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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$123.6$380.44$1,174.59.5×
Aetna424$35.8$401.4$1,374.338.4×
Cigna519$310.25$756.9$1,4754.8×
First Health511$346.75$796.5$1,282.53.7×
Humana69$35.8$123.6$493.813.8×
Health Net29$127.2$576.1$1,309.510.3×
WellCare16$53.82$144.28$351.216.5×
Blue Cross Blue Shield25$288.4$379.55$1,148.854.0×
the health plan14$136.91$146.75$156.591.1×
caresoure kentucky14$140.4$258.37$916.26.5×
Multiplan44$648.53$901.02$1,2391.9×
Medicaid44$30.89$30.89$55.91.8×
commercial | nhsi | all plans44$510.26$712.38$914.51.8×
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$127.2$127.2$127.21.0×
banner health11$127.2$127.2$127.21.0×
care 1st11$127.2$127.2$127.21.0×
commercial | lifetrac | all plans11$534.95$534.95$534.951.0×
commercial | optum | optumhealth11$452.65$452.65$452.651.0×
acchs11$127.2$127.2$127.21.0×
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$556$5561.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MERCY GILBERT MEDICAL CENTERGILBERTAZ8$1,475$1,032.5$30.89$789.13$1,475
CHANDLER REGIONAL MEDICAL CENTERCHANDLERAZ8$1,475$1,032.5$30.89$789.13$1,475
CARONDELET ST. JOSEPH HOSPITALTUCSONAZ6$823$576.1$55.9$526.72$823
ST. JOSEPHS HOSPITAL & MEDICAL CTRPHOENIXAZ12$823$576.1$30.89$502.03$823
YAVAPAI REGIONAL MEDICAL CENTERPRESCOTTAZ13$1,350$1,001.7$127.2$423.7$1,309.5
MT. GRAHAM REGIONAL MEDICAL CENTERSAFFORDAZ5$556$123.6$380.44$556
SANTA CRUZ VALLEY REGIONAL HOSPITALGREEN VALLEYAZ11$1,527$916.2$35.8$156.59$1,374.3
ABRAZO WEST CAMPUSGOODYEARAZ0$184$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.