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 |
|---|---|---|---|---|
| Hepatitis b core antibody total CPT 86704 | $67.90 | $276.00 | $6.75 – $37.12 | 10 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,695.68 | $6,893.00 | $104.16 – $572.88 | 11 |
| Hepatitis b surface antibody CPT 86706 | $51.91 | $211.00 | $6.02 – $33.08 | 10 |
| Hepatitis c antibody CPT 86803 | $92.99 | $378.00 | $8.00 – $43.96 | 10 |
| Hepatobiliary system imaging CPT 78226 | $747.35 | $3,038.00 | $310.77 – $2,339.26 | 10 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $550.01 – $3,761.34 | 9 |
| Herpes simplex 1 ag if CPT 87274 | $47.73 | $194.00 | $11.98 – $149.38 | 10 |
| Herpes simplex 2 ag if CPT 87273 | $47.73 | $194.00 | $6.72 – $36.96 | 10 |
| Herpes simplex type 1 antibody igg CPT 86695 | $14.27 | $58.00 | $7.39 – $40.63 | 10 |
| Herpes simplex type 2 antibody igg CPT 86696 | $19.05 | $77.40 | $9.38 – $51.59 | 10 |
| Herpes simplex virus isolation CPT 87255 | $42.81 | $174.00 | $18.90 – $103.95 | 10 |
| Heterophile antibodies screening CPT 86308 | $88.07 | $358.00 | $3.22 – $17.71 | 10 |
| Hexa gene CPT 81255 | $50.63 | $205.80 | $28.82 – $158.47 | 10 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $25.59 | $104.00 | $14.56 – $104.00 | 7 |
| Hhv-6 dna quant CPT 87533 | $41.10 | $167.04 | $23.39 – $128.63 | 10 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $237.46 – $1,705.75 | 9 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $862.57 – $7,613.93 | 9 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $861.86 – $3,458.17 | 9 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $1,072.14 – $7,613.93 | 9 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $695.21 – $7,613.93 | 9 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $755.64 – $7,613.93 | 9 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $1,046.39 – $7,613.93 | 9 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $1,067.84 – $7,613.93 | 9 |
| Histamine CPT 83088 | $29.06 | $118.12 | $16.54 – $90.96 | 10 |
| Histochemical stains add-on CPT 88314 | $73.78 | $299.88 | $41.99 – $299.88 | 7 |
| Hla class i&ii antibody qual CPT 86828 | $260.76 | $1,060.00 | $64.19 – $472.78 | 10 |
| Hla ii typing 1 loc hr CPT 81382 | $121.71 | $494.72 | $69.27 – $380.94 | 10 |
| Hla i typing 1 locus hr CPT 81380 | $174.42 | $709.00 | $99.26 – $545.93 | 10 |
| Hla i typing complete hr CPT 81379 | $696.68 | $2,832.00 | $335.38 – $2,180.64 | 10 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $36.41 | $148.00 | $0.30 – $105.49 | 8 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $167.04 | $679.00 | $0.23 – $82.00 | 8 |
| Home sleep test/type 3 porta HCPCS G0399 | $439.36 | $1,786.00 | $166.76 – $1,375.22 | 10 |
| Homocysteine CPT 83090 | $68.39 | $278.00 | $10.04 – $55.20 | 10 |
| Homogenization tissue CPT 87176 | $35.67 | $145.00 | $3.30 – $18.12 | 10 |
| Homovanillic acid (hva) CPT 83150 | $22.06 | $89.64 | $12.55 – $69.03 | 10 |
| Hpa-15 genotyping CPT 81112 | $120.27 | $488.88 | $68.45 – $376.44 | 10 |
| Hpa-1 genotyping CPT 81105 | $120.27 | $488.88 | $68.45 – $376.44 | 10 |
| Hpa-2 genotyping CPT 81106 | $120.27 | $488.88 | $68.45 – $376.44 | 10 |
| Hpa-3 genotyping CPT 81107 | $120.27 | $488.88 | $68.45 – $376.44 | 10 |
| Hpa-4 genotyping CPT 81108 | $120.27 | $488.88 | $68.45 – $376.44 | 10 |
| Hpa-5 genotyping CPT 81109 | $120.27 | $488.88 | $68.45 – $376.44 | 10 |
| Hpa-6 genotyping CPT 81110 | $120.27 | $488.88 | $68.45 – $376.44 | 10 |
| H pylori (c-13) breath CPT 83013 | $66.29 | $269.44 | $37.73 – $207.47 | 10 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $1,283.09 | $5,215.80 | $696.03 – $4,016.17 | 10 |
| Htt gene detc abnor alleles CPT 81271 | $134.81 | $548.00 | $76.72 – $421.96 | 10 |
| Human epididymis protein 4 (he4) CPT 86305 | $83.84 | $340.80 | $11.66 – $64.10 | 10 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $140.22 | $570.00 | $30.82 – $438.90 | 8 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $52.40 | $213.00 | $0.51 – $164.01 | 8 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $31.49 | $128.00 | $4.18 – $41.58 | 8 |
| Hydration IV infusion each additional hour CPT 96361 | $225.83 | $918.00 | $12.87 – $339.57 | 10 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $295.70 | $1,202.00 | $33.97 – $339.57 | 10 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $15.75 | $64.00 | $7.56 – $54.00 | 8 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $86.10 | $350.00 | $7.56 – $41.58 | 4 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $627.30 | $2,550.00 | $4.48 – $24.64 | 6 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $13.29 | $54.00 | $2.66 – $19.00 | 8 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $71.12 | $289.08 | $17.90 – $222.60 | 10 |
| Hymenotomy CPT 56442 | not published | not published | $50.07 – $3,388.81 | 9 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,036.02 – $6,305.03 | 9 |
| Hyoscyamine sulfate inj HCPCS J1980 | $150.56 | $612.00 | $55.35 – $471.24 | 8 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,133.29 – $7,291.55 | 3 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,044.24 – $7,291.55 | 3 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,116.48 – $7,291.55 | 3 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $966.64 – $7,291.55 | 3 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $285.48 – $7,291.55 | 3 |
| Hysterosalpingography s&i CPT 74740 | $302.09 | $1,228.00 | $98.34 – $945.56 | 10 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $257.13 – $5,261.37 | 9 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $242.11 – $3,388.81 | 9 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $158.42 – $3,388.81 | 9 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $296.82 – $5,261.37 | 9 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $231.74 – $3,388.81 | 9 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $374.07 – $5,261.37 | 9 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $326.86 – $5,261.37 | 9 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $887.14 – $5,261.37 | 9 |
| I-123 ioflupane diag HCPCS A9584 | $2,776.11 | $11,285.00 | $100.00 – $8,689.45 | 10 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $170.24 | $692.00 | $96.88 – $532.84 | 7 |
| Iaadi respiratory synctial virus CPT 87280 | $13.29 | $54.00 | $7.52 – $41.34 | 10 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $34.53 | $140.36 | $19.66 – $108.08 | 10 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,135.05 | $4,614.00 | $156.01 – $3,552.78 | 11 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $36,700.25 | $149,188.00 | $5,221.16 – $33,383.00 | 7 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $44,407.43 | $180,518.00 | $6,784.40 – $37,314.20 | 7 |
| Icd crtp serena MRI HCPCS C2621 | $28,854.57 | $117,295.00 | $4,732.70 – $26,029.85 | 7 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $14,056.20 | $57,139.00 | $799.26 – $5,709.00 | 7 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $1,000.97 – $7,291.55 | 3 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $406.25 – $3,456.53 | 9 |
| Idarubicin hcl injection HCPCS J9211 | $823.12 | $3,346.00 | $47.97 – $392.70 | 8 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $100.85 – $1,726.88 | 9 |
| Idet 1 or more levels CPT 22527 | not published | not published | $906.61 – $906.61 | 1 |
| Idet single level CPT 22526 | not published | not published | $1,813.22 – $1,813.22 | 1 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $732.40 – $3,458.17 | 9 |
| Idh1 common variants CPT 81120 | $190.16 | $773.00 | $108.22 – $595.21 | 10 |
| Idh2 common variants CPT 81121 | $291.06 | $1,183.16 | $165.65 – $911.04 | 10 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $464.19 – $2,922.89 | 9 |
| I&d lacrimal gland CPT 68400 | not published | not published | $137.32 – $1,032.29 | 9 |
| I&d lacrimal sac CPT 68420 | not published | not published | $173.80 – $2,486.52 | 9 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $227.80 – $3,050.43 | 9 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $337.95 – $3,050.43 | 9 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $191.68 – $3,050.43 | 9 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $264.95 | $1,077.00 | $25.70 – $456.61 | 8 |
| Igh gene rearrange amp meth CPT 81261 | $194.83 | $791.96 | $110.88 – $609.81 | 10 |
| Igh@ var region somatic mutation analy CPT 81263 | $289.81 | $1,178.08 | $164.94 – $907.13 | 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.