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 |
|---|---|---|---|---|
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $1,346.79 – $13,713.71 | 9 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $11,244.17 | $45,708.00 | $88.87 – $9,468.69 | 8 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $24,814.27 | $100,871.00 | $209.30 – $1,151.15 | 7 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $8,648.63 | $35,157.00 | $400.77 – $3,308.69 | 8 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $33,027.72 | $134,259.00 | $30.34 – $5,600.21 | 8 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $19,004.98 | $77,256.00 | $196.33 – $1,951.18 | 8 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $8,648.63 | $35,157.00 | $106.59 – $7,279.58 | 8 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $780.56 | $3,173.00 | $444.22 – $2,443.21 | 7 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $6,652.34 | $27,042.00 | $130.70 – $9,468.69 | 8 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $3,025.07 | $12,297.00 | $306.30 – $9,468.69 | 8 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $63.38 | $257.64 | $36.07 – $198.39 | 10 |
| Alpha-fetoprotein tumor marker CPT 82105 | $150.80 | $613.00 | $9.40 – $51.66 | 10 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $8,025.26 | $32,623.00 | $72.96 – $766.92 | 11 |
| Alt/sgpt CPT 84460 | $83.64 | $340.00 | $5.30 – $189.42 | 10 |
| Aluminum - quest CPT 82108 | $25.08 | $101.92 | $14.27 – $78.48 | 10 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $257.13 – $3,456.53 | 9 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $39.12 | $159.00 | $0.55 – $66.99 | 8 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $13.29 | $54.00 | $7.56 – $41.58 | 4 |
| Aminolevulinic acid delta CPT 82135 | $16.19 | $65.80 | $9.22 – $50.67 | 10 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $23.87 | $97.00 | $5.30 – $54.00 | 8 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $86.10 | $350.00 | $0.40 – $41.58 | 8 |
| Ammonia CPT 82140 | $120.79 | $491.00 | $14.57 – $378.07 | 10 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $82.93 – $928.05 | 9 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $182.79 – $324.21 | 9 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $725.60 – $3,458.17 | 9 |
| Amphotericin b lipid complex HCPCS J0287 | $471.83 | $1,918.00 | $9.12 – $1,476.86 | 11 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $620.17 | $2,521.00 | $21.86 – $1,941.17 | 11 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $33.21 | $135.00 | $0.73 – $41.58 | 8 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $140.72 | $572.00 | $1.68 – $50.82 | 8 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $445.95 – $3,458.17 | 9 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $742.41 – $7,291.55 | 3 |
| Amputate hand at wrist CPT 25922 | not published | not published | $687.34 – $1,705.75 | 9 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $807.50 – $3,458.17 | 9 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $815.37 – $7,291.55 | 3 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $607.23 – $3,458.17 | 9 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $655.15 – $3,458.17 | 9 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $727.75 – $7,613.93 | 9 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $638.35 – $1,949.63 | 9 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $845.41 – $3,458.17 | 9 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $529.99 – $3,458.17 | 9 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $605.45 – $3,458.17 | 9 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $933.74 – $7,291.55 | 3 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $677.68 – $7,291.55 | 3 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $668.39 – $7,613.93 | 9 |
| Amputation of lower leg CPT 27882 | not published | not published | $615.46 – $7,291.55 | 3 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $557.17 – $7,291.55 | 3 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $742.77 – $3,458.17 | 9 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $181.67 – $3,458.17 | 9 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $186.32 – $3,458.17 | 9 |
| Amylase CPT 82150 | $143.42 | $583.00 | $3.63 – $19.96 | 10 |
| Anal pressure record CPT 91122 | $191.39 | $778.00 | $108.92 – $599.06 | 10 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $67.59 – $166.76 | 9 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $259.22 – $265.71 | 9 |
| Analysis gene f2 20210g>a variant CPT 81240 | $64.64 | $262.76 | $36.79 – $202.33 | 10 |
| Analysis gene f5 leiden variant CPT 81241 | $72.20 | $293.48 | $41.09 – $225.98 | 10 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $34.53 | $140.36 | $19.66 – $108.08 | 3 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $2,343.82 – $7,291.55 | 3 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $2,574.13 – $7,291.55 | 3 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,046.39 – $7,291.55 | 3 |
| Anca screen with reflex to titer -quest CPT 86021 | $6.89 | $28.00 | $3.92 – $21.56 | 10 |
| An cholangiogram percutaneous compl CPT 47531 | $1,359.40 | $5,526.00 | $72.60 – $4,255.02 | 10 |
| An fluoro guide for cvp CPT 77001 | $216.73 | $881.00 | $103.35 – $848.74 | 6 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | not published | not published | $148.77 – $2,779.57 | 3 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $3,796.77 | $15,434.00 | $450.24 – $11,884.18 | 11 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | not published | not published | $405.54 – $6,076.79 | 9 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $2,833.68 | $11,519.00 | $202.05 – $8,869.63 | 7 |
| Angiotensin ii CPT 82163 | $106.70 | $433.72 | $20.52 – $333.97 | 10 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $2,715.11 | $11,037.00 | $0.84 – $4.62 | 6 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $4,229.24 | $17,192.00 | $547.87 – $13,237.84 | 11 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $7,992.79 | $32,491.00 | $176.31 – $18,194.96 | 7 |
| Angio trnslmnl balloon same artery ini CPT 37246 | not published | not published | $354.04 – $6,076.79 | 9 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $7,992.79 | $32,491.00 | $148.05 – $18,194.96 | 7 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $7,992.79 | $32,491.00 | $302.90 – $22,538.67 | 11 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $714.52 – $3,458.17 | 9 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $680.55 – $7,613.93 | 9 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $535.00 – $3,458.17 | 9 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $491.01 – $3,458.17 | 9 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $525.34 – $3,458.17 | 9 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $593.64 – $3,458.17 | 9 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $1,058.90 – $7,613.93 | 9 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $47.92 – $319.65 | 9 |
| Anorectal myomectomy CPT 45108 | not published | not published | $395.17 – $2,922.89 | 9 |
| Anoscopy CPT 46611 | not published | not published | $84.40 – $971.72 | 9 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $94.77 – $2,922.89 | 9 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $79.03 – $1,256.69 | 9 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $69.02 – $1,256.69 | 9 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $67.59 – $1,256.69 | 9 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $88.33 – $971.72 | 9 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $83.68 – $2,922.89 | 9 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $99.42 – $2,922.89 | 9 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $647.64 – $5,261.37 | 9 |
| Antibody elution rbc reference CPT 86860 | $179.83 | $731.00 | $1.89 – $521.33 | 10 |
| Antibody htlv/hiv confirm test CPT 86689 | $19.05 | $77.40 | $10.84 – $59.60 | 10 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $97.17 | $395.00 | $10.29 – $56.58 | 10 |
| Antibody id rbc panel CPT 86870 | $377.37 | $1,534.00 | $2.59 – $261.00 | 10 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $12.67 | $51.48 | $7.21 – $39.64 | 10 |
| Antibody screen rbc CPT 86850 | $75.28 | $306.00 | $5.46 – $39.00 | 10 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $3.94 | $16.00 | $1.11 – $12.32 | 11 |
| Anti-inhibitor HCPCS J7198 | $6.40 | $26.00 | $1.86 – $20.02 | 11 |
| Anti mog serum - sendout CPT 86362 | $172.20 | $700.00 | $36.00 – $198.00 | 3 |
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.