Arizona / Flagstaff Medical Center
CMS certification 030023 · Flagstaff, AZ · 4 entries in CMS's price-transparency list
Flagstaff Medical Center: charges and Medicare payments
Flagstaff Medical Center reported 1,879 Medicare inpatient stays across 76 DRGs in 2024. Across them it charged 2.88 times what it was paid — among the lower ratios in Arizona, number 47 of 53 hospitals with at least 100 stays (state median 5×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 172 stays at an average charge of $89,289, 1% below the national average. It also billed 1,939 outpatient services, charging 4.55 times what Medicare paid.
- 1Medicare inpatient stays 1,879
- 2Charge ÷ paid, inpatient 2.88×
- 3Rank in AZ (highest ratio = 1) 47 of 53
- 4CMS price-transparency actions 4
Inpatient stays
For the 76 DRGs that can be compared with the national average, Flagstaff Medical Center charged more than the national average in 17 (22%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 172 | $89,289 | -1% | $26,631 |
| 291 Heart Failure and Shock with MCC | 86 | $59,070 | +5% | $16,641 |
| 193 Simple Pneumonia and Pleurisy with MCC | 79 | $52,005 | -13% | $17,394 |
| 177 Respiratory Infections and Inflammations with MCC | 69 | $72,379 | +3% | $22,483 |
| 189 Pulmonary Edema and Respiratory Failure | 59 | $50,394 | -12% | $16,282 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 51 | $53,349 | -43% | $25,567 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 45 | $221,378 | -3% | $69,571 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 39 | $92,606 | -7% | $26,469 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 35 | $108,603 | -61% | $78,469 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 35 | $87,745 | -57% | $59,482 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 35 | $59,095 | -2% | $19,245 |
| 690 Kidney and Urinary Tract Infections without MCC | 35 | $41,432 | +10% | $10,409 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 33 | $64,100 | -15% | $20,834 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 32 | $35,768 | -1% | $9,635 |
| 377 Gastrointestinal Hemorrhage with MCC | 32 | $75,141 | -12% | $23,363 |
| 481 Hip and Femur Procedures except Major Joint with CC | 32 | $66,523 | -34% | $26,791 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $31,734 | -21% | $10,614 |
| 378 Gastrointestinal Hemorrhage with CC | 29 | $39,873 | -18% | $13,226 |
| 552 Medical Back Problems without MCC | 28 | $45,162 | -8% | $12,478 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 28 | $68,031 | -7% | $21,975 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 26 | $49,966 | -10% | $13,157 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 26 | $50,947 | -10% | $15,593 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $148,102 | -10% | $38,068 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $52,001 | +1% | $15,427 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 23 | $200,290 | -9% | $62,843 |
| 417 Laparoscopic Cholecystectomy without C.D.E. with MCC | 22 | $67,183 | -46% | $30,945 |
| 603 Cellulitis without MCC | 22 | $28,710 | -23% | $11,423 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 21 | $59,402 | -9% | $19,115 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $113,213 | -1% | $32,807 |
| 682 Renal Failure with MCC | 21 | $57,614 | -13% | $20,370 |
| 472 Cervical Spinal Fusion with CC | 20 | $64,066 | -55% | $37,981 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 20 | $83,351 | -34% | $32,353 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 19 | $58,778 | -37% | $21,168 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $42,419 | +14% | $10,071 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 18 | $117,581 | -13% | $36,571 |
| 460 Spinal Fusion except Cervical without MCC | 18 | $89,264 | -48% | $49,709 |
| 473 Cervical Spinal Fusion without CC/MCC | 18 | $64,356 | -44% | $31,462 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 18 | $78,827 | -34% | $31,016 |
| 683 Renal Failure with CC | 18 | $45,255 | +11% | $11,620 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 17 | $125,788 | -46% | $57,393 |
| 070 Other Cerebrovascular Disorders with MCC | 17 | $96,655 | +27% | $23,408 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 17 | $92,263 | -33% | $37,903 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $72,243 | -29% | $31,817 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 16 | $50,758 | +1% | $12,956 |
| 314 Other Circulatory System Diagnoses with MCC | 16 | $69,673 | -27% | $27,124 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 15 | $75,874 | -34% | $29,812 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 15 | $38,177 | -48% | $17,876 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 15 | $88,332 | -20% | $32,668 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 15 | $29,491 | +3% | $7,170 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 15 | $51,448 | -34% | $20,483 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 14 | $259,426 | -4% | $74,271 |
| 252 Other Vascular Procedures with MCC | 14 | $103,816 | -39% | $45,006 |
| 389 Gastrointestinal Obstruction with CC | 14 | $41,295 | +6% | $10,312 |
| 638 Diabetes with CC | 14 | $48,860 | +17% | $12,294 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 14 | $203,450 | -6% | $67,791 |
| 091 Other Disorders of Nervous System with MCC | 13 | $64,215 | -22% | $23,342 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 13 | $107,798 | -4% | $30,479 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 13 | $58,675 | -8% | $14,005 |
| 305 Hypertension without MCC | 13 | $31,376 | -22% | $9,773 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 13 | $50,924 | +7% | $13,409 |
Showing the 60 most frequent of 76 DRGs.
Outpatient services
Against the Arizona average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Flagstaff Medical Center charged $89,289 on average, 2% more than the Arizona average of $87,638, and was paid $26,631 against a state average of $17,455. For Heart Failure and Shock with MCC (DRG 291), Flagstaff Medical Center charged $59,070 on average, 1% less than the Arizona average of $59,877, and was paid $16,641 against a state average of $11,479. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Flagstaff Medical Center charged $52,005 on average, 13% less than the Arizona average of $59,468, and was paid $17,394 against a state average of $11,853. For Respiratory Infections and Inflammations with MCC (DRG 177), Flagstaff Medical Center charged $72,379 on average, 2% more than the Arizona average of $70,869, and was paid $22,483 against a state average of $14,917. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,848 was 30% below the state average of $24,129. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,247 was 58% below the state average of $91,091. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $51,479 was 55% below the state average of $113,386. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $30,921 was 9% below the state average of $34,042.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Flagstaff Medical Center in Flagstaff, AZ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-01-30 (CMS case 272)
- Closure Notice — 2023-05-08 (CMS case 272)
- Warning Notice — 2024-10-31 (CMS case 2883)
- Closure Notice — 2025-01-15 (CMS case 2883)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.