Mercy Gilbert Medical Center — price list
← Hospital overviewVerified from Mercy Gilbert Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
23 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| BRONCH ALVEOLAR LAVAGE Inpatient | 100118 CDM | $9,600 | $2,362 | $5,184 – $7,392 | — | |
| BRONCH ALVEOLAR LAVAGE Outpatient | 100118 CDM | $9,600 | $2,362 | $1,344 – $7,392 | — | |
| BX LIVER NEEDLE PERC Inpatient | 100189 CDM | $5,033 | $1,238 | $2,718 – $3,875 | — | |
| BX LIVER NEEDLE PERC Outpatient | 100189 CDM | $5,033 | $1,238 | $705 – $3,875 | — | |
| BX SKIN PUNCH SNG LESION Inpatient | 100137 CDM | $895 | $220 | $483 – $689 | — | |
| BX SKIN PUNCH SNG LESION Outpatient | 100137 CDM | $895 | $220 | $125 – $689 | — | |
| DEBRIDE INFECTED SKIN ADD-ON Outpatient | 11001 CPT | — | — | $15.38 – $1,795 | — | |
| FNA BX W/CT GDN EA ADDL Outpatient | 10010 CPT | — | — | $74.74 – $2,056 | — | |
| FNA BX W/MR GDN 1ST LES Outpatient | 10011 CPT | — | — | $103 – $2,782 | — | |
| FNA BX W/MR GDN EA ADDL Outpatient | 10012 CPT | — | — | $67.10 – $1,100 | — | |
| HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Inpatient | 001 MS-DRG | — | — | $182,840 – $676,140 | — | |
| INS/REPL/DECL NONTUN/PIC Inpatient | 100168 CDM | $1,627 | $400 | $879 – $1,253 | — | |
| INS/REPL/DECL NONTUN/PIC Outpatient | 100168 CDM | $1,627 | $400 | $228 – $1,253 | — | |
| INSERT CATH BLADDER Inpatient | 100167 CDM | $409 | $101 | $221 – $315 | — | |
| INSERT CATH BLADDER Outpatient | 100167 CDM | $409 | $101 | $57.26 – $315 | — | |
| INTRO CATH DIALY CIRCUIT Inpatient | 100129 CDM | $5,170 | $1,272 | $2,792 – $3,981 | — | |
| INTRO CATH DIALY CIRCUIT Outpatient | 100129 CDM | $5,170 | $1,272 | $724 – $3,981 | — | |
| LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Inpatient | 0011 APR-DRG | — | — | $40,114 – $40,114 | — | |
| LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Inpatient | 0012 APR-DRG | — | — | $40,114 – $40,114 | — | |
| LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Inpatient | 0013 APR-DRG | — | — | $47,539 – $47,539 | — | |
| LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Inpatient | 0014 APR-DRG | — | — | $100,856 – $100,856 | — | |
| RL-A-14-3-3 TAU 3001255B Inpatient | 0035U CPT | $2,164 | $532 | $1,169 – $1,666 | — | |
| RL-A-14-3-3 TAU 3001255B Outpatient | 0035U CPT | $2,164 | $532 | $24.60 – $2,164 | — |