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 |
|---|---|---|---|---|
| Exchange drainage catheter CPT 49423 | $1,178.91 | $2,614.00 | $914.90 – $3,336.05 | 25 |
| Exchange nephrostomy cath CPT 50435 | $1,925.32 | $4,269.00 | $569.20 – $4,018.00 | 15 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Excision olecranon bursa CPT 24105 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $1,718.26 – $3,741.03 | 6 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | $2,052.04 – $3,741.03 | 6 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $1,020.08 – $3,268.08 | 6 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $1,718.26 – $3,268.08 | 6 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | not published | not published | $751.80 – $3,741.03 | 6 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $2,622.00 | $9,265.00 | $539.00 – $3,225.52 | 15 |
| Explore parathyroid glands CPT 60500 | not published | not published | $3,687.39 – $7,292.89 | 6 |
| Explore/treat ankle joint CPT 27620 | not published | not published | $2,052.04 – $4,620.72 | 6 |
| External chromosome analysis 20-25 cells CPT 88264 | $256.58 | $1,216.00 | $144.61 – $912.00 | 25 |
| External newborn metabolic screening panel HCPCS S3620 | $79.20 | $235.00 | $47.00 – $189.18 | 14 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $18.39 | $53.00 | $1.78 – $43.06 | 25 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $278.31 | $1,319.00 | $143.75 – $989.25 | 25 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $45.11 | $130.00 | $17.93 – $40.50 | 25 |
| Eye Socket (Orbit) X-ray CPT 70200 | $134.23 | $433.00 | $79.00 – $324.75 | 25 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $551.59 | $2,858.00 | $129.45 – $2,143.50 | 25 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $459.73 | $2,382.00 | $129.45 – $1,786.50 | 25 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $367.66 | $1,905.00 | $79.00 – $1,428.75 | 25 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $546.13 | $3,051.00 | $266.89 – $2,288.25 | 25 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $364.09 | $2,034.00 | $166.84 – $1,525.50 | 25 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $98.58 | $318.00 | $58.65 – $238.50 | 25 |
| Facial Bones X-ray (complete) CPT 70150 | $108.81 | $351.00 | $79.00 – $263.25 | 25 |
| Factor ix CPT 85250 | $21.88 | $79.00 | $19.04 – $56.25 | 25 |
| Factor viii CPT 85240 | $18.28 | $66.00 | $17.90 – $49.50 | 25 |
| Fat/lipids feces qualitative CPT 82705 | $13.33 | $68.00 | $5.10 – $51.00 | 25 |
| Fatty acids nonesterified CPT 82725 | $13.52 | $69.00 | $18.77 – $51.75 | 25 |
| #fecal-sodium CPT 84302 | $11.37 | $58.00 | $4.86 – $11.25 | 25 |
| Feeding tube reposition CPT 74355 | $291.40 | $940.00 | $97.66 – $705.00 | 14 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $14.50 | $74.00 | $18.64 – $55.50 | 25 |
| Fem/popl revasc w/stent CPT 37226 | $11,991.64 | $26,589.00 | $3,545.20 – $13,294.50 | 15 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $0.12 | $3.40 | $0.68 – $4.35 | 15 |
| Fern test HCPCS Q0114 | $12.94 | $66.00 | $9.74 – $49.50 | 25 |
| Ferritin CPT 82728 | $43.51 | $222.00 | $13.63 – $166.50 | 25 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $381.42 | $973.00 | $79.00 – $729.75 | 25 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $723.89 | $914.00 | $123.48 – $685.50 | 25 |
| Fetal fibronectin CPT 82731 | $38.02 | $194.00 | $64.41 – $145.50 | 25 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $16.34 | $59.00 | $7.73 – $44.25 | 25 |
| Fetal hemoglobin rosette CPT 85461 | $8.03 | $29.00 | $9.36 – $21.75 | 25 |
| Fetal non stress test CPT 59025 | $495.79 | $626.00 | $123.48 – $469.50 | 25 |
| #_fet/norfentcnfrmur CPT 80354 | $13.13 | $67.00 | $11.20 – $54.48 | 14 |
| Fibrin degradation d dimer quantitative CPT 85379 | $88.64 | $320.00 | $10.18 – $240.00 | 25 |
| Fibrin degradation products CPT 85362 | $22.16 | $80.00 | $6.89 – $15.75 | 25 |
| Fibrinogen activity CPT 85384 | $59.28 | $214.00 | $9.72 – $22.50 | 25 |
| Fibrinolytic antiplasmin CPT 85410 | $6.65 | $24.00 | $7.71 – $18.00 | 25 |
| Fibrinolytic plasminogen CPT 85415 | $23.27 | $84.00 | $17.19 – $63.00 | 25 |
| Fibrinolytic plasminogen CPT 85421 | $8.59 | $31.00 | $10.18 – $23.25 | 25 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $19.67 | $71.00 | $6.53 – $42.75 | 25 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $6,198.83 | $21,904.00 | $1,172.20 – $4,395.75 | 15 |
| Filter vena cava fem denali HCPCS C1880 | $2,622.00 | $9,265.00 | $281.40 – $2,353.82 | 15 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,104.95 | $2,450.00 | $450.93 – $1,837.50 | 25 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $964.69 | $2,139.00 | $427.80 – $4,018.00 | 15 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $586.75 | $1,301.00 | $260.20 – $4,018.00 | 15 |
| Fine needle asp without image guide 10021 CPT 10021 | $642.68 | $1,425.00 | $250.73 – $1,068.75 | 25 |
| Finger X-ray (both hands) CPT 73140 | $80.60 | $260.00 | $52.00 – $347.17 | 15 |
| Fix g/colon tube w/device CPT 49460 | $302.62 | $671.00 | $234.85 – $1,648.80 | 25 |
| Flecainide (tambocor)-sendout CPT 80181 | $13.33 | $68.00 | $18.64 – $51.00 | 25 |
| Fl exam g/colon tube w contrast CPT 49465 | $164.16 | $364.00 | $127.40 – $425.09 | 25 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $575.40 – $2,440.42 | 7 |
| Flow cytometry marker each additional CPT 88185 | $61.82 | $293.00 | $12.26 – $236.43 | 15 |
| Flow cytometry one marker technical component CPT 88184 | $160.78 | $762.00 | $132.84 – $632.61 | 25 |
| Flt3 gene CPT 81245 | $243.39 | $798.00 | $165.51 – $598.50 | 25 |
| Flt3 gene analysis CPT 81246 | $538.93 | $1,767.00 | $83.00 – $1,325.25 | 25 |
| Fluidotherapy charges pt CPT 97022 | $23.01 | $133.00 | $26.60 – $241.00 | 14 |
| Fluid pressure muscle 20950 CPT 20950 | $298.27 | $956.00 | $334.60 – $1,237.34 | 25 |
| Fluorescent antibody titer dna CPT 86256 | $290.44 | $837.00 | $12.05 – $27.75 | 25 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $145.08 | $468.00 | $93.60 – $357.36 | 14 |
| Fluoroguide needle placement CPT 77002 | $159.96 | $516.00 | $103.20 – $416.15 | 14 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $213.28 | $688.00 | $76.52 – $516.00 | 25 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,339.47 | $2,970.00 | $450.93 – $2,227.50 | 25 |
| Fna bx w/ct gdn ea addl CPT 10010 | $977.77 | $2,168.00 | $433.60 – $4,018.00 | 15 |
| Folic acid CPT 82746 | $8.82 | $45.00 | $14.70 – $33.75 | 25 |
| Foot X-ray CPT 73630 | $114.08 | $368.00 | $58.65 – $347.17 | 15 |
| Foot X-ray (2 views, both feet) CPT 73620 | $96.72 | $312.00 | $58.65 – $347.17 | 15 |
| Forearm X-ray (both sides) CPT 73090 | $100.75 | $325.00 | $58.65 – $347.17 | 15 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $2,230.35 – $16,014.09 | 7 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $17.67 | $93.00 | $31.25 – $125.02 | 25 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $17.67 | $93.00 | $31.25 – $148.24 | 25 |
| Fresh frozen plasma thawing ea un CPT 86927 | $123.01 | $365.00 | $1.00 – $301.36 | 25 |
| Fructosamine glycated protein CPT 82985 | $10.39 | $53.00 | $16.76 – $39.75 | 25 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $182.90 | $590.00 | $79.00 – $442.50 | 25 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $8,928.20 – $10,168.42 | 6 |
| Fusion of big toe joint CPT 28750 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Fusion of big toe joint CPT 28755 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Fusion of foot bones CPT 28730 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Fusion of foot bones CPT 28740 | not published | not published | $4,542.09 – $4,620.72 | 6 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $4,620.72 – $8,928.20 | 6 |
| Fusion of toes CPT 28280 | not published | not published | $2,052.04 – $3,268.08 | 6 |
| Gabapentin non-blood CPT 80355 | $10.98 | $56.00 | $11.20 – $54.48 | 14 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $33.91 | $173.00 | $21.07 – $129.75 | 25 |
| Galactose transferase test CPT 82776 | $7.06 | $36.00 | $11.74 – $27.00 | 25 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $469.76 | $1,468.00 | $273.41 – $1,101.00 | 25 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $576.96 | $1,803.00 | $354.82 – $1,352.25 | 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.