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 |
|---|---|---|---|---|
| CPAP or BiPAP Setup (first day) CPT 94660 | $375.81 | $1,451.00 | $136.21 – $1,088.25 | 25 |
| C-peptide CPT 84681 | $12.35 | $63.00 | $20.81 – $47.25 | 25 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $504.66 | $1,243.00 | $191.73 – $932.25 | 25 |
| Crbrospnl fld flw imag cistern CPT 78630 | $530.88 | $1,659.00 | $354.82 – $1,244.25 | 25 |
| C-reactive protein CPT 86140 | $39.56 | $114.00 | $5.18 – $12.00 | 25 |
| C-reactive protein high sensitivity CPT 86141 | $45.46 | $131.00 | $12.95 – $42.75 | 25 |
| C-reactive protein, quantitative CPT 86406 | $28.11 | $81.00 | $10.64 – $44.25 | 25 |
| Creatine kinase CPT 82550 | $41.16 | $210.00 | $6.51 – $41.25 | 25 |
| Creatine kinase isoenzymes CPT 82552 | $11.56 | $59.00 | $13.39 – $44.25 | 25 |
| Creatine kinase mb CPT 82553 | $12.94 | $66.00 | $11.55 – $49.50 | 25 |
| Creatine - sendout CPT 82540 | $11.76 | $60.00 | $4.64 – $45.00 | 25 |
| Creatinine CPT 82565 | $23.52 | $120.00 | $5.12 – $83.25 | 25 |
| Creatinine 24 hour urine CPT 82570 | $30.77 | $157.00 | $5.18 – $12.00 | 25 |
| Creatinine clearance urine CPT 82575 | $5.68 | $29.00 | $9.46 – $21.75 | 25 |
| #creutz-prot.,western blot CPT 84182 | $30.38 | $155.00 | $29.21 – $66.00 | 25 |
| Critical care each additional 30 minutes CPT 99292 | $1,187.78 | $3,807.00 | $761.40 – $2,855.25 | 14 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $2,375.26 | $7,613.00 | $502.19 – $5,709.75 | 25 |
| Cryoprecipitate each unit HCPCS P9012 | $16.91 | $89.00 | $29.90 – $111.79 | 25 |
| Cryptococcus abs qn - sendout CPT 86641 | $15.27 | $44.00 | $14.41 – $33.00 | 25 |
| Cryptosporidium antigen CPT 87272 | $37.30 | $111.00 | $11.98 – $45.75 | 25 |
| Crystal identification light microscopy CPT 89060 | $24.26 | $72.00 | $7.33 – $54.00 | 25 |
| CT 3d report other modality w/workstation CPT 76377 | $160.88 | $738.00 | $147.60 – $1,013.00 | 14 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $681.32 | $2,571.00 | $129.45 – $1,928.25 | 15 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,057.35 | $3,990.00 | $241.82 – $2,992.50 | 25 |
| CT Angiogram of the Abdomen CPT 74175 | $743.06 | $2,804.00 | $129.45 – $2,103.00 | 25 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $349.78 | $2,446.00 | $129.45 – $1,834.50 | 25 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $979.97 | $3,698.00 | $129.45 – $2,773.50 | 25 |
| CT Angiogram of the Head CPT 70496 | $494.27 | $2,561.00 | $129.45 – $1,920.75 | 25 |
| CT Angiogram of the Neck CPT 70498 | $451.62 | $2,340.00 | $129.45 – $1,755.00 | 25 |
| CT angio hrt w/3d image CPT 75574 | $358.79 | $2,509.00 | $129.45 – $1,881.75 | 25 |
| CT angio pelvis CPT 72191 | $817.00 | $3,083.00 | $129.45 – $2,312.25 | 25 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $718.94 | $2,713.00 | $129.45 – $2,034.75 | 15 |
| CT bone density axial CPT 77078 | $95.14 | $359.00 | $58.65 – $269.25 | 25 |
| CT guidance for needle placement CPT 77012 | $261.26 | $1,827.00 | $327.94 – $1,370.25 | 14 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $436.30 | $1,113.00 | $222.60 – $834.75 | 14 |
| CT guid parench tis ablat CPT 77013 | $222.65 | $1,557.00 | $311.40 – $1,167.75 | 14 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $370.08 | $2,588.00 | $58.65 – $1,941.00 | 25 |
| CT limited or localized follow-up study CPT 76380 | $83.80 | $586.00 | $58.65 – $439.50 | 25 |
| CT lwr extremity w/o&w/dye CPT 73702 | $648.72 | $2,448.00 | $129.45 – $1,836.00 | 15 |
| CT scan for localization CPT 77011 | $288.86 | $2,020.00 | $341.00 – $1,515.00 | 14 |
| CT scan for therapy guide CPT 77014 | $110.25 | $771.00 | $154.20 – $1,013.00 | 14 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,007.00 | $3,800.00 | $241.82 – $2,850.00 | 25 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $839.26 | $3,167.00 | $241.82 – $2,375.25 | 25 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $671.24 | $2,533.00 | $166.84 – $1,899.75 | 25 |
| CT t-spine w /wo contrast CPT 72130 | $1,045.96 | $3,947.00 | $129.45 – $2,960.25 | 25 |
| CT uppr extremity w/o&w/dye CPT 73202 | $684.50 | $2,583.00 | $129.45 – $1,937.25 | 15 |
| Culture aerobic additional method definitive id each CPT 87077 | $34.61 | $103.00 | $5.00 – $18.75 | 25 |
| Culture afb any source CPT 87116 | $116.93 | $348.00 | $10.80 – $24.75 | 25 |
| Culture anaerobic additional method definitive id each CPT 87076 | $39.65 | $118.00 | $8.08 – $18.75 | 25 |
| Culture anaerobic except blood CPT 87075 | $124.66 | $371.00 | $9.47 – $278.25 | 25 |
| Culture bacteria anaerobic CPT 87073 | $9.74 | $29.00 | $9.66 – $21.75 | 25 |
| Culture bact stool aero addl path ea CPT 87046 | $21.17 | $63.00 | $9.44 – $21.75 | 25 |
| Culture body fluid CPT 87070 | $91.73 | $273.00 | $8.62 – $19.50 | 25 |
| Culture fungi definitive id mold CPT 87107 | $46.37 | $138.00 | $10.32 – $46.50 | 25 |
| Culture fungi definitive id yeast CPT 87106 | $45.70 | $136.00 | $10.32 – $46.50 | 25 |
| Culture fungi other (except blood) CPT 87102 | $26.21 | $78.00 | $8.41 – $45.00 | 25 |
| Culture fungi skin/hair/nail CPT 87101 | $19.82 | $59.00 | $7.71 – $44.25 | 25 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $21.50 | $64.00 | $14.61 – $48.00 | 25 |
| Culture mycoplasma any source CPT 87109 | $21.17 | $63.00 | $15.39 – $47.25 | 25 |
| Culture quantitative aerobic other source CPT 87071 | $20.50 | $61.00 | $9.89 – $45.75 | 25 |
| Culture screening strep group a CPT 87081 | $44.02 | $131.00 | $6.63 – $15.00 | 25 |
| Culture typing glc/hplc CPT 87143 | $12.77 | $38.00 | $12.52 – $28.50 | 25 |
| Culture typing immunologic CPT 87147 | $28.56 | $85.00 | $5.18 – $12.00 | 25 |
| Culture urine each isolate CPT 87088 | $8.40 | $25.00 | $8.09 – $18.75 | 25 |
| Cutter lead HCPCS C1773 | $12,092.28 | $56,506.00 | $226.40 – $1,260.93 | 15 |
| Cv line/pic reposition CPT 36597 | $891.18 | $1,976.00 | $691.60 – $2,731.89 | 25 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $12.94 | $66.00 | $14.32 – $49.50 | 25 |
| Cyclic citrullinated peptide antibody CPT 86200 | $20.47 | $59.00 | $12.95 – $44.25 | 25 |
| Cyclosporine 2 hour CPT 80158 | $11.37 | $58.00 | $18.05 – $41.25 | 25 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $18,594.23 | $65,704.00 | $168.80 – $44,385.13 | 15 |
| Cyp2c19 gene com variants CPT 81225 | $428.22 | $1,404.00 | $291.36 – $656.25 | 25 |
| Cyp2c9 gene com variants CPT 81227 | $160.12 | $525.00 | $174.81 – $393.75 | 25 |
| Cyp2d6 gene com variants CPT 81226 | $412.66 | $1,353.00 | $450.91 – $1,014.75 | 25 |
| Cyp3a4 gene common variants CPT 81230 | $160.12 | $525.00 | $174.81 – $393.75 | 25 |
| Cyp3a5 gene common variants CPT 81231 | $160.12 | $525.00 | $174.81 – $393.75 | 25 |
| Cystatin c CPT 82610 | $10.98 | $56.00 | $18.52 – $42.00 | 25 |
| Cystic fibrosis cftr CPT 81223 | $733.52 | $2,405.00 | $499.00 – $1,803.75 | 25 |
| Cystine urine quantitative CPT 82131 | $17.84 | $91.00 | $22.98 – $68.25 | 25 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $315.58 | $1,018.00 | $105.61 – $763.50 | 25 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $5,987.14 – $14,720.57 | 6 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $5,987.14 – $9,813.71 | 6 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $2,230.35 – $3,268.08 | 6 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $3,200.08 – $3,741.03 | 6 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $1,299.92 – $3,741.03 | 6 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $416.71 – $5,570.00 | 7 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $2,586.00 – $5,254.47 | 7 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $2,586.00 – $4,620.72 | 7 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,230.35 – $4,620.72 | 6 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,299.92 – $3,268.08 | 6 |
| Cytogenetics 25-99 CPT 88274 | $43.25 | $205.00 | $42.38 – $96.00 | 25 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $20.82 | $60.00 | $14.39 – $42.00 | 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.