Mercy Gilbert Medical Center
3555 S Val Vista Dr, Gilbert, AZ · CommonSpirit Health · · NPI 1992735088
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Drug test def 1-7 classes HCPCS G0480 | $246.00 | $1,000.00 | $8.40 – $59.96 | 10 |
| Drug test def 22+ classes HCPCS G0483 | $243.05 | $988.00 | $138.32 – $760.76 | 10 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $461.25 | $1,875.00 | $6.30 – $45.00 | 10 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $265.35 – $4,019.21 | 9 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $153.42 – $2,081.30 | 9 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $211.71 – $425.83 | 9 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $178.81 – $425.83 | 9 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $208.13 – $652.42 | 9 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $282.52 – $652.42 | 9 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $195.57 | $795.00 | $111.30 – $612.15 | 10 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $758.91 | $3,085.00 | $207.42 – $2,375.45 | 10 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $367.77 | $1,495.00 | $24.03 – $1,151.15 | 8 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $136.25 – $1,837.97 | 9 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $138.04 – $1,837.97 | 9 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $136.97 – $1,837.97 | 9 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $53.28 – $999.27 | 9 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $80.46 – $999.27 | 9 |
| Dx gastr intub w/asp spec CPT 43754 | $192.38 | $782.00 | $39.70 – $602.14 | 10 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $62.58 – $166.76 | 9 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $163.79 – $413.87 | 9 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $164.15 – $1,837.97 | 9 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $121.23 – $259.22 | 9 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $67.23 – $1,578.78 | 9 |
| Ear cartilage graft CPT 21235 | not published | not published | $603.30 – $6,305.03 | 9 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $16.81 – $63.31 | 9 |
| Ecg 12 lead tracing only CPT 93005 | $176.14 | $716.00 | $6.44 – $82.39 | 10 |
| Ecg external < 48 hours recording CPT 93225 | $100.86 | $410.00 | $19.31 – $315.70 | 10 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,008.36 | $4,099.00 | $206.35 – $3,156.23 | 10 |
| Echocardiography doppler color flow mapping CPT 93325 | $211.07 | $858.00 | $24.32 – $660.66 | 6 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,008.36 | $4,099.00 | $531.47 – $3,156.23 | 10 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $302.83 | $1,231.00 | $103.35 – $947.87 | 10 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $302.83 | $1,231.00 | $172.34 – $947.87 | 10 |
| Echo exam uterus 76831- CPT 76831 | $84.63 | $344.00 | $48.16 – $264.88 | 10 |
| Echograp trans r pros study CPT 76873 | $524.97 | $2,134.00 | $113.34 – $1,643.18 | 10 |
| Echo guide for amniocentesis CPT 76946 | $294.96 | $1,199.00 | $35.05 – $923.23 | 6 |
| Echo guide for artery repair CPT 76936 | $222.39 | $904.00 | $126.56 – $696.08 | 10 |
| Echo tee guidance CPT 93355 | $837.63 | $3,405.00 | $232.09 – $2,621.85 | 5 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $873.30 | $3,550.00 | $247.83 – $2,733.50 | 10 |
| Echo transesophageal CPT 93315 | $628.04 | $2,553.00 | $356.82 – $1,965.81 | 10 |
| Echo transesophageal intraop CPT 93318 | $404.43 | $1,644.00 | $230.16 – $1,265.88 | 10 |
| Echo transthoracic CPT 93303 | $415.74 | $1,690.00 | $230.31 – $1,301.30 | 10 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $238.17 – $3,647.53 | 3 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $1,390.64 | $5,653.00 | $243.89 – $4,352.81 | 5 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $349.75 – $7,291.55 | 3 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $316.13 – $7,291.55 | 3 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | $160.64 | $653.00 | $91.42 – $7,291.55 | 5 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | $1,863.95 | $7,577.00 | $850.41 – $7,291.55 | 5 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | $192.87 | $784.00 | $109.76 – $7,291.55 | 5 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | $192.87 | $784.00 | $109.76 – $7,291.55 | 5 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $192.87 | $784.00 | $109.76 – $7,291.55 | 5 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $192.87 | $784.00 | $109.76 – $7,291.55 | 5 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | $176.39 | $717.00 | $100.38 – $3,647.53 | 5 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $176.39 | $717.00 | $100.38 – $3,647.53 | 5 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | $1,331.36 | $5,412.00 | $276.08 – $4,167.24 | 5 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | $203.45 | $827.00 | $115.78 – $3,647.53 | 5 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $223.86 | $910.00 | $127.40 – $3,647.53 | 5 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $203.45 | $827.00 | $115.78 – $3,647.53 | 5 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | $1,597.53 | $6,494.00 | $499.23 – $7,291.55 | 5 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | $1,597.53 | $6,494.00 | $472.77 – $7,291.55 | 5 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | $1,863.95 | $7,577.00 | $237.46 – $7,291.55 | 5 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | $160.64 | $653.00 | $91.42 – $7,291.55 | 5 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $1,597.53 | $6,494.00 | $237.46 – $7,291.55 | 5 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $160.64 | $653.00 | $91.42 – $7,291.55 | 5 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $529.63 – $2,430.85 | 9 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $210.33 | $855.00 | $119.70 – $658.35 | 10 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $202.22 | $822.00 | $58.74 – $632.94 | 10 |
| Eeg during surgery CPT 95955 | $172.45 | $701.00 | $98.14 – $539.77 | 5 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $405.66 | $1,649.00 | $230.86 – $1,269.73 | 10 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $236.16 | $960.00 | $134.40 – $739.20 | 10 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $458.30 | $1,863.00 | $260.82 – $1,434.51 | 10 |
| Eeg recording awake and asleep CPT 95819 | $461.01 | $1,874.00 | $262.36 – $1,442.98 | 10 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $231.98 | $943.00 | $103.70 – $726.11 | 10 |
| E equine encephalitis igg CPT 86652 | $12.98 | $52.76 | $7.39 – $40.63 | 10 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $237.10 – $2,021.85 | 9 |
| Egd control bleeding any CPT 43255 | not published | not published | $207.06 – $2,021.85 | 9 |
| Egd dilate stricture CPT 43245 | not published | not published | $181.67 – $2,021.85 | 9 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $278.94 – $2,021.85 | 9 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $224.94 – $6,344.62 | 9 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $2,428.17 – $11,373.91 | 9 |
| Egd guide wire insertion CPT 43248 | not published | not published | $172.37 – $999.27 | 9 |
| Egd injection varices CPT 43243 | not published | not published | $245.68 – $2,021.85 | 9 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $147.70 – $2,021.85 | 9 |
| Egd lesion ablation CPT 43270 | not published | not published | $232.09 – $2,021.85 | 9 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $174.52 – $2,021.85 | 9 |
| Egd remove foreign body CPT 43247 | not published | not published | $183.10 – $999.27 | 9 |
| Egd remove lesion snare CPT 43251 | not published | not published | $202.77 – $2,021.85 | 9 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $176.31 – $2,021.85 | 9 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $233.52 – $2,021.85 | 9 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $239.96 – $2,021.85 | 9 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $271.79 – $2,021.85 | 9 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $271.43 – $2,021.85 | 9 |
| Egd varices ligation CPT 43244 | not published | not published | $253.55 – $2,021.85 | 9 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $242.11 – $4,054.94 | 9 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $405.18 – $6,344.62 | 9 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $34.53 | $140.36 | $19.66 – $108.08 | 3 |
| Elbow arthroscopy CPT 29830 | not published | not published | $486.36 – $3,458.17 | 9 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $522.84 – $3,458.17 | 9 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $542.50 – $3,458.17 | 9 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $620.82 – $7,613.93 | 9 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $558.24 – $3,458.17 | 9 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.