Supplies, drugs & other prices at Flagstaff Medical Center

Flagstaff, AZ · every code in this section with a posted price and a Medicare benchmark.

24 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Behavior counsel obesity 15m (G0447) $49.30 $98.59 0.5×
Diab manage trn per indiv (G0108) $45.83 $91.66 0.8×
Diab manage trn ind/group (G0109) $25.46 $50.92 1.6×
Direct refer hospital observ (G0379) $326.73 $653.45 0.5×
Drug test def 1-7 classes (G0480) $90.91 $181.82 0.8×
Elec stim unattend for press (G0281) $59.26 $118.52 5.1×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure
$18,652.12 $37,304.23 0.4×
Fecal blood scrn immunoassay (G0328) $46 $91.99 2.5×
Hospital outpt clinic visit (G0463) $170.95 $341.89 1.2×
Ig paraprotein qual bld/ur (0077U) $100.10 $200.20 2.3×
Oth resp proc, group (G0239) $69.34 $138.68 1.7×
Oth resp proc, indiv (G0238) $69.34 $138.68 2.2×
Pemivibart infusion (M0224) $534.16 $1,068.32 1.1×
Perc d-e cor revasc t cabg s (C9604) $14,223.77 $28,447.53 1.2×
Perc d-e cor stent ather s (C9602) $15,361.67 $30,723.33 0.8×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $7,595.99 $15,191.98 0.6×
Ppps, initial visit (G0438) $97.50 $195 0.6×
Ppps, subseq visit (G0439) $97.50 $195 0.7×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $1,216.43 $2,432.85 1.2×
Therapeutic procd strg endur (G0237) $86.26 $172.51 2.8×
Trauma respons w/hosp criti (G0390) $10,885.34 $21,770.68 7.7×
Trluml peripheral atherectomy iliac artery ea (0238T) $15,540.12 $31,080.23 0.8×
Tte w or wo fol wcon,doppler (C8929) $1,524.36 $3,048.72 1.8×
Unsched dialysis esrd pt hos (G0257) $1,262.45 $2,524.90 1.7×