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Office visit, established patient, 5 min

CPT 99211 · negotiated-rate distribution across hospitals in AZ

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Hospitals
8
Min
$38.64
Median
$177.28
Max
$277.2
Range multiplier
7.2×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare754$6.23$157$2,054329.7×
Aetna446$8.72$260.1$405.946.5×
Cigna540$17$265.35$393.7323.2×
First Health534$19$208.95$1,681.5688.5×
Blue Cross Blue Shield421$14.66$339$2,744.1187.2×
Health Net220$6.23$289.55$437.4770.2×
commercial | nhsi | all plans417$37.82$175.46$1,930.6851.0×
Multiplan417$47.1$236.88$2,615.7655.5×
Humana69$6.23$82$19230.8×
Medicaid44$7.61$7.61$55.97.3×
commercial | az foundation | pos24$61$200$3395.6×
commercial | az foundation | ppo24$61$200$3395.6×
commercial | connected care | intel34$64.13$117.94$3565.6×
Bright Health13$65.01$65.24$140.612.2×
Anthem BCBS13$36.41$197.68$208.085.7×
WellCare12$13.11$33.93$54.744.2×
caresoure kentucky12$34.2$88.5$142.84.2×
commercial | lifetrac | all plans12$180.05$194.03$2081.2×
commercial | optum | optumhealth12$152.35$164.18$1761.2×
Meritain Health12$157$157$1571.0×
umr12$40.87$105.76$170.654.2×
health choice11$6.55$6.55$6.551.0×
de-identified max11$144.44$144.44$144.441.0×
care 1st11$6.23$6.23$6.231.0×
banner health11$6.23$6.23$6.231.0×
mercy care11$6.55$6.55$6.551.0×
amount11$157$157$1571.0×
Molina11$36.41$36.41$36.411.0×
arizona complete health11$6.23$6.23$6.231.0×
summit administration services11$157$157$1571.0×
acchs11$6.23$6.23$6.231.0×
eff date11$43,770$43,770$43,7701.0×
de-identified min11$109.9$109.9$109.91.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
SANTA CRUZ VALLEY REGIONAL HOSPITALGREEN VALLEYAZ8$238$142.8$8.72$38.64$214.2
YAVAPAI REGIONAL MEDICAL CENTERPRESCOTTAZ13$451$334.65$6.23$277.2$437.47
ST. JOSEPHS HOSPITAL & MEDICAL CTRPHOENIXAZ13$320$224$7.61$186.03$2,054
MERCY GILBERT MEDICAL CENTERGILBERTAZ11$3,114$2,179.8$7.61$179.26$2,744.1
CARONDELET ST. JOSEPH HOSPITALTUCSONAZ6$277$193.9$52.63$177.28$277
MT. GRAHAM REGIONAL MEDICAL CENTERSAFFORDAZ9$314$109.9$46$157$43,770
CHANDLER REGIONAL MEDICAL CENTERCHANDLERAZ12$3,114$2,179.8$7.61$152.28$2,744.1
ABRAZO WEST CAMPUSGOODYEARAZ0$125$27.5

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.