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 |
|---|---|---|---|---|
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $125.17 – $948.89 | 9 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $40.41 – $314.62 | 9 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $63.66 – $720.16 | 3 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $136.61 – $948.89 | 9 |
| Ghs insertion of needle - bone CPT 36680 | not published | not published | $61.87 – $425.30 | 9 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $252.84 – $425.83 | 9 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $295.39 – $652.42 | 9 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $342.95 – $1,949.63 | 9 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $9.66 – $9.66 | 2 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $140.54 – $259.22 | 9 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $376.38 | $1,530.00 | $214.20 – $1,178.10 | 10 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $162.00 – $425.30 | 9 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $162.61 | $661.00 | $92.54 – $508.97 | 10 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $203.94 | $829.00 | $116.06 – $638.33 | 10 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $177.74 – $425.83 | 9 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $209.21 – $425.83 | 9 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $205.27 – $425.83 | 9 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $283.89 | $1,154.00 | $161.56 – $888.58 | 10 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $215.29 – $425.83 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $312.42 | $1,270.00 | $177.80 – $977.90 | 10 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $230.66 – $425.83 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $286.81 – $652.42 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $316.13 – $425.83 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $332.94 – $652.42 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $402.32 – $425.83 | 9 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $369.06 – $1,949.63 | 9 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $425.83 – $436.48 | 9 |
| Ghs mbp CPT 83873 | $16.93 | $68.80 | $9.64 – $52.98 | 10 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $105.54 | $429.00 | $25.03 – $330.33 | 5 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $105.78 | $430.00 | $60.06 – $397.29 | 5 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $105.78 | $430.00 | $60.06 – $330.33 | 5 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $80.69 | $328.00 | $12.16 – $252.56 | 5 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $105.78 | $430.00 | $60.06 – $330.33 | 5 |
| Ghs myocardial strain img spckl track CPT 93356 | $45.27 | $184.00 | $12.16 – $141.68 | 5 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $115.51 – $652.42 | 9 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $26.11 – $948.89 | 9 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $60.79 – $738.10 | 9 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $66.87 – $948.89 | 9 |
| Ghs nerve block brachial plexus CPT 64415 | $325.71 | $1,324.00 | $72.60 – $1,019.48 | 10 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $99.06 – $948.89 | 9 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $80.82 – $948.89 | 9 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $89.05 – $948.89 | 9 |
| Ghs nerve block sciatic nerve CPT 64445 | $268.88 | $1,093.00 | $75.10 – $841.61 | 10 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $57.93 – $738.10 | 9 |
| Ghs ng placement w fluoro guidance CPT 43752 | $256.58 | $1,043.00 | $41.48 – $736.89 | 10 |
| Ghs o2 saturation CPT 82810 | $27.31 | $111.00 | $7.00 – $38.50 | 10 |
| Ghs opcc repair cvp without subq port CPT 36575 | $582.53 | $2,368.00 | $34.33 – $1,823.36 | 10 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $189.54 – $1,655.69 | 9 |
| Ghs ot work hardening-additional hours CPT 97546 | $28.54 | $116.00 | $16.24 – $116.00 | 8 |
| Ghs pacing - transcutaneous CPT 92953 | $276.26 | $1,123.00 | $1.07 – $864.71 | 11 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $62.94 – $490.77 | 3 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $54.00 – $490.77 | 3 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $144.12 – $247.50 | 9 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $95.13 – $1,655.69 | 9 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $255.67 – $262.07 | 9 |
| Ghs ppd (tb intradermal) CPT 86580 | $25.59 | $104.00 | $10.73 – $80.08 | 10 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $9.51 | $38.64 | $5.41 – $29.76 | 10 |
| Ghs protoporphyrins fract CPT 84202 | $14.13 | $57.40 | $8.04 – $44.20 | 10 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $56.58 | $230.00 | $32.20 – $230.00 | 8 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $129.81 – $137.38 | 9 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $134.11 – $425.30 | 9 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $638.70 – $1,705.75 | 9 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $528.92 – $3,458.17 | 9 |
| Ghs reticulocyte count CPT 85044 | $18.95 | $77.00 | $4.31 – $59.29 | 10 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $98.40 | $400.00 | $13.91 – $308.00 | 10 |
| Ghs sensitivity (per antimicro) CPT 87184 | $48.27 | $196.20 | $4.20 – $23.10 | 10 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $98.70 – $425.83 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $133.03 – $425.83 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $120.87 – $425.83 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $160.21 – $425.83 | 9 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $211.07 | $858.00 | $77.96 – $660.66 | 10 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $187.21 | $761.00 | $76.89 – $585.97 | 10 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $97.99 – $211.78 | 9 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $149.84 – $211.78 | 9 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $180.60 – $211.78 | 9 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $530.63 | $2,157.00 | $218.00 – $1,660.89 | 10 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $110.15 – $314.62 | 9 |
| Ghs st - eval for alt comm CPT 92567 | $23.37 | $95.00 | $11.44 – $73.15 | 10 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $18.60 – $137.38 | 9 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $197.76 – $652.42 | 9 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $148.41 – $425.83 | 9 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $332.23 – $1,578.78 | 9 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $255.67 – $262.07 | 9 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $253.19 – $255.67 | 9 |
| Ghs urine, porphyrins quant CPT 84120 | $14.48 | $58.84 | $8.24 – $45.31 | 10 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $942.50 – $3,388.81 | 9 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $446.00 | $1,813.00 | $253.82 – $1,396.01 | 10 |
| Ghs windowing of cast CPT 29730 | not published | not published | $46.85 – $168.18 | 9 |
| Giardia lamblia antibody CPT 86674 | $126.94 | $516.00 | $14.72 – $397.32 | 10 |
| Gi inhouse confirmation CPT 87045 | $101.11 | $411.00 | $5.29 – $29.08 | 10 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $321.86 – $3,456.53 | 9 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $883.88 | $3,593.00 | $503.02 – $2,766.61 | 10 |
| Glaucoma surgery CPT 66150 | not published | not published | $916.93 – $4,287.64 | 9 |
| Glaucoma surgery CPT 66155 | not published | not published | $916.57 – $4,287.64 | 9 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,029.94 – $2,430.85 | 9 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,142.23 – $2,430.85 | 9 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $325.22 | $1,322.00 | $12.74 – $90.94 | 11 |
| Glucagon plasma - sendout CPT 82943 | $22.39 | $91.00 | $12.74 – $70.07 | 10 |
| Glucose 1 hr post dose CPT 82950 | $92.75 | $377.00 | $4.75 – $290.29 | 10 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $16.24 | $66.00 | $3.28 – $34.65 | 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.