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 |
|---|---|---|---|---|
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $20.91 | $85.00 | $9.98 – $67.37 | 8 |
| Prostate biopsy, any mthd HCPCS G0416 | $377.37 | $1,534.00 | $214.76 – $1,181.18 | 10 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $762.44 – $5,418.22 | 9 |
| Prostate laser enucleation CPT 52649 | not published | not published | $864.36 – $5,418.22 | 9 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $375.86 – $3,675.98 | 9 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $402.32 – $3,675.98 | 9 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $67.90 | $276.00 | $1.17 – $70.84 | 8 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,934.04 | $15,992.00 | $1,101.62 – $12,313.84 | 8 |
| Protein c activity CPT 85303 | $90.78 | $369.00 | $7.76 – $42.63 | 10 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $57.32 | $233.00 | $6.02 – $33.08 | 10 |
| Protein s total CPT 85305 | $11.43 | $46.44 | $6.51 – $35.76 | 10 |
| Protein total 24 hour urine CPT 84156 | $66.18 | $269.00 | $2.06 – $11.31 | 10 |
| Protein total body fluid CPT 84157 | $80.69 | $328.00 | $2.24 – $12.32 | 10 |
| Protein total serum plasma whole blood CPT 84155 | $41.09 | $167.00 | $2.06 – $11.31 | 10 |
| Prothrombin complex kcentra HCPCS J7168 | $7.63 | $31.00 | $4.34 – $23.87 | 4 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $11.57 | $47.00 | $2.21 – $12.14 | 10 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $470.98 – $7,291.55 | 3 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $617.96 – $3,761.34 | 9 |
| Prq cardiac angio addl art CPT 92921 | $4,135.02 | $16,809.00 | $1,271.75 – $12,942.93 | 5 |
| Prq card stent w/angio addl CPT 92929 | $5,948.53 | $24,181.00 | $1,411.89 – $18,619.37 | 5 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $630.12 – $7,613.93 | 9 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $767.80 – $1,705.75 | 9 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $838.61 – $7,613.93 | 9 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $531.42 – $7,613.93 | 9 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $397.67 – $7,613.93 | 9 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $76.17 – $425.30 | 9 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | not published | not published | $49.71 – $137.38 | 9 |
| Pr removal intrauterine device CPT 58301 | $290.28 | $1,180.00 | $69.38 – $908.60 | 10 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $249.94 | $1,016.00 | $142.24 – $782.32 | 10 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $155.72 | $633.00 | $57.93 – $487.41 | 10 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $235.18 | $956.00 | $60.44 – $736.12 | 10 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $195.82 | $796.00 | $46.85 – $465.08 | 11 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $205.41 | $835.00 | $61.51 – $467.39 | 10 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $750.64 – $1,949.63 | 9 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $669.46 – $3,458.17 | 9 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $633.70 – $7,613.93 | 9 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $101.21 – $465.96 | 9 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $701.29 – $7,613.93 | 9 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $715.23 – $7,613.93 | 9 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | not published | not published | $160.57 – $1,655.69 | 9 |
| PSA (Prostate) Test CPT 84153 | $63.23 | $257.00 | $10.30 – $56.65 | 10 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $17.47 | $71.00 | $9.94 – $71.00 | 11 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $17.47 | $71.00 | $9.94 – $71.00 | 7 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $851.49 – $6,305.03 | 9 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $4,248.49 – $7,291.55 | 3 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,026.72 – $7,291.55 | 3 |
| Pulmonary vent imaging CPT 78579 | $433.95 | $1,764.00 | $180.60 – $1,358.28 | 10 |
| Pulse ox continuous overnight monitoring CPT 94762 | $105.29 | $428.00 | $26.46 – $329.56 | 10 |
| Pulse ox multiple CPT 94761 | $21.16 | $86.00 | $4.29 – $66.22 | 4 |
| Pulse ox single CPT 94760 | $13.78 | $56.00 | $2.86 – $43.12 | 4 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $478.97 | $1,947.00 | $123.20 – $677.60 | 5 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $58.65 – $738.10 | 9 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $130.63 | $531.00 | $15.38 – $526.00 | 11 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $162.12 | $659.00 | $92.26 – $507.43 | 10 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $50.07 – $3,456.53 | 9 |
| Puncture spinal lumbar diagnostic CPT 62270 | $552.77 | $2,247.00 | $66.16 – $1,277.43 | 10 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $50.42 – $279.47 | 3 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $85.11 – $738.10 | 9 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $81.54 – $738.10 | 9 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,169.77 – $1,169.77 | 2 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,027.08 – $7,291.55 | 3 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $992.74 – $7,291.55 | 3 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,078.57 – $7,291.55 | 3 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $971.65 – $7,291.55 | 3 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $23.62 | $96.00 | $13.44 – $73.92 | 8 |
| Pyruvate CPT 84210 | $14.25 | $57.92 | $8.11 – $44.60 | 10 |
| Pyruvate kinase CPT 84220 | $9.29 | $37.76 | $5.29 – $29.08 | 10 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $498.15 | $2,025.00 | $283.50 – $1,559.25 | 10 |
| Quant diff pulm perf w/imaging CPT 78597 | $498.15 | $2,025.00 | $192.40 – $1,559.25 | 10 |
| Quest t3 uptake CPT 84479 | $128.91 | $524.00 | $3.63 – $19.93 | 10 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $1,782.03 | $7,244.00 | $237.78 – $5,577.88 | 11 |
| Radiation therapy dose plan CPT 77300 | $147.11 | $598.00 | $69.38 – $460.46 | 10 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,916.83 – $7,291.55 | 3 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,577.81 – $7,291.55 | 3 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $2,023.40 – $7,291.55 | 3 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $1,848.88 – $7,291.55 | 3 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,248.44 – $7,613.93 | 9 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,376.47 – $7,291.55 | 3 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,098.60 – $3,050.43 | 9 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,503.42 – $3,050.43 | 9 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,007.62 | $4,096.00 | $294.68 – $3,153.92 | 10 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,767.76 | $7,186.00 | $613.31 – $5,533.22 | 10 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,060.76 | $4,312.00 | $363.70 – $3,320.24 | 10 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,618.93 – $7,613.93 | 9 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,184.79 – $3,050.43 | 9 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,388.98 – $3,050.43 | 9 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,078.93 – $3,050.43 | 9 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $738.84 – $3,050.43 | 9 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,390.77 – $3,050.43 | 9 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $788.90 – $3,050.43 | 9 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,106.11 – $3,050.43 | 9 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $1,410.80 – $7,613.93 | 9 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,006.33 – $3,050.43 | 9 |
| Rapid Strep Test CPT 87880 | $292.01 | $1,187.00 | $16.53 – $109.34 | 10 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $2,143.65 | $8,714.00 | $301.16 – $6,709.78 | 11 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $49.35 – $465.96 | 9 |
| Rbc osmotic fragility CPT 85555 | $62.98 | $256.00 | $7.47 – $197.12 | 10 |
| Rbc serum pretx incubj drugs CPT 86975 | $418.45 | $1,701.00 | $1.89 – $1,309.77 | 10 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $2,304.84 – $6,305.03 | 9 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,772.71 – $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.