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 |
|---|---|---|---|---|
| Revision of nose CPT 30450 | not published | not published | $1,836.72 – $6,305.03 | 9 |
| Revision of nose CPT 30460 | not published | not published | $870.80 – $6,305.03 | 9 |
| Revision of nose CPT 30462 | not published | not published | $1,672.57 – $6,305.03 | 9 |
| Revision of pelvis CPT 27158 | not published | not published | $1,468.02 – $7,291.55 | 3 |
| Revision of penis CPT 54300 | not published | not published | $677.68 – $3,675.98 | 9 |
| Revision of penis CPT 54304 | not published | not published | $783.90 – $3,675.98 | 9 |
| Revision of penis CPT 54420 | not published | not published | $737.41 – $3,675.98 | 9 |
| Revision of penis CPT 54430 | not published | not published | $671.25 – $7,291.55 | 3 |
| Revision of penis CPT 54435 | not published | not published | $437.37 – $3,675.98 | 9 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,950.44 – $6,305.03 | 9 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,472.92 – $7,291.55 | 3 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,572.08 – $7,291.55 | 3 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,232.25 – $7,291.55 | 3 |
| Revision of radius CPT 25350 | not published | not published | $717.74 – $7,613.93 | 9 |
| Revision of radius CPT 25355 | not published | not published | $811.79 – $3,458.17 | 9 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $629.41 – $2,081.30 | 9 |
| Revision of scrotum CPT 55175 | not published | not published | $385.51 – $3,675.98 | 9 |
| Revision of scrotum CPT 55180 | not published | not published | $723.82 – $5,418.22 | 9 |
| Revision of spinal shunt CPT 63744 | not published | not published | $724.17 – $6,825.59 | 9 |
| Revision of testis CPT 54660 | not published | not published | $379.07 – $5,418.22 | 9 |
| Revision of thigh muscles CPT 27430 | not published | not published | $787.83 – $7,613.93 | 9 |
| Revision of toe CPT 28312 | not published | not published | $366.92 – $3,458.17 | 9 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,504.75 – $7,291.55 | 3 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,441.81 – $7,291.55 | 3 |
| Revision of ulna CPT 25360 | not published | not published | $698.78 – $7,613.93 | 9 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $795.70 – $7,613.93 | 9 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $786.76 – $7,613.93 | 9 |
| Revision of upper arm CPT 24940 | not published | not published | $1,907.77 – $7,291.55 | 3 |
| Revision of ureter CPT 50700 | not published | not published | $968.78 – $7,291.55 | 3 |
| Revision of urethra CPT 53450 | not published | not published | $431.29 – $3,675.98 | 9 |
| Revision of urethra CPT 53460 | not published | not published | $482.43 – $3,675.98 | 9 |
| Revision of urethra CPT 57220 | not published | not published | $366.56 – $5,261.37 | 9 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,133.65 – $7,291.55 | 3 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $772.81 – $5,761.50 | 9 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $885.82 – $6,305.03 | 9 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $794.27 – $7,613.93 | 9 |
| Revision tips CPT 37183 | not published | not published | $381.93 – $6,076.79 | 9 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,684.73 – $13,713.71 | 9 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,818.48 – $7,291.55 | 3 |
| Revita, per sq cm HCPCS Q4180 | $11,244.17 | $45,708.00 | $1,277.37 – $9,468.69 | 8 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,260.96 – $5,761.50 | 9 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,216.26 – $5,761.50 | 9 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,073.92 – $6,305.03 | 9 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,173.70 – $6,305.03 | 9 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $2,018.03 – $7,291.55 | 3 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,474.45 – $5,418.22 | 9 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,149.02 – $6,305.03 | 9 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $316.49 – $3,665.37 | 9 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $7,291.55 – $7,291.55 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $151.63 – $3,665.37 | 9 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $241.03 – $3,665.37 | 9 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,427.50 – $7,291.55 | 3 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,430.01 – $7,291.55 | 3 |
| Revsc opn/prq tib/pero stent CPT 37234 | $2,960.37 | $12,034.00 | $285.02 – $9,266.18 | 7 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $205.27 – $2,081.30 | 9 |
| Rheumatoid factor qualitative CPT 86430 | $111.44 | $453.00 | $6.14 – $348.81 | 10 |
| Rheumatoid factor quantitative CPT 86431 | $24.60 | $100.00 | $3.18 – $17.47 | 10 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,292.43 – $6,305.03 | 9 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $419.43 | $1,705.00 | $5.01 – $1,312.85 | 8 |
| Rho d immune globulin inj HCPCS J2790 | $49.45 | $201.00 | $28.14 – $201.00 | 8 |
| Rib cartilage graft CPT 21230 | not published | not published | $786.40 – $6,305.03 | 9 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $448.22 | $1,822.00 | $172.62 – $949.41 | 4 |
| Right ventric recording CPT 93603 | $1,892.24 | $7,692.00 | $128.28 – $5,922.84 | 11 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,375.39 | $5,591.00 | $71.54 – $511.00 | 7 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $4,368.23 | $17,757.00 | $29.43 – $6,641.25 | 11 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $3,703.04 | $15,053.00 | $1,023.68 – $5,630.24 | 4 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,165.12 – $7,291.55 | 3 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $657.07 | $2,671.00 | $96.91 – $2,056.67 | 10 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $703.08 – $6,218.38 | 9 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $363.70 – $1,705.75 | 9 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $427.71 – $3,050.43 | 9 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $240.32 – $1,256.69 | 9 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $150.20 – $1,726.88 | 9 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $128.74 – $150.01 | 3 |
| Rmvl icd by tv extr CPT 33244 | $3,043.52 | $12,372.00 | $885.82 – $9,526.44 | 11 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $397.67 – $23,923.60 | 9 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $414.48 – $34,171.87 | 9 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $29,847.18 | $121,330.00 | $382.65 – $93,424.10 | 11 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $221.72 – $3,878.84 | 9 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $108.00 – $150.01 | 3 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $499.23 – $3,647.53 | 3 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,396.03 – $7,291.55 | 3 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $163.07 – $658.95 | 9 |
| Rmvl perm pm pulse gen CPT 33233 | $4,614.96 | $18,760.00 | $241.03 – $14,445.20 | 11 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $164.15 – $7,291.55 | 3 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $6,973.12 | $28,346.00 | $383.37 – $21,826.42 | 11 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $5,339.68 | $21,706.00 | $349.03 – $16,713.62 | 11 |
| Rmvl pq iabp CPT 33968 | not published | not published | $34.33 – $7,291.55 | 3 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $191.33 – $7,291.55 | 3 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,320.68 – $3,458.17 | 9 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $7,291.55 – $7,291.55 | 1 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $7,291.55 – $7,291.55 | 1 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $357.26 – $3,878.84 | 9 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $87.62 – $749.90 | 9 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $582.56 – $3,050.43 | 9 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $103.35 – $425.30 | 9 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $2,169.30 – $7,291.55 | 3 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $2,371.72 – $7,291.55 | 3 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $1,275.26 – $7,291.55 | 3 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $653.37 – $3,878.84 | 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.