Visits & medical services prices at Dignity Health Mercy Gilbert Medical Center

Gilbert, AZ · every code in this section with a posted price and a Medicare benchmark.

152 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $5,920.98 $24,069 0.7×
Airway inhalation treatment (94640) $163.22 $663.50 0.7×
Auditory Function, 60 Min (92620) $84.38 $343 0.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $176.88 $719 0.4×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$1,892.24 $7,692 0.2×
C motor evoked uppr limbs (95928) $342.93 $1,394 0.4×
C motor evoked upr&lwr limbs (95939) $502.09 $2,041 0.5×
Capsule endoscopy (91110) $883.88 $3,593 0.9×
Car seat/bed test 60 min (94780) $107.75 $438 2.7×
Cardiac Stress Tst,Tracing Only (93017) $463.47 $1,884 2.0×
Cardiopulmonary resuscitation (92950) $701.10 $2,850 3.0×
Cardioversion (92960) $682.53 $2,774.50 1.0×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $4,464.66 $18,149 1.3×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $6,621.34 $26,916 1.9×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
unusually low: confirm this is the full procedure
$8,876.67 $36,084 0.5×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $6,992.55 $28,425 2.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,188.13 $25,155 1.8×
Cbt 1st hour (94644) $311.93 $1,268 2.2×
Chemo Admin Peritoneal Cavity (96446) $347.85 $1,414 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $200.25 $814 2.6×
Chemo IV push addl drug (96411) $252.89 $1,028 3.3×
Chemo Iv Push Sngl Drug (96409) $252.89 $1,028 0.7×
Chemother, IV infusion, 1 hr (96413) $591.39 $2,404 1.7×
Chemother, IV infusion, ea add hr (96415) $451.41 $1,835 5.9×
Chemother,Ia Push Technique (96420) $334.32 $1,359 0.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $200.25 $814 2.6×
Chemotx Admn Cns Req Spinal Puncture (96450) $234.32 $952.50 0.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $309.23 $1,257 4.0×
Color/duplex Doppler, complete (93975) $650.67 $2,645 2.6×
Color/duplex Doppler, limited (93976) $378.35 $1,538 3.4×
Coronary artery angio s&i (93454) $3,848.92 $15,646 1.1×
Cpap initiation and management (94660) $234.20 $952 1.0×
Cpt initial (94667) $80.45 $327 0.6×
Critical care (99291) $3,848.18 $15,643 4.4×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $354.98 $1,443 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $169.50 $689 0.8×
Demo &/or eval,pt use,aerosol device (94664) $121.53 $494 0.5×
Developmental tst admin phys/qhp 1st hour (96112) $144.41 $587 1.1×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $952.27 $3,871 2.1×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $442.56 $1,799 1.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $279.95 $1,138 2.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $705.29 $2,867 2.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $758.91 $3,085 3.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $471.34 $1,916 4.2×
Duplex hemodialysis access (93990) $195.57 $795 1.8×
Duplex scan extracranial art compl bi study (93880) $624.60 $2,539 2.5×
Echo Heart Xthoracic,Limited (93308) $302.83 $1,231 1.2×
Echo transesophageal (93312) $873.30 $3,550 1.5×
Echo Transesophageal - Congenital Tee Complete (93315) $628.04 $2,553 1.1×
Echo Transthoracic - Congenital Tte Complete (93303) $415.74 $1,690 0.7×
EEG awake asleep (95819) $461.01 $1,874 2.0×
EEG awake drowsy (95816) $405.66 $1,649 1.8×
EEG cerebral death evaluation (95824) $202.22 $822 0.5×
EEG coma or sleep only (95822) $458.30 $1,863 2.0×
Eeg Extended Monitoring 61-119 Minutes (95813) $236.16 $960 1.0×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $231.98 $943 1.0×
EKG (93005) $101.24 $411.50 1.6×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $210.33 $855 0.9×
EMG cranial nerve bilat (95868) $225.34 $916 1.0×
EMG cranial nerve unilat (95867) $187.70 $763 0.8×
EMG one extremity (95860) $68.88 $280 0.5×
EMG two extremities (95861) $111.44 $453 0.8×
Endomyocardial biopsy (93505) $2,447.95 $9,951 0.7×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$12,335.67 $50,145 0.4×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$10,115.28 $41,119 0.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,712.63 $19,157 0.6×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $4,571.18 $18,582 0.5×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,465.18 $5,956 1.1×
Ep Right Ventricular Recording (93603) $1,892.24 $7,692 1.5×
Er level 1 (99281) $51.17 $208 0.6×
Er level ii (99282) $78.97 $321 0.5×
Er level iii (99283) $108.24 $440 0.4×
Er level IV (99284) $395.57 $1,608 0.9×
Er level v (99285) $607.38 $2,469 1.0×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $459.53 $1,868 2.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $997.04 $4,053 1.1×
Hemodialysis (90935) $543.91 $2,211 0.7×
Holter Monitor Recording (93225) $100.86 $410 0.7×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $47.97 $195 1.1×
Immunization Admin (90471) $52.28 $212.50 0.7×
Injection intra arterial (96373) $251.42 $1,022 1.1×
Ins swan ganz bedside (93503) $1,021.15 $4,151 0.6×
Interrog dev eval icpms phys/qhp in person (93290) $35.18 $143 0.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $95.33 $387.50 1.5×
IV infusion hydration each additional hour (96361) $215.01 $874 4.3×
IV infusion hydration initial 31 min-1 hour (96360) $280.69 $1,141 1.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $131 $532.50 1.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $243.79 $991 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $225.83 $918 4.5×
IV push initial (96374) $252.65 $1,027 1.1×
Mechanical chest wall oscillation (94669) $301.60 $1,226 1.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $41.82 $170 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $38.13 $155 1.0×
Mnt Group Ea 30 Min (97804) $32.48 $132 1.9×
Motility study esophagus (91010) $620.91 $2,524 1.6×
Multiple sleep latency test (95805) $592.62 $2,409 0.6×
Neg press wnd tx </=50 sq cm (97607) $353.51 $1,437 0.8×
Neg press wound tx >50 cm (97608) $233.21 $948 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $143.67 $584 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $212.79 $865 0.5×
Neurobehavioral Status Exam (96116) $260.27 $1,058 1.1×
Neuromuscular junction test (95937) $43.55 $177 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $191.88 $780 1.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $295.45 $1,201 1.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $105.29 $428 0.8×
Nrpsyc tst eval phys/qhp 1st (96132) $140.47 $571 0.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $113.66 $462 0.8×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $12.55 $51 0.1×
Peripheral arterial disease rehab per session (93668) $78.23 $318 1.2×
Plethysmography (94726) $138.75 $564 0.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,341.69 $5,454 1.5×
Prq balloon valvuloplasty aortic valve (92986) $4,066.14 $16,529 0.7×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $12,102.71 $49,198 0.6×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $17.47 $71 0.1×
Pulm function test by gas (94727) $110.95 $451 0.5×
Pulmonary stress testing (94618) $135.30 $550 1.0×
Pure Tone Audiometry, Air (92552) $30.75 $125 0.2×
R & l hrt cath w/njx l ventriculog img s&i (93453) $3,905.25 $15,875 1.1×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $7,487.51 $30,437 2.2×
R hrt art/grft angio (93457) $7,487.51 $30,437 2.2×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $8,539.65 $34,714 2.5×
Right heart cath (93451) $2,693.21 $10,948 0.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $63.23 $257 0.3×
Rt Chest Wall Manipulation,Subsequent (94668) $73.80 $300 0.5×
Sleep study unattended (95806) $375.15 $1,525 1.6×
Somatosensory testing (95938) $530.63 $2,157 0.6×
Spirometry (94010) $103.57 $421 0.4×
Stress Tte Complete (93351) $826.32 $3,359 1.4×
Surfactant Admin Thru Tube (94610) $207.87 $845 0.9×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $371.46 $1,510 3.3×
Temp transcutaneous pacing (92953) $276.26 $1,123 0.4×
Ther/Proph/Diag Inj Sc/Im (96372) $129.52 $526.50 1.7×
Therapeutic phlebotomy (99195) $159.41 $648 1.1×
Tilt Table Eval (93660) $655.84 $2,666 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $33.21 $135 0.8×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $377.61 $1,535 1.5×
Transcranial Doppler Limited (93888) $370.48 $1,506 3.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,008.36 $4,099 1.7×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$13,004.06 $52,862 0.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $251.42 $1,022 5.0×
Tympanometry (92567) $23.37 $95 0.6×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $404.43 $1,644 0.7×
Unlisted Cardiovascular Service/Procedure (93799) $3,298.38 $13,408 24.0×
Vasc Duplex Extrem Venous,Bilat (93970) $707.99 $2,878 2.8×
Veeg by tech 2-12 hours unmonitored (95711) $231.98 $943 1.0×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $446 $1,813 1.1×
Veeg by tech 2-12 hr intermittent monitoring (95712) $231.98 $943 0.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $446 $1,813 1.1×
Veeg Ea 12-26 Hr Unmntr (95714) $446 $1,813 1.1×
Ventilation assist & mgmt inpatient 1st day (94002) $758.42 $3,083 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $766.05 $3,114 1.2×
Vital capacity total (94150) $97.17 $395 0.7×