $1,602.75 | 25 |
| Bone survey-lead poisoning CPT 77074 | $128.03 | $413.00 | $79.00 – $309.75 | 25 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $22.90 | $66.00 | $17.03 – $49.50 | 25 |
| Bowel imaging CPT 78290 | $568.00 | $1,775.00 | $273.41 – $1,331.25 | 25 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $25.68 | $131.00 | $26.20 – $241.00 | 14 |
| Brach/thor cath 1st CPT 36215 | $950.26 | $2,107.00 | $421.40 – $4,018.00 | 15 |
| Brach/thor cath 2nd CPT 36216 | $1,100.44 | $2,440.00 | $468.22 – $4,018.00 | 15 |
| Brach/thor cath 3rd CPT 36217 | $1,325.49 | $2,939.00 | $468.22 – $4,018.00 | 15 |
| Brach/thor cath addl CPT 36218 | $265.64 | $589.00 | $117.80 – $4,018.00 | 15 |
| Braf gene CPT 81210 | $258.03 | $846.00 | $175.40 – $395.25 | 25 |
| Brain image w/flow < 4 views CPT 78601 | $391.04 | $1,222.00 | $273.41 – $916.50 | 25 |
| Brain image w/flow 4 + views CPT 78606 | $740.48 | $2,314.00 | $354.82 – $1,735.50 | 25 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $693.95 | $3,258.00 | $266.89 – $2,443.50 | 25 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $578.30 | $2,715.00 | $241.82 – $2,036.25 | 25 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $462.64 | $2,172.00 | $166.84 – $1,629.00 | 25 |
| Brain MRI (with and without contrast) CPT 70553 | $650.84 | $3,636.00 | $266.89 – $2,727.00 | 25 |
| Brain MRI (with contrast) CPT 70552 | $542.37 | $3,030.00 | $241.82 – $2,272.50 | 25 |
| Brain MRI (without contrast) CPT 70551 | $433.90 | $2,424.00 | $166.84 – $1,818.00 | 25 |
| Brcassure comprehensive panel-sendout CPT 81162 | $1,669.88 | $5,475.00 | $1,824.88 – $4,106.25 | 25 |
| Breastbone (Sternum) X-ray CPT 71120 | $102.92 | $332.00 | $58.65 – $249.00 | 25 |
| Breast punct aspir cyst, bil CPT 19000 | $431.16 | $956.00 | $191.20 – $4,018.00 | 15 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $1,220.21 – $2,246.06 | 6 |
| Bronchial challenge CPT 94070 | $41.76 | $803.00 | $184.17 – $602.25 | 25 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $2,246.06 – $3,268.08 | 6 |
| Br punct aspir ea add, l CPT 19001 | $223.70 | $496.00 | $99.20 – $4,018.00 | 15 |
| Bundled special stain group 1 microorganisms CPT 88312 | $103.60 | $388.00 | $36.08 – $291.00 | 25 |
| Bundled special stain group 2 CPT 88313 | $82.50 | $309.00 | $24.53 – $226.68 | 25 |
| Buprenorphine and metabolite - sendout CPT 80348 | $25.28 | $129.00 | $11.20 – $54.48 | 14 |
| Buprenorphine oral 1mg HCPCS J0571 | $0.03 | $0.09 | $0.02 – $4.35 | 15 |
| Bur rotalink 2.15mm HCPCS C1724 | $3,750.14 | $17,524.00 | $977.00 – $7,787.12 | 15 |
| Bx bone trocar/ndl deep CPT 20225 | $987.69 | $2,190.00 | $766.50 – $2,849.35 | 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.