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Office visit, established patient, 10-19 min

CPT 99212 · negotiated-rate distribution across hospitals in AZ

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Hospitals
8
Min
$30.41
Median
$165.78
Max
$274.13
Range multiplier
9.0×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare734$15.40$74.64$615.9640.0×
Aetna430$11.32$103.50$637.2056.3×
Cigna523$59.50$307.00$618.0910.4×
First Health517$59.40$218.16$672.6011.3×
Health Net211$24.67$304.58$686.7627.8×
Humana610$11.32$82.00$210.0018.5×
commercial | nhsi | all plans48$68.20$203.67$250.483.7×
Multiplan48$84.92$266.84$339.364.0×
WellCare17$17.02$20.41$97.295.7×
Blue Cross Blue Shield37$59.57$404.00$602.5110.1×
Anthem BCBS16$11.93$66.49$369.8331.0×
caresoure kentucky15$44.40$50.18$253.805.7×
commercial | az foundation | ppo24$110.00$257.00$404.003.7×
Medicaid44$16.06$16.06$55.903.5×
the health plan14$26.51$28.46$30.411.1×
commercial | az foundation | pos24$110.00$257.00$404.003.7×
commercial | connected care | intel33$162.71$217.00$356.002.2×
umr13$53.06$55.93$303.295.7×
optum ccn region 212$30.41$30.41$30.411.0×
Molina12$11.93$38.33$64.725.4×
Meritain Health12$96.00$96.00$96.001.0×
de-identified min11$128.80$128.80$128.801.0×
amount11$184.00$184.00$184.001.0×
arizona complete health11$24.67$24.67$24.671.0×
banner health11$24.67$24.67$24.671.0×
care 1st11$24.67$24.67$24.671.0×
commercial | lifetrac | all plans11$227.50$227.50$227.501.0×
commercial | optum | optumhealth11$192.50$192.50$192.501.0×
de-identified max11$169.28$169.28$169.281.0×
acchs11$24.67$24.67$24.671.0×
dmba deseret alliance11$82.78$82.78$82.781.0×
eff date11$29,221$29,221$29,2211.0×
health choice11$25.91$25.91$25.911.0×
mercy care11$25.91$25.91$25.911.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mt. Graham Regional Medical CenterSaffordAZ9$207.00$128.80$28.80$96.00$29,221
Santa Cruz Valley Regional HospitalGreen ValleyAZ10$423.00$253.80$11.32$30.41$380.70
Yavapai Regional Medical CenterPrescottAZ13$708.00$525.34$24.67$274.13$686.76
Carondelet St. Joseph HospitalTucsonAZ6$350.00$245.00$55.90$224.00$350.00
St. Josephs Hospital & Medical CtrPhoenixAZ12$350.00$245.00$16.06$213.50$350.00
Mercy Gilbert Medical CenterGilbertAZ11$404.00$282.80$15.40$165.78$404.00
Chandler Regional Medical CenterChandlerAZ11$404.00$282.80$15.40$162.71$404.00
Abrazo West CampusGoodyearAZ0$132.00$29.04

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.