Supplies, drugs & other prices at Banner Ocotillo Medical Center

Chandler, AZ · every code in this section with a posted price and a Medicare benchmark.

32 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $770.72 $3,133 0.9×
2d tte w or w/o fol w/con,co (C8923) $425.58 $1,730 0.5×
2d tte w or w/o fol w/con,fu (C8924) $317.83 $1,292 0.9×
Admin influenza virus vac (G0008) $18.02 $126 0.4×
Admin pneumococcal vaccine (G0009) $18.02 $126 0.4×
Catheterize for urine spec (P9612) $24.94 $74 2.7×
Direct refer hospital observ (G0379) $275.33 $654 0.4×
Fern test (Q0114) $12.94 $66 1.3×
Flt3 gene itd variants quan (0046U) $549 $1,800 1.3×
Instlj fecal microbiota ssp (0780T) $173.33 $552 1.2×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $495.02 $1,623 0.9×
NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Other Outpatient (0049U) $693.88 $2,275 1.7×
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure
$6,364.80 $31,824 0.3×
Perc d-e cor revasc t cabg s (C9604)
unusually low: confirm this is the full procedure
$5,669 $28,345 0.5×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$6,358.40 $31,792 0.3×
Perc drug-el cor stent sing (C9600)
unusually low: confirm this is the full procedure
$5,669 $28,345 0.5×
Prostate biopsy, any mthd (G0416) $246.17 $922 0.6×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $749.52 $2,160 1.0×
Revasc intra lithotrip-ather (C9766) $12,328.54 $27,336 0.6×
Revasc intra lithotrip-stent (C9765) $12,328.54 $27,336 0.6×
Revasc intravasc lithotripsy (C9764) $6,164.27 $13,668 0.5×
Revasc lithotrip tibi/perone (C9772) $6,309.94 $13,991 0.5×
Revasc lithotrip-stent-ather (C9767) $16,438.05 $36,448 0.8×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
unusually low: confirm this is the full procedure
$10,097.89 $22,390 0.5×
Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing… (0088U) $2,891.09 $9,479 0.9×
Trauma respons w/hosp criti (G0390) $999 $3,302.50 0.7×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $3,202.50 $10,500 0.9×
Tte w or w/o fol w/con,stres (C8928) $603.68 $2,454 0.7×
Tte w or w/o fol w/cont, com (C8921) $623.12 $2,533 0.7×
Tte w or w/o fol w/cont, f/u (C8922) $330.87 $1,345 0.4×
Tte w or wo fol wcon,doppler (C8929) $823.61 $3,348 1.0×
Unsched dialysis esrd pt hos (G0257) $451.44 $1,980 0.6×