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 |
|---|---|---|---|---|
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $12.59 | $51.16 | $7.17 – $39.40 | 10 |
| Mayo leptospira antibody igm CPT 86720 | $15.95 | $64.80 | $9.08 – $49.90 | 10 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $15.25 | $61.96 | $8.68 – $47.71 | 10 |
| Mayo manganese CPT 83785 | $26.23 | $106.60 | $14.93 – $82.09 | 10 |
| Mayo metanephrines plasma CPT 83835 | $16.67 | $67.76 | $9.49 – $52.18 | 10 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $318.82 | $1,296.00 | $36.00 – $198.00 | 3 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $18.11 | $73.60 | $6.46 – $35.52 | 3 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $64.95 | $264.00 | $8.15 – $44.82 | 10 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $154.98 | $630.00 | $10.44 – $57.42 | 10 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $134.81 | $548.00 | $76.72 – $421.96 | 10 |
| Mayo muramidase CPT 85549 | $18.45 | $75.00 | $10.50 – $57.75 | 10 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $290.28 | $1,180.00 | $165.20 – $908.60 | 3 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $17.77 | $72.20 | $10.11 – $55.60 | 10 |
| Mayo myoglobin CPT 83874 | $117.35 | $477.00 | $7.24 – $39.80 | 10 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $168.27 | $684.00 | $11.88 – $65.33 | 10 |
| Mayo oxalate 24 hour urine CPT 83945 | $87.68 | $356.40 | $8.10 – $44.51 | 10 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $14.79 | $60.12 | $8.42 – $46.30 | 10 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $416.56 | $1,693.33 | $6.75 – $37.12 | 10 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $34.53 | $140.36 | $19.66 – $108.08 | 10 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $17.70 | $71.92 | $10.07 – $55.38 | 10 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $13.54 | $55.04 | $7.71 – $42.39 | 10 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $8.31 | $33.76 | $4.73 – $26.00 | 10 |
| Mayo pregnenolone CPT 84140 | $20.34 | $82.68 | $11.58 – $63.67 | 10 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $16.33 | $66.36 | $9.30 – $51.10 | 10 |
| Mayo proinsulin CPT 84206 | $26.27 | $106.76 | $14.95 – $82.21 | 10 |
| Mayo psaft prostate specific antigen free CPT 84154 | $18.10 | $73.56 | $10.30 – $56.65 | 10 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $416.56 | $1,693.33 | $18.40 – $198.00 | 10 |
| Mayo receptor assay transferrin soluble CPT 84238 | $35.99 | $146.28 | $20.48 – $112.64 | 10 |
| Mayo renin CPT 84244 | $21.64 | $87.96 | $12.32 – $67.73 | 10 |
| Mayo repu protein electrophoresis urine CPT 84166 | $19.75 | $80.25 | $9.94 – $54.67 | 10 |
| Mayo selenium CPT 84255 | $25.13 | $102.12 | $14.30 – $78.64 | 10 |
| Mayo serotonin CPT 84260 | $30.49 | $123.92 | $17.35 – $95.42 | 10 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $19.05 | $77.40 | $10.84 – $59.60 | 10 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $13.52 | $54.92 | $7.69 – $42.29 | 10 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $60.92 | $247.64 | $17.62 – $96.90 | 3 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $43.30 | $176.00 | $2.40 – $13.16 | 10 |
| Mayo tau phosphorylated 217 each CPT 84393 | $369.00 | $1,500.00 | $185.74 – $1,021.53 | 3 |
| Mayo tgrp testosterone free CPT 84402 | $25.83 | $105.00 | $14.27 – $78.45 | 10 |
| Mayo tgrp testosterone total CPT 84403 | $38.38 | $156.00 | $14.46 – $79.50 | 10 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $21.82 | $88.68 | $12.42 – $68.29 | 3 |
| Mayo thyroglobulin CPT 84432 | $89.06 | $362.00 | $9.00 – $49.47 | 10 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $10.02 | $40.72 | $5.71 – $31.36 | 10 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $12.20 | $49.56 | $6.94 – $38.17 | 10 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $13.94 | $56.64 | $7.93 – $43.62 | 10 |
| Mayo vasoactive intestinal peptide CPT 84586 | $34.77 | $141.32 | $19.79 – $108.82 | 10 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $19.92 | $80.96 | $11.34 – $62.34 | 10 |
| Mayo vitamin b3 (niacin) CPT 84591 | $103.32 | $420.00 | $17.06 – $246.40 | 10 |
| Mayo vitamin k CPT 84597 | $13.51 | $54.88 | $7.69 – $42.26 | 10 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $13.04 | $53.00 | $7.42 – $40.81 | 10 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $871.87 – $3,647.53 | 3 |
| Mcoln1 gene CPT 81290 | $38.69 | $157.24 | $22.02 – $121.08 | 10 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $539.29 – $3,458.17 | 9 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $577.55 – $3,458.17 | 9 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $611.88 – $1,705.75 | 9 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $960.20 – $3,901.94 | 9 |
| Measure kidney pressure CPT 50396 | not published | not published | $119.80 – $711.40 | 9 |
| Measurement post void urine by ultrasound CPT 51798 | not published | not published | $11.80 – $63.31 | 9 |
| Measure ureter pressure CPT 50686 | not published | not published | $92.62 – $166.76 | 9 |
| Medial canthopexy CPT 21280 | not published | not published | $620.47 – $3,456.53 | 9 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $413.41 – $6,218.38 | 9 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $316.85 – $6,218.38 | 9 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $143.91 | $585.00 | $0.71 – $450.45 | 7 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $5,115.57 | $20,795.00 | $269.93 – $12,313.84 | 8 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $3,025.07 | $12,297.00 | $29.44 – $3,308.69 | 8 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $1,750.18 – $7,613.93 | 9 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $15.26 | $62.00 | $2.38 – $17.00 | 8 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $38.87 | $158.00 | $0.40 – $53.13 | 8 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $261.06 – $1,953.78 | 3 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $24,814.27 | $100,871.00 | $22.80 – $35,195.16 | 8 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $128.17 | $521.00 | $1.62 – $401.17 | 8 |
| Metabolic Blood Panel (Basic) CPT 80048 | $140.47 | $571.00 | $8.46 – $418.88 | 10 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $309.72 | $1,259.00 | $10.56 – $969.43 | 10 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $149.08 | $606.00 | $6.73 – $466.62 | 8 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $15.50 | $63.00 | $0.18 – $48.51 | 8 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $91.52 | $372.00 | $3.20 – $48.51 | 8 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,591.87 | $6,471.00 | $5.94 – $1,636.25 | 11 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $68.15 | $277.00 | $22.37 – $213.29 | 8 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $386.22 | $1,570.00 | $0.98 – $1,208.90 | 8 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $4.68 | $19.00 | $0.26 – $14.63 | 8 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $49.70 | $202.00 | $2.66 – $14.63 | 4 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $61.01 | $248.00 | $1.03 – $5.66 | 4 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $13.29 | $54.00 | $1.06 – $41.58 | 8 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $86.10 | $350.00 | $49.00 – $269.50 | 4 |
| Mgmt promoter methylation analysis CPT 81287 | $122.65 | $498.56 | $69.80 – $383.90 | 10 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $530.87 | $2,158.00 | $0.29 – $735.35 | 8 |
| Microbe susceptible mlc CPT 87187 | $39.61 | $161.00 | $22.54 – $123.97 | 10 |
| Microdissection laser CPT 88380 | $461.73 | $1,876.93 | $86.83 – $1,445.24 | 7 |
| Microsatellite instability CPT 81301 | $342.99 | $1,394.24 | $195.20 – $1,073.57 | 10 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $224.23 – $906.61 | 3 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $178.85 | $727.00 | $0.13 – $35.42 | 8 |
| Middle cerebral artery echo CPT 76821 | $124.48 | $506.00 | $70.84 – $389.62 | 10 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $86.10 | $350.00 | $1.34 – $49.28 | 8 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $3,435.89 | $13,967.00 | $30.13 – $5,377.68 | 11 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,864.87 – $7,291.55 | 3 |
| Mlh1 gene CPT 81288 | $189.25 | $769.28 | $107.70 – $592.35 | 10 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,116.12 – $13,713.71 | 9 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $87.97 – $150.01 | 3 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $150.01 – $155.56 | 3 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $148.05 – $150.01 | 3 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $207.78 – $1,705.75 | 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.