Arizona / Mercy Gilbert Medical Center
CMS certification 030119 · Gilbert, AZ · 2 entries in CMS's price-transparency list
Mercy Gilbert Medical Center: charges and Medicare payments
Mercy Gilbert Medical Center reported 3,034 Medicare inpatient stays across 96 DRGs in 2024. Across them it charged 7.61 times what it was paid — among the higher ratios in Arizona, number 16 of 53 hospitals with at least 100 stays (state median 5×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 386 stays at an average charge of $107,274, 19% above the national average. It also billed 2,384 outpatient services, charging 10.98 times what Medicare paid.
- 1Medicare inpatient stays 3,034
- 2Charge ÷ paid, inpatient 7.61×
- 3Rank in AZ (highest ratio = 1) 16 of 53
- 4CMS price-transparency actions 2
Inpatient stays
For the 96 DRGs that can be compared with the national average, Mercy Gilbert Medical Center charged more than the national average in 86 (90%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 386 | $107,274 | +19% | $15,113 |
| 291 Heart Failure and Shock with MCC | 147 | $79,326 | +41% | $10,108 |
| 193 Simple Pneumonia and Pleurisy with MCC | 112 | $76,262 | +28% | $9,932 |
| 177 Respiratory Infections and Inflammations with MCC | 108 | $98,929 | +40% | $13,014 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 95 | $62,325 | +55% | $6,262 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 85 | $70,600 | +44% | $8,352 |
| 378 Gastrointestinal Hemorrhage with CC | 67 | $62,324 | +28% | $7,889 |
| 690 Kidney and Urinary Tract Infections without MCC | 66 | $48,936 | +29% | $6,253 |
| 603 Cellulitis without MCC | 64 | $53,333 | +43% | $7,281 |
| 312 Syncope and Collapse | 61 | $51,078 | +12% | $6,842 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 61 | $82,010 | +12% | $11,928 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 54 | $47,254 | +31% | $5,983 |
| 683 Renal Failure with CC | 54 | $49,000 | +20% | $7,223 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 52 | $77,512 | +53% | $8,485 |
| 189 Pulmonary Edema and Respiratory Failure | 49 | $81,325 | +41% | $9,713 |
| 682 Renal Failure with MCC | 49 | $67,955 | +3% | $10,957 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 42 | $200,900 | -12% | $36,081 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 41 | $125,534 | +35% | $14,313 |
| 689 Kidney and Urinary Tract Infections with MCC | 40 | $64,481 | +26% | $8,644 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 36 | $46,559 | +26% | $6,345 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 35 | $94,890 | +25% | $11,120 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 34 | $65,185 | +17% | $7,440 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 34 | $56,481 | -6% | $9,668 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 31 | $139,928 | +22% | $16,434 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 30 | $83,705 | -16% | $13,307 |
| 194 Simple Pneumonia and Pleurisy with CC | 30 | $56,265 | +47% | $6,752 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 30 | $67,818 | +34% | $7,711 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 30 | $68,238 | +20% | $9,398 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 30 | $142,537 | +53% | $12,610 |
| 389 Gastrointestinal Obstruction with CC | 29 | $50,987 | +31% | $6,321 |
| 552 Medical Back Problems without MCC | 29 | $52,239 | +7% | $7,787 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 29 | $52,057 | +10% | $7,885 |
| 638 Diabetes with CC | 26 | $51,971 | +25% | $7,661 |
| 149 Dysequilibrium | 24 | $51,181 | +15% | $5,967 |
| 314 Other Circulatory System Diagnoses with MCC | 24 | $106,132 | +12% | $15,242 |
| 377 Gastrointestinal Hemorrhage with MCC | 24 | $82,948 | -3% | $13,274 |
| 330 Major Small and Large Bowel Procedures with CC | 23 | $131,432 | +10% | $18,665 |
| 069 Transient Ischemia without Thrombolytic | 22 | $62,763 | +24% | $6,373 |
| 394 Other Digestive System Diagnoses with CC | 22 | $58,429 | +24% | $7,334 |
| 481 Hip and Femur Procedures except Major Joint with CC | 22 | $113,559 | +13% | $16,040 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $150,684 | +47% | $15,536 |
| 071 Other Cerebrovascular Disorders with CC | 20 | $58,232 | +15% | $7,842 |
| 092 Other Disorders of Nervous System with CC | 20 | $60,258 | +17% | $8,031 |
| 305 Hypertension without MCC | 20 | $48,735 | +22% | $6,815 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $59,125 | -3% | $9,885 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 18 | $93,602 | +44% | $10,847 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 18 | $36,652 | +28% | $5,903 |
| 602 Cellulitis with MCC | 18 | $76,457 | +27% | $10,762 |
| 393 Other Digestive System Diagnoses with MCC | 17 | $61,566 | -20% | $13,635 |
| 202 Bronchitis and Asthma with CC/MCC | 16 | $63,202 | +37% | $7,509 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 16 | $113,980 | -16% | $18,238 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 16 | $78,079 | +22% | $9,109 |
| 313 Chest Pain | 16 | $43,736 | +10% | $6,338 |
| 390 Gastrointestinal Obstruction without CC/MCC | 16 | $44,076 | +58% | $4,604 |
| 467 Revision of Hip or Knee Replacement with CC | 16 | $240,157 | +52% | $25,950 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 16 | $53,895 | +10% | $7,503 |
| 812 Red Blood Cell Disorders without MCC | 16 | $54,586 | +23% | $7,651 |
| 948 Signs and Symptoms without MCC | 16 | $52,677 | +38% | $5,831 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 15 | $57,767 | +36% | $6,605 |
| 091 Other Disorders of Nervous System with MCC | 15 | $84,240 | +2% | $12,292 |
Showing the 60 most frequent of 96 DRGs.
Outpatient services
Against the Arizona average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Gilbert Medical Center charged $107,274 on average, 22% more than the Arizona average of $87,638, and was paid $15,113 against a state average of $17,455. For Heart Failure and Shock with MCC (DRG 291), Mercy Gilbert Medical Center charged $79,326 on average, 32% more than the Arizona average of $59,877, and was paid $10,108 against a state average of $11,479. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mercy Gilbert Medical Center charged $76,262 on average, 28% more than the Arizona average of $59,468, and was paid $9,932 against a state average of $11,853. For Respiratory Infections and Inflammations with MCC (DRG 177), Mercy Gilbert Medical Center charged $98,929 on average, 40% more than the Arizona average of $70,869, and was paid $13,014 against a state average of $14,917. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,065 was 33% above the state average of $24,129. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $234,483 was 50% above the state average of $155,808. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $36,046 was 6% above the state average of $34,042. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $23,643 was 19% below the state average of $29,259.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mercy Gilbert Medical Center in Gilbert, AZ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-07 (CMS case 584)
- Met Requirements — 2025-05-23 (CMS case 4685)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.