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 |
|---|---|---|---|---|
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $447.38 – $6,344.62 | 9 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $375.86 – $4,054.94 | 9 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $388.73 – $2,021.85 | 9 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $369.42 – $2,021.85 | 9 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $497.45 – $6,344.62 | 9 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $333.30 – $4,054.94 | 9 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $257.32 | $1,046.00 | $11.29 – $628.32 | 8 |
| ER Visit (level 1, minor) CPT 99281 | $156.95 | $638.00 | $8.54 – $61.00 | 10 |
| ER Visit (level 2) CPT 99282 | $240.59 | $978.00 | $15.40 – $110.00 | 10 |
| ER Visit (level 3) CPT 99283 | $386.96 | $1,573.00 | $28.98 – $207.00 | 10 |
| ER Visit (level 4) CPT 99284 | $2,122.49 | $8,628.00 | $38.50 – $275.00 | 10 |
| ER Visit (level 5, high severity) CPT 99285 | $4,380.77 | $17,808.00 | $64.54 – $461.00 | 10 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $108.74 | $442.00 | $61.88 – $380.13 | 8 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $1,173.67 | $4,771.00 | $30.52 – $167.86 | 4 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $116.94 – $3,647.53 | 3 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,393.63 – $7,291.55 | 3 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,382.55 – $7,291.55 | 3 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $201.34 – $2,021.85 | 9 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $101.92 – $999.27 | 9 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $242.82 – $2,021.85 | 9 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $195.26 – $6,344.62 | 9 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $163.07 – $2,021.85 | 9 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $122.66 – $2,021.85 | 9 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $171.30 – $2,021.85 | 9 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $107.29 – $2,021.85 | 9 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $91.55 – $999.27 | 9 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $85.47 – $999.27 | 9 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $146.62 – $2,021.85 | 9 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $203.84 – $4,054.94 | 9 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $138.76 – $2,021.85 | 9 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $268.57 – $2,021.85 | 9 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $193.83 – $4,054.94 | 9 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $163.07 – $2,021.85 | 9 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $575.76 – $6,305.03 | 9 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $165.93 – $2,021.85 | 9 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $205.99 – $2,021.85 | 9 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $205.27 – $2,021.85 | 9 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $177.38 – $2,021.85 | 9 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $178.09 – $2,021.85 | 9 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $198.84 – $2,021.85 | 9 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $146.27 – $2,021.85 | 9 |
| Esophagus motility study CPT 91010 | $620.91 | $2,524.00 | $232.09 – $1,943.48 | 10 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $159.14 – $2,021.85 | 9 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $135.54 – $2,021.85 | 9 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $851.84 – $7,291.55 | 3 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,155.10 – $7,291.55 | 3 |
| Esoph imped function test CPT 91037 | $459.53 | $1,868.00 | $177.02 – $1,438.36 | 10 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $137.68 – $2,021.85 | 9 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $140.19 – $2,021.85 | 9 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $108.00 – $2,021.85 | 9 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,653.06 – $7,291.55 | 3 |
| Essure 58565 CPT 58565 | not published | not published | $483.86 – $5,261.37 | 9 |
| Establish access to aorta CPT 36160 | $249.69 | $1,015.00 | $125.88 – $781.55 | 5 |
| Establish access to artery CPT 36100 | not published | not published | $154.85 – $347.89 | 3 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,090.37 – $7,291.55 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | $659.28 | $2,680.00 | $6.23 – $208.00 | 5 |
| Established Patient Office Visit (level 2) CPT 99212 | $78.97 | $321.00 | $15.40 – $321.00 | 5 |
| Established Patient Office Visit (level 3) CPT 99213 | $119.31 | $485.00 | $28.98 – $440.00 | 5 |
| Established Patient Office Visit (level 4) CPT 99214 | $269.87 | $1,097.00 | $38.50 – $496.00 | 5 |
| Established Patient Office Visit (level 5) CPT 99215 | $260.03 | $1,057.00 | $64.54 – $527.10 | 5 |
| Estradiol total CPT 82670 | $409.10 | $1,663.00 | $15.65 – $86.06 | 10 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $993.10 – $3,456.53 | 9 |
| Ethylene glycol -sendout CPT 82693 | $51.42 | $209.00 | $14.90 – $160.93 | 10 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $15.50 | $63.00 | $1.00 – $48.51 | 8 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $558.61 – $3,388.81 | 9 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $92.25 | $375.00 | $36.68 – $201.74 | 10 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $1,952.51 | $7,937.00 | $602.58 – $6,111.49 | 5 |
| Evasc prlng admn rx agnt add CPT 61651 | $976.38 | $3,969.00 | $257.13 – $3,056.13 | 5 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,257.74 – $5,826.53 | 3 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $3,917.80 | $15,926.00 | $1,255.59 – $12,263.02 | 5 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $6,379.03 | $25,931.00 | $1,874.27 – $19,966.87 | 5 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $8,202.38 | $33,343.00 | $2,310.56 – $24,974.18 | 6 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $448.81 – $7,291.55 | 3 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $6,491.70 | $26,389.00 | $1,394.35 – $15,483.16 | 6 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $8,228.21 | $33,448.00 | $2,324.51 – $25,051.95 | 6 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $4,093.94 | $16,642.00 | $1,179.06 – $12,814.34 | 6 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $6,588.62 | $26,783.00 | $1,847.09 – $20,060.81 | 6 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $94.05 – $324.21 | 9 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $111.58 – $3,388.81 | 9 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $580.05 – $3,050.43 | 9 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $730.97 – $3,050.43 | 9 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $464.54 – $3,050.43 | 9 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $596.86 – $3,050.43 | 9 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $701.29 – $3,050.43 | 9 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,248.80 – $1,248.80 | 2 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $1,824.92 – $1,824.92 | 2 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $429.14 – $3,050.43 | 9 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $350.46 – $1,726.88 | 9 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $1,119.34 – $6,305.03 | 9 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $1,668.28 – $6,305.03 | 9 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $386.94 – $1,726.88 | 9 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $775.67 – $3,050.43 | 9 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $332.58 – $3,388.81 | 9 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $237.82 – $1,726.88 | 9 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $333.66 – $3,050.43 | 9 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $190.97 – $1,726.88 | 9 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $89.05 – $749.90 | 9 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $113.36 – $749.90 | 9 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $155.21 – $749.90 | 9 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $188.82 – $1,726.88 | 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.