Fort Defiance Indian Hospital
Fort Defiance Indian Hospital in Ft. Defiance, AZ charges 1.3x the Medicare reimbursement rate across 14 analyzed procedures at this tribal-owned facility.
Ft. Defiance, AZ 86504 · Acute Care Hospitals
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Billing patterns — tribal
Tribal hospitals in our dataset demonstrate a moderate pricing structure with average charges at 1.6x Medicare rates across four facilities. These hospitals typically operate under unique federal funding arrangements through the Indian Health Service, which can influence their billing patterns and charge structures. Patients may encounter different pricing methodologies compared to traditional hospital systems, as tribal facilities often serve both Native American populations with federal coverage and general community patients with standard insurance. The relatively moderate markup suggests these hospitals generally maintain competitive pricing while balancing operational needs with community service obligations. Patients should verify their eligibility for any tribal-specific programs or federal benefits that might affect their final costs, as billing processes may differ from conventional hospital systems. Understanding your insurance coverage and any potential differences in charge structures can help in planning for medical expenses at these facilities.
Pricing grade
A
Excellent
Avg markup vs Medicare
1.31x
Charge / Medicare rate
Max markup
1.81x
Worst procedure
Procedures analyzed
14
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 |
|---|---|---|---|---|---|
| CELLULITIS WITHOUT MCC | 603 | $17,615 | $8,807 | — | 1.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $13,970 | $6,985 | — | 1.5x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $13,352 | $6,676 | — | 1.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $16,637 | $8,318 | — | 1.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $13,488 | $6,744 | — | 1.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $12,811 | $6,405 | — | 1.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $10,304 | $5,152 | — | 1.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | 179 | $12,380 | $6,190 | — | 1.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $16,599 | $8,300 | — | 1.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $16,230 | $8,115 | — | 1.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $10,040 | $5,020 | — | 1.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $21,464 | $10,732 | — | 1.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $12,583 | $6,292 | — | 1.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $14,575 | $7,287 | — | 0.7x |
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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.
FAQ — tribal hospital billing
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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