Northern Arizona Healthcare · Flagstaff, AZ
35
In-network payers
324
Disclosed rate categories
268
Beds
3
Care quality
Flagstaff Medical Center is a 268-bed voluntary non-profit - private hospital in Flagstaff, AZ, affiliated with Northern Arizona Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 324 disclosed rate categories.
CCN (Medicare provider number)
030023
NPI
1780635078
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
268
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Flagstaff Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$8,407 - $8,893
from 2 insurers · median $8,650
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$11,920 - $17,870
from 2 insurers · median $14,895
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$48,093 - $79,729
from 2 insurers · median $63,911
44 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$325 - $5,774
from 4 insurers · median $3,740
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$24,806 - $71,931
from 2 insurers · median $48,369
25 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 473
$31,138 - $59,037
from 2 insurers · median $45,088
25 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$126,836 - $278,255
from 2 insurers · median $202,546
Hospital reports cardiac thoracic surgery services to CMS
Gynecology
CPT 58558
$1,259 - $5,182
from 2 insurers · median $3,220
20 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 70450
$106 - $1,155
from 3 insurers · median $971
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$242 - $4,046
from 4 insurers · median $2,406
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,348 - $8,608
from 2 insurers · median $5,978
104 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$171 - $3,152
from 4 insurers · median $2,242
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$1,641 - $2,120
from 2 insurers · median $1,881
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$1,982 - $4,695
from 4 insurers · median $3,421
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,407 - $8,893
from 2 insurers · median $8,650
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 49650
$2,835 - $9,168
from 2 insurers · median $6,002
104 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$901 - $2,299
from 2 insurers · median $1,600
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$526 - $2,163
from 2 insurers · median $1,344
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$3,253 - $6,279
from 2 insurers · median $4,766
104 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70551
$589 - $3,130
from 4 insurers · median $1,867
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$2,139 - $5,066
from 4 insurers · median $3,917
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$1,786 - $4,492
from 4 insurers · median $3,011
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$732 - $2,902
from 4 insurers · median $1,705
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$8,445
negotiated rate
33 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 8 | 1236% | 7 | 0 |
| Insurer B* | 10 | 549% | 9 | 0 |
| Insurer C* | 23 | 458% | 14 | 5 |
| Insurer D* | 23 | 93% | 10 | 10 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Flagstaff Medical Center.
1200 North Beaver Street, Flagstaff, AZ 86001
(928) 779-3366
The nearest hospitals of similar type and size. Their rates are compared with Flagstaff Medical Center for the same insurers and services above.
Yavapai Regional Medical Center - West Campus
Rates about the same as Flagstaff Medical Center (20 services)
Mayo Clinic Hospital - Phoenix Arizona
▼ Rates typically 38% lower than Flagstaff Medical Center (16 services)
Honorhealth Deer Valley Medical Center
▼ Rates typically 27% lower than Flagstaff Medical Center (21 services)
Abrazo Arrowhead Campus
▼ Rates typically 41% lower than Flagstaff Medical Center (20 services)
Honorhealth Scottsdale Shea Medical Center
▼ Rates typically 27% lower than Flagstaff Medical Center (21 services)
Banner Del E Webb Medical Center
▼ Rates typically 13% lower than Flagstaff Medical Center (21 services)
Verde Valley Medical Center
Banner Baywood Medical Center
Yavapai Regional Medical Center East Campus
Valley View Medical Center
About Flagstaff Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Flagstaff Medical Center range from $1,982 to $4,695 across 4 insurers. Cigna's rate is $4,695. The median at nearby comparable hospitals is $712. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Flagstaff Medical Center range from $325 to $5,774 across 4 insurers. Blue Cross Blue Shield's rate is $325. The median at nearby comparable hospitals is $807. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Flagstaff Medical Center range from $901 to $2,299 across 2 insurers. Aetna's rate is $2,299. The median at nearby comparable hospitals is $1,943. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Flagstaff Medical Center range from $8,407 to $8,893 across 2 insurers. Blue Cross Blue Shield's rate is $8,893. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Flagstaff Medical Center range from $24,806 to $71,931 across 2 insurers. Aetna's rate is $24,806. The median at nearby comparable hospitals is $42,776. What a patient pays depends on their plan's deductible, coinsurance and network status.
Flagstaff Medical Center has 268 beds. Facility type: Short Term Acute Care Hospital.
Flagstaff Medical Center is located at 1200 North Beaver Street, Flagstaff, AZ 86001. Its main phone number is (928) 779-3366.
Flagstaff Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 030023.
The National Provider Identifier (NPI) on file for Flagstaff Medical Center is 1780635078.
Flagstaff Medical Center is affiliated with Northern Arizona Healthcare.
Flagstaff Medical Center lists 35 in-network payers, including Aetna, Ambetter, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
324 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers