Visits & medical services prices at Banner Ocotillo Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Aep hearing status deter broadband stimuli i&r (92651) $345.15 $1,141 1.5×
Assessment of aphasia (96105) $111.15 $469 1.1×
Behavioral and qualitative analysis of voice and resonance (92524) $134.14 $566 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $33.38 $642 0.1×
Canalith Repositioning (95992) $47.92 $277 1.2×
Cardiac Stress Tst,Tracing Only (93017) $485.09 $1,304 2.1×
Cardiopulmonary exercise testing (94621) $65.99 $1,269 0.2×
Cardiopulmonary resuscitation (92950) $387.82 $1,243 1.7×
Cardioversion (92960) $622.15 $1,733 0.9×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $2,704.80 $13,524 0.8×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $3,899.40 $19,497 1.1×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $3,935.60 $19,678 1.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,610.60 $18,053 1.0×
Chemo IV push addl drug (96411) $114.65 $379 1.5×
Chemo Iv Push Sngl Drug (96409) $201.46 $666 0.6×
Chemother, IV infusion, 1 hr (96413) $219.31 $725 0.6×
Chemother, IV infusion, ea add hr (96415) $50.21 $166 0.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $244.12 $807 3.2×
Chemotx Admn Cns Req Spinal Puncture (96450) $216.59 $716 0.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $103.15 $341 1.3×
Color/duplex Doppler, complete (93975) $467.93 $1,786 1.8×
Color/duplex Doppler, limited (93976) $298.94 $1,141 2.7×
Coronary artery angio s&i (93454) $2,639.60 $13,198 0.8×
Cortical mapping 1st hr (95961) $269.22 $890 0.3×
Cpap initiation and management (94660) $375.81 $1,451 1.6×
Cpt initial (94667) $73.82 $285 0.5×
Critical care (99291) $2,375.26 $7,613 2.7×
Demo &/or eval,pt use,aerosol device (94664) $90.65 $350 0.4×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $336.67 $1,285 1.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $165.85 $633 1.5×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $263.57 $1,006 2.4×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $225.84 $862 2.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $543.13 $2,073 2.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $385.66 $1,472 3.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $535.79 $2,045 2.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $334.84 $1,278 3.0×
Dup-scan xtr veins unilateral/limited study (93971) $337.98 $1,290 3.0×
Duplex hemodialysis access (93990) $212.22 $810 1.9×
Duplex scan extracranial art compl bi study (93880) $504.09 $1,924 2.0×
Echo Heart Xthoracic,Limited (93308) $254.12 $1,033 1.0×
Echo transesophageal (93312) $616.48 $2,506 1.1×
Echo Transthoracic - Congenital Tte Complete (93303) $498.40 $2,026 0.9×
Echo Transthoracic - Congenital Tte Limited (93304) $264.70 $1,076 0.5×
EEG awake asleep (95819) $442.86 $1,464 1.9×
EEG awake drowsy (95816) $372.08 $1,230 1.6×
EEG cerebral death evaluation (95824) $392.95 $1,299 1.0×
EEG coma or sleep only (95822) $436.51 $1,443 1.9×
EEG cont rec w/video by tech min 8 channels (95700) $180.89 $598 0.8×
Eeg Extended Monitoring 61-119 Minutes (95813) $630.11 $2,083 2.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $226.27 $748 1.0×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $373.59 $1,235 0.9×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $339.40 $1,122 0.9×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $395.97 $1,309 1.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $260.45 $861 1.1×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $282.84 $935 1.2×
EKG (93005) $112.91 $459 1.8×
EKG rhythm strip (93041) $49.20 $200 0.8×
Electroconvulsive Therapy (90870) $424.71 $1,404 0.5×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $535.73 $1,771 2.3×
Endomyocardial biopsy (93505) $1,120 $5,600 0.3×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,309.76 $3,226 1.0×
Er level 1 (99281) $421.32 $657 4.7×
Er level ii (99282) $678.22 $1,163 4.1×
Er level iii (99283) $1,086.71 $1,669 3.7×
Er level IV (99284) $1,641.60 $2,175 3.7×
Er level v (99285) $1,751.51 $2,675 2.8×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $133.43 $563 1.9×
Evaluation of speech fluency (92521) $102.15 $431 0.8×
Evaluation of speech sound production (92522) $111.86 $472 1.0×
Evaluation of swallowing function (92610) $135.78 $423 1.6×
Evaluation with prescription of speech-generating alternative (92607) $239.79 $747 2.0×
External Ecg Scanning Analysis Report (93226) $176.36 $583 2.8×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $230.16 $717 1.2×
Flow volume loop (94375) $21.32 $410 0.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $249.63 $795 0.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $615.75 $1,961 0.7×
Group Therapeutic Procedures (97150) $36.30 $120 2.0×
Hemodialysis (90935) $500.59 $2,215 0.7×
Holter Monitor Recording (93225) $128.56 $425 0.9×
Immunization Admin (90471) $18.02 $126 0.2×
Ins swan ganz bedside (93503) $1,269.26 $4,189 0.8×
IV infusion hydration each additional hour (96361) $62.08 $189 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $198.42 $604 0.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $114.32 $348 1.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $214.51 $653 0.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $76.21 $232 1.5×
IV push initial (96374) $163.62 $505 0.7×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $1,529.80 $7,649 0.4×
Low frequency non-thermal us (97610) $54.98 $298 0.3×
Manual therapy 15 min (97140) $31.18 $169 1.1×
Maximum voluntary ventilation (94200) $11.75 $226 0.2×
Mechanical chest wall oscillation (94669) $135.20 $522 0.6×
Methacholine challenge (94070) $41.76 $803 0.1×
Motility study esophagus (91010) $378.68 $1,206 1.0×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $231.12 $720 2.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $40.65 $235 0.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $74.39 $430 0.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $251.52 $960 1.8×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $294.10 $1,122.50 1.3×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $39.68 $763 0.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $24.17 $131 0.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $21.22 $115 0.7×
Ot eval high complex 60 min (97167) $108.05 $522 1.1×
Ot eval low complex 30 min (97165) $65 $314 0.6×
Ot eval mod complex 45 min (97166) $86.32 $417 0.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $26.02 $141 0.5×
Ot Prosthetic Training, Each 15 Min (97761) $24.17 $131 0.6×
Ot re-eval est plan care (97168) $56.30 $272 0.8×
Paraffin bath (97018) $12.94 $66 2.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $76.66 $296 0.3×
Plethysmography (94726) $24.65 $474 0.1×
Prq card revasc chronic 1vsl (92943)
unusually low: confirm this is the full procedure
$5,091.80 $25,459 0.4×
Prq Card Stent W/Angio 1 Vsl (92928)
unusually low: confirm this is the full procedure
$4,535.20 $22,676 0.4×
Prq revasc byp graft 1 vsl (92937)
unusually low: confirm this is the full procedure
$4,535.20 $22,676 0.4×
Prq trluml coronary angio/atherect one art/brnch (92924)
unusually low: confirm this is the full procedure
$4,868 $24,340 0.4×
Prq trluml coronary angioplasty one art/branch (92920) $3,217.20 $16,086 0.5×
Pt Electric Current Therapy (97033) $38.22 $195 2.0×
Pt Electrical Stimulation (97032) $25.64 $139 1.7×
Pt eval high complex 45 min (97163) $122.15 $522 1.2×
Pt eval low complex 20 min (97161) $73.48 $314 0.8×
Pt Gait Training Therapy (97116) $23.18 $134 0.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $30.26 $164 0.9×
Pt Physical Performance Test (97750) $28.37 $164 0.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $97.58 $417 1.0×
Pt re-evaluation (97164) $63.65 $272 0.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $34.89 $178 1.1×
Pt Ultrasound Therapy (97035) $22.51 $122 1.6×
Pt Whirlpool Therapy (97022) $23.01 $133 1.5×
Pulmonary stress testing (94618) $28.18 $542 0.2×
R & l hrt cath w/njx l ventriculog img s&i (93453) $2,587 $12,935 0.7×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $4,332.80 $21,664 1.3×
R hrt art/grft angio (93457) $4,374.80 $21,874 1.3×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $1,593.60 $7,968 0.5×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $1,274.80 $6,374 0.4×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $4,874.20 $24,371 1.4×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $2,461.60 $12,308 0.7×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $2,184 $10,920 0.6×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $73.81 $244 1.9×
Right heart cath (93451) $1,948.60 $9,743 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $77.70 $300 0.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $96.30 $300 2.0×
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) $337.59 $1,116 0.8×
Sensory Integration Ea 15 Min (97533) $29.99 $153 0.5×
Speech group therapy (92508) $38.72 $128 1.6×
Speech sound lang comprehen (92523) $136.28 $575 0.6×
Spirometry (94010) $26.42 $508 0.1×
Standardized Cognitive Performance Testing (96125) $134.14 $566 1.3×
Stress echo (93350) $482.90 $1,963 0.8×
Stress Tte Complete (93351) $597.53 $2,429 1.0×
Surfactant Admin Thru Tube (94610) $8.84 $170 0.0×
Temp transcutaneous pacing (92953) $340.08 $1,090 0.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $27.83 $142 1.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $24.70 $126 1.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $94.80 $400 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $69 $217 0.9×
Therapeutic Activities (97530) $29.70 $161 0.8×
Therapeutic phlebotomy (99195) $252.72 $780 1.8×
Tilt Table Eval (93660) $1,118.53 $2,755 2.8×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $301.56 $1,151 1.2×
Transcranial Doppler Limited (93888) $203.84 $778 1.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $658.79 $2,678 1.1×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $340.46 $1,384 1.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $92.67 $391 1.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $64.68 $330 0.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $88.72 $279 1.8×
Unlisted Cardiovascular Service/Procedure (93799) $1,347.40 $6,737 9.8×
Vasc Duplex Extrem Venous,Bilat (93970) $544.96 $2,080 2.1×
Vasc Duplex Scan Extracranial,Limited (93882) $274.05 $1,046 2.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $320.95 $1,225 1.4×
Veeg by tech 2-12 hours unmonitored (95711) $282.84 $935 1.2×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $353.62 $1,169 0.9×
Veeg by tech 2-12 hr intermittent monitoring (95712) $325.79 $1,077 0.8×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $495.19 $1,637 0.5×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $467.06 $1,544 1.2×
Veeg Ea 12-26 Hr Unmntr (95714) $424.41 $1,403 1.1×
Ventilation assist & mgmt inpatient 1st day (94002) $981.35 $3,789 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $785.55 $3,033 1.2×
Vital capacity total (94150) $12.06 $232 0.1×
Wada Activation Test Hemispheric Function W/Eeg (95958) $484.91 $1,603 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $29.70 $161 1.0×