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 |
|---|---|---|---|---|
| Igk rearrangeabn clonal pop CPT 81264 | $169.97 | $690.92 | $96.73 – $532.01 | 10 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $161.93 | $658.24 | $40.18 – $287.00 | 7 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $377.37 | $1,534.00 | $181.67 – $1,181.18 | 10 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $179.83 | $731.00 | $36.23 – $199.22 | 10 |
| Ikbkap gene CPT 81260 | $38.69 | $157.24 | $22.02 – $121.08 | 10 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,083.58 – $7,291.55 | 3 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,755.44 – $7,291.55 | 3 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,220.16 | $4,960.00 | $13.95 – $3,819.20 | 7 |
| Iliac revasc add-on 37222 CPT 37222 | $3,911.40 | $15,900.00 | $187.39 – $12,243.00 | 7 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $927.30 – $7,291.55 | 3 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $95.94 | $390.00 | $54.60 – $390.00 | 7 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $165.32 | $672.00 | $14.56 – $104.00 | 7 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $797.84 – $6,950.70 | 9 |
| Immune complex assay CPT 86332 | $23.99 | $97.48 | $13.65 – $75.06 | 10 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $115.13 | $468.00 | $11.66 – $64.10 | 10 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $20.48 | $83.24 | $11.66 – $64.10 | 10 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $11.79 | $47.92 | $6.71 – $36.90 | 10 |
| Immunofixation electrophoresis serum CPT 86334 | $230.26 | $936.00 | $3.93 – $22.34 | 10 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $112.61 | $457.75 | $32.62 – $233.00 | 7 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $179.83 | $731.00 | $52.91 – $291.00 | 10 |
| Immunoglobulin assay CPT 86023 | $49.85 | $202.64 | $12.46 – $156.04 | 10 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,603.20 – $7,291.55 | 3 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,294.57 – $7,291.55 | 3 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,606.06 – $7,291.55 | 3 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,657.20 – $7,291.55 | 3 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $110,535.92 | $449,333.00 | $941.75 – $5,600.21 | 7 |
| Implant cochlear device CPT 69930 | not published | not published | $1,279.20 – $33,901.41 | 9 |
| Implant cochlear osia osi300 HCPCS L8690 | $30,025.29 | $122,054.00 | $354.76 – $3,703.58 | 7 |
| Implant eye drug system CPT 67027 | not published | not published | $882.60 – $16,376.14 | 9 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $57.93 – $425.30 | 9 |
| Implant nerve end CPT 64787 | not published | not published | $242.46 – $1,215.84 | 3 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $292.17 – $3,647.53 | 3 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $515.68 – $3,647.53 | 3 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,585.32 – $7,291.55 | 3 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,389.60 – $7,291.55 | 3 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $885.82 – $22,855.86 | 9 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $473.48 – $13,291.11 | 9 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $340.09 – $6,994.87 | 9 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $317.56 – $6,994.87 | 9 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $1,041.38 – $7,291.55 | 3 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,642.18 – $7,291.55 | 3 |
| Implant neurostim arrays CPT 61886 | not published | not published | $933.74 – $32,479.36 | 9 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $2,779.57 – $2,779.57 | 1 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,326.76 – $7,291.55 | 3 |
| Implant spinal canal cath CPT 62351 | not published | not published | $963.42 – $7,613.93 | 9 |
| Implant spine infusion pump CPT 62361 | not published | not published | $461.33 – $18,837.43 | 9 |
| Implant spine infusion pump CPT 62362 | not published | not published | $406.61 – $18,837.43 | 9 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,341.42 – $5,418.59 | 3 |
| Implant ureter in bowel CPT 50800 | not published | not published | $965.21 – $7,291.55 | 3 |
| Implant ureth bulk agent HCPCS L8606 | $2,325.69 | $9,454.00 | $180.56 – $2,541.00 | 7 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $435.94 – $6,994.87 | 9 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $222.44 – $3,377.00 | 4 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $419.84 – $6,825.59 | 9 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $522.12 – $13,713.71 | 9 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $7,291.55 – $7,291.55 | 1 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $90.12 – $3,647.53 | 3 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $463.47 – $4,287.64 | 9 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $2,592.37 – $7,291.55 | 3 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $1,343.92 – $3,456.53 | 9 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $1,382.90 – $3,456.53 | 9 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $1,813.22 – $3,456.53 | 9 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $1,225.91 – $3,456.53 | 9 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $1,269.54 – $6,305.03 | 9 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $1,343.92 – $6,305.03 | 9 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $247.50 – $253.69 | 9 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $1,813.22 – $6,305.03 | 9 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,170.84 – $3,456.53 | 9 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,082.51 – $3,456.53 | 9 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,252.37 – $3,456.53 | 9 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $740.98 – $1,578.78 | 9 |
| In-111 autol wbc diag per dose HCPCS A9570 | $3,368.24 | $13,692.00 | $100.00 – $10,542.84 | 10 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $531.61 | $2,161.00 | $100.00 – $1,663.97 | 10 |
| In-111 pentetreotide HCPCS A9572 | $5,333.53 | $21,681.00 | $100.00 – $16,694.37 | 10 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $475.99 – $7,291.55 | 3 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $628.69 – $7,613.93 | 9 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $548.94 – $3,458.17 | 9 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $1,879.63 – $7,291.55 | 3 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,592.83 – $7,291.55 | 3 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,592.83 – $7,291.55 | 3 |
| Incis addl spine segment CPT 22216 | not published | not published | $374.78 – $3,647.53 | 3 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,324.26 – $7,291.55 | 3 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $451.31 – $2,081.30 | 9 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $115.15 – $1,032.29 | 9 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $374.42 – $3,458.17 | 9 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $480.99 – $1,705.75 | 9 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $542.50 – $2,081.30 | 9 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $668.74 – $2,081.30 | 9 |
| Incise inner ear CPT 69801 | not published | not published | $130.53 – $1,578.78 | 9 |
| Incise inner ear nerve CPT 69915 | not published | not published | $1,581.02 – $3,456.53 | 9 |
| Incise inner ear nerve CPT 69950 | not published | not published | $1,834.22 – $7,291.55 | 3 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $259.27 – $584.71 | 9 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $499.95 – $2,430.85 | 9 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $620.82 – $2,430.85 | 9 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $663.02 – $2,430.85 | 9 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $696.28 – $4,287.64 | 9 |
| Incise inner eye strands CPT 67030 | not published | not published | $583.27 – $2,430.85 | 9 |
| Incise nerve back of head CPT 64744 | not published | not published | $537.86 – $2,081.30 | 9 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $275.01 – $1,705.75 | 9 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $1,339.99 – $6,825.59 | 9 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $1,678.65 – $7,291.55 | 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.