Mercy Gilbert Medical Center
Mercy Gilbert Medical Center in Gilbert, Arizona charges 9.1x the Medicare reimbursement rate on average across 84 analyzed procedures at this nonprofit religious hospital.
Gilbert, AZ 85297 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
F
Very high
Avg markup vs Medicare
9.13x
Charge / Medicare rate
Max markup
13.51x
Worst procedure
Procedures analyzed
84
With pricing data
Outlier procedures
2.4%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $56,234 | $28,117 | — | 13.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $156,224 | $78,112 | — | 13x |
| RENAL FAILURE WITHOUT CC/MCC | 684 | $43,757 | $21,878 | — | 12.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $66,290 | $33,145 | — | 11.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $32,069 | $16,034 | — | 11.5x |
| HYPERTENSION WITHOUT MCC | 305 | $49,745 | $24,872 | — | 11.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $53,913 | $26,957 | — | 11.4x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $179,478 | $89,739 | — | 11.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $137,357 | $68,679 | — | 11.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $63,090 | $31,545 | — | 11.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $64,143 | $32,071 | — | 11.1x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $63,084 | $31,542 | — | 11x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $214,647 | $107,323 | — | 11x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $48,659 | $24,330 | — | 10.8x |
| DIABETES WITH CC | 638 | $58,798 | $29,399 | — | 10.8x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $72,728 | $36,364 | — | 10.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $54,250 | $27,125 | — | 10.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $65,133 | $32,567 | — | 10.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $54,769 | $27,385 | — | 10.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $115,634 | $57,817 | — | 10.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $70,303 | $35,151 | — | 10.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $59,347 | $29,674 | — | 10.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $46,510 | $23,255 | — | 10.1x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $118,327 | $59,163 | — | 10x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $83,530 | $41,765 | — | 9.9x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $316,964 | $158,482 | — | 9.9x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $67,663 | $33,832 | — | 9.9x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $50,057 | $25,028 | — | 9.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $68,009 | $34,004 | — | 9.8x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $45,214 | $22,607 | — | 9.5x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $58,461 | $29,231 | — | 9.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $44,325 | $22,163 | — | 9.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $60,212 | $30,106 | — | 9.3x |
| SYNCOPE AND COLLAPSE | 312 | $50,267 | $25,133 | — | 9.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $132,850 | $66,425 | — | 9.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $58,357 | $29,179 | — | 9.3x |
| HYPERTENSION WITH MCC | 304 | $70,725 | $35,362 | — | 9.3x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $99,339 | $49,670 | — | 9.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $43,842 | $21,921 | — | 9.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $56,456 | $28,228 | — | 9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $135,029 | $67,514 | — | 9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $71,219 | $35,610 | — | 9x |
| CELLULITIS WITHOUT MCC | 603 | $50,688 | $25,344 | — | 9x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $78,923 | $39,461 | — | 9x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $61,001 | $30,500 | — | 9x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $64,108 | $32,054 | — | 8.9x |
| RENAL FAILURE WITH CC | 683 | $49,928 | $24,964 | — | 8.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $73,311 | $36,655 | — | 8.8x |
| ENDOCRINE DISORDERS WITH CC | 644 | $57,825 | $28,912 | — | 8.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $43,644 | $21,822 | — | 8.8x |
Showing 50 of 84 procedures
How MERCY GILBERT MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — nonprofit-religious hospital billing
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use