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 |
|---|---|---|---|---|
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $79.71 | $324.00 | $2.04 – $249.48 | 8 |
| Sodium serum/plasma/whole blood CPT 84295 | $44.28 | $180.00 | $4.81 – $115.50 | 10 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $223.86 | $910.00 | $127.40 – $700.70 | 4 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $172.73 – $3,647.53 | 3 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $189.89 – $3,647.53 | 3 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $3,647.53 – $3,647.53 | 1 |
| Special pump services CPT 99190 | $1,798.76 | $7,312.00 | $97.72 – $5,630.24 | 6 |
| Specific gravity body fluid CPT 84315 | $6.89 | $28.00 | $3.28 – $21.56 | 10 |
| Sperm washing 58323 CPT 58323 | not published | not published | $76.79 – $219.78 | 9 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $733.47 – $6,305.03 | 9 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $786.40 – $2,922.89 | 9 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $114.08 – $3,647.53 | 3 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $3,647.53 – $3,647.53 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $658.05 | $2,675.00 | $88.69 – $2,059.75 | 10 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $176.88 | $719.00 | $40.77 – $553.63 | 10 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,198.37 – $7,291.55 | 3 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,407.48 – $7,291.55 | 3 |
| Splicing of ureters CPT 50770 | not published | not published | $1,203.02 – $7,291.55 | 3 |
| Splint func pos polyflex ii med HCPCS L3999 | $56.58 | $230.00 | $32.20 – $177.10 | 7 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $724.53 – $3,901.94 | 9 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $136.61 – $1,215.84 | 3 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,450.85 – $3,904.05 | 3 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,073.57 – $3,904.05 | 3 |
| Srs cran les complex addl CPT 61799 | not published | not published | $313.63 – $1,953.78 | 3 |
| Srs cran les simple addl CPT 61797 | not published | not published | $227.09 – $1,953.78 | 3 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,185.86 – $3,904.05 | 3 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $260.70 – $1,953.78 | 3 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $8,371.38 | $34,030.00 | $725.60 – $26,203.10 | 11 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $61,884.01 | $251,561.00 | $578.48 – $4,132.00 | 7 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $5,115.57 | $20,795.00 | $32.20 – $218.22 | 7 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $36,331.01 | $147,687.00 | $71.54 – $511.00 | 7 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $5,946.81 | $24,174.00 | $499.23 – $18,613.98 | 11 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $3,641.05 | $14,801.00 | $214.21 – $11,396.77 | 7 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,097.88 – $2,428.17 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $6,851.35 | $27,851.00 | $702.36 – $21,445.27 | 11 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,480.18 – $7,291.55 | 3 |
| Sternal debridement CPT 21627 | not published | not published | $575.76 – $7,291.55 | 3 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $602.94 – $2,081.30 | 9 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $493.33 – $2,709.29 | 3 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $17.88 – $168.18 | 9 |
| Strapping of chest CPT 29200 | not published | not published | $18.95 – $168.18 | 9 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $19.67 – $63.31 | 9 |
| Strapping of hand or finger CPT 29280 | not published | not published | $21.10 – $63.31 | 9 |
| Strapping of hip CPT 29520 | not published | not published | $18.95 – $137.38 | 9 |
| Strapping of knee CPT 29530 | not published | not published | $18.60 – $137.38 | 9 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $11.80 – $63.31 | 9 |
| Stress test pulmonary CPT 94618 | $135.30 | $550.00 | $35.76 – $423.50 | 10 |
| Stress tte complete CPT 93351 | $826.32 | $3,359.00 | $243.89 – $2,586.43 | 10 |
| Str markers specimen anal CPT 81265 | $229.35 | $932.28 | $130.52 – $717.86 | 10 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $118.73 – $738.10 | 9 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $211.78 – $217.08 | 9 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $304.66 – $668.74 | 9 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $119.44 – $1,718.35 | 3 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $692.35 – $3,458.17 | 9 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $546.08 – $7,613.93 | 9 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $679.11 – $3,458.17 | 9 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $928.02 – $13,713.71 | 9 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,514.87 – $7,291.55 | 3 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $41.33 | $168.00 | $0.82 – $128.59 | 8 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $2,779.57 – $3,999.49 | 9 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $2,779.57 – $3,999.49 | 9 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $2,779.57 – $3,999.49 | 9 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,949.63 – $1,998.38 | 9 |
| Sugars single quant CPT 84378 | $11.35 | $46.12 | $6.46 – $35.52 | 10 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $4,391.10 | $17,850.00 | $3.51 – $167.09 | 6 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $20.91 | $85.00 | $7.56 – $41.58 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $31.49 | $128.00 | $2.66 – $50.23 | 8 |
| Support clav 29.6-40.5in med HCPCS L3650 | $25.59 | $104.00 | $14.00 – $100.00 | 7 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $110.50 – $2,922.89 | 9 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $846.56 – $7,291.55 | 3 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $846.91 – $7,291.55 | 3 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $448.09 – $3,675.98 | 9 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,201.24 – $7,291.55 | 3 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $705.22 – $7,613.93 | 9 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $777.82 – $7,613.93 | 9 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $969.86 – $7,613.93 | 9 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $713.45 – $7,613.93 | 9 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $914.78 – $5,418.22 | 9 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,365.38 – $7,291.55 | 3 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,105.04 – $7,291.55 | 3 |
| Surgical opening of stomach CPT 43510 | not published | not published | $994.53 – $999.27 | 9 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $823.23 – $7,291.55 | 3 |
| Surgical opening of throat CPT 42955 | not published | not published | $797.84 – $1,578.78 | 9 |
| Surgical pathology level 1 gross examination only CPT 88300 | $25.59 | $104.00 | $14.56 – $80.08 | 10 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $269.13 | $1,094.00 | $23.38 – $128.59 | 10 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $382.04 | $1,553.00 | $31.92 – $175.56 | 10 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $1,002.95 | $4,077.00 | $31.92 – $175.56 | 10 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $377.37 | $1,534.00 | $214.76 – $1,181.18 | 10 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $856.82 | $3,483.00 | $454.53 – $2,681.91 | 10 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,410.44 – $7,291.55 | 3 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,590.32 – $7,291.55 | 3 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,122.56 – $7,291.55 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $448.09 – $2,922.89 | 9 |
| Susceptibility agar dilution per agent CPT 87181 | $116.61 | $474.00 | $2.66 – $14.63 | 10 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $13.29 | $54.00 | $2.66 – $14.63 | 10 |
| Susceptibility mic per plate CPT 87186 | $627.55 | $2,551.00 | $4.20 – $23.10 | 10 |
| Suscept studies macrobroth dilution ea CPT 87188 | $44.17 | $179.52 | $3.78 – $20.79 | 10 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,045.31 – $7,291.55 | 3 |
| Suspension of testis CPT 54620 | not published | not published | $313.27 – $3,675.98 | 9 |
| Suspension of uterus CPT 58410 | not published | not published | $860.07 – $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.