Banner Ocotillo Medical Center
1405 South Alma School Road, Chandler, AZ 85286 · Acute care hospital · Emergency room
These are Banner Ocotillo Medical Center's own posted figures from its standard-charges file dated September 24, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
176 of the services we track have a posted price here; 152 of them have a discounted cash price. Tap a service to compare it with nearby hospitals. How to read these numbers.
Emergency room
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Critical care, first 30 to 74 minutes CPT 99291 | $3,207.36 | $10,280.00 | $502.19 – $7,710.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $421.32 | $725.00 | $54.54 – $2,503.00 |
| Emergency room visit, level 2 CPT 99282 | $678.22 | $1,280.00 | $88.87 – $2,503.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,086.71 | $1,835.00 | $138.24 – $2,503.00 |
| Emergency room visit, level 4 CPT 99284 | $1,641.60 | $2,935.00 | $221.18 – $2,503.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,751.51 | $3,610.00 | $332.40 – $2,707.50 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $1,264.25 | $1,625.00 | $54.54 – $1,318.00 |
| New patient office visit, about 30 minutes CPT 99203 | $1,890.54 | $2,430.00 | $54.54 – $1,822.50 |
| New patient office visit, about 45 minutes CPT 99204 | $2,275.65 | $2,925.00 | $54.54 – $2,193.75 |
| New patient office visit, about 60 minutes CPT 99205 | $3,045.87 | $3,915.00 | $54.54 – $2,936.25 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $630.18 | $810.00 | $54.54 – $1,318.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $1,264.25 | $1,625.00 | $54.54 – $1,318.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $1,948.89 | $2,505.00 | $54.54 – $1,878.75 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $2,742.45 | $3,525.00 | $54.54 – $2,643.75 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $248.96 | $320.00 | $54.54 – $1,318.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Abdominal X-ray, 1 view CPT 74018 | $185.07 | $597.00 | $58.65 – $447.75 |
| Ankle X-ray, 3 or more views CPT 73610 | $92.38 | $298.00 | $55.43 – $333.39 |
| Breast ultrasound, one breast, complete CPT 76641 | $240.69 | $614.00 | $79.00 – $460.50 |
| Breast ultrasound, one breast, limited CPT 76642 | $190.12 | $485.00 | $58.65 – $363.75 |
| Chest X-ray, 1 view CPT 71045 | $92.74 | $368.00 | $58.65 – $333.39 |
| Chest X-ray, 2 views CPT 71046 | $111.64 | $443.00 | $58.65 – $333.39 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $637.06 | $2,404.00 | $129.45 – $1,803.00 |
| CT angiogram of the head CPT 70496 | $494.27 | $2,561.00 | $129.45 – $1,920.75 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $965.13 | $3,642.00 | $241.82 – $2,731.50 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $1,158.05 | $4,370.00 | $241.82 – $3,277.50 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $771.94 | $2,913.00 | $166.84 – $2,184.75 |
| CT scan of the abdomen, without contrast CPT 74150 | $306.60 | $1,157.00 | $79.00 – $1,218.00 |
| CT scan of the chest, with contrast CPT 71260 | $505.62 | $1,908.00 | $129.45 – $1,431.00 |
| CT scan of the chest, without contrast CPT 71250 | $404.39 | $1,526.00 | $79.00 – $1,218.00 |
| CT scan of the head, without contrast CPT 70450 | $313.82 | $1,626.00 | $79.00 – $1,219.50 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $455.27 | $1,718.00 | $79.00 – $1,288.50 |
| CT scan of the pelvis, with contrast CPT 72193 | $421.88 | $1,592.00 | $129.45 – $1,362.80 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $209.02 | $1,083.00 | $79.00 – $1,218.00 |
| Foot X-ray, 3 or more views CPT 73630 | $97.03 | $313.00 | $58.22 – $333.39 |
| Hand X-ray, 3 or more views CPT 73130 | $94.55 | $305.00 | $56.73 – $333.39 |
| Knee X-ray, 3 views CPT 73562 | $83.70 | $270.00 | $50.22 – $333.39 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $544.96 | $2,080.00 | $166.84 – $1,675.90 |
| Leg or arm vein ultrasound, one side CPT 93971 | $286.37 | $1,093.00 | $79.00 – $1,092.72 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $106.95 | $345.00 | $79.00 – $449.06 |
| MRI of both breasts, without and with contrast CPT 77049 | $619.99 | $2,844.00 | $520.38 – $2,133.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $689.97 | $3,165.00 | $266.89 – $2,373.75 |
| MRI of the brain, without and with contrast CPT 70553 | $538.07 | $3,006.00 | $266.89 – $2,254.50 |
| MRI of the brain, without contrast CPT 70551 | $358.72 | $2,004.00 | $166.84 – $1,618.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $337.25 | $1,547.00 | $166.84 – $1,618.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $279.28 | $1,953.00 | $166.84 – $1,618.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $235.24 | $1,645.00 | $166.84 – $1,618.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $282.14 | $1,973.00 | $166.84 – $1,618.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $496.17 | $2,276.00 | $266.89 – $1,843.40 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $390.44 | $1,791.00 | $166.84 – $1,618.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $90.83 | $293.00 | $58.65 – $333.39 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $197.57 | $504.00 | $79.00 – $459.04 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $223.05 | $569.00 | $79.00 – $583.82 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $194.04 | $495.00 | $79.00 – $508.29 |
| Shoulder X-ray, 2 or more views CPT 73030 | $86.49 | $279.00 | $51.89 – $333.39 |
| Transvaginal pregnancy ultrasound CPT 76817 | $171.30 | $437.00 | $79.00 – $402.48 |
| Transvaginal ultrasound CPT 76830 | $231.28 | $590.00 | $79.00 – $518.90 |
| Ultrasound of the abdomen, complete CPT 76700 | $250.88 | $640.00 | $79.00 – $508.37 |
| Ultrasound of the neck or thyroid CPT 76536 | $195.22 | $498.00 | $79.00 – $483.77 |
| Wrist X-ray, 3 or more views CPT 73110 | $85.56 | $276.00 | $51.34 – $333.39 |
| X-ray of the lower back, 4 or more views CPT 72110 | $121.52 | $392.00 | $79.00 – $449.06 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $73.89 | $377.00 | $8.46 – $282.75 |
| Blood culture CPT 87040 | $90.72 | $270.00 | $10.32 – $202.50 |
| BNP test (heart failure) CPT 83880 | $56.06 | $286.00 | $39.26 – $214.50 |
| C-reactive protein (CRP) test CPT 86140 | $9.02 | $26.00 | $5.18 – $24.35 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $38.64 | $115.00 | $35.09 – $164.70 |
| Complete blood count (CBC) with differential CPT 85025 | $39.33 | $142.00 | $7.77 – $106.50 |
| Complete blood count (CBC), automated CPT 85027 | $29.36 | $106.00 | $6.47 – $79.50 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $131.52 | $671.00 | $10.56 – $503.25 |
| COVID-19 PCR test CPT 87635 | $83.66 | $249.00 | $51.31 – $247.99 |
| D-dimer test (blood clots) CPT 85379 | $66.48 | $240.00 | $10.18 – $180.00 |
| Drug screen, instrument chemistry CPT 80307 | $36.65 | $187.00 | $61.15 – $291.62 |
| Ferritin (iron stores) test CPT 82728 | $12.74 | $65.00 | $13.63 – $63.93 |
| Free T4 (thyroid) test CPT 84439 | $12.94 | $66.00 | $9.02 – $49.50 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $35.62 | $106.00 | $34.66 – $164.70 |
| Hemoglobin A1c test CPT 83036 | $9.21 | $47.00 | $9.71 – $45.57 |
| Hepatitis C antibody test CPT 86803 | $32.27 | $93.00 | $14.27 – $69.75 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $29.23 | $87.00 | $24.08 – $104.29 |
| Iron test CPT 83540 | $40.77 | $208.00 | $6.47 – $156.00 |
| Kidney function panel CPT 80069 | $45.08 | $230.00 | $8.68 – $172.50 |
| Lipase test (pancreas) CPT 83690 | $36.65 | $187.00 | $6.89 – $140.25 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $33.52 | $171.00 | $13.39 – $128.25 |
| Liver function panel CPT 80076 | $47.82 | $244.00 | $8.17 – $183.00 |
| Magnesium test CPT 83735 | $19.40 | $99.00 | $6.70 – $74.25 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $31.58 | $114.00 | $6.01 – $85.50 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $13.92 | $71.00 | $15.05 – $70.64 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $26.32 | $95.00 | $4.29 – $71.25 |
| PSA (prostate specific antigen), free CPT 84154 | $10.98 | $56.00 | $18.31 – $86.34 |
| PSA (prostate specific antigen), total CPT 84153 | $10.98 | $56.00 | $18.31 – $86.34 |
| Rapid strep test CPT 87880 | $16.80 | $50.00 | $16.35 – $77.56 |
| Sed rate (ESR) test CPT 85652 | $2.49 | $9.00 | $2.70 – $12.64 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $48.22 | $246.00 | $16.80 – $184.50 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $75.29 | $282.00 | $36.08 – $301.70 |
| Troponin test (heart damage) CPT 84484 | $48.80 | $249.00 | $12.47 – $186.75 |
| Urinalysis, automated, with microscope CPT 81001 | $28.12 | $91.00 | $3.17 – $68.25 |
| Urinalysis, automated, without microscope CPT 81003 | $33.06 | $107.00 | $2.25 – $80.25 |
| Urinalysis, manual, without microscope CPT 81002 | $3.40 | $11.00 | $3.48 – $16.30 |
| Urine culture, colony count CPT 87086 | $67.54 | $201.00 | $8.07 – $150.75 |
| Urine pregnancy test CPT 81025 | $17.92 | $58.00 | $8.61 – $43.50 |
| Vitamin B12 test CPT 82607 | $14.11 | $72.00 | $15.08 – $70.78 |
| Vitamin D test CPT 82306 | $17.44 | $89.00 | $29.10 – $155.32 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $438.06 | $1,672.00 | $166.84 – $1,671.18 |
| ECG tracing only (no interpretation) CPT 93005 | $133.58 | $543.00 | $16.43 – $433.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $658.79 | $2,678.00 | $350.10 – $2,497.00 |
| Left heart catheterization CPT 93452 | $2,841.40 | $14,207.00 | $2,101.79 – $16,111.14 |
| Left heart catheterization with coronary angiogram CPT 93458 | $3,613.20 | $18,066.00 | $2,101.79 – $16,111.14 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,149.12 | $3,591.00 | $946.81 – $5,381.65 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $3,873.92 – $12,775.92 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $3,668.82 – $10,644.28 | |
| Carpal tunnel release CPT 64721 | not posted | $1,271.93 – $6,689.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $751.80 – $5,444.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $751.80 – $5,444.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $575.40 – $5,444.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $575.40 – $3,698.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $3,668.82 – $18,194.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $4,383.56 – $18,715.80 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $1,901.83 – $7,704.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $3,668.82 – $10,644.28 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $2,307.97 – $8,715.00 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $2,230.35 – $22,523.67 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $2,052.04 – $8,715.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $4,542.09 – $12,775.92 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $575.40 – $4,596.53 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $575.40 – $4,596.53 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $1,939.41 – $7,704.00 | |
| Total knee replacement CPT 27447 | not posted | $7,063.00 – $27,605.80 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $586.96 – $5,444.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $586.96 – $5,444.00 | |
| Vasectomy CPT 55250 | not posted | $1,299.92 – $6,689.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $495.79 | $626.00 | $123.48 – $711.00 |
| IUD insertion CPT 58300 | not posted | $390.00 – $5,681.00 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $9,648.57 | $2,093.00 – $28,924.94 | |
| C-section, without complications MS-DRG 788 | $9,637.30 | $5,297.00 – $21,706.00 | |
| Chest pain MS-DRG 313 | $8,160.71 | $6,096.14 – $23,590.80 | |
| COPD flare-up, with major complications MS-DRG 190 | $12,421.41 | $9,076.33 – $36,293.79 | |
| COPD flare-up, without complications MS-DRG 192 | $7,236.43 | $5,496.57 – $22,400.34 | |
| Fainting (syncope) MS-DRG 312 | $9,738.74 | $7,261.45 – $28,557.97 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $11,091.35 | $8,100.09 – $32,132.64 | |
| Heart failure, with major complications MS-DRG 291 | $14,472.86 | $10,429.99 – $42,063.71 | |
| Heart failure, without complications MS-DRG 293 | $6,334.69 | $4,912.36 – $23,139.61 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $109,391.80 | $75,760.44 – $320,533.44 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $21,213.33 | $15,388.76 – $66,189.63 | |
| Irregular heartbeat, without complications MS-DRG 310 | $6,233.25 | $4,913.13 – $18,548.27 | |
| Kidney failure, with complications MS-DRG 683 | $10,155.80 | $7,293.73 – $30,473.35 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $9,096.26 | $6,784.12 – $26,523.27 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $27,739.64 | $19,327.50 – $79,989.19 | |
| Normal newborn care MS-DRG 795 | $2,276.88 | $1,376.00 – $6,546.45 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $8,803.19 | $6,543.52 – $25,497.72 | |
| Pneumonia, with complications MS-DRG 194 | $9,265.33 | $6,756.44 – $26,405.31 | |
| Pneumonia, with major complications MS-DRG 193 | $14,957.54 | $10,665.19 – $43,066.32 | |
| Pneumonia, without complications MS-DRG 195 | $7,056.08 | $5,392.79 – $20,592.80 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $15,397.14 | $2,093.00 – $45,766.15 | |
| Sepsis, with major complications MS-DRG 871 | $22,351.77 | $15,493.30 – $63,646.01 | |
| Sepsis, without major complications MS-DRG 872 | $11,609.85 | $8,427.56 – $35,484.97 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $9,975.45 | $7,256.09 – $28,535.04 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $8,859.55 | $6,554.27 – $25,543.59 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $11,452.04 | $8,327.62 – $38,578.11 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $13,097.71 | $10,098.69 – $40,651.54 | |
| Vaginal delivery, without complications MS-DRG 807 | $7,371.69 | $5,297.00 – $11,865.00 | |
| Weight loss surgery, without complications MS-DRG 621 | $17,099.16 | $12,156.44 – $49,930.22 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $568.26 | $1,260.00 | $189.35 – $5,681.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,668.25 | $3,699.00 | $596.28 – $5,681.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $842.02 | $1,867.00 | $460.08 – $5,681.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $636.81 | $1,412.00 | $596.28 – $5,681.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $35.67 | $686.00 | $101.17 – $514.50 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $29.24 | $169.00 | $31.43 – $283.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $99.22 | $424.00 | $78.86 – $531.03 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $130.81 | $559.00 | $85.00 – $558.97 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $29.06 | $168.00 | $31.25 – $283.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $37.71 | $218.00 | $40.55 – $283.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $57.02 | $176.00 | $44.93 – $945.00 |
| IV hydration, each additional hour CPT 96361 | $47.61 | $138.00 | $29.00 – $478.00 |
| IV hydration, first hour CPT 96360 | $161.80 | $469.00 | $77.79 – $478.00 |
| IV push injection of a drug, first CPT 96374 | $189.54 | $585.00 | $77.79 – $945.00 |
| IV push injection, each additional drug CPT 96375 | $122.15 | $377.00 | $29.00 – $945.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $1.11 | $32.60 | ? – $24.45 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | $3.40 | ? – $6.12 |
Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.