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
MISCPESP
PROBLEM FOCUSED ACUTE VISIT (20-29 MINS)
$105.00
99213
PROBLEM FOCUSED ACUTE VISIT (10-19 MINS)
$80.00
99212
DRUG SCREEN-14 panel (In-House/Instant Results) *Must be Accompanied by either legal documentation or a chain of custody form.
$80.00
80305DS
PHYSICAL EXAM FOR DOT/CDL CERTIFICATION
$125.00
710001
SPORT PHYSICAL (School Age Students)
$80.00
MISCSPPE
ANNUAL COLLEGE EXAM
$100.00
MISCCOLPE

The PDF below lists Northern Apache County Special Health Care District's entire Fee Schedule: