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Office visit, new patient, 45-59 min

CPT 99204 · negotiated-rate distribution across hospitals in AZ

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Hospitals
8
Min
$114.34
Median
$434.56
Max
$873.5
Range multiplier
7.6×

By payer (35 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare767$93.66$302.52$2,05421.9×
Aetna433$27.85$305.1$1,524.7554.8×
Cigna523$237.15$603.5$1,544.46.5×
First Health514$265.05$556.2$1,965.67.4×
Humana613$27.85$177.33$1,684.860.5×
Blue Cross Blue Shield510$237.43$916.77$2,80811.8×
Health Net210$93.66$582$1,965.621.0×
Multiplan47$535.06$803.88$2,212.714.1×
commercial | nhsi | all plans47$420.98$593.34$1,740.964.1×
arizona physicians ipa inc16$98.4$164$302.523.1×
WellCare16$41.86$108.57$266.576.4×
Medicaid44$28.17$28.17$55.92.0×
caresoure kentucky14$109.2$188.66$695.46.4×
the health plan14$100.62$107.48$114.341.1×
Anthem BCBS24$177.33$596.13$1,013.315.7×
commercial | connected care | intel33$420.98$584.59$584.591.4×
commercial | lifetrac | all plans12$441.35$1,133.28$1,825.24.1×
umr12$130.49$480.75$8316.4×
commercial | optum | optumhealth12$373.45$958.93$1,544.44.1×
Meritain Health12$328$328$3281.0×
wmi mutual insurance company11$328$328$3281.0×
allied benefit - aso11$302.52$302.52$302.521.0×
arizona complete health11$93.66$93.66$93.661.0×
banner health11$93.66$93.66$93.661.0×
care 1st11$93.66$93.66$93.661.0×
dmba deseret alliance11$302.52$302.52$302.521.0×
health choice11$98.35$98.35$98.351.0×
healthnow administrative servi11$328$328$3281.0×
mercy care11$98.35$98.35$98.351.0×
Molina11$177.33$177.33$177.331.0×
optum ccn region 111$114.34$114.34$114.341.0×
optum ccn region 211$114.34$114.34$114.341.0×
summit administration services11$302.52$302.52$302.521.0×
wellpoint insurance company11$302.52$302.52$302.521.0×
acchs11$93.66$93.66$93.661.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. JOSEPHS HOSPITAL & MEDICAL CTRPHOENIXAZ13$2,808$1,965.6$28.17$873.5$2,808
MERCY GILBERT MEDICAL CENTERGILBERTAZ9$1,103$772.1$28.17$639.74$1,775
CHANDLER REGIONAL MEDICAL CENTERCHANDLERAZ9$1,103$772.1$28.17$523.66$1,755
CARONDELET ST. JOSEPH HOSPITALTUCSONAZ6$679$475.3$55.9$434.56$679
YAVAPAI REGIONAL MEDICAL CENTERPRESCOTTAZ13$1,030$764.26$93.66$322.05$999.1
MT. GRAHAM REGIONAL MEDICAL CENTERSAFFORDAZ13$489$98.4$302.52$373.33
SANTA CRUZ VALLEY REGIONAL HOSPITALGREEN VALLEYAZ11$1,159$695.4$27.85$114.34$1,043.1
ABRAZO WEST CAMPUSGOODYEARAZ0$175$38.5

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.