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 |
|---|---|---|---|---|
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $21.17 | $61.00 | $16.85 – $38.25 | 25 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $39.25 | $186.00 | $36.08 – $139.50 | 25 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $32.28 | $153.00 | $26.61 – $114.75 | 25 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $24.69 | $117.00 | $20.26 – $87.75 | 25 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $66.47 | $315.00 | $24.53 – $236.25 | 25 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $9.92 | $47.00 | $9.40 – $37.60 | 15 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $77.02 | $365.00 | $37.48 – $301.36 | 25 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $86.30 | $409.00 | $36.08 – $144.00 | 25 |
| Cytopath smear oth prep screen & interp CPT 88161 | $46.00 | $218.00 | $17.89 – $163.50 | 25 |
| Cytotoxic antibody screening CPT 86808 | $31.23 | $90.00 | $29.68 – $67.50 | 25 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.02 | $0.70 | $0.03 – $0.53 | 15 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Dch pulmonary stress test CPT 94621 | $65.99 | $1,269.00 | $191.73 – $951.75 | 25 |
| Dch validity tests CPT 81002 | $3.40 | $11.00 | $3.48 – $8.25 | 25 |
| Deamidated gliadin antibody iga CPT 86258 | $20.47 | $59.00 | $11.53 – $27.75 | 25 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $250.73 – $852.54 | 6 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $380.02 – $3,268.08 | 6 |
| Decalcification CPT 88311 | $11.48 | $43.00 | $8.60 – $34.05 | 15 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $237.23 | $526.00 | $184.10 – $583.31 | 25 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,271.93 – $4,620.72 | 6 |
| Delivery of placenta 59414 CPT 59414 | $1,511.64 | $3,420.00 | $932.00 – $5,591.54 | 25 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $90.65 | $350.00 | $85.98 – $357.69 | 25 |
| Desoxycorticosterone CPT 82633 | $18.23 | $93.00 | $30.98 – $69.75 | 25 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $1,243.64 – $3,741.03 | 6 |
| Developmental screen/score/document 96110 CPT 96110 | $96.46 | $407.00 | $71.18 – $305.25 | 15 |
| Device ablt adv novasure HCPCS C1886 | $2,478.12 | $11,580.00 | $1,221.00 – $4,578.75 | 15 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $1,306.47 | $6,105.00 | $62.60 – $234.75 | 15 |
| Device sut capio slim opn HCPCS C2631 | $3,277.14 | $11,580.00 | $484.20 – $1,898.04 | 15 |
| Device tiss remov myosure reach HCPCS C1782 | $2,973.53 | $13,895.00 | $538.00 – $2,567.13 | 15 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $13.13 | $67.00 | $22.23 – $50.25 | 25 |
| Diabetes (HbA1c) Test CPT 83036 | $34.69 | $177.00 | $9.71 – $132.75 | 25 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $3,668.82 – $3,741.03 | 6 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $208.81 | $463.00 | $119.18 – $347.25 | 25 |
| Diffusing capacity CPT 94729 | $33.49 | $644.00 | $60.63 – $483.00 | 15 |
| Digital analysis of eeg CPT 95957 | $243.21 | $804.00 | $160.80 – $925.85 | 14 |
| Digoxin total therapeutic drug level CPT 80162 | $10.39 | $53.00 | $13.28 – $39.75 | 25 |
| Dilate urethra stricture CPT 53605 | not published | not published | $2,230.35 – $3,268.08 | 6 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $1,901.83 – $2,440.42 | 6 |
| Dilator fascial 10fx20cm HCPCS C2627 | $461.60 | $2,157.00 | $50.20 – $213.02 | 15 |
| Disaccharidases CPT 82657 | $70.95 | $362.00 | $22.17 – $50.25 | 25 |
| Dna antibody native/double stranded CPT 86225 | $21.51 | $62.00 | $13.74 – $31.50 | 25 |
| Dna gardnerella CPT 87510 | $20.50 | $61.00 | $20.05 – $45.75 | 25 |
| Dna trichomonas CPT 87660 | $20.50 | $61.00 | $20.05 – $45.75 | 25 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | $0.03 | $0.01 – $3.74 | 15 |
| Doppler echo complete CPT 93320 | $282.41 | $1,148.00 | $137.71 – $2,128.00 | 14 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $962.40 | $4,812.00 | $962.40 – $12,389.00 | 14 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $352.91 | $1,347.00 | $101.17 – $673.50 | 25 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $301.82 | $1,152.00 | $81.16 – $576.00 | 25 |
| Dornhoffer fixed part w/window HCPCS L8614 | $61,978.13 | $219,004.00 | $10,074.00 – $105,185.97 | 15 |
| Dpyd gene common variants CPT 81232 | $257.12 | $843.00 | $174.81 – $393.75 | 25 |
| Drainage lymph node lesion 38300 CPT 38300 | $1,779.65 | $3,946.00 | $1,170.00 – $5,033.21 | 25 |
| Drainage of kidney lesion CPT 50390 | $689.58 | $1,529.00 | $203.80 – $4,018.00 | 15 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $2,052.04 – $2,440.42 | 6 |
| Drain bladder by trocar/cath CPT 51101 | $811.35 | $1,799.00 | $326.00 – $1,789.18 | 25 |
| Drain cath image guided visceral pq CPT 49405 | $1,011.59 | $2,243.00 | $785.05 – $2,849.35 | 25 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $462.73 | $1,026.00 | $359.10 – $1,217.87 | 25 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,622.00 | $9,265.00 | $170.00 – $854.24 | 15 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $119.43 | $422.00 | $18.78 – $268.59 | 15 |
| Drug admin & hemodynmic meas CPT 93463 | $587.40 | $2,937.00 | $587.40 – $12,389.00 | 13 |
| Drug assay caffeine CPT 80155 | $22.74 | $116.00 | $38.57 – $87.00 | 25 |
| Drug assay posaconazole CPT 80187 | $23.13 | $118.00 | $27.11 – $88.50 | 25 |
| Drug assay voriconazole CPT 80285 | $24.89 | $127.00 | $27.11 – $95.25 | 25 |
| Drug asy hydroxychloroquine CPT 80220 | $57.04 | $291.00 | $18.64 – $218.25 | 25 |
| Drug of abuse screen urine CPT 80305 | $12.54 | $64.00 | $12.60 – $48.00 | 25 |
| Drug screening tapentadol CPT 80372 | $10.98 | $56.00 | $11.20 – $54.48 | 14 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $88.00 | $449.00 | $62.14 – $140.25 | 25 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $212.22 | $810.00 | $79.00 – $607.50 | 25 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $320.95 | $1,225.00 | $166.76 – $918.75 | 25 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $535.79 | $2,045.00 | $166.84 – $1,533.75 | 25 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,084.88 – $3,268.08 | 6 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,084.88 – $3,268.08 | 6 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,084.88 – $2,440.42 | 6 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $49.20 | $200.00 | $15.03 – $150.00 | 25 |
| Ecg external < 48 hours recording CPT 93225 | $128.56 | $425.00 | $50.65 – $318.75 | 25 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $176.36 | $583.00 | $63.31 – $437.25 | 25 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $658.79 | $2,678.00 | $350.10 – $2,008.50 | 25 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $254.12 | $1,033.00 | $166.84 – $774.75 | 25 |
| Echocardiography doppler color flow mapping CPT 93325 | $150.06 | $610.00 | $63.52 – $2,128.00 | 14 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $823.61 | $3,348.00 | $518.51 – $2,511.00 | 25 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $317.83 | $1,292.00 | $266.89 – $969.00 | 25 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $141.45 | $575.00 | $68.22 – $2,128.00 | 14 |
| Echo exam uterus 76831- CPT 76831 | $269.70 | $688.00 | $166.84 – $516.00 | 25 |
| Echo guide for amniocentesis CPT 76946 | $138.77 | $354.00 | $61.39 – $265.50 | 14 |
| Echo guide for artery repair CPT 76936 | $245.39 | $626.00 | $191.73 – $547.63 | 25 |
| Echo stress CPT 93350 | $482.90 | $1,963.00 | $350.10 – $1,472.25 | 25 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $616.48 | $2,506.00 | $350.10 – $1,879.50 | 25 |
| Echo transesophageal CPT 93314 | $579.58 | $2,356.00 | $471.20 – $2,128.00 | 14 |
| Echo transthoracic CPT 93303 | $498.40 | $2,026.00 | $350.10 – $1,519.50 | 25 |
| Echo transthoracic CPT 93304 | $264.70 | $1,076.00 | $350.10 – $964.24 | 25 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $340.46 | $1,384.00 | $166.84 – $1,038.00 | 25 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $535.73 | $1,771.00 | $191.73 – $1,328.25 | 25 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $392.95 | $1,299.00 | $353.64 – $974.25 | 25 |
| Eeg during surgery CPT 95955 | $634.64 | $2,098.00 | $419.60 – $1,573.50 | 14 |
| Eeg monitoring/function test CPT 95958 | $484.91 | $1,603.00 | $538.61 – $1,789.18 | 25 |
| Eeg monitoring/giving drugs CPT 95954 | $337.59 | $1,116.00 | $353.64 – $933.11 | 25 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $372.08 | $1,230.00 | $191.73 – $922.50 | 25 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $630.11 | $2,083.00 | $191.73 – $1,562.25 | 25 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $436.51 | $1,443.00 | $191.73 – $1,082.25 | 25 |
| Eeg recording awake and asleep CPT 95819 | $442.86 | $1,464.00 | $191.73 – $1,098.00 | 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.