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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $5,920.98 | $24,069 | 0.7× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $47.97 | $195 | 1.1× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$93.24–$233.21 | $379–$948 | varies |
| 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× |
| 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) range across 5 matching MRF lines |
$667.65–$701.10 | $2,714–$2,850 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$650.43–$714.63 | $2,644–$2,905 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $7,487.51 | $30,437 | 2.2× |
| 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 Anti-Neopl Sq/Im (96401) | $200.25 | $814 | 2.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $200.25 | $814 | 2.6× |
| Chemo Ia Push (96420) | $334.32 | $1,359 | 0.9× |
| Chemo IV infusion addl hr (96415) | $451.41 | $1,835 | 5.9× |
| Chemo IV push addl drug (96411) | $252.89 | $1,028 | 3.3× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$138.50–$330.14 | $563–$1,342 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $309.23 | $1,257 | 4.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $591.39 | $2,404 | 1.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $252.89 | $1,028 | 0.7× |
| Chest Wall Manipulation (94668) | $73.80 | $300 | 0.5× |
| Color/duplex Doppler, complete (93975) | $650.67 | $2,645 | 2.6× |
| Color/duplex Doppler, limited (93976) | $378.35 | $1,538 | 3.4× |
| Continuous Pulse Ox (94762) | $105.29 | $428 | 0.8× |
| Coronary Art/Grft Angio S&I (93455) | $4,464.66 | $18,149 | 1.3× |
| Coronary Artery Angio S&I (93454) | $3,848.92 | $15,646 | 1.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $234.20 | $952 | 1.0× |
| Cpt initial (94667) | $80.45 | $327 | 0.6× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$3,220.14–$4,476.22 | $13,090–$18,196 | varies |
| 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× |
| Developmental tst admin phys/qhp 1st hour (96112) | $144.41 | $587 | 1.1× |
| Dialysis One Evaluation (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 Xtr Veins Complete Bilateral Study (93970) | $707.99 | $2,878 | 2.8× |
| Duplex Scan Hemodialysis Access (93990) | $195.57 | $795 | 1.8× |
| Duplex up extrem art bilat (93930) | $758.91 | $3,085 | 3.0× |
| Duplex up extrem art unilat/ltd (93931) | $471.34 | $1,916 | 4.2× |
| Echo Congenital Complete (93303) | $415.74 | $1,690 | 0.7× |
| Echo Heart Xthoracic,Limited (93308) | $302.83 | $1,231 | 1.2× |
| Echo transesophag montr cardiac pump functj (93318) | $404.43 | $1,644 | 0.7× |
| Echo transesophageal (93312) | $873.30 | $3,550 | 1.5× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $628.04 | $2,553 | 1.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $826.32 | $3,359 | 1.4× |
| Eeg 41-60 Minutes (95812) | $210.33 | $855 | 0.9× |
| EEG awake and 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 extended monitoring 61-119 minutes (95813) | $236.16 | $960 | 1.0× |
| Eeg Sleep Only (95822) | $458.30 | $1,863 | 2.0× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $231.98 | $943 | 1.0× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$26.33–$176.14 | $107–$716 | varies |
| Electrophysiology Evaluation (93642) | $1,465.18 | $5,956 | 1.1× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$27.06–$240.59 | $110–$978 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$50.93–$386.96 | $207–$1,573 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$67.65–$2,122.49 | $275–$8,628 | varies |
| 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× |
| Er level 1 (99281) range across 3 matching MRF lines |
$15.01–$156.95 | $61–$638 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$113.41–$4,380.77 | $461–$17,808 | varies |
| Evaluate pt use of inhaler (94664) | $121.53 | $494 | 0.5× |
| Extracranial Bilat Study (93880) | $624.60 | $2,539 | 2.5× |
| 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× |
| Gi tract capsule endoscopy (91110) | $883.88 | $3,593 | 0.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $8,539.65 | $34,714 | 2.5× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $543.91 | $2,211 | 0.7× |
| Holter monitor recording (93225) | $100.86 | $410 | 0.7× |
| Icm Device Eval (93290) | $35.18 | $143 | 0.9× |
| Immunization administration (90471) range across 2 matching MRF lines |
$47.97–$56.58 | $195–$230 | varies |
| Insert/Place Heart Catheter (93503) | $1,021.15 | $4,151 | 0.6× |
| Intracranial Complete Study (93886) | $377.61 | $1,535 | 1.5× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$79.22–$111.44 | $322–$453 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$108.49–$225.83 | $441–$918 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$108.49–$295.70 | $441–$1,202 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$108.49–$153.51 | $441–$624 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$108.49–$242.31 | $441–$985 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$76.26–$304.80 | $310–$1,239 | varies |
| L Hrt Art/Grft Angio (93459) | $6,992.55 | $28,425 | 2.0× |
| Mechanical chest wall oscillation per session (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× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (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× |
| Muscle Test 2 Limbs (95861) | $111.44 | $453 | 0.8× |
| Muscle Test One Limb (95860) | $68.88 | $280 | 0.5× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $225.34 | $916 | 1.0× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $187.70 | $763 | 0.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $353.51 | $1,437 | 0.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq 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 Junct Tstg Ea Nrv Any 1 Meth (95937) | $43.55 | $177 | 0.3× |
| 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× |
| Phlebotomy therapeutic (99195) | $159.41 | $648 | 1.1× |
| 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 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 Hrt Art/Grft Angio (93457) | $7,487.51 | $30,437 | 2.2× |
| R hrt coronary artery angio (93456) | $6,621.34 | $26,916 | 1.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $3,905.25 | $15,875 | 1.1× |
| Right Heart Cath (93451) | $2,693.21 | $10,948 | 0.8× |
| Right ventricular recording (93603) | $1,892.24 | $7,692 | 1.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$49.94–$64.46 | $203–$262 | varies |
| 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× |
| 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 Ia (96373) | $251.42 | $1,022 | 1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$63.47–$195.57 | $258–$795 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$108.49–$295.70 | $441–$1,202 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $655.84 | $2,666 | 1.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $33.21 | $135 | 0.8× |
| Transcath Closure of Asd (93580) unusually low: confirm this is the full procedure |
$8,876.67 | $36,084 | 0.5× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $370.48 | $1,506 | 3.3× |
| Tte w/doppler, complete (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) range across 3 matching MRF lines |
$76.26–$253.88 | $310–$1,032 | varies |
| Tympanometry (92567) | $23.37 | $95 | 0.6× |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$234.69–$6,618.63 | $954–$26,905 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $191.88 | $780 | 1.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $295.45 | $1,201 | 1.3× |
| Valvuloplasty aortic valve (92986) | $4,066.14 | $16,529 | 0.7× |
| Veeg 2-12 Hr Cont Mntr (95713) | $446 | $1,813 | 1.1× |
| Veeg 2-12 hr intmt mntr (95712) | $231.98 | $943 | 0.6× |
| Veeg 2-12 hr unmonitored (95711) | $231.98 | $943 | 1.0× |
| 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× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$543.91–$972.93 | $2,211–$3,955 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $766.05 | $3,114 | 1.2× |
| Vital capacity, total (94150) | $97.17 | $395 | 0.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.