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 |
|---|---|---|---|---|
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $204.07 – $3,268.08 | 6 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Bx pancreas pq ndl CPT 48102 | $813.15 | $1,803.00 | $631.05 – $2,849.35 | 25 |
| Bx pleura pq ndl CPT 32400 | $804.13 | $1,783.00 | $624.05 – $2,849.35 | 25 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $1,352.55 | $2,999.00 | $399.80 – $4,018.00 | 15 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Bx spinal cord pq ndl CPT 62269 | $1,003.93 | $2,226.00 | $779.10 – $2,849.35 | 25 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $431.16 | $956.00 | $334.60 – $1,237.34 | 25 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $459.22 – $2,440.42 | 6 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $459.22 – $2,440.42 | 6 |
| Bypass temp external fem-fem CPT 37799 | $1,776.04 | $3,938.00 | $392.67 – $2,953.50 | 25 |
| C1 esterase inhibitor func - sendout CPT 86161 | $104.10 | $300.00 | $12.00 – $49.50 | 25 |
| Cable cath 22-pin diag HCPCS C1730 | $3,750.14 | $17,524.00 | $118.80 – $1,161.47 | 15 |
| Calcium 24 hour urine CPT 82340 | $15.09 | $77.00 | $6.03 – $42.00 | 25 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $0.11 | $0.80 | $0.07 – $0.60 | 14 |
| Calcium ionized CPT 82330 | $31.16 | $159.00 | $13.68 – $111.75 | 25 |
| Calcium total CPT 82310 | $25.87 | $132.00 | $5.16 – $42.00 | 25 |
| Calprotectin fecal CPT 83993 | $49.00 | $250.00 | $19.63 – $187.50 | 25 |
| Campylobacter antibody CPT 86625 | $13.88 | $40.00 | $13.12 – $30.00 | 25 |
| Candida dna CPT 87480 | $20.50 | $61.00 | $20.05 – $45.75 | 25 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $31,609.40 | $111,694.00 | $33.20 – $1,267.51 | 15 |
| Cap nerve 2x15mm HCPCS C1763 | $28,510.55 | $100,744.00 | $170.00 – $5,985.61 | 15 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Cap trach decann 15mm HCPCS C1750 | $3,277.14 | $11,580.00 | $62.60 – $681.28 | 15 |
| Carbamazepine free CPT 80157 | $17.64 | $90.00 | $13.25 – $67.50 | 25 |
| Carbamazepine free -sendout CPT 80161 | $17.64 | $90.00 | $18.64 – $43.50 | 25 |
| Carbamazepine total therapeutic drug level CPT 80156 | $10.19 | $52.00 | $14.57 – $39.00 | 25 |
| Carbohydrate deficient transf - sendout CPT 82373 | $10.78 | $55.00 | $18.06 – $41.25 | 25 |
| Carbohydrate urine - sendout CPT 84377 | $44.88 | $229.00 | $5.50 – $171.75 | 25 |
| Carbon dioxide CPT 82374 | $52.92 | $270.00 | $4.88 – $81.00 | 25 |
| Carboxyhemoglobin quantitative CPT 82375 | $14.70 | $75.00 | $12.32 – $27.75 | 25 |
| Carcinoembryonic ag (cea) CPT 82378 | $64.48 | $329.00 | $18.96 – $42.75 | 25 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,139.52 | $3,561.00 | $946.81 – $2,670.75 | 25 |
| Cardiolipin antibody iga CPT 86147 | $27.76 | $80.00 | $25.45 – $60.00 | 25 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $703.60 | $1,733.00 | $407.38 – $1,299.75 | 25 |
| Carotene CPT 82380 | $13.13 | $67.00 | $9.22 – $50.25 | 25 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $504.09 | $1,924.00 | $166.84 – $1,443.00 | 25 |
| Car outp meas drg cath chd CPT 93598 | $288.67 | $711.00 | $142.20 – $5,727.42 | 14 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $1,271.93 – $3,268.08 | 6 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | not published | not published | $575.40 – $2,440.42 | 6 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $461.60 | $2,157.00 | $62.60 – $348.85 | 15 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $2,874.45 | $13,432.00 | $282.60 – $5,698.91 | 15 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,306.47 | $6,105.00 | $323.80 – $3,062.45 | 15 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $2,973.53 | $13,895.00 | $539.00 – $6,047.38 | 15 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $2,973.53 | $13,895.00 | $33.20 – $325.06 | 15 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $2,973.53 | $13,895.00 | $538.00 – $2,017.50 | 15 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $9,374.06 | $43,804.00 | $62.60 – $555.76 | 15 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $2,973.53 | $13,895.00 | $118.80 – $1,391.75 | 15 |
| Cath bi-dir df smarttouch HCPCS C1732 | $4,687.46 | $21,904.00 | $431.40 – $4,300.87 | 15 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $3,750.14 | $17,524.00 | $616.60 – $2,312.25 | 15 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $2,587.00 | $12,935.00 | $2,101.79 – $9,701.25 | 25 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $2,973.53 | $13,895.00 | $62.60 – $348.85 | 15 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $824.54 | $3,853.00 | $118.80 – $473.04 | 15 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,045.39 | $4,885.00 | $33.20 – $1,388.44 | 15 |
| Catheter declot mechanical CPT 36596 | $1,057.14 | $2,344.00 | $820.40 – $2,731.89 | 25 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $24.94 | $74.00 | $3.00 – $55.50 | 25 |
| Catheter stripping venous CPT 36595 | $1,776.04 | $3,938.00 | $1,378.30 – $5,535.21 | 25 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $1,727.71 | $6,105.00 | $33.20 – $5,081.94 | 15 |
| Cath hawkone s directional HCPCS C1714 | $3,750.14 | $17,524.00 | $977.00 – $7,787.12 | 15 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $3,932.28 | $13,895.00 | $118.80 – $4,054.84 | 15 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $3,281.48 | $15,334.00 | $170.00 – $1,754.64 | 15 |
| Cath left heart/lv gram CPT 93452 | $2,104.60 | $10,523.00 | $2,101.79 – $7,892.25 | 25 |
| Cath lt/rt pulm art CPT 36014 | $726.11 | $1,610.00 | $214.60 – $4,018.00 | 15 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $1,727.71 | $6,105.00 | $118.80 – $445.50 | 15 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $9,297.68 | $32,854.00 | $3,066.80 – $37,162.61 | 15 |
| Cath place 1st order venous 36011 CPT 36011 | $660.72 | $1,465.00 | $293.00 – $4,018.00 | 15 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $4,874.20 | $24,371.00 | $2,101.79 – $18,278.25 | 25 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $3,899.40 | $19,497.00 | $2,101.79 – $14,622.75 | 25 |
| Cath plc art/grft/angio right hrt CPT 93457 | $4,374.80 | $21,874.00 | $2,101.79 – $16,405.50 | 25 |
| Cath right heart w/o2 sat & card CPT 93451 | $1,948.60 | $9,743.00 | $2,101.79 – $7,307.25 | 25 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $167.32 | $371.00 | $74.20 – $4,018.00 | 15 |
| Cath segmntl pulm art CPT 36015 | $1,046.77 | $2,321.00 | $309.40 – $4,018.00 | 15 |
| Cath steerable flex adv 12f HCPCS C1766 | $1,982.71 | $9,265.00 | $282.60 – $2,086.84 | 15 |
| Cath stripping venous s&i CPT 75901 | $234.05 | $755.00 | $151.00 – $824.35 | 14 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $5,579.06 | $19,714.00 | $538.00 – $2,017.50 | 15 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $604.98 | $2,827.00 | $62.60 – $234.75 | 15 |
| Cdna analysis for variants CPT 81403 | $272.36 | $893.00 | $185.20 – $417.00 | 25 |
| Cebpa gene full sequence CPT 81218 | $355.63 | $1,166.00 | $241.90 – $874.50 | 25 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $1.11 | $32.60 | $0.48 – $24.45 | 15 |
| #celiac hla-dq8 CPT 81383 | $100.04 | $328.00 | $109.13 – $246.00 | 25 |
| Cell count body fluid CPT 89050 | $5.06 | $15.00 | $4.72 – $11.25 | 25 |
| Cell count w differential body fluid CPT 89051 | $5.73 | $17.00 | $5.60 – $12.75 | 25 |
| Cell function assay w/stim CPT 86352 | $141.58 | $408.00 | $135.86 – $306.00 | 25 |
| Cell marker study CPT 88182 | $126.60 | $600.00 | $36.08 – $450.00 | 25 |
| #cf-97variants CPT 81220 | $818.01 | $2,682.00 | $556.60 – $2,011.50 | 25 |
| Change cystostomy tube simple CPT 51705 | $238.58 | $529.00 | $185.15 – $427.71 | 25 |
| Change g-tube to g-j perc CPT 49446 | $924.10 | $2,049.00 | $717.15 – $3,336.05 | 25 |
| Change nephroureteral cath CPT 50387 | $1,565.42 | $3,471.00 | $462.80 – $4,640.00 | 15 |
| Change of windpipe airway 31502 CPT 31502 | $163.71 | $363.00 | $127.05 – $408.38 | 25 |
| Change ureter stent percut CPT 50382 | $3,425.35 | $7,595.00 | $1,012.60 – $5,307.00 | 15 |
| Chemo adm cns w/lmbr punct CPT 96450 | $216.59 | $716.00 | $225.29 – $583.31 | 25 |
| Chest 2 vws w oblique CPT 71048 | $111.64 | $443.00 | $79.00 – $332.25 | 25 |
| Chest apical lordotic proj CPT 71047 | $92.23 | $366.00 | $58.65 – $274.50 | 25 |
| Chest CT scan (with and without contrast) CPT 71270 | $933.07 | $3,521.00 | $129.45 – $2,640.75 | 25 |
| Chest CT scan (with contrast) CPT 71260 | $777.51 | $2,934.00 | $129.45 – $2,200.50 | 25 |
| Chest CT scan (without contrast) CPT 71250 | $621.96 | $2,347.00 | $79.00 – $1,760.25 | 25 |
| Chest Physiotherapy (first session) CPT 94667 | $73.82 | $285.00 | $81.16 – $226.68 | 25 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $77.70 | $300.00 | $81.16 – $226.68 | 25 |
| Chest Ultrasound CPT 76604 | $172.87 | $441.00 | $79.00 – $330.75 | 25 |
| Chest X-ray CPT 71046 | $82.66 | $328.00 | $58.65 – $246.00 | 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.