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Office visit, new patient, 60-74 min

CPT 99205 · negotiated-rate distribution across hospitals in AZ

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Hospitals
8
Min
$156.59
Median
$502.03
Max
$789.13
Range multiplier
5.0×

By payer (28 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare725$123.60$380.44$1,174.509.5×
Aetna424$35.80$401.40$1,374.3038.4×
Cigna519$310.25$756.90$1,475.004.8×
First Health511$346.75$796.50$1,282.503.7×
Humana69$35.80$123.60$493.8013.8×
Health Net29$127.20$576.10$1,309.5010.3×
WellCare16$53.82$144.28$351.216.5×
Blue Cross Blue Shield25$288.40$379.55$1,148.854.0×
the health plan14$136.91$146.75$156.591.1×
caresoure kentucky14$140.40$258.37$916.206.5×
Multiplan44$648.53$901.02$1,239.001.9×
Medicaid44$30.89$30.89$55.901.8×
commercial | nhsi | all plans44$510.26$712.38$914.501.8×
commercial | connected care | intel33$510.26$781.75$781.751.5×
Anthem BCBS13$233.63$1,268.33$1,335.065.7×
umr12$167.78$631.32$1,094.866.5×
health choice11$133.56$133.56$133.561.0×
arizona complete health11$127.20$127.20$127.201.0×
banner health11$127.20$127.20$127.201.0×
care 1st11$127.20$127.20$127.201.0×
commercial | lifetrac | all plans11$534.95$534.95$534.951.0×
commercial | optum | optumhealth11$452.65$452.65$452.651.0×
acchs11$127.20$127.20$127.201.0×
mercy care11$133.56$133.56$133.561.0×
Molina11$233.63$233.63$233.631.0×
optum ccn region 111$156.59$156.59$156.591.0×
optum ccn region 211$156.59$156.59$156.591.0×
physicians mutual insurance co11$556.00$556.00$556.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mercy Gilbert Medical CenterGilbertAZ8$1,475.00$1,032.50$30.89$789.13$1,475.00
Chandler Regional Medical CenterChandlerAZ8$1,475.00$1,032.50$30.89$789.13$1,475.00
Carondelet St. Joseph HospitalTucsonAZ6$823.00$576.10$55.90$526.72$823.00
St. Josephs Hospital & Medical CtrPhoenixAZ12$823.00$576.10$30.89$502.03$823.00
Yavapai Regional Medical CenterPrescottAZ13$1,350.00$1,001.70$127.20$423.70$1,309.50
Mt. Graham Regional Medical CenterSaffordAZ5$556.00$123.60$380.44$556.00
Santa Cruz Valley Regional HospitalGreen ValleyAZ11$1,527.00$916.20$35.80$156.59$1,374.30
Abrazo West CampusGoodyearAZ0$184.00$40.48

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.