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 |
|---|---|---|---|---|
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $60.77 | $247.00 | $34.58 – $190.19 | 4 |
| Dpyd gene common variants CPT 81232 | $172.02 | $699.24 | $97.90 – $538.42 | 10 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $125.52 – $749.90 | 9 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $152.34 – $749.90 | 9 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $170.94 – $1,726.88 | 9 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $132.68 – $749.90 | 9 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $221.36 – $3,050.43 | 9 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $521.41 – $3,050.43 | 9 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $115.87 – $247.50 | 9 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $171.66 – $1,726.88 | 9 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $431.64 – $3,050.43 | 9 |
| Drainage of eye CPT 65800 | not published | not published | $92.62 – $2,430.85 | 9 |
| Drainage of eye CPT 65810 | not published | not published | $485.29 – $2,430.85 | 9 |
| Drainage of eye CPT 65815 | not published | not published | $497.80 – $2,430.85 | 9 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $395.88 – $1,705.75 | 9 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $97.27 – $749.90 | 9 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $122.66 – $247.50 | 9 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $243.89 – $1,578.78 | 9 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $233.88 – $1,578.78 | 9 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $272.15 – $3,456.53 | 9 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $301.11 – $542.77 | 9 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $315.06 – $542.77 | 9 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $362.98 – $6,305.03 | 9 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $360.84 – $3,456.53 | 9 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $420.92 – $1,578.78 | 9 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $128.38 – $247.50 | 9 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $130.17 – $542.77 | 9 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $559.67 – $1,705.75 | 9 |
| Drainage of pelvis lesion 26990 CPT 26990 | $2,121.26 | $8,623.00 | $720.96 – $6,639.71 | 10 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $465.97 – $3,675.98 | 9 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $476.35 – $3,675.98 | 9 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $627.62 – $3,675.98 | 9 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $173.80 – $1,256.69 | 9 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $597.94 – $2,922.89 | 9 |
| Drainage of salivary gland CPT 42305 | not published | not published | $459.54 – $3,456.53 | 9 |
| Drainage of salivary gland CPT 42320 | not published | not published | $189.89 – $542.77 | 9 |
| Drainage of throat abscess CPT 42725 | not published | not published | $842.55 – $6,305.03 | 9 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $413.41 – $3,675.98 | 9 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $174.87 – $2,183.34 | 9 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $443.80 – $711.40 | 9 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $680.90 – $2,183.34 | 9 |
| Drain bladder by trocar/cath CPT 51101 | $274.29 | $1,115.00 | $52.93 – $1,084.35 | 10 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $33.97 – $137.38 | 9 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $211.35 – $1,726.88 | 9 |
| Drain cath image guided visceral pq CPT 49405 | $577.61 | $2,348.00 | $199.55 – $1,807.96 | 10 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $95.48 – $738.10 | 9 |
| Drain chest lesion CPT 21502 | not published | not published | $532.49 – $3,458.17 | 9 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $150.20 – $211.78 | 9 |
| Drain lower leg bursa CPT 27604 | not published | not published | $342.60 – $3,458.17 | 9 |
| Drain lower leg lesion 27603 CPT 27603 | $2,561.85 | $10,414.00 | $412.69 – $8,018.78 | 10 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $357.26 – $3,050.43 | 9 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,178.35 – $7,291.55 | 3 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $453.46 – $3,388.81 | 9 |
| Drain ovary abscess open CPT 58820 | not published | not published | $359.41 – $3,388.81 | 9 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,146.16 – $7,291.55 | 3 |
| Drain penis lesion CPT 54015 | not published | not published | $320.07 – $1,726.88 | 9 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $718.81 – $1,705.75 | 9 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $236.03 – $3,050.43 | 9 |
| Drain shoulder lesion CPT 23030 | not published | not published | $269.64 – $3,050.43 | 9 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $540.00 – $3,050.43 | 9 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $167.72 – $1,578.78 | 9 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $805.35 – $7,291.55 | 3 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $107.75 | $438.00 | $61.32 – $337.26 | 10 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | not published | not published | $58.65 – $211.78 | 9 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $137.68 – $425.83 | 9 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $46.49 – $652.42 | 9 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $8,648.63 | $35,157.00 | $45.96 – $16,012.15 | 8 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $957.70 – $7,291.55 | 3 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $323.64 – $7,291.55 | 3 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $820.37 – $7,291.55 | 3 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $593.64 – $3,458.17 | 9 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $121.59 – $318.61 | 9 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $196.69 – $1,726.88 | 9 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $88.69 – $749.90 | 9 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $209.56 – $542.77 | 9 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $334.37 – $3,388.81 | 9 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $524.62 – $3,458.17 | 9 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $447.74 – $3,458.17 | 9 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $452.03 – $1,256.69 | 9 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $247.11 – $3,456.53 | 9 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $177.38 – $1,726.88 | 9 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,142.59 – $7,291.55 | 3 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,047.46 – $7,291.55 | 3 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $754.21 – $5,418.59 | 3 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,662.92 – $7,291.55 | 3 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $165.93 – $1,578.78 | 9 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $142.69 – $542.77 | 9 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $13.29 | $54.00 | $7.56 – $49.39 | 8 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $6,652.34 | $27,042.00 | $209.30 – $1,151.15 | 7 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $811.80 | $3,300.00 | $12.79 – $208.67 | 8 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $478.97 | $1,947.00 | $12.37 – $883.19 | 8 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $216.48 | $880.00 | $10.48 – $677.60 | 8 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $3,934.04 | $15,992.00 | $29.41 – $883.19 | 8 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $27,295.92 | $110,959.00 | $53.71 – $16,012.15 | 8 |
| Drug assay caffeine CPT 80155 | $37.96 | $154.28 | $21.60 – $118.80 | 10 |
| Drug assay posaconazole CPT 80187 | $26.68 | $108.44 | $15.19 – $83.50 | 10 |
| Drug assay vedolizumab CPT 80280 | $279.95 | $1,138.00 | $38.57 – $876.26 | 10 |
| Drug assay voriconazole CPT 80285 | $26.68 | $108.44 | $15.19 – $83.50 | 10 |
| Drug of abuse screen urine CPT 80305 | $12.55 | $51.00 | $7.14 – $39.27 | 10 |
| Drug test def 15-21 classes HCPCS G0482 | $195.57 | $794.96 | $87.70 – $482.30 | 10 |
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.