Medical Procedure Costs in Arizona
Arizona Medicare physician rates are generally below the national average (-2.4%). One statewide locality, and the ZIP tool still maps you onto it.
Look up any CPT in Arizona
Featured table below is 66 procedures. Search covers 7,500+ fee-schedule codes.
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 center 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
Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.
Other states
Medical costs in Arizona: questions
Across the 66 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.
The table shows Medicare physician allowed amounts in an office: the professional fee after GPCI, which for imaging and other tests done outside a hospital is the full global rate. It does not include hospital facility charges, anesthesia, or your plan’s contracted rate; each procedure page adds the full hospital or surgery center total where CMS pays one. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.
Yes. The table is the featured set (66 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.