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CPT 81003 · negotiated-rate distribution across hospitals in AZ

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Hospitals
10
Min
$5.06
Median
$10.58
Max
$46
Range multiplier
9.1×

By payer (49 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare965$1.29$46$9271.3×
Aetna956$2.25$46$9240.9×
Cigna848$2.25$29.22$9341.3×
Blue Cross Blue Shield728$2.25$5.38$81.736.3×
First Health722$2.25$63.24$91.240.5×
Health Net317$2.25$65.1$93.1241.4×
Humana916$2.25$2.25$55.824.8×
Medicare512$2.25$2.29$2.481.1×
Multiplan58$59.56$71.31$137.762.3×
commercial | nhsi | all plans47$50.84$57.66$101.682.0×
WellCare37$2.25$2.37$12.885.7×
Anthem BCBS27$1.91$19.23$48.9625.6×
arizona physicians ipa inc16$46$46$461.0×
Molina25$2.25$46$434.2193.0×
Medicaid55$2.31$2.33$2.331.0×
Meritain Health14$46$69$922.0×
banner health24$2.25$2.28$2.311.0×
physicians mutual insurance co13$46$46$461.0×
arizona medical network22$2.25$2.25$2.251.0×
health choice22$2.43$2.43$2.431.0×
health choice pathway22$2.25$2.25$2.251.0×
health management network22$2.25$2.25$2.251.0×
bridgeway health solutions22$2.25$2.25$2.251.0×
rural arizona network22$2.25$2.25$2.251.0×
the health plan12$2.03$2.14$2.251.1×
umr12$15.77$27.96$40.152.5×
arizona complete health22$2.31$2.31$2.311.0×
caresoure kentucky12$13.2$23.4$33.62.5×
imperial insurance22$2.37$2.37$2.371.0×
devoted health22$2.39$2.39$2.391.0×
care 1st22$2.31$2.31$2.311.0×
mercy care22$2.43$2.43$2.431.0×
acchs22$2.31$2.31$2.311.0×
amount11$46$46$461.0×
commercial | azfmc | pos11$68.64$68.64$68.641.0×
commercial | lifetrac | all plans11$60.45$60.45$60.451.0×
commercial | optum | optumhealth11$51.15$51.15$51.151.0×
crum and forster11$46$46$461.0×
de-identified max11$42.32$42.32$42.321.0×
de-identified min11$32.2$32.2$32.21.0×
eff date11$43,770$43,770$43,7701.0×
Bright Health11$17.89$17.89$17.891.0×
commercial | azfmc | all other plans11$71.51$71.51$71.511.0×
assured benefits administrator11$46$46$461.0×
network health plans11$46$46$461.0×
ods health plan inc11$46$46$461.0×
optum ccn region 111$2.25$2.25$2.251.0×
optum ccn region 211$2.25$2.25$2.251.0×
summit administration services11$46$46$461.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ARIZONA GENERAL HOSPITALLAVEENAZ12$72.9$51.03$2.03$5.48$71.51
YAVAPAI REGIONAL MEDICAL CENTERPRESCOTTAZ21$96$71.24$2.25$5.1$93.12
YAVAPAI REGIONAL MEDICAL CENTER-EASTPRESCOTT VALLEYAZ21$96$71.24$2.25$5.1$93.12
SANTA CRUZ VALLEY REGIONAL HOSPITALGREEN VALLEYAZ11$56$33.6$1.91$5.06$50.4
MT. GRAHAM REGIONAL MEDICAL CENTERSAFFORDAZ18$1,368$32.2$32.2$46$43,770
ST. JOSEPHS HOSPITAL & MEDICAL CTRPHOENIXAZ13$93$65.1$1.29$10.99$73.29
MERCY GILBERT MEDICAL CENTERGILBERTAZ10$164$114.8$1.29$10.98$126.61
CHANDLER REGIONAL MEDICAL CENTERCHANDLERAZ10$164$114.8$1.29$10.67$137.76
CARONDELET ST. JOSEPH HOSPITALTUCSONAZ10$93$65.1$1.29$10.58$93
ABRAZO WEST CAMPUSGOODYEARAZ0$31$6.82

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.