Arizona General Hospital Mesa
9130 E Elliot Rd, Mesa, AZ · CommonSpirit Health · · NPI 1689121188
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $44.71 | $181.00 | $17.56 – $147.88 | 13 |
| 17-ketosteroids CPT 83586 | $62.50 | $253.00 | $7.68 – $206.71 | 13 |
| 2019-ncov diagnostic p HCPCS U0001 | $8.87 | $35.91 | $19.04 – $257.08 | 12 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $782.25 | $3,167.00 | $511.24 – $2,587.44 | 11 |
| 2nd order venous cath CPT 36012 | not published | not published | $177.38 – $293.63 | 4 |
| 3d recon without postprocess indpndt CPT 76376 | $309.25 | $1,252.00 | $26.11 – $1,022.89 | 6 |
| 5' nucleotidase - sendout CPT 83915 | $8.65 | $35.00 | $6.69 – $54.25 | 13 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $52.62 | $213.00 | $11.39 – $174.03 | 8 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $3,193.00 – $6,154.45 | 4 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $17.05 | $69.00 | $7.20 – $58.47 | 13 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,258.81 – $4,573.57 | 4 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $240.32 – $293.63 | 4 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $257.48 – $293.63 | 4 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $293.63 – $303.97 | 4 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $49.35 – $148.30 | 4 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,425.94 | $5,773.00 | $189.74 – $4,716.55 | 11 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,198.20 | $4,851.00 | $189.74 – $3,963.27 | 11 |
| Abdominal CT scan (without contrast) CPT 74150 | $742.98 | $3,008.00 | $113.34 – $2,457.54 | 11 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,093.08 | $8,474.00 | $365.13 – $6,923.26 | 11 |
| Abdominal MRI (with contrast) CPT 74182 | $1,539.06 | $6,231.00 | $326.50 – $5,090.73 | 11 |
| Abdominal MRI (without contrast) CPT 74181 | $1,026.04 | $4,154.00 | $211.35 – $3,393.82 | 11 |
| Abdominal paracentesis w/image guidance CPT 49083 | not published | not published | $109.79 – $1,029.25 | 9 |
| Abdominal Ultrasound (complete) CPT 76700 | $515.25 | $2,086.00 | $113.34 – $1,704.27 | 13 |
| Abdominal Ultrasound (limited) CPT 76705 | $448.06 | $1,814.00 | $91.19 – $1,482.04 | 13 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,227.70 – $7,159.23 | 9 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | $76.17 – $1,029.25 | 9 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,397.57 – $6,154.45 | 4 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,966.54 – $6,154.45 | 4 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $666.96 – $3,078.70 | 4 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,885.00 – $6,154.45 | 4 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $353.68 – $7,842.35 | 9 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $378.72 – $14,125.13 | 9 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $213.85 – $1,626.15 | 9 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $160.57 – $1,626.15 | 9 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $449.17 – $11,429.39 | 9 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $449.88 – $6,404.94 | 9 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $601.63 – $1,029.25 | 9 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $1,530.45 – $6,404.94 | 9 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $153.23 – $263.35 | 9 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $460.97 – $11,429.39 | 9 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $295.07 – $479.94 | 9 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $153.23 – $263.35 | 9 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $194.08 – $324.06 | 9 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $1,024.93 – $10,151.48 | 9 |
| Abortion CPT 59850 | not published | not published | $406.87 – $6,154.45 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $324.21 – $333.94 | 9 |
| Abrasion lesion single CPT 15786 | not published | not published | $162.24 – $218.14 | 9 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $199.55 – $1,778.69 | 9 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $124.81 – $2,897.78 | 4 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $293.60 – $2,049.50 | 4 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $1,247.11 | $5,049.00 | $0.28 – $106.77 | 6 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $100.78 | $408.00 | $22.16 – $333.34 | 8 |
| Acetone qualitative CPT 82009 | $29.40 | $119.00 | $2.71 – $97.23 | 13 |
| Acetylcholine receptor modulating antibody CPT 86043 | $60.52 | $245.00 | $7.23 – $200.17 | 5 |
| Acetylcholinesterase assay CPT 82013 | $43.23 | $175.00 | $7.37 – $142.98 | 13 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $410.77 | $1,663.00 | $0.56 – $1,358.68 | 8 |
| Acne surgery 10040 CPT 10040 | not published | not published | $162.24 – $218.14 | 9 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $658.73 – $3,561.92 | 9 |
| Acute hepatitis panel CPT 80074 | $281.09 | $1,138.00 | $28.57 – $929.75 | 13 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $37.80 | $153.00 | $0.05 – $125.01 | 8 |
| #acylcarnitineprfl CPT 82017 | $208.47 | $844.00 | $10.12 – $82.09 | 13 |
| Adding walker to prev cast CPT 29440 | not published | not published | $29.68 – $173.23 | 9 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $15.32 | $62.00 | $0.33 – $50.66 | 8 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $949.83 – $6,154.45 | 4 |
| Adh-sendout CPT 84588 | $44.46 | $180.00 | $20.36 – $165.18 | 13 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $601.63 – $1,029.25 | 9 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $474.56 – $7,842.35 | 9 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $800.35 – $2,008.12 | 9 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $251.20 | $1,017.00 | $0.23 – $12.26 | 8 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $68.18 | $276.00 | $75.10 – $225.50 | 11 |
| Administration immunization 1 vaccine CPT 90471 | $49.40 | $200.00 | $23.10 – $163.40 | 11 |
| Administration immunization each additional vaccine CPT 90472 | $49.40 | $200.00 | $12.82 – $163.40 | 6 |
| Administration vaccine hepatitis b HCPCS G0010 | $15.32 | $62.00 | $7.57 – $50.66 | 11 |
| Administration vaccine influenza virus HCPCS G0008 | $49.40 | $200.00 | $7.57 – $163.40 | 11 |
| Administration vaccine pneumococcal HCPCS G0009 | $24.21 | $98.00 | $7.57 – $80.07 | 11 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,306.02 – $6,154.45 | 4 |
| _afb id by dna probe rflx ast CPT 87149 | $59.78 | $242.00 | $12.03 – $97.55 | 13 |
| #afb mycobacteria suscep. #1 CPT 87190 | $38.54 | $156.00 | $4.38 – $127.46 | 13 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $323.82 | $1,311.00 | $69.21 – $561.40 | 13 |
| After cataract laser surgery CPT 66821 | not published | not published | $325.79 – $602.26 | 9 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $92.98 – $293.63 | 4 |
| Albumin body fluid quantitative each specimen CPT 82042 | $28.16 | $114.00 | $4.66 – $37.86 | 13 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $377.91 | $1,530.00 | $43.52 – $383.99 | 8 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $231.94 | $939.00 | $43.52 – $383.99 | 13 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $51.13 | $207.00 | $3.46 – $28.13 | 13 |
| Albumin serum plasma or whole blood CPT 82040 | $9.88 | $40.00 | $2.97 – $25.33 | 13 |
| Alcohol/subs interv >30 min HCPCS G0397 | $34.34 | $139.00 | $73.67 – $143.17 | 11 |
| Alkaline phosphatase CPT 84075 | $12.85 | $52.00 | $3.10 – $26.15 | 13 |
| Allergen alpha lactalbumin ige CPT 86008 | $13.84 | $56.00 | $10.75 – $87.24 | 13 |
| Allergen egg white ige CPT 86003 | $144.50 | $585.00 | $3.13 – $25.41 | 13 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $12.35 | $50.00 | $4.78 – $38.79 | 13 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $1,346.79 – $14,125.13 | 9 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $938.11 | $3,798.00 | $279.44 – $1,630.74 | 6 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $2,506.07 | $10,146.00 | $297.37 – $8,289.29 | 3 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $1,482.25 | $6,001.00 | $31.35 – $4,902.82 | 7 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $1,416.55 | $5,735.00 | $263.08 – $4,685.50 | 4 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $62.50 | $253.00 | $38.64 – $313.48 | 13 |
| Alpha-fetoprotein amniotic CPT 82106 | $22.48 | $91.00 | $10.20 – $82.73 | 13 |
| Alpha-fetoprotein tumor marker CPT 82105 | $71.14 | $288.00 | $10.06 – $81.59 | 13 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $363.84 | $1,473.00 | $72.96 – $1,203.45 | 13 |
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.