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 |
|---|---|---|---|---|
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $90.48 – $3,647.53 | 3 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $516.26 – $7,291.55 | 3 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $600.60 – $7,291.55 | 3 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $441.81 – $7,291.55 | 3 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $445.69 – $7,291.55 | 3 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $612.25 – $7,291.55 | 3 |
| Induced abortion d&c CPT 59840 | not published | not published | $231.14 – $3,388.81 | 9 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $386.76 – $3,388.81 | 9 |
| Infect ag drug suscept pheno predict CPT 87900 | $128.27 | $521.40 | $73.00 – $401.48 | 10 |
| Infect ag eia influenza a or b ea CPT 87400 | $108.49 | $441.00 | $14.13 – $339.57 | 10 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $253.34 | $1,029.80 | $144.18 – $792.95 | 10 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $253.34 | $1,029.80 | $144.18 – $792.95 | 10 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $126.68 | $514.92 | $72.09 – $396.49 | 10 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $253.34 | $1,029.80 | $144.18 – $792.95 | 10 |
| Infect ag ia optc obs influenza CPT 87804 | $77.25 | $314.00 | $16.55 – $241.78 | 10 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $17.96 | $73.00 | $6.72 – $36.96 | 10 |
| Infect ag if hep delta agent CPT 87380 | $123.00 | $500.00 | $18.36 – $385.00 | 10 |
| Infect ag if influenza a CPT 87276 | $15.82 | $64.28 | $8.96 – $49.28 | 10 |
| Infect ag if influenza b CPT 87275 | $12.06 | $49.00 | $6.86 – $37.73 | 10 |
| Infect ag if legionella pneumophila CPT 87278 | $15.36 | $62.40 | $8.74 – $48.05 | 10 |
| Infect ag if nos ea CPT 87299 | $15.85 | $64.40 | $8.96 – $49.28 | 10 |
| Infect ag if pneumocystis carinii CPT 87281 | $11.81 | $48.00 | $6.71 – $36.90 | 10 |
| Infect ag if varicella zoster CPT 87290 | $59.32 | $241.12 | $7.56 – $41.58 | 10 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $174.66 | $710.00 | $90.44 – $497.42 | 10 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $83.64 | $340.00 | $47.60 – $261.80 | 3 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $480.85 | $1,954.64 | $273.65 – $1,505.08 | 10 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $86.84 | $353.00 | $26.07 – $271.81 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $36.90 | $150.00 | $6.72 – $36.96 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $13.29 | $54.00 | $5.04 – $27.72 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $48.47 | $197.00 | $7.74 – $42.57 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $51.17 | $208.00 | $6.71 – $36.90 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $33.46 | $136.00 | $8.06 – $44.30 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $71.34 | $290.00 | $5.79 – $31.82 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $10.17 | $41.32 | $5.79 – $31.82 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $104.55 | $425.00 | $13.49 – $74.17 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $117.10 | $476.00 | $6.72 – $36.96 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $59.04 | $240.00 | $11.98 – $184.80 | 10 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $41.09 | $167.00 | $6.71 – $36.90 | 10 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $255.84 | $1,040.00 | $19.60 – $107.80 | 10 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $62.98 | $256.00 | $19.60 – $107.80 | 10 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $109.97 | $447.00 | $5.46 – $37.27 | 10 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $410.12 | $1,667.12 | $233.40 – $1,283.69 | 10 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $181.80 | $739.00 | $3.09 – $22.06 | 10 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $195.33 | $794.00 | $23.38 – $128.59 | 10 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $62.49 | $254.00 | $19.60 – $107.80 | 10 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $73.61 | $299.20 | $29.96 – $164.78 | 10 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $146.13 | $594.00 | $83.16 – $457.38 | 10 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $166.55 | $677.00 | $87.08 – $478.94 | 10 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $45.51 | $185.00 | $18.62 – $102.41 | 10 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $75.55 | $307.08 | $43.00 – $236.46 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $536.78 | $2,182.00 | $233.38 – $1,283.59 | 10 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $126.24 | $513.16 | $71.85 – $395.14 | 10 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $200.74 | $816.00 | $19.32 – $106.26 | 10 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $42.16 | $171.36 | $24.00 – $131.95 | 10 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $42.16 | $171.36 | $24.00 – $131.95 | 10 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $83.74 | $340.40 | $41.30 – $227.15 | 10 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $140.35 | $570.52 | $79.88 – $439.31 | 10 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,930.36 | $11,912.00 | $26.37 – $9,172.24 | 11 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $2,374.64 | $9,653.00 | $11.73 – $7,432.81 | 11 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $3,217.48 – $7,291.55 | 3 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $3,165.98 – $7,291.55 | 3 |
| Initiation & management bipap/cpap initial day CPT 94660 | $234.20 | $952.00 | $38.62 – $733.04 | 10 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $4,983.72 | $20,259.00 | $138.99 – $15,599.43 | 11 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $3,926.16 | $15,960.00 | $32.69 – $12,289.20 | 11 |
| Inj, bupivacaine liposome HCPCS J0666 | $752.76 | $3,060.00 | $428.40 – $2,356.20 | 4 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $25.10 | $102.00 | $1.01 – $78.54 | 8 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $476.26 | $1,936.00 | $271.04 – $1,490.72 | 4 |
| Inj ceftolozane tazobactam HCPCS J0695 | $247.97 | $1,008.00 | $6.05 – $776.16 | 11 |
| Inj, clindamycin (baxter) HCPCS J0737 | $32.97 | $134.00 | $18.76 – $103.18 | 4 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $286.59 | $1,165.00 | $41.84 – $897.05 | 5 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $3,312.15 | $13,464.00 | $747.90 – $10,367.28 | 11 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $148.77 – $347.89 | 3 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $68.66 – $314.62 | 9 |
| Inj dx for sinogram CPT 20501 | not published | not published | $37.55 – $257.51 | 3 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $86.19 – $738.10 | 9 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $332.60 | $1,352.00 | $70.45 – $1,041.04 | 5 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $59.36 – $314.62 | 9 |
| Injection during cath supravalvular aortography CPT 93567 | $3,375.86 | $13,723.00 | $38.27 – $10,566.71 | 7 |
| Injection epidural blood patch or clot CPT 62273 | $467.90 | $1,902.00 | $118.37 – $1,464.54 | 10 |
| Injection eye drug CPT 67028 | not published | not published | $95.13 – $353.52 | 9 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | not published | $75.81 – $347.89 | 3 |
| Injection for bladder x-ray CPT 51600 | not published | not published | $45.06 – $173.63 | 3 |
| Injection for hip x-ray CPT 27095 | not published | not published | $85.11 – $347.89 | 3 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $346.86 | $1,410.00 | $51.85 – $1,085.70 | 5 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $134.46 – $347.89 | 3 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $53.64 – $241.24 | 3 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $53.28 – $191.65 | 3 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $72.60 – $270.47 | 3 |
| Injection into brain canal CPT 61026 | not published | not published | $114.80 – $738.10 | 9 |
| Injection into brain canal CPT 61055 | not published | not published | $121.95 – $314.62 | 9 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $193.47 – $971.72 | 9 |
| Injection into spinal artery CPT 62294 | not published | not published | $948.89 – $972.62 | 9 |
| Injection into vocal cord CPT 31513 | not published | not published | $137.68 – $413.87 | 9 |
| Injection intraop add-on CPT 48400 | not published | not published | $109.79 – $347.89 | 3 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $46.49 – $266.61 | 3 |
| Injection jugular CPT 36299 | not published | not published | $1,813.22 – $1,813.22 | 1 |
| Injection of sinus tract CPT 20500 | not published | not published | $94.41 – $1,578.78 | 9 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,320.78 | $5,369.00 | $5.19 – $4,134.13 | 11 |
| Injection px peyronie ds CPT 54200 | not published | not published | $92.27 – $259.22 | 9 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $856.58 | $3,482.00 | $33.26 – $2,681.14 | 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.