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 |
|---|---|---|---|---|
| Eeg without vid 2-12hr cont mntr CPT 95707 | $282.84 | $935.00 | $191.73 – $701.25 | 25 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $226.27 | $748.00 | $101.17 – $561.00 | 25 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $395.97 | $1,309.00 | $353.64 – $981.75 | 25 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $373.59 | $1,235.00 | $353.64 – $933.11 | 25 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $260.45 | $861.00 | $191.73 – $645.75 | 25 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $339.40 | $1,122.00 | $353.64 – $933.11 | 25 |
| E equine encephalitis igg CPT 86652 | $22.56 | $65.00 | $13.19 – $48.75 | 25 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Egd guide wire insertion CPT 43248 | not published | not published | $586.96 – $3,268.08 | 7 |
| Egd remove foreign body CPT 43247 | not published | not published | $586.96 – $3,268.08 | 7 |
| Egd remove lesion snare CPT 43251 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $1,178.14 – $3,741.03 | 6 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $1,014.00 – $4,620.72 | 7 |
| Egd varices ligation CPT 43244 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Egfr gene com variants CPT 81235 | $297.07 | $974.00 | $324.58 – $730.50 | 25 |
| EKG (Tracing Only) CPT 93005 | $112.91 | $459.00 | $15.93 – $344.25 | 25 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $3,741.03 – $4,542.09 | 6 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $105.09 | $339.00 | $58.65 – $347.17 | 15 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $114.08 | $368.00 | $58.65 – $347.17 | 15 |
| Electrd sq emblem s-icd HCPCS C1896 | $5,579.06 | $19,714.00 | $539.00 – $4,236.64 | 15 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $27.24 | $139.00 | $27.80 – $241.00 | 14 |
| Electrical stimulation/unattended 97014 CPT 97014 | $18.34 | $106.00 | $21.20 – $241.00 | 14 |
| Electroconvulsive therapy 90870 CPT 90870 | $424.71 | $1,404.00 | $353.64 – $1,053.00 | 25 |
| Electrocorticography durng sx CPT 95829 | $588.66 | $1,946.00 | $389.20 – $5,212.38 | 14 |
| Electrode stimulation brain CPT 95961 | $269.22 | $890.00 | $299.04 – $1,789.18 | 25 |
| Electrolyte panel CPT 80051 | $43.71 | $223.00 | $7.01 – $138.75 | 25 |
| Electron microscopy diagnostic CPT 88348 | $457.10 | $1,712.00 | $475.71 – $1,436.61 | 25 |
| Electrophysiology evaluation CPT 93641 | $1,283.77 | $3,162.00 | $632.40 – $2,371.50 | 14 |
| Electrophysiology evaluation CPT 93642 | $1,309.76 | $3,226.00 | $806.77 – $2,419.50 | 25 |
| Embo or occlude vascular arterial s&i CPT 37242 | $4,592.53 | $10,183.00 | $3,564.05 – $31,578.74 | 25 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $4,592.53 | $10,183.00 | $3,564.05 – $19,943.57 | 25 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $6,809.20 | $15,098.00 | $3,741.03 – $19,943.57 | 25 |
| Embo or occlude vascular venous s&i CPT 37241 | $4,592.53 | $10,183.00 | $3,564.05 – $19,943.57 | 25 |
| Encephalitis, california igg/igm CPT 86651 | $22.56 | $65.00 | $13.19 – $48.75 | 25 |
| Encephalitis, st louis igg/igm CPT 86653 | $22.56 | $65.00 | $13.19 – $48.75 | 25 |
| Encephalitis, western equine igg/igm CPT 86654 | $22.56 | $65.00 | $13.19 – $48.75 | 25 |
| Endo cath bile duct s&i CPT 74328 | $290.47 | $937.00 | $62.10 – $702.75 | 14 |
| Endo cath panc duct s&i CPT 74329 | $294.81 | $951.00 | $63.04 – $713.25 | 14 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $2,273.53 – $3,268.08 | 6 |
| Endoluminl ivus oct c 1st CPT 92978 | $1,197.80 | $5,989.00 | $936.00 – $12,389.00 | 14 |
| Endoluminl ivus oct c ea CPT 92979 | $958.20 | $4,791.00 | $936.00 – $12,389.00 | 14 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $3,196.92 – $8,025.96 | 6 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $2,230.35 – $3,741.03 | 6 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Endoscopy swallow (fees) vid CPT 92612 | $230.16 | $717.00 | $81.00 – $537.75 | 14 |
| Enzyme histochemistry CPT 88319 | $457.10 | $1,712.00 | $186.19 – $1,436.61 | 25 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $5.40 | $38.04 | $7.61 – $149.83 | 15 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $585.40 | $1,298.00 | $173.00 – $4,018.00 | 15 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $1,901.83 – $3,741.03 | 6 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $3.38 | $26.60 | $0.17 – $3.31 | 15 |
| Epstein barr early antigen antibody CPT 86663 | $19.08 | $55.00 | $13.12 – $41.25 | 25 |
| Epstein barr nuclear antigen antibody CPT 86664 | $18.74 | $54.00 | $15.29 – $34.50 | 25 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $21.51 | $62.00 | $18.14 – $41.25 | 25 |
| Ercp biliary & pancreas CPT 74330 | $341.62 | $1,102.00 | $72.98 – $826.50 | 14 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $3,268.08 – $3,645.68 | 6 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $2,273.53 – $3,268.08 | 6 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $2,273.53 – $3,268.08 | 6 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $3,268.08 – $3,645.68 | 6 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $2,273.53 – $3,268.08 | 6 |
| ER Visit (level 1, minor) CPT 99281 | $421.32 | $657.00 | $54.54 – $492.75 | 25 |
| ER Visit (level 2) CPT 99282 | $678.22 | $1,163.00 | $88.87 – $872.25 | 25 |
| ER Visit (level 3) CPT 99283 | $1,086.71 | $1,669.00 | $138.24 – $1,251.75 | 25 |
| ER Visit (level 4) CPT 99284 | $1,641.60 | $2,175.00 | $221.18 – $1,631.25 | 25 |
| ER Visit (level 5, high severity) CPT 99285 | $1,751.51 | $2,675.00 | $332.40 – $2,006.25 | 25 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $586.96 – $2,440.42 | 6 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $1,178.14 – $2,440.42 | 6 |
| Esophagus motility study CPT 91010 | $378.68 | $1,206.00 | $353.64 – $933.11 | 25 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,014.00 – $3,268.08 | 7 |
| Established Patient Office Visit (level 1) CPT 99211 | $225.62 | $290.00 | $54.54 – $1,124.00 | 14 |
| Established Patient Office Visit (level 2) CPT 99212 | $571.83 | $735.00 | $54.54 – $1,124.00 | 14 |
| Established Patient Office Visit (level 3) CPT 99213 | $1,147.55 | $1,475.00 | $54.54 – $1,124.00 | 14 |
| Established Patient Office Visit (level 4) CPT 99214 | $1,769.95 | $2,275.00 | $54.54 – $1,706.25 | 14 |
| Established Patient Office Visit (level 5) CPT 99215 | $2,493.49 | $3,205.00 | $54.54 – $2,403.75 | 14 |
| Estradiol total CPT 82670 | $16.46 | $84.00 | $27.94 – $63.00 | 25 |
| Estrogens total-sendout CPT 82672 | $12.94 | $66.00 | $21.70 – $49.50 | 25 |
| Ethylene glycol -sendout CPT 82693 | $15.88 | $81.00 | $14.90 – $60.75 | 25 |
| Euglobulin lysis CPT 85360 | $7.20 | $26.00 | $8.41 – $19.50 | 25 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $239.79 | $747.00 | $81.00 – $885.41 | 14 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $57.82 | $295.00 | $98.11 – $221.25 | 25 |
| Evaluation heart device CPT 93640 | $833.52 | $2,053.00 | $410.60 – $1,872.88 | 14 |
| Evaluation of speech fluency 92521 CPT 92521 | $102.15 | $431.00 | $81.00 – $622.35 | 14 |
| Event monitor CPT 93270 | $73.81 | $244.00 | $22.17 – $183.00 | 25 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $276.18 | $913.00 | $182.60 – $684.75 | 14 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $1,901.83 – $3,268.08 | 6 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $1,718.26 – $4,620.72 | 6 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $1,718.26 – $4,620.72 | 6 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $1,901.83 – $3,741.03 | 6 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $1,020.08 – $2,440.42 | 6 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $450.93 – $2,440.42 | 6 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Exchange biliary drg cath CPT 47536 | $1,624.95 | $3,603.00 | $1,261.05 – $6,206.21 | 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.