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 |
|---|---|---|---|---|
| Glucose blood quantitative CPT 82947 | $41.09 | $167.00 | $2.24 – $12.32 | 10 |
| Glucose body fluid CPT 82945 | $62.98 | $256.00 | $2.21 – $12.11 | 10 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $75.53 | $307.00 | $12.87 – $236.39 | 10 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $24.60 | $100.00 | $3.92 – $77.00 | 10 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $143.91 | $585.00 | $7.56 – $41.58 | 4 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $308.73 | $1,255.00 | $18.58 – $966.35 | 10 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $229.52 | $933.00 | $18.52 – $718.41 | 10 |
| Goniotomy CPT 65820 | not published | not published | $860.43 – $4,287.64 | 9 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,934.04 | $15,992.00 | $17.08 – $122.00 | 8 |
| Graft axiofill 1000mg HCPCS J3590 | $2,325.69 | $9,454.00 | $601.58 – $3,308.69 | 6 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $974.51 – $3,458.17 | 9 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $39,964.18 | $162,456.00 | $38.58 – $883.19 | 8 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $43,959.47 | $178,697.00 | $32.20 – $230.00 | 7 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $90,834.77 | $369,247.00 | $32.20 – $230.00 | 7 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $8,648.63 | $35,157.00 | $28.84 – $158.62 | 8 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $3,934.04 | $15,992.00 | $65.10 – $418.10 | 8 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,141.51 – $7,291.55 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $5,115.57 | $20,795.00 | $65.10 – $465.00 | 8 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $1,375.39 | $5,591.00 | $200.98 – $4,305.07 | 8 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $53,189.88 | $216,219.00 | $110.41 – $5,600.21 | 8 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $53,189.88 | $216,219.00 | $32.20 – $230.00 | 7 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,325.69 | $9,454.00 | $54.60 – $390.00 | 7 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,446.00 – $7,291.55 | 3 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $161.64 – $255.67 | 9 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $527.84 – $1,949.63 | 9 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $538.93 – $3,901.94 | 9 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $154.13 – $1,215.84 | 3 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $505.31 – $3,901.94 | 9 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,002.66 – $7,657.01 | 3 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,340.71 – $7,291.55 | 3 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,723.00 – $7,657.01 | 3 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,884.64 – $7,657.01 | 3 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,212.32 – $7,291.55 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $737.05 – $2,021.85 | 9 |
| G-tube reposition CPT 43761 | not published | not published | $108.00 – $259.22 | 9 |
| Gu dilat ureter/urethra s&i CPT 74485 | $481.43 | $1,957.00 | $125.52 – $1,957.00 | 10 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,505.28 | $6,119.00 | $139.47 – $2,591.82 | 10 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $11,244.17 | $45,708.00 | $14.00 – $100.00 | 7 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $3,025.07 | $12,297.00 | $26.32 – $156.13 | 7 |
| Gum graft CPT 41870 | not published | not published | $1,005.29 – $1,578.78 | 9 |
| Gw stiffened micro access kit HCPCS C1894 | $39,964.18 | $162,456.00 | $14.00 – $100.00 | 7 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $455.25 – $4,081.32 | 9 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $652.42 – $668.74 | 9 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $425.83 – $436.48 | 9 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $425.83 – $436.48 | 9 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $54.37 | $221.00 | $5.69 – $170.17 | 8 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $20.18 | $82.00 | $0.97 – $63.14 | 8 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $8,648.63 | $35,157.00 | $2,636.20 – $20,822.34 | 5 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $892.61 – $3,458.17 | 9 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $730.61 – $7,613.93 | 9 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $801.78 – $3,458.17 | 9 |
| Haptoglobin quantitative CPT 83010 | $96.44 | $392.00 | $7.05 – $38.75 | 10 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $87.62 – $1,813.22 | 3 |
| Harvest auto stem cells CPT 38206 | not published | not published | $85.83 – $1,747.18 | 9 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $130.53 – $1,949.63 | 9 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $430.57 – $2,486.52 | 9 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $347.96 – $3,647.53 | 3 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $49.35 – $465.96 | 9 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $322.57 – $3,647.53 | 3 |
| Hba1/hba2 full gene sequence CPT 81259 | $590.40 | $2,400.00 | $336.00 – $1,848.00 | 10 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $804.42 | $3,270.00 | $113.35 – $623.40 | 10 |
| Hbb full gene sequence CPT 81364 | $319.39 | $1,298.32 | $181.77 – $999.71 | 10 |
| Hbb gene dup/del variants CPT 81363 | $199.17 | $809.60 | $113.35 – $623.40 | 10 |
| Hbot, full body chamber, 30m HCPCS G0277 | $292.01 | $1,187.00 | $146.98 – $913.99 | 11 |
| Hcg qualitative CPT 84703 | $127.43 | $518.00 | $7.52 – $383.46 | 10 |
| Hcg quantitative CPT 84702 | $458.30 | $1,863.00 | $8.43 – $46.36 | 10 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $139.11 – $1,705.75 | 9 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $369.42 – $652.42 | 9 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $196.69 – $906.61 | 3 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $331.51 – $652.42 | 9 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $51.85 – $906.61 | 3 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $182.38 – $906.61 | 3 |
| Hc nm kidney imaging with flow CPT 78701 | $779.09 | $3,167.00 | $217.79 – $2,438.59 | 10 |
| Head CT scan (with and without contrast) CPT 70470 | $1,308.48 | $5,319.00 | $187.03 – $4,095.63 | 11 |
| Head CT scan (with contrast) CPT 70460 | $1,109.71 | $4,511.00 | $159.85 – $3,473.47 | 11 |
| Head CT scan (without contrast) CPT 70450 | $828.04 | $3,366.00 | $113.34 – $2,591.82 | 11 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,588.18 – $7,291.55 | 3 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $134.11 – $3,647.53 | 3 |
| Heinz bodies direct CPT 85441 | $49.15 | $199.76 | $4.20 – $153.82 | 10 |
| Heinz bodies induced CPT 85445 | $49.15 | $199.76 | $6.82 – $153.82 | 10 |
| Helicobacter pylori antibody igm CPT 86677 | $28.05 | $114.00 | $15.96 – $87.78 | 10 |
| Hematocrit CPT 85014 | $27.31 | $111.00 | $2.37 – $85.47 | 10 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $717.38 – $1,813.22 | 3 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $715.23 – $3,458.17 | 9 |
| Hemodialysis one evaluation CPT 90935 | $543.91 | $2,211.00 | $74.03 – $1,702.47 | 10 |
| Hemoglobin CPT 85018 | $25.10 | $102.00 | $2.37 – $78.54 | 10 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $15.75 | $64.00 | $8.20 – $49.28 | 10 |
| Hemoglobin plasma CPT 83051 | $7.20 | $29.24 | $4.10 – $22.52 | 10 |
| Hemolysins/agglutinins auto CPT 86940 | $62.48 | $253.96 | $8.77 – $195.55 | 10 |
| Hemolysins and agglutinins incubated CPT 86941 | $62.48 | $253.96 | $12.11 – $195.55 | 10 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $467.41 – $2,922.89 | 9 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $202.77 – $971.72 | 9 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $410.54 – $2,922.89 | 9 |
| Heparin assay CPT 85520 | $64.95 | $264.00 | $7.34 – $40.32 | 10 |
| Heparin bolus from bag HCPCS J1644 | $86.10 | $350.00 | $0.21 – $41.58 | 8 |
| Heparin neutralization CPT 85525 | $16.98 | $69.00 | $9.66 – $53.13 | 10 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $86.10 | $350.00 | $0.02 – $3.85 | 8 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $2,430.72 – $7,291.55 | 3 |
| Hepatitis a antibody igm CPT 86709 | $54.86 | $223.00 | $6.31 – $34.69 | 10 |
| Hepatitis b core antibody igm CPT 86705 | $67.65 | $275.00 | $11.77 – $211.75 | 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.