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 |
|---|---|---|---|---|
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $711.40 – $729.19 | 9 |
| Circumcision (newborn) CPT 54150 | not published | not published | $1,813.22 – $2,237.93 | 9 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $15.50 | $63.00 | $2.76 – $48.51 | 8 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $324.24 | $1,318.04 | $184.53 – $1,014.90 | 10 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $1,091.51 | $4,437.00 | $10.37 – $3,416.49 | 11 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $19,004.98 | $77,256.00 | $341.18 – $2,437.00 | 7 |
| Claviculectomy partial CPT 23120 | not published | not published | $627.62 – $3,458.17 | 9 |
| Claviculectomy total CPT 23125 | not published | not published | $754.21 – $3,458.17 | 9 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $144.83 – $542.77 | 9 |
| Clearance of airways CPT 31720 | not published | not published | $50.42 – $216.78 | 9 |
| Clearance of tear duct CPT 68530 | not published | not published | $264.64 – $318.61 | 9 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $31.25 | $127.00 | $10.08 – $55.44 | 4 |
| Clip ligating vesolock lg HCPCS C1760 | $6,396.25 | $26,001.00 | $123.20 – $880.00 | 7 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,227.34 – $3,388.81 | 9 |
| Cllr miami j sm HCPCS L0174 | $73.56 | $299.00 | $41.86 – $299.00 | 7 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $105.54 | $429.00 | $17.16 – $330.33 | 8 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,872.74 – $7,291.55 | 3 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $255.67 – $262.07 | 9 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $428.43 – $1,705.75 | 9 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $765.66 – $7,291.55 | 3 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $255.67 – $262.07 | 9 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $462.40 – $1,705.75 | 9 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $255.67 – $262.07 | 9 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $489.22 – $1,705.75 | 9 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $118.01 – $255.67 | 9 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $678.76 – $1,578.78 | 9 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $180.95 – $542.77 | 9 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $349.75 – $1,578.78 | 9 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $620.47 – $1,705.75 | 9 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $319.35 – $3,456.53 | 9 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $110.50 – $255.67 | 9 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $228.87 – $255.67 | 9 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $824.66 – $3,458.17 | 9 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $153.06 – $247.50 | 9 |
| Close mastoid fistula CPT 69700 | not published | not published | $703.79 – $1,578.78 | 9 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $702.36 – $7,291.55 | 3 |
| Close tear duct opening CPT 68760 | not published | not published | $152.70 – $318.61 | 9 |
| Close tear duct opening CPT 68761 | not published | not published | $122.66 – $318.61 | 9 |
| Close tear system fistula CPT 68770 | not published | not published | $653.37 – $2,486.52 | 9 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $62.58 – $1,578.78 | 9 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $901.19 – $7,291.55 | 3 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,650.76 – $7,291.55 | 3 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,052.82 – $7,291.55 | 3 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,450.49 – $7,291.55 | 3 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $211.35 – $542.77 | 9 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $99.78 – $1,032.29 | 9 |
| Closure of salivary fistula CPT 42600 | not published | not published | $378.72 – $3,456.53 | 9 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $351.90 – $3,456.53 | 9 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $402.49 – $658.95 | 9 |
| Clot factor fletcher fact CPT 85292 | $99.69 | $405.24 | $18.93 – $312.04 | 10 |
| Clot factor wght kininogen CPT 85293 | $123.74 | $503.00 | $18.93 – $387.31 | 10 |
| Clot factor xii hageman CPT 85280 | $19.05 | $77.40 | $10.84 – $59.60 | 10 |
| Clot factor xiii fibrin scrn CPT 85291 | $8.97 | $36.44 | $5.11 – $28.06 | 10 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $261.42 – $1,705.75 | 9 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $133.58 | $543.00 | $76.02 – $418.11 | 10 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $363.70 – $1,705.75 | 9 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $250.33 – $255.67 | 9 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $208.49 – $255.67 | 9 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $209.21 – $255.67 | 9 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $47.48 | $193.00 | $27.02 – $193.00 | 10 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $796.77 – $1,705.75 | 9 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $578.27 – $1,705.75 | 9 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $135.18 – $255.67 | 9 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | not published | not published | $155.92 – $255.67 | 9 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | not published | not published | $551.80 – $1,705.75 | 9 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | not published | not published | $502.45 – $1,705.75 | 9 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $283.06 – $290.14 | 9 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $504.60 – $542.77 | 9 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $242.11 – $255.67 | 9 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $231.49 | $941.00 | $131.74 – $724.57 | 10 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $543.22 – $3,458.17 | 9 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $247.83 – $255.67 | 9 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $223.15 – $255.67 | 9 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $1,248.70 | $5,076.00 | $99.78 – $3,908.52 | 10 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $2,236.00 – $2,236.00 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $355.83 – $1,705.75 | 9 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $140.90 – $255.67 | 9 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $437.37 – $1,705.75 | 9 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $208.13 – $255.67 | 9 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | not published | not published | $441.30 – $1,705.75 | 9 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $255.67 – $262.07 | 9 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $434.50 – $1,705.75 | 9 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $541.07 – $1,705.75 | 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.