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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$954.984.3×
Cigna527$90.95$411.19$926.2610.2×
First Health519$101.65$312.18$1,007.959.9×
Humana615$11.32$89$442.0639.0×
Health Net213$46.23$331.1$1,029.1722.3×
Blue Cross Blue Shield411$91.06$439.8$902.929.9×
commercial | nhsi | all plans48$128.34$301.94$378.22.9×
Multiplan48$159.81$384.01$512.43.2×
WellCare17$17.02$52.21$119.67.0×
Anthem BCBS16$34.73$193.51$454.6413.1×
caresoure kentucky15$44.4$92.81$3127.0×
arizona physicians ipa inc14$109.9$136.54$136.541.2×
apwu health plan14$136.54$136.54$136.541.0×
Medicaid44$19.39$19.39$55.92.9×
the health plan14$56.25$60.7$65.141.2×
commercial | az foundation | pos24$207$347.5$4882.4×
commercial | az foundation | ppo24$207$347.5$4882.4×
physicians mutual insurance co13$157$157$1571.0×
commercial | connected care | intel33$293.26$323.3$3561.2×
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$157$1571.0×
healthnow administrative servi12$157$157$1571.0×
wmi mutual insurance company11$157$157$1571.0×
allied benefit - aso11$136.54$136.54$136.541.0×
allied benefit - bpo11$157$157$1571.0×
amount11$100$100$1001.0×
apricus11$136.54$136.54$136.541.0×
arizona complete health11$46.23$46.23$46.231.0×
assured benefits administrator11$157$157$1571.0×
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$92$921.0×
de-identified min11$70$70$701.0×
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$157$1571.0×
summit administration services11$157$157$1571.0×
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$312$11.32$56.25$468
CARONDELET ST. JOSEPH HOSPITALTUCSONAZ6$473$331.1$55.9$302.72$473
CHANDLER REGIONAL MEDICAL CENTERCHANDLERAZ11$610$427$19.39$290.58$610
MERCY GILBERT MEDICAL CENTERGILBERTAZ11$610$427$19.39$290.58$610
ST. JOSEPHS HOSPITAL & MEDICAL CTRPHOENIXAZ12$473$331.1$19.39$288.53$473
YAVAPAI REGIONAL MEDICAL CENTERPRESCOTTAZ13$1,061$787.27$46.23$172.9$1,029.17
MT. GRAHAM REGIONAL MEDICAL CENTERSAFFORDAZ23$771$70$47.1$136.54$43,770
ABRAZO WEST CAMPUSGOODYEARAZ0$139$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.