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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
$873.50
Range multiplier
7.6×

By payer (35 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare767$93.66$302.52$2,054.0021.9×
Aetna433$27.85$305.10$1,524.7554.8×
Cigna523$237.15$603.50$1,544.406.5×
First Health514$265.05$556.20$1,965.607.4×
Humana613$27.85$177.33$1,684.8060.5×
Blue Cross Blue Shield510$237.43$916.77$2,808.0011.8×
Health Net210$93.66$582.00$1,965.6021.0×
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$98.40$164.00$302.523.1×
WellCare16$41.86$108.57$266.576.4×
Medicaid44$28.17$28.17$55.902.0×
caresoure kentucky14$109.20$188.66$695.406.4×
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$1,825.204.1×
umr12$130.49$480.75$831.006.4×
commercial | optum | optumhealth12$373.45$958.93$1,544.404.1×
Meritain Health12$328.00$328.00$328.001.0×
wmi mutual insurance company11$328.00$328.00$328.001.0×
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$328.00$328.00$328.001.0×
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$2,808.00$1,965.60$28.17$873.50$2,808.00
Mercy Gilbert Medical CenterGilbertAZ9$1,103.00$772.10$28.17$639.74$1,775.00
Chandler Regional Medical CenterChandlerAZ9$1,103.00$772.10$28.17$523.66$1,755.00
Carondelet St. Joseph HospitalTucsonAZ6$679.00$475.30$55.90$434.56$679.00
Yavapai Regional Medical CenterPrescottAZ13$1,030.00$764.26$93.66$322.05$999.10
Mt. Graham Regional Medical CenterSaffordAZ13$489.00$98.40$302.52$373.33
Santa Cruz Valley Regional HospitalGreen ValleyAZ11$1,159.00$695.40$27.85$114.34$1,043.10
Abrazo West CampusGoodyearAZ0$175.00$38.50

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.