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Office visit, established patient, 20-29 minutes

CPT 99213 · negotiated-rate distribution across hospitals in AZ

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Hospitals
8
Min
$56.25
Median
$288.53
Max
$302.72
Range multiplier
5.4×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare764$28.98$136.54$923.0731.9×
Aetna448$11.32$146.77$954.9084.3×
Cigna527$90.95$411.19$926.2610.2×
First Health519$101.65$312.18$1,007.959.9×
Humana615$11.32$89.00$442.0639.0×
Health Net213$46.23$331.10$1,029.1722.3×
Blue Cross Blue Shield411$91.06$439.80$902.929.9×
commercial | nhsi | all plans48$128.34$301.94$378.202.9×
Multiplan48$159.81$384.01$512.403.2×
WellCare17$17.02$52.21$119.607.0×
Anthem BCBS16$34.73$193.51$454.6413.1×
caresoure kentucky15$44.40$92.81$312.007.0×
arizona physicians ipa inc14$109.90$136.54$136.541.2×
apwu health plan14$136.54$136.54$136.541.0×
Medicaid44$19.39$19.39$55.902.9×
the health plan14$56.25$60.70$65.141.2×
commercial | az foundation | pos24$207.00$347.50$488.002.4×
commercial | az foundation | ppo24$207.00$347.50$488.002.4×
physicians mutual insurance co13$157.00$157.00$157.001.0×
commercial | connected care | intel33$293.26$323.30$356.001.2×
umr13$53.06$162.76$372.847.0×
Molina12$34.73$57.15$79.562.3×
optum ccn region 112$56.25$56.25$56.251.0×
optum ccn region 212$56.25$56.25$56.251.0×
Meritain Health12$157.00$157.00$157.001.0×
healthnow administrative servi12$157.00$157.00$157.001.0×
wmi mutual insurance company11$157.00$157.00$157.001.0×
allied benefit - aso11$136.54$136.54$136.541.0×
allied benefit - bpo11$157.00$157.00$157.001.0×
amount11$100.00$100.00$100.001.0×
apricus11$136.54$136.54$136.541.0×
arizona complete health11$46.23$46.23$46.231.0×
assured benefits administrator11$157.00$157.00$157.001.0×
banner health11$46.23$46.23$46.231.0×
care 1st11$46.23$46.23$46.231.0×
commercial | lifetrac | all plans11$307.45$307.45$307.451.0×
commercial | optum | optumhealth11$260.15$260.15$260.151.0×
de-identified max11$92.00$92.00$92.001.0×
de-identified min11$70.00$70.00$70.001.0×
dmba church activity medical a11$136.54$136.54$136.541.0×
dmba deseret alliance11$136.54$136.54$136.541.0×
eff date11$43,770$43,770$43,7701.0×
health choice11$48.55$48.55$48.551.0×
mercy care11$48.55$48.55$48.551.0×
planned administrators inc11$157.00$157.00$157.001.0×
summit administration services11$157.00$157.00$157.001.0×
wellpoint insurance company11$136.54$136.54$136.541.0×
acchs11$46.23$46.23$46.231.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Santa Cruz Valley Regional HospitalGreen ValleyAZ11$520.00$312.00$11.32$56.25$468.00
Carondelet St. Joseph HospitalTucsonAZ6$473.00$331.10$55.90$302.72$473.00
Chandler Regional Medical CenterChandlerAZ11$610.00$427.00$19.39$290.58$610.00
Mercy Gilbert Medical CenterGilbertAZ11$610.00$427.00$19.39$290.58$610.00
St. Josephs Hospital & Medical CtrPhoenixAZ12$473.00$331.10$19.39$288.53$473.00
Yavapai Regional Medical CenterPrescottAZ13$1,061.00$787.27$46.23$172.90$1,029.17
Mt. Graham Regional Medical CenterSaffordAZ23$771.00$70.00$47.10$136.54$43,770
Abrazo West CampusGoodyearAZ0$139.00$30.58

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.