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 |
|---|---|---|---|---|
| Destruction ciliary body CPT 66700 | not published | not published | $409.11 – $2,430.85 | 9 |
| Destruction ciliary body CPT 66720 | not published | not published | $430.57 – $2,486.52 | 9 |
| Destruction ciliary body CPT 66740 | not published | not published | $409.11 – $2,486.52 | 9 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $149.84 – $211.78 | 9 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $136.25 – $2,922.89 | 9 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $156.28 – $2,486.52 | 9 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $143.76 – $425.83 | 9 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $175.59 – $425.83 | 9 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $137.32 – $425.83 | 9 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $160.93 – $425.83 | 9 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $113.01 – $425.83 | 9 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $181.31 – $1,949.63 | 9 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $103.35 – $425.83 | 9 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $733.83 – $2,922.89 | 9 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $196.69 – $3,388.81 | 9 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $122.31 – $3,388.81 | 9 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $101.56 – $1,949.63 | 9 |
| Devel tst phys/qhp 1st hr CPT 96112 | $144.41 | $587.00 | $82.18 – $451.99 | 10 |
| Device ablt adv novasure HCPCS C1886 | $8,648.63 | $35,157.00 | $1,323.56 – $7,279.58 | 7 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $3,934.04 | $15,992.00 | $94.16 – $7,279.58 | 7 |
| Device intraute mirena HCPCS J7298 | $1,764.32 | $7,172.00 | $1,004.08 – $7,172.00 | 8 |
| Device sut capio slim opn HCPCS C2631 | $3,025.07 | $12,297.00 | $462.00 – $2,541.00 | 7 |
| Device tiss remov myosure reach HCPCS C1782 | $3,025.07 | $12,297.00 | $462.00 – $2,541.00 | 5 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $86.60 | $352.00 | $49.28 – $271.04 | 5 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $97.91 | $398.00 | $33.26 – $306.46 | 10 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.68 | $19.00 | $0.06 – $3.08 | 8 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $13.29 | $54.00 | $0.11 – $1.54 | 8 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $86.10 | $350.00 | $1.21 – $28.49 | 8 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $86.10 | $350.00 | $1.85 – $28.49 | 8 |
| Dextrose 5 % IV bolus HCPCS J7070 | $86.10 | $350.00 | $3.69 – $28.49 | 8 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $94.96 | $386.00 | $12.45 – $68.47 | 10 |
| Diabetes (HbA1c) Test CPT 83036 | $74.30 | $302.00 | $9.71 – $232.54 | 10 |
| Diab manage trn ind/group HCPCS G0109 | $56.58 | $230.00 | $14.99 – $177.10 | 10 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $174.87 – $1,837.97 | 9 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $345.82 – $6,218.38 | 9 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $97.99 – $425.30 | 9 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $130.17 – $1,256.69 | 9 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $43.27 – $137.38 | 9 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $144.41 | $587.00 | $82.18 – $587.00 | 6 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $52.21 – $206.92 | 9 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $72.24 – $206.92 | 9 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $151.29 | $615.00 | $86.10 – $615.00 | 7 |
| Diagnostic radio unlisted proc CPT 76499 | $1,374.90 | $5,589.00 | $60.12 – $4,303.53 | 10 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $204.91 – $1,391.54 | 3 |
| Dialysis one evaluation CPT 90945 | $952.27 | $3,871.00 | $89.40 – $2,980.67 | 10 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $132.11 | $537.00 | $0.07 – $254.87 | 8 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $21.90 | $89.00 | $2.66 – $19.00 | 8 |
| Dicyclomine injection HCPCS J0500 | $210.83 | $857.00 | $2.66 – $19.00 | 8 |
| Diffusing capacity CPT 94729 | $144.41 | $587.00 | $59.36 – $451.99 | 5 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $14.03 | $57.00 | $6.05 – $41.58 | 8 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $4,955.67 | $20,145.00 | $2,820.30 – $15,511.65 | 11 |
| Digoxin total therapeutic drug level CPT 80162 | $96.68 | $393.00 | $13.28 – $302.61 | 10 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $195.82 | $796.00 | $42.07 – $612.92 | 8 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $138.40 – $2,428.17 | 3 |
| Dilate esophagus CPT 43453 | not published | not published | $90.48 – $2,021.85 | 9 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $82.97 – $999.27 | 9 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $1,823.77 – $1,823.77 | 1 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $2,906.99 | $11,817.00 | $1,654.38 – $9,099.09 | 4 |
| Dilate ic vasospasm init CPT 61640 | $3,875.73 | $15,755.00 | $2,205.70 – $12,131.35 | 4 |
| Dilate tear duct opening CPT 68801 | not published | not published | $83.32 – $425.30 | 9 |
| Dilate urethra stricture CPT 53600 | not published | not published | $66.16 – $259.22 | 9 |
| Dilate urethra stricture CPT 53601 | not published | not published | $55.43 – $137.38 | 9 |
| Dilate urethra stricture CPT 53605 | not published | not published | $66.52 – $3,675.98 | 9 |
| Dilate urethra stricture CPT 53621 | not published | not published | $74.74 – $259.22 | 9 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $43.63 – $166.76 | 9 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $179.52 – $1,256.69 | 9 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $50.78 – $3,388.81 | 9 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $203.48 – $1,256.69 | 9 |
| Dilation of salivary duct CPT 42660 | not published | not published | $90.48 – $542.77 | 9 |
| Dilation of urethra CPT 53661 | not published | not published | $42.20 – $137.38 | 9 |
| Dilation of urethra CPT 53665 | not published | not published | $39.34 – $2,183.34 | 9 |
| Dilation of vagina CPT 57400 | not published | not published | $136.61 – $3,388.81 | 9 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $62.23 – $1,578.78 | 9 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $90.48 – $711.40 | 9 |
| Dilator fascial 10fx20cm HCPCS C2627 | $478.97 | $1,947.00 | $26.32 – $158.27 | 7 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $153.78 – $3,675.98 | 9 |
| Dilat xst trc new access rcs CPT 50437 | $3,359.38 | $13,656.00 | $254.98 – $10,515.12 | 10 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $13.29 | $54.00 | $0.75 – $35.42 | 8 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $10.83 | $44.00 | $6.16 – $67.74 | 7 |
| Disability dlco CPT 94727 | $110.95 | $451.00 | $46.85 – $347.27 | 10 |
| Disaccharidases CPT 82657 | $330.33 | $1,342.80 | $12.42 – $68.29 | 10 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $504.60 – $1,949.63 | 9 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,530.96 – $7,291.55 | 3 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $213.50 – $3,647.53 | 3 |
| Dissolve clot heart vessel CPT 92975 | $526.69 | $2,141.00 | $299.74 – $1,830.69 | 6 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,160.47 – $5,761.50 | 9 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $835.04 – $6,305.03 | 9 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $356.90 – $7,291.55 | 3 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $298.25 – $3,647.53 | 3 |
| Dmpk gene detc abnor allele CPT 81234 | $134.81 | $548.00 | $76.72 – $421.96 | 10 |
| Dna antibody native/double stranded CPT 86225 | $19.19 | $78.00 | $7.70 – $42.32 | 10 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $86.10 | $350.00 | $7.56 – $46.97 | 8 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $38.38 | $156.00 | $0.73 – $120.12 | 8 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $86.10 | $350.00 | $0.79 – $36.96 | 8 |
| Doppler echo complete CPT 93320 | $257.32 | $1,046.00 | $53.28 – $805.42 | 6 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,191.62 | $8,909.00 | $279.29 – $6,859.93 | 6 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $295.45 | $1,201.00 | $136.25 – $924.77 | 10 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $191.88 | $780.00 | $86.19 – $600.60 | 10 |
| Dornhoffer fixed part w/window HCPCS L8614 | $48,354.26 | $196,562.00 | $32.20 – $15,643.18 | 7 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $80.69 | $328.00 | $3.40 – $252.56 | 8 |
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.