Arizona / Banner Ocotillo Medical Center
CMS certification 030147 · Chandler, AZ · 3 entries in CMS's price-transparency list
Banner Ocotillo Medical Center: charges and Medicare payments
Banner Ocotillo Medical Center reported 412 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 4.22 times what it was paid — among the lower ratios in Arizona, number 40 of 53 hospitals with at least 100 stays (state median 5×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 110 stays at an average charge of $54,586, 40% below the national average. It also billed 337 outpatient services, charging 7.91 times what Medicare paid.
- 1Medicare inpatient stays 412
- 2Charge ÷ paid, inpatient 4.22×
- 3Rank in AZ (highest ratio = 1) 40 of 53
- 4CMS price-transparency actions 3
Inpatient stays
For the 17 DRGs that can be compared with the national average, Banner Ocotillo Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 110 | $54,586 | -40% | $14,479 |
| 291 Heart Failure and Shock with MCC | 37 | $47,171 | -16% | $9,598 |
| 177 Respiratory Infections and Inflammations with MCC | 29 | $52,828 | -25% | $12,134 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 27 | $38,135 | -22% | $7,997 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $42,574 | -29% | $9,729 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $64,230 | -13% | $12,316 |
| 603 Cellulitis without MCC | 19 | $27,766 | -26% | $6,354 |
| 683 Renal Failure with CC | 19 | $38,459 | -6% | $7,450 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $23,291 | -38% | $6,208 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $28,847 | -28% | $6,982 |
| 682 Renal Failure with MCC | 17 | $32,523 | -51% | $10,139 |
| 378 Gastrointestinal Hemorrhage with CC | 15 | $34,037 | -30% | $7,179 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $61,113 | -28% | $12,667 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $42,071 | -30% | $10,635 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 13 | $28,351 | -40% | $7,303 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $33,777 | -9% | $5,541 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $29,245 | -43% | $8,498 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 179 | $17,823 | $2,645 |
| Level 4 Musculoskeletal Procedures | 27 | $53,639 | $6,770 |
| Level 1 Endovascular Procedures | 23 | $31,741 | $3,183 |
| Level 4 Urology and Related Services | 20 | $27,409 | $3,264 |
| Level 6 Musculoskeletal Procedures | 18 | $84,375 | $18,131 |
| Level 3 Vascular Procedures | 16 | $12,744 | $3,108 |
| Level 5 Musculoskeletal Procedures | 15 | $72,840 | $12,815 |
| Level 5 Urology and Related Services | 15 | $35,731 | $4,778 |
| Level 3 Endovascular Procedures | 13 | $78,590 | $10,717 |
| Level 2 Musculoskeletal Procedures | 11 | $10,921 | $1,567 |
Against the Arizona average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Banner Ocotillo Medical Center charged $54,586 on average, 38% less than the Arizona average of $87,638, and was paid $14,479 against a state average of $17,455. For Heart Failure and Shock with MCC (DRG 291), Banner Ocotillo Medical Center charged $47,171 on average, 21% less than the Arizona average of $59,877, and was paid $9,598 against a state average of $11,479. For Respiratory Infections and Inflammations with MCC (DRG 177), Banner Ocotillo Medical Center charged $52,828 on average, 25% less than the Arizona average of $70,869, and was paid $12,134 against a state average of $14,917. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Banner Ocotillo Medical Center charged $38,135 on average, 22% less than the Arizona average of $48,588, and was paid $7,997 against a state average of $9,717. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,823 was 26% below the state average of $24,129. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $53,639 was 7% below the state average of $57,782. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $31,741 was 7% below the state average of $34,042. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $27,409 was 6% below the state average of $29,259.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Banner Ocotillo Medical Center in Chandler, AZ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-11-16 (CMS case 2041)
- Closure Notice — 2024-03-14 (CMS case 2041)
- Met Requirements — 2025-07-25 (CMS case 5952)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.