Visits & medical services prices at Flagstaff Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $8,051.05 $16,102.10 1.0×
Administration of prolonged chemotherapy into artery (96425) $580 $1,160 1.6×
Aep threshold estimation mlt frequencies i&r (92652) $813.53 $1,627.06 3.5×
Airway inhalation treatment (94640) $222.89 $445.77 1.0×
Arrhythmia induction (93618) $2,924.69 $5,849.38 2.3×
Assessment of aphasia (96105) $220.46 $440.92 2.3×
Basic vestibular evaluation (92540) $245.62 $491.23 1.1×
Behavioral and qualitative analysis of voice and resonance (92524) $196.14 $392.26 1.8×
Bfb training 1st 15 min (90912) $40.27 $80.54 0.5×
Bfb training ea addl 15 min (90913) $39.38 $78.75 1.2×
Bis extracellular fluid alys lymphedema assmnt (93702) $186.12 $372.23 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $555.15 $1,110.30 1.4×
Bundle of his recording (93600) $4,507.27 $9,014.54 0.5×
Canalith Repositioning (95992) $74.06 $148.12 1.8×
Cardiac Stress Tst,Tracing Only (93017) $1,149.29 $2,298.58 5.0×
Cardiopulmonary exercise testing (94621) $846.49 $1,692.97 2.1×
Cardiopulmonary resuscitation (92950) $682.15 $1,364.29 3.0×
Cardioversion (92960) $1,684.30 $3,368.59 2.4×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $9,913.73 $19,827.45 2.9×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $13,665.89 $27,331.78 4.0×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $23,471.08 $46,942.15 1.2×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $6,858.25 $13,716.50 2.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $13,895.97 $27,791.94 4.0×
Cbt 1st hour (94644) $542.01 $1,084.02 3.8×
Chemo Hormon Antineopl Sq/Im (96402) $154.64 $309.28 2.0×
Chemo inj subarach/intravent (96542) $441.90 $883.80 1.3×
Chemo IV push addl drug (96411) $250.08 $500.16 3.3×
Chemo Iv Push Sngl Drug (96409) $309 $618 0.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $497.64 $995.28 1.4×
Chemother, IV infusion, 1 hr (96413) $451.42 $902.83 1.3×
Chemother, IV infusion, ea add hr (96415) $134.13 $268.26 1.7×
Chemother,ia infusn tech,<1 hr (96422) $222.50 $445 0.6×
Chemother,Ia Push Technique (96420) $380 $760 1.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $244.96 $489.92 3.2×
Chemotherapy admn intraarterial infusion ea hr (96423) $96 $192 1.9×
Chemotherapy, unspecified procedure (96549) $126.50 $253 2.5×
Chemotx Admn Cns Req Spinal Puncture (96450) $464.88 $929.76 1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $223.55 $447.10 2.9×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $39 $78 0.4×
Color/duplex Doppler, complete (93975) $1,171.03 $2,342.05 4.6×
Color/duplex Doppler, limited (93976) $870.23 $1,740.45 7.8×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $115.50 $231 0.6×
Computerized dynamic posturography (92548) $373.06 $746.13 2.6×
Continuous Glucose Monitoring (95250) $345.45 $690.89 2.4×
Coronary artery angio s&i (93454) $10,003.67 $20,007.34 2.9×
Cpap initiation and management (94660) $591.95 $1,183.89 2.5×
Cpt initial (94667) $197.32 $394.63 1.4×
Critical care (99291) $2,950.07 $5,900.13 3.3×
Debridement Open Wound 20 Sq Cm< (97597) $276.61 $553.21 1.3×
Demo &/or eval,pt use,aerosol device (94664) $312.06 $624.10 1.3×
Developmental tst admin phys/qhp 1st hour (96112) $204.60 $409.20 1.5×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $1,352.57 $2,705.13 3.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $989.34 $1,978.67 3.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $936.68 $1,873.35 3.7×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $643.77 $1,287.54 5.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $843.24 $1,686.48 3.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $426.93 $853.85 3.8×
Dup-scan xtr veins unilateral/limited study (93971) $414.22 $828.44 3.7×
Duplex hemodialysis access (93990) $375.07 $750.13 3.4×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $469.95 $939.90 1.8×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $318.84 $637.68 2.9×
Duplex scan extracranial art compl bi study (93880) $949.33 $1,898.65 3.7×
Echo Heart Xthoracic,Limited (93308) $674.44 $1,348.87 2.6×
Echo transesophageal (93312) $2,021.60 $4,043.20 3.5×
Echo Transthoracic - Congenital Tte Complete (93303) $1,097.25 $2,194.50 1.9×
Echo Transthoracic - Congenital Tte Limited (93304) $1,651.59 $3,303.17 2.8×
EEG awake asleep (95819) $1,422.46 $2,844.91 6.2×
EEG awake drowsy (95816) $935.89 $1,871.78 4.1×
EEG cerebral death evaluation (95824) $1,108.70 $2,217.39 2.8×
EEG coma or sleep only (95822) $991.91 $1,983.81 4.3×
EEG cont rec w/video by tech min 8 channels (95700) $415.29 $830.57 1.8×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,213.75 $2,427.50 5.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $415.29 $830.57 1.8×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $796.78 $1,593.56 2.0×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $796.78 $1,593.56 2.0×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $796.78 $1,593.56 2.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $415.29 $830.57 1.8×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $415.29 $830.57 1.8×
EKG (93005) $331.84 $663.67 5.3×
Electroconvulsive Therapy (90870) $973.73 $1,947.46 1.1×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $790.51 $1,581.01 3.4×
EMG cranial nerve bilat (95868) $601.63 $1,203.25 2.6×
EMG cranial nerve unilat (95867) $450.67 $901.34 2.0×
EMG four extremities (95864) $828.69 $1,657.38 6.0×
EMG one extremity (95860) $376.20 $752.40 2.6×
EMG thoracic paraspinal (95869) $165.95 $331.90 0.7×
EMG three extremities (95863) $752.41 $1,504.81 5.5×
EMG two extremities (95861) $676.10 $1,352.20 4.8×
Ep & ablate supravent arrhyt (93653) $22,629.68 $45,259.36 0.8×
Ep & ablate ventric tachy (93654) $23,330.52 $46,661.04 0.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $11,613.84 $23,227.68 1.4×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $9,763.88 $19,527.75 1.2×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $2,613.50 $5,226.99 2.0×
Er level 1 (99281) $434.36 $868.71 4.8×
Er level ii (99282) $490.73 $981.45 3.0×
Er level iii (99283) $694.96 $1,389.92 2.4×
Er level IV (99284) $1,072.53 $2,145.05 2.4×
Er level v (99285) $2,197.06 $4,394.12 3.5×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $195.50 $391 1.4×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $301.08 $602.16 4.2×
Evaluation of speech fluency (92521) $263.74 $527.48 2.0×
Evaluation of speech sound production (92522) $314.87 $629.74 2.8×
Evaluation of swallowing function (92610) $220.46 $440.92 2.6×
Evaluation with prescription of speech-generating alternative (92607) $218.55 $437.10 1.8×
Exhaled Air Analysis (94690) $183.12 $366.24 2.9×
External Ecg Scanning Analysis Report (93226) $587.27 $1,174.54 9.3×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $199.74 $399.46 1.0×
Flow volume loop (94375) $259.13 $518.26 1.1×
Fundus photography w/interpretation & report (92250) $171.73 $343.45 1.2×
Group Therapeutic Procedures (97150) $59.56 $119.13 3.3×
Health Behavior Assessment/Re-Assessment (96156) $84.48 $168.95 0.8×
Holter Monitor Recording (93225) $467.54 $935.08 3.3×
Icd Device Interrogate (93289) $133.68 $267.35 3.4×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $41.05 $82.10 0.5×
Immunization Admin (90471) $85.24 $170.47 1.1×
Injection intra arterial (96373) $165 $330 0.7×
Ins swan ganz bedside (93503) $2,946.51 $5,893.01 1.8×
Interrogation eval in person wr defibrillator (93292) $84.65 $169.29 2.1×
Intra Atrial Recording (93602)
unusually low: confirm this is the full procedure
$4,043.78 $8,087.55 0.5×
Intralesional Chemo Admin,8+ Lesn (96406) $222.50 $445 1.0×
Intralesional Chemo Admin,<8 Lesn (96405) $212.50 $425 2.8×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$4,043.78 $8,087.55 0.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $103.11 $206.21 1.6×
IV infusion hydration each additional hour (96361) $76.55 $153.10 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $144.05 $288.09 0.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $76.55 $153.10 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $145.83 $291.65 0.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $72.92 $145.83 1.5×
IV push initial (96374) $112.28 $224.56 0.5×
Laryngeal Function Studies (92520) $235.29 $470.58 1.7×
Manual therapy 15 min (97140) $74.46 $148.92 2.7×
Massage 15 min (97124) $35.56 $71.12 1.2×
Maximum voluntary ventilation (94200) $175.19 $350.38 2.8×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $1,813.13 $3,626.25 1.2×
Mechanical traction (97012) $63.80 $127.60 4.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $31.42 $62.84 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $30.74 $61.48 0.8×
Methacholine challenge (94070) $622.97 $1,245.93 1.6×
Mnt Group Ea 30 Min (97804) $17.40 $34.80 1.0×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $220.46 $440.92 2.4×
Multiple sleep latency test (95805) $2,092 $4,184 2.3×
Nasopharyngoscopy (92511) $212.96 $425.92 1.0×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $403.15 $806.29 2.8×
Neg press wnd tx </=50 sq cm (97607) $208.45 $416.90 0.5×
Neg press wound tx >50 cm (97608) $208.45 $416.90 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $200.26 $400.50 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $248.08 $496.16 0.6×
Nerve conduction studies 13/> studies (95913) $634.96 $1,269.91 1.6×
Nerve Conduction Studies 3-4 Studies (95908) $403.15 $806.29 1.7×
Nerve Conduction Studies 9-10 Studies (95911) $622.69 $1,245.38 1.6×
Nerve conduction studies; 1-2 studies (95907) $602.19 $1,204.37 2.6×
Nerve conduction studies; 11-12 studies (95912) $634.96 $1,269.91 1.6×
Nerve conduction studies; 5-6 studies (95909) $423.30 $846.60 1.8×
Nerve conduction studies; 7-8 studies (95910) $423.30 $846.60 1.1×
Neurobehavioral Status Exam (96116) $155.70 $311.40 0.7×
Neuromuscular junction test (95937) $196.23 $392.45 1.4×
Nitric oxide expired gas determination (95012) $68.96 $137.92 1.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $509.22 $1,018.44 3.6×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $719.34 $1,438.68 3.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $306.60 $613.19 2.2×
Nrpsyc tst eval phys/qhp 1st (96132) $373.49 $746.97 0.9×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $428.91 $857.81 1.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $85.33 $170.66 1.9×
Oscillating Tracking Test (92545) $117.35 $234.70 0.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $59.26 $118.52 1.8×
Ot Contrast Bath Ea 15 Min (97034) $56.38 $112.75 4.0×
Ot eval high complex 60 min (97167) $128.83 $257.66 1.3×
Ot eval low complex 30 min (97165) $102.02 $204.05 1.0×
Ot eval mod complex 45 min (97166) $120.44 $240.86 1.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $65.70 $131.39 1.3×
Ot Prosthetic Training, Each 15 Min (97761) $65.62 $131.23 1.6×
Ot re-eval est plan care (97168) $61.20 $122.40 0.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $134.33 $268.65 1.0×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $145.60 $291.20 1.1×
Paraffin bath (97018) $65.70 $131.39 10.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $320.68 $641.35 1.4×
Plethysmography (94726) $905.85 $1,811.70 2.3×
Prq balloon valvuloplasty aortic valve (92986) $8,497.31 $16,994.62 1.4×
Prq Balloon Valvuloplasty Mitral Valve (92987) $9,509.28 $19,018.56 0.8×
Prq card revasc chronic 1vsl (92943) $14,142.48 $28,284.96 1.1×
Prq Card Stent W/Angio 1 Vsl (92928) $14,061.21 $28,122.41 1.1×
Prq Card Stent/Ath/Angio (92933) $15,361.67 $30,723.33 0.8×
Prq revasc byp graft 1 vsl (92937) $14,223.77 $28,447.53 1.2×
Prq tcat plmt ntrac st 2+les (92930) $23,410.87 $46,821.73 1.2×
Prq trluml coronary angioplasty one art/branch (92920) $8,161.65 $16,323.30 1.3×
Psychiatric diagnostic evaluation (90791) $284 $567.99 1.5×
Psycl tst eval phys/qhp 1st (96130) $429.51 $859.02 1.9×
Psycl/Nrpsyc Tst Auto Result (96146) $429.51 $859.02 13.9×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $373.49 $746.97 0.8×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $373.49 $746.97 2.6×
Psytx crisis initial 60 min (90839) $310.74 $621.47 1.6×
Pt Aquatic Therapy/Exercises (97113) $55.66 $111.30 1.5×
Pt Electric Current Therapy (97033) $58.74 $117.48 3.1×
Pt Electrical Stimulation (97032) $75.94 $151.86 5.2×
Pt eval high complex 45 min (97163) $128.83 $257.66 1.3×
Pt eval low complex 20 min (97161) $139.44 $278.87 1.4×
Pt Gait Training Therapy (97116) $65.70 $131.39 2.3×
Pt Infrared Therapy (97026) $65.62 $131.23 9.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $74.46 $148.92 2.3×
Pt Physical Performance Test (97750) $72.98 $145.96 2.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $110.43 $220.86 1.1×
Pt re-evaluation (97164) $65.72 $131.44 1.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $78.46 $156.92 2.4×
Pt Ultrasound Therapy (97035) $69.73 $139.46 4.9×
Pt Whirlpool Therapy (97022) $62.57 $125.14 4.0×
Pulm function test by gas (94727) $106.26 $212.52 0.5×
Pulmonary stress testing (94618) $142.48 $284.95 1.0×
R & l hrt cath w/njx l ventriculog img s&i (93453) $10,728.78 $21,457.55 3.1×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $10,225.21 $20,450.42 3.0×
R hrt art/grft angio (93457) $9,877.60 $19,755.19 2.9×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $9,577.75 $19,155.49 2.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $304.22 $608.43 7.6×
Repet tms tx initial w/map/motr threshld/del&m (90867) $324.27 $648.54 1.4×
Repet tms tx subseq motr threshld w/deliv & mn (90869) $240.25 $480.50 1.0×
Right heart cath (93451) $6,295.65 $12,591.29 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $224.61 $449.22 1.0×
Rt Chest Wall Manipulation,Subsequent (94668) $207.71 $415.41 1.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $204.60 $409.20 4.3×
Sc Ther Infusion Reset Pump (96371) $152.50 $305 2.0×
Sensory Integration Ea 15 Min (97533) $88.32 $176.65 1.5×
Short-latency somatosens ep std upr limbs (95925) $1,295.01 $2,590.02 5.6×
Sinusoidal Rotational Test (92546) $162.04 $324.06 1.2×
Smoking cessation > 10 min (99407) $47.96 $95.92 1.2×
Speech group therapy (92508) $162.80 $325.60 6.8×
Speech sound lang comprehen (92523) $421.44 $842.88 1.9×
Spirometry (94010) $260.79 $521.58 1.1×
Spontaneous Nystagmus Test (92541) $86.18 $172.37 0.6×
Standardized Cognitive Performance Testing (96125) $235.29 $470.58 2.3×
Stress echo (93350) $1,650.32 $3,300.63 2.8×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $96 $192 1.9×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $292.50 $585 1.3×
Temp transcutaneous pacing (92953) $348.73 $697.45 0.5×
Test for abnormal eye movement using a moving target with recording (92544) $83.22 $166.44 0.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $56.28 $112.56 2.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $64.24 $128.48 3.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $214.83 $429.66 2.1×
Ther/prop/diag inj/inf proc (96379) $929.49 $1,858.98 18.6×
Ther/Proph/Diag Inj Sc/Im (96372) $93.41 $186.81 1.2×
Therap repetitive tms tx subseq delivery & mng (90868) $241.40 $482.79 1.0×
Therapeutic Activities (97530) $65.70 $131.39 1.9×
Therapeutic phlebotomy (99195) $201.50 $403 1.4×
Tilt Table Eval (93660) $1,546.88 $3,093.75 3.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $34.34 $68.68 0.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,247.80 $4,495.60 3.9×
Tx atrial fib pulm vein isol (93656) $23,698.30 $47,396.59 0.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $267.41 $534.82 3.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $204.60 $409.20 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $88.96 $177.92 1.8×
Unlisted pulmonary service/procedure (94799) $182.02 $364.03 1.3×
Valvuloplasty pulmonary valve (92990) $9,188.02 $18,376.04 0.7×
Vasc Duplex Extrem Venous,Bilat (93970) $652.33 $1,304.65 2.6×
Vasc Duplex Scan Extracranial,Limited (93882) $424.45 $848.89 3.8×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $493.84 $987.68 2.1×
Vasopneumatic device (97016) $58.28 $116.54 4.8×
Veeg by tech 2-12 hours unmonitored (95711) $415.29 $830.57 1.8×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $796.78 $1,593.55 2.0×
Veeg by tech 2-12 hr intermittent monitoring (95712) $498.34 $996.68 1.3×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $1,491.40 $2,982.80 1.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $956.14 $1,912.27 2.4×
Veeg Ea 12-26 Hr Unmntr (95714) $796.78 $1,593.56 2.0×
Ventilation assist & mgmt inpatient 1st day (94002) $1,063.50 $2,127 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $897 $1,794 1.4×
Visual Evoked Potential Test (95930) $1,036.66 $2,073.31 4.5×
Vital capacity total (94150) $154.94 $309.87 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $57.64 $115.28 1.9×