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 |
|---|---|---|---|---|
| Chest X-ray (single view) CPT 71045 | $68.54 | $272.00 | $58.65 – $204.00 | 25 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $177.01 | $571.00 | $129.45 – $428.25 | 25 |
| Chimerism anal no cell selec CPT 81267 | $305.00 | $1,000.00 | $207.46 – $467.25 | 25 |
| Chimerism anal w/cell select CPT 81268 | $383.38 | $1,257.00 | $260.79 – $942.75 | 25 |
| Chlamydia culture CPT 87110 | $23.86 | $71.00 | $19.60 – $53.25 | 25 |
| Chlamydia trachomatis ag if CPT 87270 | $12.10 | $36.00 | $11.98 – $27.00 | 25 |
| Chlamydia type CPT 87140 | $19.15 | $57.00 | $5.57 – $42.00 | 25 |
| Chlnggrphy intraop addl s&i CPT 74301 | $159.96 | $516.00 | $26.49 – $387.00 | 14 |
| Chloride CPT 82435 | $17.25 | $88.00 | $4.60 – $60.00 | 25 |
| Chloride 24 hour urine CPT 82436 | $3.53 | $18.00 | $5.75 – $13.50 | 25 |
| Cholangiogram percutaneous compl CPT 47532 | $1,311.51 | $2,908.00 | $1,017.80 – $6,206.21 | 25 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $207.70 | $670.00 | $35.52 – $502.50 | 14 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $2,268.08 | $5,029.00 | $936.00 – $6,206.21 | 25 |
| Cholesterol CPT 82465 | $10.98 | $56.00 | $4.35 – $41.25 | 25 |
| Cholesterol body fluid CPT 84999 | $31.95 | $163.00 | $10.20 – $129.21 | 14 |
| Cholesterol (Lipid) Test CPT 80061 | $60.56 | $309.00 | $13.39 – $38.25 | 25 |
| Cholinesterase CPT 82480 | $11.76 | $60.00 | $7.87 – $45.00 | 25 |
| Chrom analysis CPT 88273 | $35.45 | $168.00 | $34.81 – $126.00 | 25 |
| Chromatography CPT 83021 | $10.78 | $55.00 | $18.06 – $41.25 | 25 |
| Chromo high res and frag x - sendout CPT 81243 | $83.88 | $275.00 | $57.04 – $206.25 | 25 |
| Chromosome analys amniotic CPT 88269 | $176.61 | $837.00 | $173.66 – $627.75 | 25 |
| Chromosome analysis 100 CPT 88249 | $176.18 | $835.00 | $173.17 – $626.25 | 25 |
| Chromosome analysis 15-20 cell count CPT 88262 | $127.66 | $605.00 | $125.49 – $399.00 | 25 |
| Chromosome analysis 5 CPT 88261 | $167.53 | $794.00 | $264.34 – $595.50 | 25 |
| Chromosome analys placenta CPT 88267 | $119.43 | $566.00 | $188.57 – $424.50 | 25 |
| Chromosome count additional CPT 88285 | $27.43 | $130.00 | $26.91 – $97.50 | 25 |
| Chromosome karyotype study CPT 88280 | $34.18 | $162.00 | $33.47 – $121.50 | 25 |
| Chromosome study additional CPT 88289 | $35.03 | $166.00 | $34.43 – $124.50 | 25 |
| Chronic urticaria - sendout CPT 86343 | $22.21 | $64.00 | $12.46 – $48.00 | 25 |
| Chylomicron screen, bf - sendout CPT 82664 | $36.26 | $185.00 | $61.50 – $138.75 | 25 |
| Circum 28 days or older CPT 54161 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Circumcision (newborn) CPT 54150 | $170.61 | $564.00 | $81.27 – $3,602.51 | 25 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $484.34 | $1,588.00 | $329.51 – $1,191.00 | 25 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $2,973.53 | $13,895.00 | $323.80 – $3,548.07 | 15 |
| Clip ligating vesolock lg HCPCS C1760 | $6,198.83 | $21,904.00 | $62.60 – $1,660.05 | 15 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $1,009.45 – $3,268.08 | 6 |
| Clot factor fletcher fact CPT 85292 | $45.98 | $166.00 | $18.93 – $124.50 | 25 |
| Clot factor viii reltd antgn CPT 85244 | $17.17 | $62.00 | $20.42 – $46.50 | 25 |
| Clot factor xii hageman CPT 85280 | $21.05 | $76.00 | $19.35 – $57.00 | 25 |
| Clot factor xiii fibrin scrn CPT 85291 | $7.76 | $28.00 | $9.11 – $21.00 | 25 |
| Clot factor xiii fibrin stab CPT 85290 | $27.15 | $98.00 | $16.34 – $73.50 | 25 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $149.49 – $2,440.42 | 6 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $1,009.45 – $2,440.42 | 6 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $3,196.92 – $5,254.47 | 6 |
| #cmvcul-virus inoculation shell CPT 87254 | $35.62 | $106.00 | $19.56 – $48.00 | 25 |
| Cmv pcr-sendout CPT 87496 | $35.62 | $106.00 | $35.09 – $79.50 | 25 |
| Co2 monitor per day CPT 94681 | $39.68 | $763.00 | $191.73 – $572.25 | 25 |
| Coagulation time activated teg CPT 85347 | $3.60 | $13.00 | $4.28 – $9.75 | 25 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $127.12 | $594.00 | $62.60 – $234.75 | 15 |
| Cold agglutinin screen (arc) CPT 86156 | $8.67 | $25.00 | $8.07 – $18.75 | 25 |
| Cold agglutinin titer CPT 86157 | $8.67 | $25.00 | $8.06 – $18.75 | 25 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $5,703.02 | $20,152.00 | $339.25 – $2,338.22 | 15 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $99.20 | $320.00 | $58.65 – $347.17 | 15 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $575.40 – $3,268.08 | 7 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $575.40 – $2,440.42 | 7 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $751.80 – $2,440.42 | 7 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $751.80 – $3,268.08 | 7 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $4,925.87 – $9,813.71 | 6 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $123.01 | $365.00 | $1.89 – $301.36 | 25 |
| Compatibility test each unit electronic CPT 86923 | $123.01 | $365.00 | $1.43 – $301.36 | 25 |
| Compatibility test each unit immediate spin technique CPT 86920 | $123.01 | $365.00 | $1.78 – $301.36 | 25 |
| Complement antigen each component c3 CPT 86160 | $101.32 | $292.00 | $12.00 – $27.00 | 25 |
| Complement fixation each CPT 86171 | $10.76 | $31.00 | $10.01 – $23.25 | 25 |
| Concentration infection agents any type CPT 87015 | $23.86 | $71.00 | $6.68 – $15.75 | 25 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Conization of cervix CPT 57520 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Connector tis 2x10mm HCPCS C9352 | $1,727.71 | $6,105.00 | $282.60 – $5,949.38 | 15 |
| Consultation pathology during surgery CPT 88329 | $55.54 | $208.00 | $24.53 – $156.00 | 25 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $28.84 | $108.00 | $12.26 – $81.00 | 15 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $97.46 | $365.00 | $69.25 – $301.36 | 25 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $86.51 | $324.00 | $36.08 – $93.97 | 25 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $130.56 | $489.00 | $24.53 – $366.75 | 25 |
| Consult comp w/report rfrd material CPT 88325 | $205.32 | $769.00 | $108.14 – $576.75 | 25 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $2,707.65 | $4,923.00 | $240.83 – $5,535.21 | 25 |
| Contrast x-ray gallbladder CPT 74290 | $228.47 | $737.00 | $129.45 – $552.75 | 25 |
| Contrast x-ray of hip CPT 73525 | $375.10 | $1,240.00 | $248.00 – $1,580.51 | 15 |
| Contrast x-ray of knee joint CPT 73580 | $333.05 | $1,101.00 | $220.20 – $1,580.51 | 15 |
| Contrast x-ray of wrist CPT 73115 | $329.72 | $1,090.00 | $218.00 – $1,580.51 | 15 |
| Controller infinity pt dbs HCPCS C1787 | $3,932.28 | $13,895.00 | $977.00 – $3,663.75 | 15 |
| Coombs direct CPT 86880 | $44.07 | $127.00 | $5.39 – $95.25 | 25 |
| Coombs indirect titer reference CPT 86886 | $126.65 | $365.00 | $5.18 – $273.75 | 25 |
| Core ndl bx lng/med perq CPT 32408 | $1,436.43 | $3,185.00 | $1,020.08 – $2,849.35 | 25 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $4,542.09 – $5,254.47 | 6 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $3,935.60 | $19,678.00 | $2,101.79 – $14,758.50 | 25 |
| Coronary angio/lv gram/lt heart CPT 93458 | $3,610.60 | $18,053.00 | $2,101.79 – $13,539.75 | 25 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $4,332.80 | $21,664.00 | $2,101.79 – $16,248.00 | 25 |
| Coronary art/grft angio s&i CPT 93455 | $2,704.80 | $13,524.00 | $2,101.79 – $10,143.00 | 25 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $2,639.60 | $13,198.00 | $2,101.79 – $9,898.50 | 25 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Cortisol total am CPT 82533 | $63.31 | $323.00 | $16.30 – $43.50 | 25 |
| Co-treatment - group 15 mins, st CPT 92508 | $38.72 | $128.00 | $25.60 – $241.00 | 14 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $2,687.37 | $9,496.00 | $33.20 – $1,866.21 | 15 |
| #covid19rsv-rsv CPT 87634 | $70.90 | $211.00 | $70.20 – $158.25 | 25 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $18.39 | $53.00 | $13.03 – $30.00 | 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.