top of page
Billing
In Accordance with PHS Act section 2799B-3 45 C.F.R. & 149.430, (No Surprise Billing Act). Northern Apache County Special Health Care District is making their fee schedule available to the public:
Self-Pay Rates and Common Procedures:
Procedure Description | Patient Payment Rate | Code |
|---|---|---|
Occupational Physical Exams | $125.00 | |
Physical Exams for DOT/CDL Cert. | $125.00 | |
Annual College Exam | $100.00 | |
Sports Physical (School Age Students) | $60.00 | |
Drug Screen - 14 Panel
(In-House/Instant Results)
*Must be accompanied by either legal documentation or chain of custody form. | $80.00 | |
Expanded New Patient | $100.00 | |
Problem Focused-Established Patient | $80.00 |
The PDF below lists Northern Apache County Special Health Care District's entire Fee Schedule:
bottom of page