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 |
|---|---|---|---|---|
| Suspension of uterus 58400 CPT 58400 | not published | not published | $490.65 – $7,291.55 | 3 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,097.53 – $7,291.55 | 3 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,438.69 – $7,291.55 | 3 |
| Svc venogram s&i CPT 75827 | $1,165.55 | $4,738.00 | $124.45 – $3,648.26 | 10 |
| Sympathectomy cervical CPT 64802 | not published | not published | $896.90 – $2,081.30 | 9 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $811.08 – $2,081.30 | 9 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $820.02 – $7,291.55 | 3 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $837.54 – $3,458.17 | 9 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,149.74 – $7,291.55 | 3 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $23.62 | $96.00 | $2.47 – $13.56 | 10 |
| System pacing micra av HCPCS C1786 | $30,025.29 | $122,054.00 | $1,655.22 – $11,823.00 | 7 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $30,025.29 | $122,054.00 | $2,152.78 – $15,377.00 | 7 |
| System sealant biosentry tract HCPCS C2613 | $811.80 | $3,300.00 | $175.70 – $1,951.18 | 7 |
| T3 (triiodothyronine) free CPT 84481 | $39.86 | $162.00 | $16.94 – $124.74 | 10 |
| T3 (triiodothyronine) total CPT 84480 | $80.69 | $328.00 | $7.95 – $43.68 | 10 |
| T4 (thyroxine) free CPT 84439 | $102.83 | $418.00 | $5.06 – $27.79 | 10 |
| T4 (thyroxine) total CPT 84436 | $71.10 | $289.00 | $3.85 – $21.16 | 10 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $9.60 | $39.00 | $0.18 – $3.85 | 8 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $376.88 | $1,532.00 | $203.96 – $1,179.64 | 11 |
| Tacrolimus therapeutic drug level CPT 80197 | $64.21 | $261.00 | $7.69 – $42.29 | 10 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,280.17 – $7,291.55 | 3 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,107.44 – $7,291.55 | 3 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,302.08 – $7,291.55 | 3 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $80.46 – $485.85 | 3 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $66.16 – $485.85 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | $747.38 | $3,038.12 | $425.34 – $2,339.36 | 10 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $2,872.89 | $11,678.40 | $1,634.98 – $8,992.37 | 10 |
| Target gsa panel organ neop CPT 81445 | $588.35 | $2,391.64 | $334.83 – $1,841.57 | 10 |
| Tas congenital car anomal CPT 33741 | $1,802.94 | $7,329.00 | $765.30 – $5,643.33 | 6 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $136.61 – $652.42 | 9 |
| Tavr perq femoral CPT 33361 | $7,990.58 | $32,482.00 | $1,232.35 – $25,011.14 | 6 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $61.01 | $248.00 | $34.71 – $190.90 | 10 |
| Tc-99m bicisate HCPCS A9557 | $1,054.61 | $4,287.00 | $100.00 – $3,300.99 | 10 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,368.01 | $5,561.00 | $100.00 – $4,281.97 | 10 |
| Tc-99m exametazime diag HCPCS A9521 | $595.32 | $2,420.00 | $100.00 – $1,863.40 | 10 |
| Tc-99m labeled rbc HCPCS A9560 | $319.56 | $1,299.00 | $100.00 – $1,000.23 | 7 |
| Tc-99m maa HCPCS A9540 | $16.24 | $66.00 | $9.24 – $66.00 | 7 |
| Tc-99m mebrofenin HCPCS A9537 | $92.75 | $377.00 | $52.78 – $290.29 | 7 |
| Tc-99m medronate HCPCS A9503 | $62.49 | $254.00 | $13.33 – $195.58 | 7 |
| Tc-99m mertiatide HCPCS A9562 | $730.62 | $2,970.00 | $100.00 – $2,970.00 | 6 |
| Tc-99m pentetate dtpa HCPCS A9539 | $199.02 | $809.00 | $36.61 – $622.93 | 6 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $626.81 | $2,548.00 | $21.48 – $1,961.96 | 7 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $33.21 | $135.00 | $1.73 – $103.95 | 7 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $142.44 | $579.00 | $65.65 – $445.83 | 7 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $117.84 | $479.00 | $67.06 – $405.59 | 7 |
| Tc-99m sulfur colloid HCPCS A9541 | $227.80 | $926.00 | $100.00 – $926.00 | 7 |
| Tc-99m tilmanocept diag HCPCS A9520 | $305.78 | $1,243.00 | $100.00 – $1,243.00 | 7 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $432.72 – $652.42 | 9 |
| Tcd emboli detect w/inj CPT 93893 | $371.46 | $1,510.00 | $113.34 – $1,162.70 | 10 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $82.25 – $465.96 | 9 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $46.23 | $187.92 | $26.31 – $144.70 | 10 |
| T cells absolute cd 4 count CPT 86361 | $26.36 | $107.12 | $15.00 – $82.49 | 10 |
| T cells total count CPT 86359 | $37.13 | $150.92 | $21.13 – $116.21 | 10 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $493.51 – $7,291.55 | 3 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,046.39 – $7,291.55 | 3 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $3,957.65 | $16,088.00 | $25.41 – $12,387.76 | 11 |
| Tendon lengthening CPT 26476 | not published | not published | $684.48 – $3,458.17 | 9 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $618.32 – $3,458.17 | 9 |
| Tendon shortening CPT 26477 | not published | not published | $668.74 – $3,458.17 | 9 |
| Tendon transfer with graft CPT 26492 | not published | not published | $982.73 – $3,458.17 | 9 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $7,623.30 | $30,989.00 | $125.55 – $23,861.53 | 11 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $636.56 – $7,613.93 | 9 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $641.21 – $3,458.17 | 9 |
| Tenolysis triceps CPT 24332 | not published | not published | $656.58 – $3,458.17 | 9 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $826.81 – $7,613.93 | 9 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $552.16 – $1,705.75 | 9 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $763.15 – $7,291.55 | 3 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $312.56 – $3,458.17 | 9 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $1,985.22 | $8,070.00 | $257.13 – $6,213.90 | 10 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $45.27 | $184.00 | $1.75 – $141.68 | 8 |
| Test stress cardiovascular tracing only CPT 93017 | $463.47 | $1,884.00 | $39.34 – $1,450.68 | 10 |
| Tetanus immune globulin inj HCPCS J1670 | $947.60 | $3,852.00 | $327.88 – $1,803.34 | 11 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $29.68 – $465.96 | 9 |
| Theophylline therapeutic drug level CPT 80198 | $126.94 | $516.00 | $14.14 – $201.74 | 10 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $38.13 | $155.00 | $21.70 – $119.35 | 10 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $41.82 | $170.00 | $23.80 – $130.90 | 10 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $125.52 – $3,456.53 | 9 |
| Ther/proph/diag inj ia CPT 96373 | $251.42 | $1,022.00 | $19.67 – $786.94 | 10 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $25.10 | $102.00 | $1.80 – $78.54 | 8 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,489.12 – $7,291.55 | 3 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,586.39 – $7,291.55 | 3 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | not published | not published | $112.65 – $658.95 | 9 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,800.50 – $7,291.55 | 3 |
| Thoracic duct procedure CPT 38380 | not published | not published | $609.74 – $7,291.55 | 3 |
| Thoracic duct procedure CPT 38381 | not published | not published | $833.96 – $7,291.55 | 3 |
| Thoracic duct procedure CPT 38382 | not published | not published | $710.94 – $7,291.55 | 3 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $218.50 – $3,647.53 | 3 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $3,672.01 – $7,291.55 | 3 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $1,265.61 – $7,291.55 | 3 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,641.82 – $7,291.55 | 3 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $316.13 – $6,218.38 | 9 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $1,557.42 – $7,291.55 | 3 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $219.22 – $3,647.53 | 3 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $1,816.34 – $7,291.55 | 3 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $1,127.92 – $7,291.55 | 3 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,378.61 – $7,291.55 | 3 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $1,090.73 – $7,291.55 | 3 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $986.67 – $7,291.55 | 3 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $691.99 – $7,291.55 | 3 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $1,218.76 – $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.