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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ProcedurePosted cashPosted gross× Medicare
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $345.15 $1,141 1.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines
$21.11–$23.91 $122 varies
Assessment of aphasia per hr (96105) $111.15 $469 1.1×
Behavral qualit analys voice (92524) $134.14 $566 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $33.38 $642 0.1×
Canalith repositioning proc (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)
range across 3 matching MRF lines
$321.94–$504.66 $1,243 varies
Cardioversion (92960)
range across 2 matching MRF lines
$540.70–$703.60 $1,733 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $4,332.80 $21,664 1.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,610.60 $18,053 1.0×
Chemo Anti-Neopl Sq/Im (96401) $244.12 $807 3.2×
Chemo IV infusion addl hr (96415) $50.21 $166 0.7×
Chemo IV push addl drug (96411) $114.65 $379 1.5×
Chemotherapy Into Cns (96450) $216.59 $716 0.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $103.15 $341 1.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $219.31 $725 0.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $201.46 $666 0.6×
Chest Wall Manipulation (94668) $77.70 $300 0.5×
Color/duplex Doppler, complete (93975) $467.93 $1,786 1.8×
Color/duplex Doppler, limited (93976) $298.94 $1,141 2.7×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 4 matching MRF lines
$19.90–$22.54 $115 varies
Coronary Art/Grft Angio S&I (93455) $2,704.80 $13,524 0.8×
Coronary Artery Angio S&I (93454) $2,639.60 $13,198 0.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $375.81 $1,451 1.6×
Cpt initial (94667) $73.82 $285 0.5×
Critical care first hour (99291) $2,375.26 $7,613 2.7×
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 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 Xtr Veins Complete Bilateral Study (93970) $544.96 $2,080 2.1×
Dup-scan xtr veins unilateral/limited study (93971) $337.98 $1,290 3.0×
Duplex Scan Hemodialysis Access (93990) $212.22 $810 1.9×
Duplex up extrem art bilat (93930) $535.79 $2,045 2.1×
Duplex up extrem art unilat/ltd (93931) $334.84 $1,278 3.0×
Echo Congenital Complete (93303) $498.40 $2,026 0.9×
Echo Heart Xthoracic,Limited (93308) $254.12 $1,033 1.0×
Echo transesophageal (93312) $616.48 $2,506 1.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $597.53 $2,429 1.0×
Eeg 41-60 Minutes (95812) $535.73 $1,771 2.3×
EEG awake and 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 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 Sleep Only (95822) $436.51 $1,443 1.9×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $226.27 $748 1.0×
EEG w/o vid 2-12hr cont mntr (95707) $282.84 $935 1.2×
EEG w/o vid ea 12-26hr intmt (95709) $373.59 $1,235 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 wo vid ea 12-26hr unmntr (95708) $339.40 $1,122 0.9×
Electrical Stimulation Ea 15 Min (97032)
range across 4 matching MRF lines
$24.05–$27.24 $139 varies
Electrocardiogram Tracing (93005) $112.91 $459 1.8×
Electroconvulsive Therapy (90870) $424.71 $1,404 0.5×
Electrophysiology Evaluation (93642) $1,309.76 $3,226 1.0×
Emergency Dept Visit Level 2 (99282) $678.22 $1,163 4.1×
Emergency Dept Visit Level 3 (99283) $1,086.71 $1,669 3.7×
Emergency Dept Visit Level 4 (99284) $1,641.60 $2,175 3.7×
Endomyocardial Biopsy (93505) $1,120 $5,600 0.3×
Er level 1 (99281) $421.32 $657 4.7×
Er level v (99285) $1,751.51 $2,675 2.8×
Evaluate pt use of inhaler (94664) $90.65 $350 0.4×
Evaluate Speech Production (92522) $111.86 $472 1.0×
Evaluate Swallowing Function (92610) $135.78 $423 1.6×
Evaluation of speech fluency (92521) $102.15 $431 0.8×
External Ecg Scanning Analysis Report (93226) $176.36 $583 2.8×
Extracranial Bilat Study (93880) $504.09 $1,924 2.0×
Extracranial Uni/Ltd Study (93882) $274.05 $1,046 2.5×
F-up/limited tthrc echo congenital car anomaly (93304) $264.70 $1,076 0.5×
Flexible endoscopic eval swallow c/v rec (92612) $230.16 $717 1.2×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $269.22 $890 0.3×
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×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $4,874.20 $24,371 1.4×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 3 matching MRF lines
$500.59–$505.02 $2,215 varies
Holter monitor recording (93225) $128.56 $425 0.9×
Immunization administration (90471) $18.02 $126 0.2×
Insert/Place Heart Catheter (93503)
range across 2 matching MRF lines
$837.80–$1,700.73 $4,189 varies
Intracranial Complete Study (93886) $301.56 $1,151 1.2×
Iontophoresis 15 min (97033) $38.22 $195 2.0×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$58.97–$65.20 $189 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$188.45–$208.38 $604 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$108.58–$120.06 $348 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$72.38–$80.04 $232 varies
IV push initial (96374)
range across 3 matching MRF lines
$157.56–$163.62 $505 varies
L Hrt Art/Grft Angio (93459) $3,935.60 $19,678 1.1×
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)
range across 4 matching MRF lines
$51.55–$58.41 $298 varies
Lung Function Test (Mbc/Mvv) (94200) $11.75 $226 0.2×
Lwr Xtr Vasc Stdy Bilat (93924) $320.95 $1,225 1.4×
Mechanical chest wall oscillation per session (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 Fluoroscopy/Swallow (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×
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines
$28.37–$32.14 $164 varies
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $39.68 $763 0.1×
Oral Function Therapy (92526)
range across 3 matching MRF lines
$64.68–$78.21 $330 varies
Oral Speech Device Eval (92597) $133.43 $563 1.9×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 4 matching MRF lines
$24.39–$27.64 $141 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 4 matching MRF lines
$22.66–$25.68 $131 varies
Ot eval high complexity (97167) $108.05 $522 1.1×
Ot Eval Low Complex (97165) $65 $314 0.6×
Ot Eval Moderate Complexity (97166) $86.32 $417 0.9×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$29.24–$33.12 $169 varies
Ot paraffin bath (97018) $12.94 $66 2.2×
Ot Prosthetic Training, Each 15 Min (97761)
range across 4 matching MRF lines
$22.66–$25.68 $131 varies
Ot Re-Eval Est Plan Care (97168) $56.30 $272 0.8×
Penile Vascular Study,Ltd or F/U (93981) $225.84 $862 2.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $76.66 $296 0.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $3,217.20 $16,086 0.5×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
unusually low: confirm this is the full procedure
$5,091.80 $25,459 0.4×
Phlebotomy therapeutic (99195) $252.72 $780 1.8×
Physical Performance Test (97750) $28.37 $164 0.8×
Plethysmography (94726) $24.65 $474 0.1×
Prq Card Angio/Athrect 1 Art (92924)
unusually low: confirm this is the full procedure
$4,868 $24,340 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×
Pt Eval High Complex (97163) $122.15 $522 1.2×
Pt eval low complex 20 min (97161) $73.48 $314 0.8×
Pt Eval Mod Complex (97162) $97.58 $417 1.0×
Pt gait training 15 min (97116) $23.18 $134 0.8×
Pt Re-Eval Est Plan Care (97164) $63.65 $272 0.9×
Pulmonary Stress Testing (94618) $28.18 $542 0.2×
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 hrt coronary artery angio (93456) $3,899.40 $19,497 1.1×
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×
R&L Hrt Cath W/Ventriclgrphy (93453) $2,587 $12,935 0.7×
Remote 30 Day Ecg Rev/Report (93270) $73.81 $244 1.9×
Respiratory flow volume loop (94375) $21.32 $410 0.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $49.20 $200 0.8×
Right Heart Cath (93451) $1,948.60 $9,743 0.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $239.79 $747 2.0×
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×
Self Care Mngment Training (97535)
range across 5 matching MRF lines
$30.79–$42.19 $178 varies
Sensory Integration Ea 15 Min (97533) $29.99 $153 0.5×
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 Tte Only (93350) $482.90 $1,963 0.8×
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)
range across 3 matching MRF lines
$27.83–$33.65 $142 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 3 matching MRF lines
$24.70–$29.86 $126 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $94.80 $400 0.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$67.70–$70.31 $217 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$203.74–$225.28 $653 varies
Therapeutic Activities (97530)
range across 4 matching MRF lines
$27.85–$31.56 $161 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,118.53 $2,755 2.8×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $203.84 $778 1.8×
Tte w/doppler, complete (93306) $658.79 $2,678 1.1×
Tte W/O Doppler Complete (93307) $340.46 $1,384 1.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $92.67 $391 1.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $38.72 $128 1.6×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$87.05–$90.40 $279 varies
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$962.40–$1,732.40 $4,812–$8,662 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$201.22–$301.82 $768–$1,152 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$235.28–$352.91 $898–$1,347 varies
Veeg 2-12 Hr Cont Mntr (95713) $353.62 $1,169 0.9×
Veeg 2-12 hr intmt mntr (95712) $325.79 $1,077 0.8×
Veeg 2-12 hr unmonitored (95711) $282.84 $935 1.2×
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×
Veeg ea 12-26hr cont mntr (95716) $495.19 $1,637 0.5×
Vent Mgmt Inpat Init 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)
range across 4 matching MRF lines
$27.85–$31.56 $161 varies
Whirlpool Therapy (97022) $23.01 $133 1.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.