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 |
|---|---|---|---|---|
| Perq tx malar fracture CPT 21355 | not published | not published | $348.68 – $3,456.53 | 9 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $480.28 – $6,305.03 | 9 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $796.06 – $3,456.53 | 9 |
| Pertussis ag if CPT 87265 | $11.81 | $48.00 | $6.72 – $36.96 | 10 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $90,834.77 | $369,247.00 | $30.52 – $218.00 | 7 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $297.18 – $3,458.17 | 9 |
| Ph body fluid CPT 83986 | $33.95 | $138.00 | $2.01 – $11.03 | 10 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $142.19 | $578.00 | $6.72 – $48.00 | 8 |
| Phenobarbital therapeutic drug level CPT 80184 | $92.25 | $375.00 | $8.57 – $47.13 | 10 |
| Phentolaine mesylate inj HCPCS J2760 | $376.38 | $1,530.00 | $214.20 – $1,178.10 | 11 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $42.56 | $173.00 | $17.22 – $94.71 | 4 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $13.29 | $54.00 | $0.48 – $36.96 | 8 |
| Phenytoin total therapeutic drug level CPT 80185 | $96.19 | $391.00 | $7.42 – $40.81 | 10 |
| Phlebotomy therapeutic CPT 99195 | $159.41 | $648.00 | $90.72 – $498.96 | 10 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $277.87 – $3,354.67 | 9 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $340.45 – $3,354.67 | 9 |
| Phosphorus CPT 84100 | $52.40 | $213.00 | $2.66 – $14.60 | 10 |
| Phosphorus 24 hour urine CPT 84105 | $7.88 | $32.00 | $3.24 – $17.81 | 10 |
| Photopheresis CPT 36522 | not published | not published | $99.42 – $4,993.55 | 9 |
| Phys blood bank serv reactj CPT 86078 | $119.81 | $487.00 | $50.78 – $374.99 | 10 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $69.87 | $284.00 | $2.27 – $41.58 | 8 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $1,813.22 – $1,813.22 | 1 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $480.99 – $652.42 | 9 |
| Pin finger dislocation CPT 26776 | not published | not published | $483.86 – $3,458.17 | 9 |
| Pin finger fracture each CPT 26756 | not published | not published | $457.03 – $3,458.17 | 9 |
| Pin hand dislocation CPT 26676 | not published | not published | $548.23 – $3,458.17 | 9 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $481.35 – $3,458.17 | 9 |
| Pinworm exam CPT 87172 | $60.77 | $247.00 | $4.27 – $190.19 | 10 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $101.60 | $413.00 | $1.17 – $41.58 | 8 |
| Place breast cath for rad CPT 19297 | not published | not published | $96.91 – $1,391.54 | 3 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $332.58 – $6,950.70 | 9 |
| Place cath intracranial art CPT 36228 | $2,849.91 | $11,585.00 | $175.70 – $8,920.45 | 5 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $124.09 – $175.70 | 3 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $213.14 – $1,256.69 | 9 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $247.83 – $2,021.85 | 9 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $1,093.59 – $5,418.59 | 3 |
| Place gastrostomy tube perc CPT 49440 | not published | not published | $208.49 – $2,021.85 | 9 |
| Placement bile duct support CPT 47801 | not published | not published | $1,165.47 – $7,291.55 | 3 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $525.21 | $2,135.00 | $101.92 – $1,726.88 | 10 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $253.38 | $1,030.00 | $51.14 – $906.61 | 5 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $495.45 | $2,014.00 | $86.90 – $1,550.78 | 10 |
| Placement nephrostomy catheter (both sides) CPT 50432 | not published | not published | $209.56 – $2,183.34 | 9 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $415.25 | $1,688.00 | $236.32 – $1,299.76 | 4 |
| Placement of drain pancreas CPT 48001 | not published | not published | $2,394.96 – $7,291.55 | 3 |
| Placement of seton CPT 46020 | not published | not published | $122.31 – $2,922.89 | 9 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $9,073.96 | $36,886.00 | $447.38 – $28,402.22 | 11 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $351.90 – $3,458.17 | 9 |
| Place needles h&n for right CPT 41019 | not published | not published | $512.47 – $6,305.03 | 9 |
| Place needles pelvic for right CPT 55920 | not published | not published | $482.78 – $5,261.37 | 9 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $203.84 – $3,354.67 | 9 |
| Placental lactogen CPT 83632 | $143.67 | $584.00 | $20.22 – $449.68 | 10 |
| Place po breast cath for rad CPT 19296 | not published | not published | $218.15 – $10,198.88 | 9 |
| Place right device/marker pros CPT 55876 | not published | not published | $106.93 – $1,458.32 | 9 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $347.89 – $5,761.50 | 9 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $3,087.30 | $12,550.00 | $292.53 – $7,750.05 | 11 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $6,211.50 | $25,250.00 | $337.23 – $7,750.05 | 11 |
| Place slctv cath subclavian art CPT 36225 | $2,475.99 | $10,065.00 | $334.73 – $7,750.05 | 11 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $347.89 – $5,761.50 | 9 |
| Platelet aggregation each agent teg CPT 85576 | $64.95 | $264.00 | $6.72 – $36.96 | 10 |
| Platelet automated CPT 85049 | $58.06 | $236.00 | $4.48 – $174.79 | 10 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $12.16 – $465.96 | 9 |
| Platelet pheresis each unit HCPCS P9034 | $108.00 | $439.00 | $61.46 – $423.27 | 10 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $554.24 | $2,253.00 | $315.42 – $1,734.81 | 10 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $13.78 | $56.00 | $7.84 – $56.00 | 10 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $664.94 | $2,703.00 | $378.42 – $2,081.31 | 10 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $2,924.94 | $11,890.00 | $268.93 – $9,155.30 | 10 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | not published | $210.99 – $1,215.84 | 3 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,483.12 | $14,159.00 | $208.49 – $10,483.55 | 10 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $3,483.12 | $14,159.00 | $349.39 – $10,483.55 | 10 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $2,857.54 | $11,616.00 | $810.00 – $8,944.32 | 6 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $712.67 | $2,897.00 | $86.90 – $2,230.69 | 10 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | not published | not published | $43.99 – $906.61 | 3 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $326.50 – $3,647.53 | 3 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $64.73 – $906.61 | 3 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $275.52 | $1,120.00 | $51.50 – $906.61 | 5 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | not published | not published | $43.63 – $906.61 | 3 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $138.75 | $564.00 | $58.65 – $434.28 | 10 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $948.76 – $7,291.55 | 3 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $342.60 – $6,650.45 | 9 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $376.21 – $3,761.34 | 9 |
| Plmt nephroureteral catheter CPT 50433 | $2,162.34 | $8,790.00 | $260.35 – $6,565.02 | 10 |
| Plmt ureteral stent prq CPT 50694 | $3,483.12 | $14,159.00 | $272.15 – $10,902.43 | 10 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $94.05 – $658.95 | 9 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $164.09 | $667.00 | $26.07 – $513.59 | 10 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $1,341.69 | $5,454.00 | $683.41 – $4,199.58 | 10 |
| Positional change of finger CPT 26555 | not published | not published | $1,460.87 – $7,613.93 | 9 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $782.47 – $3,647.53 | 3 |
| Postpartum Care Only CPT 59430 | not published | not published | $184.56 – $347.89 | 3 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $789.26 – $3,647.53 | 3 |
| Potassium 24 hour urine CPT 84133 | $55.85 | $227.00 | $2.65 – $14.57 | 10 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $86.10 | $350.00 | $0.10 – $41.58 | 8 |
| Potassium serum/plasma/whole blood CPT 84132 | $40.59 | $165.00 | $4.76 – $121.66 | 10 |
| Pq biliary strict dil s&i CPT 74363 | $1,042.31 | $4,237.00 | $82.68 – $3,262.49 | 6 |
| Pq dr cath chg w cont s&i CPT 75984 | $302.34 | $1,229.00 | $100.13 – $946.33 | 6 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $8,918.49 | $36,254.00 | $494.94 – $27,915.58 | 10 |
| Pq thr inj ext pse CPT 36002 | $273.31 | $1,111.00 | $106.93 – $855.47 | 10 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $214.21 – $906.61 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,434.15 | $18,025.00 | $449.52 – $13,879.25 | 10 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $423.06 – $3,458.17 | 9 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $226.82 | $922.00 | $88.87 – $709.94 | 8 |
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.