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 |
|---|---|---|---|---|
| Interrog dev eval icpms ip CPT 93290 | $35.18 | $143.00 | $20.02 – $110.11 | 11 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,453.71 – $7,291.55 | 3 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,112.55 – $7,291.55 | 3 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $7,291.55 – $7,291.55 | 1 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $359.05 – $2,922.89 | 9 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $401.25 – $2,922.89 | 9 |
| Intracard echo interv w/s&i CPT 93662 | $2,291.74 | $9,316.00 | $303.84 – $7,173.32 | 7 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $7,291.55 – $7,291.55 | 1 |
| Intracranial angioplasty CPT 61630 | not published | not published | $7,291.55 – $7,291.55 | 1 |
| Intracranial complete study CPT 93886 | $377.61 | $1,535.00 | $214.90 – $1,181.95 | 10 |
| Intracranial limited study CPT 93888 | $370.48 | $1,506.00 | $113.34 – $1,159.62 | 10 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,378.87 – $7,291.55 | 3 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $4,342.19 – $7,291.55 | 3 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,971.80 – $7,291.55 | 3 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $4,676.56 – $7,291.55 | 3 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $2,287.68 – $7,291.55 | 3 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $3,803.26 – $7,291.55 | 3 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $72.24 – $1,578.78 | 9 |
| Intranasal reconstruction CPT 30620 | not published | not published | $713.45 – $6,305.03 | 9 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $174.87 – $3,647.53 | 3 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $110.15 – $542.77 | 9 |
| Intrapul surf admin endo tube CPT 94610 | $207.87 | $845.00 | $59.01 – $650.65 | 10 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $357.97 – $465.96 | 9 |
| Intrinsic factor antibody CPT 86340 | $14.84 | $60.32 | $8.45 – $46.45 | 10 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $171.66 – $1,655.69 | 9 |
| Intro cath dialysis circuit w/pta CPT 36902 | $5,063.67 | $20,584.00 | $244.97 – $15,849.68 | 10 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $8,253.55 | $33,551.00 | $321.86 – $25,834.27 | 10 |
| Intro catheter aorta CPT 36200 | not published | not published | $141.62 – $347.89 | 3 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $110.86 – $347.89 | 3 |
| Intro long gi tube CPT 44500 | not published | not published | $19.67 – $999.27 | 9 |
| Intro long gi tube w/mult fluo CPT 74340 | $300.37 | $1,221.00 | $34.63 – $940.17 | 6 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $153.06 – $1,837.97 | 9 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,131.10 | $8,663.00 | $90.48 – $3,665.20 | 7 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $995.32 | $4,046.00 | $71.88 – $2,265.76 | 7 |
| Intubation endotracheal emergency procedure CPT 31500 | not published | not published | $146.27 – $247.50 | 9 |
| Ionm in operatng room 15 min CPT 95940 | $32.23 | $131.00 | $18.34 – $100.87 | 4 |
| Ionm remote/>1 pt or per hr CPT 95941 | $175.16 | $712.00 | $99.68 – $548.24 | 5 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $201.23 | $818.00 | $0.42 – $130.13 | 8 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $637.88 | $2,593.00 | $0.14 – $9.00 | 8 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $93.73 | $381.00 | $2.02 – $293.37 | 8 |
| Iron CPT 83540 | $90.06 | $366.08 | $6.47 – $158.62 | 10 |
| Iron binding capacity CPT 83550 | $57.81 | $235.00 | $8.74 – $180.95 | 10 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $153.75 | $625.00 | $0.24 – $481.25 | 8 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $111.44 | $453.00 | $26.11 – $247.94 | 10 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $199.91 – $1,578.78 | 9 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $26.82 – $63.31 | 9 |
| Island pedicle flap graft CPT 15740 | not published | not published | $884.74 – $1,949.63 | 9 |
| Ivc venogram s&i CPT 75825 | $2,331.10 | $9,476.00 | $119.44 – $7,296.52 | 10 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $153.51 | $624.00 | $29.68 – $339.57 | 10 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $154.25 | $627.00 | $20.74 – $482.79 | 6 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $242.31 | $985.00 | $21.46 – $339.57 | 10 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $295.70 | $1,202.00 | $61.74 – $339.57 | 10 |
| IV inj ra drug dx study CPT 78808 | $521.52 | $2,120.00 | $41.48 – $1,632.40 | 10 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $110.15 – $425.30 | 9 |
| Jak2 targeted sequence analysis CPT 81279 | $182.24 | $740.80 | $103.72 – $570.42 | 10 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $565.03 – $3,458.17 | 9 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $626.90 – $3,458.17 | 9 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $247.47 – $2,021.85 | 9 |
| John cunningham antibody CPT 86711 | $386.60 | $1,571.52 | $9.46 – $52.03 | 10 |
| J-tube placement CPT 44015 | not published | not published | $145.55 – $3,647.53 | 3 |
| Keratophakia CPT 65765 | not published | not published | $5,418.59 – $5,418.59 | 1 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,465.51 – $15,229.83 | 9 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $29.52 | $120.00 | $4.58 – $25.17 | 10 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $23.37 | $95.00 | $0.37 – $41.58 | 11 |
| Kidney endoscopy CPT 50551 | not published | not published | $303.97 – $5,418.22 | 9 |
| Kidney endoscopy CPT 50553 | not published | not published | $325.07 – $5,418.22 | 9 |
| Kidney endoscopy CPT 50570 | not published | not published | $507.82 – $3,675.98 | 9 |
| Kidney endoscopy CPT 50575 | not published | not published | $736.33 – $5,418.22 | 9 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $352.97 – $9,855.80 | 9 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $583.27 – $3,675.98 | 9 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $357.26 – $9,855.80 | 9 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $408.40 – $5,418.22 | 9 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $581.49 – $9,855.80 | 9 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $626.54 – $5,418.22 | 9 |
| Kidney imag w/bld flow multi CPT 78709 | $1,463.70 | $5,950.00 | $354.04 – $4,581.50 | 10 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $621.65 | $2,527.00 | $225.30 – $1,945.79 | 10 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $340.71 | $1,385.00 | $113.34 – $1,066.45 | 10 |
| Kit case 4.2mm spinejack HCPCS C1062 | $3,025.07 | $12,297.00 | $1,721.58 – $9,468.69 | 7 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $11,244.17 | $45,708.00 | $6,399.12 – $35,195.16 | 6 |
| Kit gene analys d816 variant CPT 81273 | $122.88 | $499.48 | $69.93 – $384.60 | 10 |
| Kit hfx iq ipg bundle HCPCS C1822 | $58,508.64 | $237,840.00 | $601.58 – $4,297.00 | 7 |
| Kit lead specify 5-6-5 HCPCS C1778 | $14,618.31 | $59,424.00 | $317.52 – $2,268.00 | 7 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,375.39 | $5,591.00 | $354.76 – $1,951.18 | 7 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $11,244.17 | $45,708.00 | $28.83 – $9,468.69 | 8 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $1,789.16 | $7,273.00 | $1,018.22 – $5,600.21 | 7 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $658.73 – $3,458.17 | 9 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $548.23 – $3,458.17 | 9 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $437.37 – $3,458.17 | 9 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $575.41 – $3,458.17 | 9 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $663.38 – $1,705.75 | 9 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $981.30 – $1,705.75 | 9 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $573.26 – $3,458.17 | 9 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $571.83 – $3,458.17 | 9 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $528.56 – $3,458.17 | 9 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $692.35 – $3,458.17 | 9 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $701.64 – $3,458.17 | 9 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $597.22 – $3,458.17 | 9 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $729.18 – $3,458.17 | 9 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $891.18 – $3,458.17 | 9 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $657.66 – $3,458.17 | 9 |
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.