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.
63 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| CYSTOURETHROSCOPY Inpatient | 100204 CDM | $1,744 | $429 | $942 – $1,343 | — | |
| CYSTOURETHROSCOPY Outpatient | 100204 CDM | $1,744 | $429 | $244 – $1,343 | — | |
| DRILL INTRACEREBRAL IMP Inpatient | 100214 CDM | $2,915 | $717 | $1,574 – $2,245 | — | |
| DRILL INTRACEREBRAL IMP Outpatient | 100214 CDM | $2,915 | $717 | $408 – $2,245 | — | |
| EGD G TUBE PLACE PERC Inpatient | 100215 CDM | $4,859 | $1,195 | $2,624 – $3,741 | — | |
| EGD G TUBE PLACE PERC Outpatient | 100215 CDM | $4,859 | $1,195 | $680 – $3,741 | — | |
| FNA BX WO IMAG 1ST LESION Inpatient | 10021 CPT | $1,672 | $411 | $903 – $1,287 | — | |
| FNA BX WO IMAG 1ST LESION Outpatient | 10021 CPT | $1,672 | $411 | $57.22 – $1,287 | — | |
| HEART AND/OR LUNG TRANSPLANT Inpatient | 0021 APR-DRG | — | — | $53,018 – $53,018 | — | |
| HEART AND/OR LUNG TRANSPLANT Inpatient | 0022 APR-DRG | — | — | $68,582 – $68,582 | — | |
| HEART AND/OR LUNG TRANSPLANT Inpatient | 0023 APR-DRG | — | — | $81,805 – $81,805 | — | |
| HEART AND/OR LUNG TRANSPLANT Inpatient | 0024 APR-DRG | — | — | $155,626 – $155,626 | — | |
| HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Inpatient | 002 MS-DRG | — | — | $71,529 – $476,086 | — | |
| I D ABSC ISCHIO/PERIRECTL Inpatient | 100218 CDM | $3,021 | $743 | $1,631 – $2,326 | — | |
| I D ABSC ISCHIO/PERIRECTL Outpatient | 100218 CDM | $3,021 | $743 | $423 – $2,326 | — | |
| IMAGE CATH FLUID PERITO Inpatient | 100219 CDM | $6,834 | $1,681 | $3,690 – $5,262 | — | |
| IMAGE CATH FLUID PERITO Outpatient | 100219 CDM | $6,834 | $1,681 | $957 – $5,262 | — | |
| IMP VENTRC CATH CEREB MON Inpatient | 100220 CDM | $12,503 | $3,076 | $6,752 – $9,627 | — | |
| IMP VENTRC CATH CEREB MON Outpatient | 100220 CDM | $12,503 | $3,076 | $1,750 – $9,627 | — | |
| INSERT CATH BLADDER Inpatient | 100023 CDM | $409 | $101 | $221 – $315 | — | |
| INSERT CATH BLADDER Outpatient | 100023 CDM | $409 | $101 | $57.26 – $315 | — | |
| INSERT CATH BLADDER Inpatient | 100225 CDM | $389 | $95.70 | $210 – $300 | — | |
| INSERT CATH BLADDER Outpatient | 100225 CDM | $389 | $95.70 | $54.46 – $300 | — | |
| INSERT CATH BLADDER CPLX Inpatient | 100226 CDM | $371 | $91.27 | $200 – $286 | — | |
| INSERT CATH BLADDER CPLX Outpatient | 100226 CDM | $371 | $91.27 | $51.94 – $286 | — | |
| INSERT CATH BLADDER SMPL Inpatient | 100227 CDM | $508 | $125 | $274 – $391 | — | |
| INSERT CATH BLADDER SMPL Outpatient | 100227 CDM | $508 | $125 | $71.12 – $391 | — | |
| INSERT IAB DEVICE PERC Inpatient | 100228 CDM | $7,821 | $1,924 | $4,223 – $6,022 | — | |
| INSERT IAB DEVICE PERC Outpatient | 100228 CDM | $7,821 | $1,924 | $1,095 – $6,022 | — | |
| INSERT NONTUN CV CATH >5 Inpatient | 100229 CDM | $2,659 | $654 | $1,436 – $2,047 | — |