Phone: (480) 284-5867 Fax: (480) 534-1814

Outpatient Services

Laboratory Test (Single) CPT Code Result Time Price
Complete Blood Count with Differential (CBCD) 85025 Routine $40
Complete Blood Count (CBC) 85027 30 Minutes $55
Basic Metabolic Panel (BMP) 80048 Routine $30
Basic Metabolic Panel (BMP) 80048 30 Minutes $45
Comprehensive Metabolic Panel (CMP) 80053 Routine $40
Comprehensive Metabolic Panel (CMP) 80053 30 Minutes $55
Hepatic Panel (LFT) 80076 Routine $40
Hepatic Panel (LFT) 80076 30 Minutes $55
Urinalysis - Routine (UA) 81001 Routine $20
Urinalysis - Routine (UA) 81001 30 Minutes $35
Urinalysis Culture (UAC) 87088 72-96 Hours $75
D-Dimer 85379 Routine $45
Uric Acid Level 84550 Routine $25
Urine Pregnancy Test- Qualitative (UAHCG) 81025 Routine $20
Urine Pregnancy Test- Qualitative (UAHCG) 81025 Routine $35
Serum Pegnancy Test (Qualitative) 84703 Routine $30
Lactate Level (CG4) 82803/83605 30 Minutes $35
Lipase 83690 Routine $60
Lithium Level 80178 Routine $50
Phenytoin Total 80185 Routine $50
Valporic Acid Level 80164 Routine $50
Prothrombin Time with INR (PT-INR) 85730 Routine $35
Prothrombin Time with INR (PT-INR) (Warfarin Therapy Only) 85730 30 Minutes $50
Point of Care Laboratory Test (Single) CPT Code Price
Urine Drug Screen (10 Panel) 80300 30 Minutes $55
Discounted Panels
Name of Panel Included Price
Nutrition Lab Panel CMP, CBC, Iron, Thiamine, Vitamin B12, Folate, Vitamin D, Vitamin C, Zinc. 24-48 Hours $175
Pre-Operative Lab Panel CBC, CMP, RH Factor, PT INR, aPTT. 24-48 Hours $140
STD Panel 1 (NAAT) GC, Chlamidia, Trich. 72-96 Hours $650
STD Panel 2 (NAAT) GC, Chlamidia, Trich, Herpes 72-96 Hours $750
Thyroid Panel TSH, FT3, FT4, T3 Uptake. 48-72 Hours $115

Outpatient Radiology Test

Study Price
X-Ray Any Body Part $60.00
CT Any Body Part Without Contrast $200
CT Any Body Part With Contrast $300 IV and Labs Included
CT/MRI Angiogram Any Body Part Additional $50 IV and Labs Included
MRI Any Body Part Without Contrast $300
MRI Any Body Part With Contrast $400 IV and Lab Included
Ultrasound Any Body Part Non Pelvic/OB $300
Ultrasound Pregnancy/Pelvic $350
All studies are STAT, and images are provided on a optical disk on
discharge

Other Outpatient Services

Test Why Price
General Physical Required for Sports, Schools, Etc. Please bring the appropriate printed form (typically available on school websites or part of athletic forms). $25