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Office visit, established patient, 30-39 minutes

CPT 99214 · negotiated-rate distribution across hospitals in AZ

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Hospitals
8
Min
$82.78
Median
$488.00
Max
$847.50
Range multiplier
10.2×

By payer (40 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare781$38.50$223.00$2,054.0053.4×
Aetna447$16.68$223.00$1,524.7591.4×
Cigna629$163.20$678.30$1,544.409.5×
First Health522$148.50$512.46$1,965.6013.2×
Blue Cross Blue Shield417$163.40$642.00$2,808.0017.2×
Humana615$16.68$178.40$1,684.80101.0×
Health Net214$68.27$691.61$1,965.6028.8×
Multiplan411$212.30$539.28$2,212.7110.4×
commercial | nhsi | all plans411$170.50$398.04$1,740.9610.2×
WellCare16$25.07$72.38$266.5710.6×
Medicaid44$24.23$24.23$55.902.3×
commercial | az foundation | pos24$275.00$381.50$488.001.8×
commercial | az foundation | ppo24$275.00$381.50$488.001.8×
the health plan14$73.09$77.94$82.781.1×
caresoure kentucky14$65.40$136.59$695.4010.6×
arizona physicians ipa inc14$200.09$200.09$223.001.1×
Anthem BCBS24$156.10$570.00$1,013.316.5×
physicians mutual insurance co13$223.00$223.00$254.001.1×
commercial | connected care | intel33$356.00$388.74$498.731.4×
Meritain Health12$223.00$223.00$223.001.0×
dmba deseret alliance12$200.09$211.55$223.001.1×
umr12$78.15$454.58$831.0010.6×
commercial | lifetrac | all plans12$407.55$1,116.38$1,825.204.5×
commercial | optum | optumhealth12$344.85$944.63$1,544.404.5×
wmi mutual insurance company11$223.00$223.00$223.001.0×
allied benefit - aso11$200.09$200.09$200.091.0×
arizona complete health11$68.27$68.27$68.271.0×
banner health11$68.27$68.27$68.271.0×
care 1st11$68.27$68.27$68.271.0×
dmba dmba ppo 70 plan / desere11$200.09$200.09$200.091.0×
health choice11$71.69$71.69$71.691.0×
leading edge administrators11$223.00$223.00$223.001.0×
mercy care11$71.69$71.69$71.691.0×
Molina11$177.33$177.33$177.331.0×
optum ccn region 111$82.78$82.78$82.781.0×
optum ccn region 211$82.78$82.78$82.781.0×
planned administrators inc11$223.00$223.00$223.001.0×
summit administration services11$223.00$223.00$223.001.0×
wellpoint insurance company11$200.09$200.09$200.091.0×
acchs11$68.27$68.27$68.271.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Josephs Hospital & Medical CtrPhoenixAZ13$2,808.00$1,965.60$24.23$847.50$2,808.00
Santa Cruz Valley Regional HospitalGreen ValleyAZ11$1,159.00$695.40$16.68$82.78$1,043.10
Yavapai Regional Medical CenterPrescottAZ13$1,234.00$915.63$68.27$609.16$1,196.98
Mercy Gilbert Medical CenterGilbertAZ11$957.00$669.90$24.23$488.00$1,775.00
Chandler Regional Medical CenterChandlerAZ11$957.00$669.90$24.23$488.00$1,755.00
Carondelet St. Joseph HospitalTucsonAZ6$627.00$438.90$55.90$401.28$627.00
Mt. Graham Regional Medical CenterSaffordAZ16$1,228.00$66.90$223.00$1,228.00
Abrazo West CampusGoodyearAZ0$146.00$32.12

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.