Medical Procedure Costs in Arizona

Arizona Medicare physician rates are generally below the national average (-2.4%). One statewide locality — the ZIP tool still maps you onto that locality.

Look up any CPT in Arizona

Featured table below is 59 procedures. Search covers 7,500+ fee-schedule codes.

Try
vs national (featured set)
-2.4%
Medicare localities
1
PE GPCI 0.969
On this page
59
featured procedures · rest via search

What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. These Arizona averages are unweighted means of the state’s localities, not population-weighted.

How Medicare prices Arizona

CMS prices all of Arizona through one statewide locality, so Phoenix, Tucson, and the rural counties share a single set of geographic adjustment factors. The state's indices land close to the national average, which makes Arizona a useful benchmark when comparing procedure prices across the country. Because the locality is statewide, the rapid growth of metro Phoenix does not by itself change what Medicare approves there relative to Flagstaff or Yuma. Differences patients notice tend to come from the billing setting and local market conditions, not from the fee schedule.

Arizona has one of the largest Medicare populations in the country thanks to decades of retiree migration, and its winter snowbird influx means demand for care swings by season. Phoenix and Tucson offer deep specialist markets, while much of northern and southeastern Arizona relies on smaller hospitals and long drives for advanced care. Competition among large systems in the Valley gives Phoenix-area patients more room to shop than most rural residents have.

Check your ZIP code for local figures across Arizona, from metro Phoenix and Tucson to Flagstaff, Yuma, Prescott, and the rural stretches of the north and southeast.

Featured physician rates in Arizona

ProcedureArizona
Incision & Drainage of Abscess10060$125
Skin Biopsy (Tangential)11102$93
Skin Biopsy (Punch)11104$118
Destruction of Skin Lesion17000$65
Partial Mastectomy19301$614
Total Hip Replacement27130$1,131
Total Knee Replacement27447$1,128
Knee Arthroscopy29881$502
Upper Endoscopy (EGD)43235$314
Upper Endoscopy (EGD) With Biopsy43239$407
Colonoscopy (Diagnostic)45378$368
Colonoscopy With Biopsy45380$467
Colonoscopy With Polyp Removal45385$487
Laparoscopic Cholecystectomy47562$613
Laparoscopic Inguinal Hernia Repair49650$411
Laparoscopic Removal of Ovarian Cyst58661$571
Vaginal Delivery (Global)59400$2,144
Cesarean Delivery (Global)59510$2,390
Lumbar Discectomy63030$868
Cataract Surgery66984$454
MRI Brain Without Contrast70551$190
MRI Brain With Contrast70552$262
MRI Brain70553$309
Chest X-Ray71046$32
CT Chest Without Contrast71250$129
CT Chest With Contrast71260$162
MRI Cervical Spine72141$186
MRI Lumbar Spine72148$187
Shoulder X-Ray73030$35
MRI Shoulder73221$200
Knee X-Ray73560$33
MRI Knee73721$199
CT Abdomen & Pelvis Without Contrast74176$179
CT Abdomen & Pelvis With Contrast74177$292
Ultrasound Abdomen76700$111
Ultrasound Transvaginal76830$114
Ultrasound Pelvis76856$102
Diagnostic Mammogram77066$153
Screening Mammogram77067$123
Nuclear Stress Test78452$416
Psychiatric Evaluation90791$172
Psychiatric Evaluation With Medical Services90792$199
Psychotherapy (45 min)90834$113
Psychotherapy (60 min)90837$166
ECG/EKG93000$15
Echocardiogram93306$192
Stress Echocardiogram93350$181
Carotid Ultrasound93880$184
Laser Treatment for Skin96920$134
Physical Therapy (Therapeutic Exercise)97110$29
Physical Therapy (Manual Therapy)97140$27
PT Evaluation (Low Complexity)97161$96
PT Evaluation (Moderate Complexity)97162$96
Office Visit (New, Low)99203$115
Office Visit (New, Moderate-High)99204$174
Office Visit (New, High)99205$232
Office Visit (Established, Moderate)99213$93
Office Visit (Established, Moderate-High)99214$133
Office Visit (Established, High)99215$189

Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.

Medical costs in Arizona: questions

Across the 59 featured procedures on this page, Arizona sits below the national average by about 2%. Examples: incision & drainage of abscess $125, skin biopsy (tangential) $93, skin biopsy (punch) $118. Search any other CPT in the box above — those codes are in the tool, not as extra Arizona articles.

Arizona is one Medicare locality, so the physician fee schedule is statewide. Site of service (office vs hospital) and hospital facility fees still change what a patient is billed.

Medicare physician allowed amounts only — the professional fee after GPCI. They do not include hospital facility charges, anesthesia, or your plan’s contracted rate. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.

Yes. The table is the featured set (59 procedures). The search box looks up 7,500+ payable codes from the 2026 fee schedule and applies Arizona’s locality when you enter a ZIP.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.