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 |
|---|---|---|---|---|
| X-ray thoracolumbar spine >=2 views CPT 72080 | $194.10 | $789.00 | $36.48 – $243.32 | 10 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $198.28 | $806.00 | $44.70 – $620.62 | 10 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $272.08 | $1,106.00 | $73.67 – $851.62 | 10 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $352.28 | $1,432.00 | $145.91 – $1,102.64 | 10 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $261.50 | $1,063.00 | $128.74 – $818.51 | 10 |
| Xwrap 1 sq cm HCPCS Q4204 | $6,652.34 | $27,042.00 | $2,911.30 – $16,012.15 | 8 |
| Yersinia antibody CPT 86793 | $12.98 | $52.76 | $7.39 – $40.63 | 10 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $73.31 | $298.00 | $1.55 – $229.46 | 8 |
| Zika virus dna/rna amp probe CPT 87662 | $50.49 | $205.24 | $28.74 – $158.04 | 10 |
| Zika virus igm antibody CPT 86794 | $73.61 | $299.20 | $16.85 – $230.39 | 10 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $59.78 | $243.00 | $6.42 – $187.11 | 8 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $940.95 | $3,825.00 | $5.74 – $2,945.25 | 8 |
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.