Flagstaff Medical Center
Flagstaff Medical Center, a nonprofit hospital in Flagstaff, Arizona, charges 3.4x the Medicare reimbursement rate across 78 analyzed procedures.
Flagstaff, AZ 86001 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
C
Average
Avg markup vs Medicare
3.36x
Charge / Medicare rate
Max markup
5.58x
Worst procedure
Procedures analyzed
78
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $60,061 | $30,030 | — | 5.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $59,056 | $29,528 | — | 5.2x |
| CELLULITIS WITH MCC | 602 | $77,511 | $38,756 | — | 5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $27,274 | $13,637 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $52,103 | $26,051 | — | 4.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $62,154 | $31,077 | — | 4.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $91,406 | $45,703 | — | 4.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $62,760 | $31,380 | — | 4.5x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $46,729 | $23,365 | — | 4.4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $137,974 | $68,987 | — | 4.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $34,395 | $17,197 | — | 4.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $43,712 | $21,856 | — | 4.3x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $47,668 | $23,834 | — | 4.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $46,797 | $23,398 | — | 4.3x |
| RENAL FAILURE WITH MCC | 682 | $73,439 | $36,719 | — | 4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $53,350 | $26,675 | — | 4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $60,014 | $30,007 | — | 3.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $189,834 | $94,917 | — | 3.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $52,052 | $26,026 | — | 3.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $33,826 | $16,913 | — | 3.8x |
| SYNCOPE AND COLLAPSE | 312 | $34,452 | $17,226 | — | 3.8x |
| CELLULITIS WITHOUT MCC | 603 | $36,947 | $18,473 | — | 3.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $32,023 | $16,012 | — | 3.8x |
| RENAL FAILURE WITH CC | 683 | $37,756 | $18,878 | — | 3.8x |
| HYPERTENSION WITHOUT MCC | 305 | $29,381 | $14,691 | — | 3.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $55,190 | $27,595 | — | 3.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $89,216 | $44,608 | — | 3.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $55,455 | $27,728 | — | 3.7x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $87,253 | $43,626 | — | 3.7x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $46,119 | $23,059 | — | 3.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $42,692 | $21,346 | — | 3.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $161,685 | $80,843 | — | 3.7x |
| DIABETES WITH MCC | 637 | $61,071 | $30,535 | — | 3.7x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $42,554 | $21,277 | — | 3.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $39,849 | $19,924 | — | 3.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $86,179 | $43,090 | — | 3.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $129,873 | $64,936 | — | 3.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $27,641 | $13,821 | — | 3.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $68,489 | $34,244 | — | 3.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $83,516 | $41,758 | — | 3.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $35,243 | $17,621 | — | 3.4x |
| DIABETES WITH CC | 638 | $33,152 | $16,576 | — | 3.4x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $40,334 | $20,167 | — | 3.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $73,501 | $36,750 | — | 3.3x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $60,671 | $30,335 | — | 3.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $87,030 | $43,515 | — | 3.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $48,573 | $24,287 | — | 3.2x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $47,654 | $23,827 | — | 3.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $48,264 | $24,132 | — | 3.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $68,226 | $34,113 | — | 3.1x |
Showing 50 of 78 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use