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Fort Defiance Indian Hospital

Ft. Defiance, AZ · 70 beds · 64 procedures priced

Sourced from this hospital's machine-readable file, posted Thu Jun 04 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 87/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
ACL Reconstruction (Arthroscopic)	$7,219	$46,091	$76,819
Anesthesia for Screening Colonoscopy	$925$925$944	$9,133	$15,222
Anesthesia for Upper Endoscopy	$902$902$920	$6,525	$10,874
Basic Metabolic Panel	—	$49	$81
Bone Marrow Biopsy	—	$2,440	$4,067
Breast Biopsy (Ultrasound-guided)	—	$2,769	$4,615
Bunion Correction Surgery	$3,255	$10,364	$17,274
Carpal Tunnel Release Surgery	$1,943$1.9k$2.0k	$7,591	$12,652
Chemotherapy Infusion (First Hour)	—	$692	$1,153
Chest X-ray (2 Views)	—	$169	$282
Colonoscopy with Biopsy	$1,191$1.2k$1.2k	$7,913	$13,189
Complete Abdominal Ultrasound	—	$429	$715
Complete Blood Count (CBC) with Differential	—	$23	$38
Comprehensive Metabolic Panel	—	$35	$58
Critical Care, First Hour	—	$1,579	$2,631
CT Abdomen and Pelvis with Contrast	—	$2,175	$3,625
CT Cardiac Calcium Scoring	—	$128	$128
CT Chest without Contrast	—	$1,003	$1,672
CT Head without Contrast	—	$630	$1,050
DEXA Bone Density Scan	—	$187	$311
Diagnostic Colonoscopy	$925$925$944	$9,122	$15,203
Diagnostic Mammogram (Both Breasts)	—	$212	$353
Echocardiogram (Complete with Doppler)	—	$1,408	$2,346
Emergency Room Visit (Level 3)	—	$776	$1,293
Hemoglobin A1c (Diabetes Test)	—	$53	$88
HIV Antibody Test	—	$83	$138
IUD Insertion	—	$235	$392
IUD Removal	$303$303$309	$1,124	$1,873
Knee Arthroscopy with Meniscectomy	$3,255$3.3k$3.3k	$12,886	$21,476
Laparoscopic Appendectomy	$6,015	$39,320	$65,534
Laparoscopic Gallbladder Removal	$6,015	$32,143	$53,571
Laparoscopic Tubal Ligation	$6,015$6.0k$6.1k	$18,589	$30,982
Lipid Panel (Cholesterol Test)	—	$54	$90
Lumbar Epidural Steroid Injection	$702	$3,594	$5,991
Lumbar Puncture (Spinal Tap)	—	$545	$909
Lumpectomy (Partial Mastectomy)	$3,895	$17,263	$28,772
MRI Abdomen with and without Contrast	—	$2,245	$3,742
MRI Brain with and without Contrast	—	$2,088	$3,480
MRI Brain with Contrast	—	$2,409	$4,015
MRI Brain without Contrast	—	$1,764	$2,940
MRI Cervical Spine (Neck) without Contrast	—	$1,540	$2,566
MRI Knee without Contrast	—	$1,641	$2,735
MRI Lower Back (Lumbar Spine) without Contrast	—	$1,574	$2,623
MRI Thoracic Spine (Mid-back) without Contrast	—	$2,179	$3,631
Nuclear Cardiac Stress Test	—	$3,313	$5,521
Office Visit, Established Patient (Level 3)	—	$175	$292
Office Visit, New Patient (Level 3)	—	$152	$253
PET/CT Scan, Whole Body	—	$5,261	$8,769
Pregnancy Ultrasound (Second or Third Trimester)	—	$668	$1,114
Prostate Biopsy	$122$122$125	$10,910	$18,184
PSA Prostate Cancer Screening	—	$85	$141
Pulmonary Function Test with Bronchodilator	—	$254	$423
Screening Mammogram	—	$154	$256
Skin Biopsy (Tangential)	—	$276	$460
Skin Lesion Removal (Benign, up to 0.5 cm)	$3,221	$2,604	$4,340
Spirometry (Breathing Test)	—	$140	$234
Total Hip Replacement	$12,773$13k$13k	$33,727	$56,211
Total Knee Replacement	$12,773	$32,244	$53,739
Total Mastectomy	$6,606	$30,316	$50,526
TSH Thyroid Function Test	—	$57	$95
TURP (Transurethral Prostate Resection)	$5,334$5.3k$5.4k	$13,017	$21,696
Upper GI Endoscopy (EGD)	$902	$7,216	$12,027
Urinalysis with Microscopy	—	$27	$45
Vitamin D Blood Test	—	$82	$137

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.