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 |
|---|---|---|---|---|
| Nsl/sins ndsc total CPT 31253 | not published | not published | $521.05 – $7,378.11 | 9 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $465.26 – $7,378.11 | 9 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $637.63 – $3,929.63 | 9 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $464.54 – $1,837.97 | 9 |
| Nuclear rx intra-arterial CPT 79445 | $819.68 | $3,332.00 | $195.86 – $1,077.23 | 10 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,999.00 | $8,126.00 | $453.82 – $6,257.02 | 10 |
| Nudt15 gene common variants CPT 81306 | $286.70 | $1,165.44 | $163.17 – $897.39 | 10 |
| Nushield 1 square cm HCPCS Q4160 | $3,934.04 | $15,992.00 | $96.28 – $2,541.00 | 8 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $1,568.51 – $7,291.55 | 3 |
| Observation direct referral from physician office for admission HCPCS G0379 | $883.88 | $3,593.00 | $30.75 – $2,078.23 | 11 |
| Observation per hour HCPCS G0378 | $66.67 | $271.00 | $30.75 – $208.67 | 8 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $1,275.82 – $5,418.59 | 3 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $268.21 – $3,388.81 | 9 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $83.15 | $338.00 | $0.73 – $41.58 | 8 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $216.00 – $584.71 | 9 |
| Ocular reconst transplant CPT 65780 | not published | not published | $617.96 – $4,019.21 | 9 |
| Ocular reconst transplant CPT 65781 | not published | not published | $1,381.47 – $5,499.32 | 9 |
| Ocular reconst transplant CPT 65782 | not published | not published | $1,193.37 – $4,019.21 | 9 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $107.75 | $438.00 | $61.32 – $337.26 | 4 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $2,668.37 | $10,847.00 | $32.36 – $8,352.19 | 11 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,452.28 – $7,291.55 | 3 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $364.41 – $3,647.53 | 3 |
| Oncology prostate prob score CPT 81539 | $747.84 | $3,040.00 | $425.60 – $2,340.80 | 10 |
| Oncoprotein dcp CPT 83951 | $63.38 | $257.64 | $36.07 – $198.39 | 10 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $13.29 | $54.00 | $0.09 – $1.54 | 8 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,266.32 – $7,291.55 | 3 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $1,543.83 – $7,291.55 | 3 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,508.79 – $7,291.55 | 3 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $1,792.73 – $7,291.55 | 3 |
| Open aortofemor prosth repr CPT 34832 | $2,257.05 | $9,175.00 | $1,284.50 – $7,291.55 | 6 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $1,960.46 – $7,291.55 | 3 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $470.27 – $4,081.32 | 9 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $781.75 – $7,291.55 | 3 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $234.60 – $3,647.53 | 3 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $798.92 – $6,305.03 | 9 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $707.37 – $6,305.03 | 9 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $707.01 – $4,081.32 | 9 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,169.30 – $7,291.55 | 3 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $302.90 – $1,705.75 | 9 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $630.48 – $5,761.50 | 9 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $1,464.44 – $7,291.55 | 3 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $565.03 – $6,305.03 | 9 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $756.72 – $3,456.53 | 9 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $614.39 – $7,613.93 | 9 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $741.34 – $7,613.93 | 9 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,014.20 – $1,705.75 | 9 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $580.77 – $7,291.55 | 3 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $825.02 – $7,291.55 | 3 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $826.45 – $7,291.55 | 3 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $91.55 – $906.61 | 3 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,269.54 – $5,418.59 | 3 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $302.54 – $7,291.55 | 3 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $273.58 – $3,647.53 | 3 |
| Opn ilac art expos cndt crtj CPT 34833 | $481.43 | $1,957.00 | $273.98 – $1,506.89 | 6 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $635.49 – $32,479.36 | 9 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $331.51 – $22,855.86 | 9 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $331.15 – $13,291.11 | 9 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $687.70 – $6,994.87 | 9 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,134.00 – $6,305.03 | 9 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,336.41 – $6,305.03 | 9 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,146.16 – $7,291.55 | 3 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $425.92 – $6,305.03 | 9 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,091.45 – $6,305.03 | 9 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $1,074.64 – $6,305.03 | 9 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $1,152.96 – $7,291.55 | 3 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $803.57 – $6,305.03 | 9 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $728.11 – $6,305.03 | 9 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $769.95 – $6,305.03 | 9 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $946.97 – $6,305.03 | 9 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $676.61 – $6,305.03 | 9 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $615.46 – $6,305.03 | 9 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $845.05 – $6,305.03 | 9 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $1,055.33 – $6,305.03 | 9 |
| Oprelvekin injection HCPCS J2355 | $639.85 | $2,601.00 | $364.14 – $2,601.00 | 7 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $690.56 – $7,613.93 | 9 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $609.38 – $7,613.93 | 9 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $623.68 – $7,613.93 | 9 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $764.59 – $7,613.93 | 9 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $764.94 – $7,613.93 | 9 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,225.20 – $6,305.03 | 9 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $1,810.61 – $7,291.55 | 3 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $747.78 – $7,291.55 | 3 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $2,129.25 – $7,291.55 | 3 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,474.10 – $7,291.55 | 3 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $609.74 – $3,458.17 | 9 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $828.60 – $7,613.93 | 9 |
| Optx lunate dislocation CPT 25695 | not published | not published | $675.54 – $7,613.93 | 9 |
| Optx medial ankle fx CPT 27766 | not published | not published | $643.00 – $7,613.93 | 9 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $840.76 – $6,305.03 | 9 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $1,115.77 – $6,305.03 | 9 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $516.40 – $6,305.03 | 9 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $660.88 – $6,305.03 | 9 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $656.23 – $6,305.03 | 9 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $836.11 – $7,291.55 | 3 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,147.24 – $13,713.71 | 9 |
| Optx post ankle fx CPT 27769 | not published | not published | $769.23 – $7,613.93 | 9 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $934.45 – $13,713.71 | 9 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,300.30 – $19,600.48 | 9 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $714.88 – $7,613.93 | 9 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $672.68 – $7,613.93 | 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.