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 |
|---|---|---|---|---|
| Culture typing added method CPT 87158 | $7.63 | $31.00 | $4.34 – $23.87 | 10 |
| Culture typing immunologic CPT 87147 | $70.90 | $288.20 | $2.94 – $16.17 | 10 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $167.56 | $681.12 | $35.09 – $524.47 | 10 |
| Culture urine each isolate CPT 87088 | $7.88 | $32.00 | $4.48 – $24.64 | 10 |
| Curette/treat cornea CPT 65435 | not published | not published | $72.60 – $1,032.29 | 9 |
| Curette/treat cornea CPT 65436 | not published | not published | $386.23 – $2,486.52 | 9 |
| Cutter lead HCPCS C1773 | $6,652.34 | $27,042.00 | $40.18 – $287.00 | 7 |
| Cv line/pic reposition CPT 36597 | $603.69 | $2,454.00 | $61.87 – $1,889.58 | 10 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $13.29 | $54.00 | $0.83 – $41.58 | 8 |
| Cyclic citrullinated peptide antibody CPT 86200 | $34.69 | $141.00 | $7.26 – $39.89 | 10 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,806.63 | $7,344.00 | $257.04 – $1,413.72 | 4 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $29.28 | $119.00 | $0.86 – $91.63 | 8 |
| Cyclosporine 2 hour CPT 80158 | $17.77 | $72.20 | $10.08 – $55.44 | 10 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $6.40 | $26.00 | $0.85 – $9.24 | 8 |
| Cyclosporine oral 100 mg HCPCS J7502 | $25.59 | $104.00 | $2.26 – $80.08 | 8 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $27,295.92 | $110,959.00 | $123.20 – $880.00 | 7 |
| Cyp2c19 gene com variants CPT 81225 | $286.70 | $1,165.44 | $163.17 – $897.39 | 10 |
| Cystatin c CPT 82610 | $18.23 | $74.08 | $10.38 – $57.05 | 10 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $499.23 – $3,675.98 | 9 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $299.14 | $1,216.00 | $43.27 – $936.32 | 10 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $383.72 – $711.40 | 9 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $937.31 – $7,291.55 | 3 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $781.75 – $9,855.80 | 9 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $172.73 – $3,675.98 | 9 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $247.47 – $3,675.98 | 9 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $180.95 – $3,675.98 | 9 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $209.21 – $3,675.98 | 9 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $254.62 – $3,675.98 | 9 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $298.61 – $3,675.98 | 9 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $405.54 – $5,418.22 | 9 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $218.15 – $2,183.34 | 9 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $168.44 – $2,183.34 | 9 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $273.58 – $2,183.34 | 9 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $334.37 – $3,675.98 | 9 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $208.85 – $2,183.34 | 9 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $203.48 – $711.40 | 9 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $252.12 – $2,183.34 | 9 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $289.67 – $3,675.98 | 9 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $300.04 – $3,675.98 | 9 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $287.52 – $5,418.22 | 9 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $157.35 – $2,183.34 | 9 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $283.95 – $2,183.34 | 9 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $254.62 – $3,675.98 | 9 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $272.50 – $3,675.98 | 9 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $83.68 – $711.40 | 9 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $175.23 – $2,183.34 | 9 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $171.66 – $711.40 | 9 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $348.68 – $3,675.98 | 9 |
| Cystoscopy inject material CPT 52327 | not published | not published | $267.50 – $5,418.22 | 9 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $297.18 – $3,675.98 | 9 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $188.11 – $2,183.34 | 9 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $257.13 – $2,183.34 | 9 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $330.80 – $5,418.22 | 9 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $138.76 – $2,183.34 | 9 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $308.62 – $2,183.34 | 9 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $496.37 – $3,675.98 | 9 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $816.80 – $3,675.98 | 9 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $313.27 – $3,675.98 | 9 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $382.29 – $3,675.98 | 9 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $430.93 – $5,418.22 | 9 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $483.14 – $5,418.22 | 9 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $429.86 – $5,418.22 | 9 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $405.18 – $5,418.22 | 9 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $461.33 – $5,418.22 | 9 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $366.20 – $3,675.98 | 9 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $408.04 – $3,675.98 | 9 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $274.29 – $3,675.98 | 9 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $158.07 – $2,183.34 | 9 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $146.98 – $2,183.34 | 9 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $52.21 – $3,647.53 | 3 |
| Cystourethro w/implant CPT 52441 | not published | not published | $217.07 – $7,291.55 | 3 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $355.47 – $3,675.98 | 9 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $320.07 – $3,675.98 | 9 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $293.96 – $3,675.98 | 9 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $46.50 | $189.00 | $0.81 – $48.51 | 8 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $140.47 | $571.00 | $8.06 – $44.33 | 10 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $146.13 | $594.00 | $9.44 – $51.90 | 10 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $56.09 | $228.00 | $31.92 – $175.56 | 10 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $39.61 | $161.00 | $20.26 – $123.97 | 10 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $41.09 | $167.00 | $23.38 – $128.59 | 10 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $41.09 | $167.00 | $23.38 – $128.59 | 10 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $31.74 | $129.00 | $9.83 – $99.33 | 7 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $211.32 | $859.00 | $43.71 – $562.87 | 10 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $56.09 | $228.00 | $31.92 – $175.56 | 10 |
| Cytopath smear other source CPT 88160 | $25.59 | $104.00 | $14.56 – $80.08 | 10 |
| Cytopath smear other source CPT 88162 | $56.09 | $228.00 | $31.92 – $175.56 | 10 |
| Cytopath smear oth prep screen & interp CPT 88161 | $25.59 | $104.00 | $14.56 – $80.08 | 10 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $395.82 | $1,609.00 | $182.64 – $1,238.93 | 10 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $30.26 | $123.00 | $4.27 – $94.71 | 8 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,117.83 | $4,544.00 | $0.04 – $3,498.88 | 8 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $195.50 – $3,388.81 | 9 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $246.76 – $3,388.81 | 9 |
| Dch validity tests CPT 81002 | $19.19 | $78.00 | $3.48 – $60.06 | 10 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $634.77 – $2,081.30 | 9 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,885.00 – $3,456.53 | 9 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $285.74 – $2,081.30 | 9 |
| D&c of cervical stump CPT 57558 | not published | not published | $136.61 – $3,388.81 | 9 |
| Deamidated gliadin antibody iga CPT 86258 | $18.42 | $74.84 | $6.75 – $37.12 | 3 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $723.46 – $2,428.17 | 3 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $28.97 – $652.42 | 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.