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 |
|---|---|---|---|---|
| Biopsy of hip joint CPT 27052 | not published | not published | $617.60 – $1,705.75 | 9 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $110.50 – $999.27 | 9 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $72.24 – $247.50 | 9 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $63.30 – $749.90 | 9 |
| Biopsy of nerve CPT 64795 | not published | not published | $203.13 – $2,081.30 | 9 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $463.11 – $3,388.81 | 9 |
| Biopsy of penis CPT 54105 | not published | not published | $224.23 – $3,050.43 | 9 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $127.31 – $1,726.88 | 9 |
| Biopsy of prostate CPT 55700 | not published | not published | $135.54 – $2,183.34 | 9 |
| Biopsy of prostate CPT 55705 | not published | not published | $277.87 – $3,675.98 | 9 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $320.42 – $2,922.89 | 9 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $435.22 – $1,705.75 | 9 |
| Biopsy of salivary gland 42400 CPT 42400 | not published | not published | $55.43 – $749.90 | 9 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $240.32 – $1,578.78 | 9 |
| Biopsy of tear gland CPT 68510 | not published | not published | $298.25 – $2,486.52 | 9 |
| Biopsy of tear sac CPT 68525 | not published | not published | $267.14 – $2,486.52 | 9 |
| Biopsy of testis CPT 54500 | not published | not published | $77.96 – $3,050.43 | 9 |
| Biopsy of testis CPT 54505 | not published | not published | $220.29 – $3,675.98 | 9 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $249.26 – $3,458.17 | 9 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $130.89 – $3,456.53 | 9 |
| Biopsy of urethra CPT 53200 | not published | not published | $148.41 – $2,183.34 | 9 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $376.21 – $3,458.17 | 9 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $463.83 – $4,081.32 | 9 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $491.72 – $4,081.32 | 9 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | not published | not published | $130.89 – $1,726.88 | 9 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $116.58 – $1,578.78 | 9 |
| Biopsy skin incisional single lesion CPT 11106 | $346.86 | $1,410.00 | $59.01 – $1,085.70 | 10 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | not published | not published | $164.50 – $1,726.88 | 9 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $437.01 – $3,050.43 | 9 |
| Biopsy tongue anterior two-thirds CPT 41100 | $488.07 | $1,984.00 | $113.36 – $1,527.68 | 10 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $155.56 – $3,388.81 | 9 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $94.05 – $542.77 | 9 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $439.87 – $7,613.93 | 9 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $411.26 – $3,458.17 | 9 |
| Biospy of bladder CPT 53899 | not published | not published | $197.77 – $259.22 | 9 |
| Biotinidase - quest CPT 82261 | $16.61 | $67.48 | $9.45 – $51.96 | 10 |
| Bivalirudin HCPCS J0583 | $225.83 | $918.00 | $0.16 – $706.86 | 8 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | not published | not published | $31.11 – $259.22 | 9 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $128.38 – $465.96 | 9 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $52.21 – $465.96 | 9 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $98.40 | $400.00 | $21.43 – $308.00 | 8 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $1,949.63 – $1,998.38 | 9 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $1,949.63 – $1,998.38 | 9 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $579.70 – $1,949.63 | 9 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $1,949.63 – $1,998.38 | 9 |
| Blm gene CPT 81209 | $38.69 | $157.24 | $22.02 – $121.08 | 10 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $11,244.17 | $45,708.00 | $71.54 – $393.47 | 7 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $8,648.63 | $35,157.00 | $32.20 – $230.00 | 7 |
| Bln dil 900ml preperitnl HCPCS C1727 | $811.80 | $3,300.00 | $272.58 – $1,499.19 | 7 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $8,648.63 | $35,157.00 | $979.02 – $5,384.61 | 7 |
| Bln press regulation 71-80cm HCPCS C1815 | $14,618.31 | $59,424.00 | $1,323.56 – $7,279.58 | 7 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $3,934.04 | $15,992.00 | $32.20 – $230.00 | 7 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $80.46 – $948.89 | 9 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $75.10 – $948.89 | 9 |
| Block paracervical nrv CPT 64435 | not published | not published | $45.77 – $738.10 | 9 |
| Block plantar digital nerve CPT 64455 | $146.87 | $597.00 | $35.05 – $459.69 | 10 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $71.52 – $485.85 | 3 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $57.58 – $485.85 | 3 |
| Blood Clotting (PT/INR) Test CPT 85610 | $40.84 | $166.00 | $2.41 – $13.22 | 10 |
| Blood Clotting (PTT) Test CPT 85730 | $52.40 | $213.00 | $3.37 – $18.52 | 10 |
| Blood Count (CBC) Test CPT 85025 | $64.46 | $262.00 | $7.77 – $201.74 | 10 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $53.63 | $218.00 | $6.47 – $166.32 | 10 |
| Blood count spun microhematocrit CPT 85013 | $6.89 | $28.00 | $3.92 – $21.56 | 10 |
| Blood Culture Test CPT 87040 | $179.34 | $729.00 | $10.32 – $539.77 | 10 |
| Blood draw capillary 36416 CPT 36416 | not published | not published | $0.19 – $3.98 | 3 |
| Blood, l/r, irradiated HCPCS P9056 | $71.34 | $290.00 | $40.60 – $223.30 | 10 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $15.75 | $64.00 | $8.92 – $49.04 | 10 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $21.90 | $89.00 | $2.38 – $13.09 | 10 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $24.85 | $101.00 | $4.38 – $74.69 | 10 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $18.45 | $75.00 | $5.32 – $57.75 | 10 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $32.23 | $131.00 | $3.80 – $97.02 | 10 |
| Blood typing abo CPT 86900 | $59.04 | $240.00 | $1.68 – $11.96 | 10 |
| Blood typing ag donor ea ag CPT 86902 | $55.60 | $226.00 | $3.50 – $25.00 | 10 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $161.63 | $657.00 | $2.10 – $15.00 | 10 |
| Blood typing rh (d) CPT 86901 | $96.44 | $392.00 | $1.68 – $11.96 | 10 |
| Blood typing rh phenotype complete reference CPT 86906 | $33.95 | $138.00 | $7.94 – $106.26 | 10 |
| Blue light cysto imag agent HCPCS C9738 | $846.49 | $3,441.00 | $481.74 – $2,649.57 | 5 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $146.62 – $3,050.43 | 9 |
| Bone Density Scan (DEXA) CPT 77080 | $191.88 | $780.00 | $40.77 – $600.60 | 10 |
| Bone marrow;aspiration only 38220 CPT 38220 | not published | not published | $70.09 – $1,726.88 | 9 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $735.05 | $2,988.00 | $73.31 – $2,300.76 | 10 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $210.64 – $1,747.18 | 9 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $196.69 – $4,993.55 | 9 |
| Bone marrow imaging body CPT 78104 | $724.72 | $2,946.00 | $240.68 – $2,268.42 | 10 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $3,129.86 – $7,613.93 | 9 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,963.57 – $7,613.93 | 9 |
| Bone survey-lead poisoning CPT 77074 | $123.50 | $502.00 | $68.66 – $386.54 | 10 |
| Bone tendon board add on HCPCS C9356 | $8,648.63 | $35,157.00 | $138.94 – $16,012.15 | 8 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $95.94 | $390.00 | $54.60 – $390.00 | 7 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $16.76 | $68.12 | $9.54 – $52.46 | 10 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $3,977.09 | $16,167.00 | $1.61 – $12,448.59 | 8 |
| (both sides) smear without diff wbc count CPT 85008 | $26.33 | $107.00 | $3.43 – $82.39 | 10 |
| Bowel imaging CPT 78290 | $465.19 | $1,891.00 | $264.74 – $1,456.07 | 10 |
| Brace ank air stirrup univ HCPCS L4350 | $46.25 | $188.00 | $26.32 – $188.00 | 7 |
| Brace knee extender plus 22-30in HCPCS L1832 | $165.32 | $672.00 | $94.08 – $672.00 | 7 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $25.59 | $104.00 | $14.56 – $176.82 | 7 |
| Brace wrist classic lft sm HCPCS L3908 | $80.69 | $328.00 | $14.56 – $104.00 | 7 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $2,779.57 – $3,126.70 | 9 |
| Brach/thor cath 1st CPT 36215 | $739.23 | $3,005.00 | $217.79 – $2,313.85 | 7 |
| Brach/thor cath 2nd CPT 36216 | $1,005.16 | $4,086.00 | $277.87 – $3,145.45 | 7 |
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.