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 |
|---|---|---|---|---|
| Injection, renflexis HCPCS Q5104 | $1,890.51 | $7,685.00 | $25.83 – $5,917.45 | 11 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $857.31 | $3,485.00 | $471.58 – $2,683.45 | 10 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $322.76 | $1,312.00 | $65.80 – $1,010.24 | 10 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $848.70 | $3,450.00 | $43.99 – $1,121.12 | 10 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $896.67 | $3,645.00 | $116.58 – $2,806.65 | 10 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $61.87 – $490.77 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $110.50 – $948.89 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $53.28 – $490.77 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $94.77 – $948.89 | 9 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $112.65 – $738.10 | 9 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $104.07 – $738.10 | 9 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $40.77 – $314.62 | 9 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $38.62 – $314.62 | 9 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $43.99 – $314.62 | 9 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $253.88 | $1,032.00 | $16.09 – $238.70 | 10 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $253.88 | $1,032.00 | $43.40 – $238.70 | 5 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $304.80 | $1,239.00 | $38.27 – $693.84 | 11 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $195.57 | $795.00 | $15.02 – $198.66 | 10 |
| Injection treatment of eye CPT 66020 | not published | not published | $137.32 – $2,430.85 | 9 |
| Injection treatment of eye CPT 66030 | not published | not published | $116.58 – $2,430.85 | 9 |
| Injection treatment of nerve CPT 64605 | not published | not published | $445.59 – $2,081.30 | 9 |
| Injection treatment of nerve CPT 64610 | not published | not published | $502.81 – $2,081.30 | 9 |
| Injection treatment of nerve CPT 64681 | not published | not published | $229.23 – $948.89 | 9 |
| Injection treatment of nose CPT 30200 | not published | not published | $62.94 – $542.77 | 9 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $86.90 – $347.89 | 3 |
| Inject/treat eye socket CPT 67500 | not published | not published | $67.23 – $318.61 | 9 |
| Inject/treat eye socket CPT 67505 | not published | not published | $75.10 – $318.61 | 9 |
| Inject/treat eye socket CPT 67515 | not published | not published | $48.99 – $318.61 | 9 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $104.42 – $738.10 | 9 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $82.97 – $948.89 | 9 |
| Inj for ext venography CPT 36005 | $378.84 | $1,540.00 | $48.64 – $1,185.80 | 5 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $78.32 – $347.82 | 3 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $470.60 | $1,913.00 | $120.12 – $660.66 | 4 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $2,504.28 | $10,180.00 | $1,425.20 – $7,838.60 | 4 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $149.13 – $948.89 | 9 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $31.11 – $211.78 | 9 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $47.56 – $211.78 | 9 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | $4.68 | $19.00 | $1.17 – $14.63 | 11 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $33.95 | $138.00 | $7.56 – $41.58 | 4 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $19.19 | $78.00 | $3.64 – $53.90 | 8 |
| Inj. mycophenolate mofetil HCPCS J7519 | $271.10 | $1,102.00 | $154.28 – $848.54 | 4 |
| Inj naloxone hydrochloride HCPCS J2310 | $298.16 | $1,212.00 | $2.66 – $19.00 | 8 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $933.57 | $3,795.00 | $68.30 – $2,809.73 | 10 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $476.75 | $1,938.00 | $271.32 – $1,492.26 | 4 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $155.21 – $1,949.63 | 9 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $121.95 – $1,949.63 | 9 |
| Inj ogivri 10 mg HCPCS Q5114 | $3,323.96 | $13,512.00 | $36.43 – $10,404.24 | 11 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $40.05 – $1,813.22 | 3 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $53.64 – $327.36 | 3 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $69.02 – $347.89 | 3 |
| Inj proc for lymphang CPT 38790 | not published | not published | $85.47 – $347.89 | 3 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $163.07 – $347.89 | 3 |
| Inj proc myelogram lumbar CPT 62284 | not published | not published | $86.54 – $295.11 | 3 |
| Inj proc sialogram CPT 42550 | not published | not published | $63.30 – $347.89 | 3 |
| Inj progesterone per 50 mg HCPCS J2675 | $75.03 | $305.00 | $0.82 – $234.85 | 8 |
| Inj prohance multipack HCPCS A9576 | $14.76 | $60.00 | $1.50 – $60.00 | 8 |
| Inj, releuko 1 mcg HCPCS Q5125 | $638.37 | $2,595.00 | $227.08 – $1,248.94 | 4 |
| Inj retro urethrocysto CPT 51610 | $117.84 | $479.00 | $66.87 – $368.83 | 5 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $77.96 – $425.83 | 9 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $38.98 – $425.83 | 9 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $192.22 – $425.83 | 9 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $363.84 | $1,479.00 | $19.15 – $1,138.83 | 8 |
| Inj testosterone cypionate HCPCS J1071 | $60.03 | $244.00 | $0.03 – $187.88 | 8 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $20.18 | $82.00 | $11.48 – $63.14 | 4 |
| Inj w/fluor eval cv device CPT 36598 | $1,893.71 | $7,698.00 | $36.48 – $5,927.46 | 10 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $4,189.48 – $7,291.55 | 3 |
| Ins cath ren art 1st bi CPT 36252 | $2,018.43 | $8,205.00 | $347.89 – $6,317.85 | 11 |
| Ins cath ren art 1st uni CPT 36251 | $1,857.06 | $7,549.00 | $260.70 – $5,623.31 | 11 |
| Ins cath ren art 2nd+ bi CPT 36254 | $3,633.18 | $14,769.00 | $347.89 – $11,372.13 | 10 |
| Ins cath ren art 2nd+ uni CPT 36253 | $1,816.47 | $7,384.00 | $347.89 – $5,761.50 | 10 |
| Ins cerv dilator (sep proc) CPT 59200 | not published | not published | $45.52 – $324.21 | 9 |
| Ins device for right guide open CPT 49412 | not published | not published | $84.76 – $906.61 | 3 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $818.23 – $7,291.55 | 3 |
| Insert and remove bone pin CPT 20650 | not published | not published | $177.02 – $3,458.17 | 9 |
| Insert ant drainage device CPT 66183 | not published | not published | $1,075.00 – $4,287.64 | 9 |
| Insert balloon device CPT 33973 | not published | not published | $507.82 – $7,291.55 | 3 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $549.30 – $6,825.59 | 9 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $138.04 – $5,761.50 | 9 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $125.17 – $5,761.50 | 9 |
| Insert cath pleura with image CPT 32557 | $826.56 | $3,360.00 | $153.78 – $2,587.20 | 10 |
| Insert cath pleura without image CPT 32556 | not published | not published | $128.38 – $2,021.85 | 9 |
| Insert drug delivery implant CPT 11981 | not published | not published | $65.44 – $137.38 | 9 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $833.25 – $7,291.55 | 3 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $793.55 – $7,291.55 | 3 |
| Insert eye socket implant CPT 67550 | not published | not published | $1,134.72 – $4,019.21 | 9 |
| Insert hepatic shunt (tips) CPT 37182 | not published | not published | $831.46 – $7,291.55 | 3 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $524.98 – $5,261.37 | 9 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $346.89 – $3,647.53 | 3 |
| Insert intracorporeal device CPT 33979 | not published | not published | $1,977.26 – $7,291.55 | 3 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $52.93 – $1,813.22 | 3 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $123.38 – $3,354.67 | 9 |
| Insertion catheter bladder non indwelling CPT 51701 | not published | not published | $26.82 – $137.38 | 9 |
| Insertion catheter bladder temporary simple CPT 51702 | not published | not published | $26.46 – $137.38 | 9 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $971.46 | $3,949.00 | $210.28 – $3,761.34 | 10 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | not published | not published | $263.56 – $7,291.55 | 3 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | not published | not published | $359.41 – $7,291.55 | 3 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | not published | not published | $224.94 – $5,761.50 | 9 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | not published | not published | $87.26 – $3,354.67 | 9 |
| Insertion of cannula CPT 36810 | not published | not published | $217.43 – $3,354.67 | 9 |
| Insertion of cannula(s) CPT 36823 | not published | not published | $1,461.94 – $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.