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Hospital Phoenix-Mesa-Chandler, AZ

Dignity Health East Valley Rehabilitation Hospital

Dignity Health East Valley Rehabilitation Hospital in Gilbert, AZ publishes cash prices for 36 common procedures listed here, from its own machine-readable price file updated Mar 16, 2026. Click a procedure to compare it with other hospitals nearby.

1850 S. Santan Village Pkwy Gilbert AZ 85295 Collected Sep 22, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CONTRAST $7,749.00 $7,749.00 —
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN/HEAD WO CONTRAST $238.53 $238.53 —
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST $5,216.00 $5,216.00 —
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMOGRAM DIAG BILATERAL $457.00 $457.00 —
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST $1,029.87 $1,029.87 —
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST $5,166.00 $5,166.00 —
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO CONTRAST $813.60 $813.60 —
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTERUS >14 WEEKS $844.00 $844.00 —
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMOGRAM SCREEN BILATERAL $197.00 $197.00 —
Sleep study in a lab (polysomnography) inpatient CPT 95810 PSS W 4/> PAR W TECH>=6YR $3,865.00 $3,865.00 —
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $1,360.00 $1,360.00 —
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE $1,112.94 $1,112.94 —
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBOSACRAL SP 4+ VIEWS $923.00 $923.00 —

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA $27.92 $27.92 —
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $61.87 $61.87 —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $46.40 $46.40 —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 S/O LIPOPROFILE NMR $55.65 $55.65 —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $92.46 $92.46 —
Complete blood count (CBC) with differential inpatient CPT 85025 CBC, W/ AUTO DIFF $26.92 $26.92 —
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF $46.32 $46.32 —
Complete blood count (CBC), no differential inpatient CPT 85027 CBC, AUTO W/O DIFF $22.42 $22.42 —
Complete blood count (CBC), no differential inpatient CPT 85027 AUTOMATED CBC $36.15 $36.15 —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL $34.85 $34.85 —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL $79.56 $79.56 —
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $28.64 $28.64 —
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL $63.05 $63.05 —
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $28.31 $28.31 —
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL $63.00 $63.00 —
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC ATG (FREE) $228.90 $228.90 —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ATG (TOTAL) $63.72 $63.72 —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 S/O PSA FREE/TOTAL $76.65 $76.65 —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN $90.95 $90.95 —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCRN $135.45 $135.45 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $20.82 $20.82 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 S/O INHIB ASSY PTT 1HR $21.00 $21.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 S/O PTT-D HEPARIN RFLX $21.00 $21.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 S/O INHIB ASSAY PTT WRFLX $21.00 $21.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 S/O THROM RISK PTT $21.00 $21.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 S/O THROMBO RISK WRFX $25.20 $25.20 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 S/O LUPUS ANTICOAGULANT $25.20 $25.20 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT $40.53 $40.53 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $14.87 $14.87 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 S/O THROMBO RISK WRFX $21.00 $21.00 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 S/O INHIB ASSAY PT W/RFLX $21.00 $21.00 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 S/O LUPUS ANTICOAGULANT $21.00 $21.00 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 DIC SCREEN $59.85 $59.85 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/PTT $77.70 $77.70 —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $58.21 $58.21 —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE $142.99 $142.99 —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH ULTRA SENSITIVE $201.00 $201.00 —
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/MICROSCOPIC $10.98 $10.98 —
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AND MICROSCOPI $20.57 $20.57 —
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NONAUTO W/MICROSCOP $46.95 $46.95 —
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO W/O MICRO $7.80 $7.80 —
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS MACRO ONLY $23.27 $23.27 —
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICRO $48.30 $48.30 —
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O MICROSC $90.30 $90.30 —

Surgery and procedures

ProcedureCash price List priceOff list
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 ANES/STE EPI L/S SNGL INJ $4,011.00 $4,011.00 —
Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE NDL/PUNCH $2,144.00 $2,144.00 —

Doctor visits and therapy

ProcedureCash price List priceOff list
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG $489.80 $489.80 —
New patient office visit, about 45 minutes inpatient CPT 99204 OP VISIT NEW PT LEVEL IV $1,849.05 $1,849.05 —
New patient office visit, about 60 minutes inpatient CPT 99205 OP VISIT NEW PT LEVEL V $1,814.01 $1,814.01 —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES $112.67 $112.67 —

Source file: https://www.dignityhealthevrehabgilbert.com/docs/zirfdignityhealtheastvalleyrehabilitationhospitalgilbertlibraries/mar2026/473724879_dignity-health-east-valley-rehabilitation-hospital-gilbert_standardcharges.csv.zip