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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in AZ

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Hospitals
8
Min
$122.82
Median
$439.80
Max
$481.92
Range multiplier
3.9×

By payer (31 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare732$9.60$268.14$1,094.86114.0×
Aetna423$23.56$328.50$1,374.3058.3×
Cigna519$239.70$685.31$1,329.005.5×
First Health515$248.94$496.98$978.503.9×
Blue Cross Blue Shield411$226.10$586.35$876.533.9×
Humana69$23.56$101.32$451.8019.2×
Health Net29$101.32$527.10$999.109.9×
commercial | nhsi | all plans48$285.82$451.36$823.982.9×
Multiplan48$355.90$591.95$1,116.363.1×
WellCare16$35.42$105.00$351.219.9×
commercial | az foundation | ppo24$461.00$474.50$488.001.1×
commercial | az foundation | pos24$461.00$474.50$488.001.1×
caresoure kentucky14$92.40$202.65$916.209.9×
Medicaid44$27.87$27.87$55.902.0×
the health plan14$107.57$115.20$122.821.1×
commercial | connected care | intel33$356.00$466.86$704.372.0×
Anthem BCBS13$233.63$1,268.33$1,335.065.7×
Meritain Health12$323.00$323.00$323.001.0×
umr12$110.42$602.64$1,094.869.9×
banner health11$101.32$101.32$101.321.0×
mercy care11$106.39$106.39$106.391.0×
Molina11$233.63$233.63$233.631.0×
arizona complete health11$101.32$101.32$101.321.0×
optum ccn region 111$122.82$122.82$122.821.0×
optum ccn region 211$122.82$122.82$122.821.0×
commercial | lifetrac | all plans11$489.45$489.45$489.451.0×
acchs11$101.32$101.32$101.321.0×
commercial | optum | optumhealth11$414.15$414.15$414.151.0×
health choice11$106.39$106.39$106.391.0×
care 1st11$101.32$101.32$101.321.0×
healthnow administrative servi11$323.00$323.00$323.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carondelet St. Joseph HospitalTucsonAZ6$753.00$527.10$55.90$481.92$753.00
Chandler Regional Medical CenterChandlerAZ11$1,329.00$930.30$27.87$461.00$1,329.00
St. Josephs Hospital & Medical CtrPhoenixAZ12$753.00$527.10$27.87$459.33$753.00
Mercy Gilbert Medical CenterGilbertAZ11$1,329.00$930.30$27.87$439.80$1,329.00
Yavapai Regional Medical CenterPrescottAZ13$1,030.00$764.26$101.32$346.75$999.10
Mt. Graham Regional Medical CenterSaffordAZ6$412.00$9.60$323.00$357.00
Santa Cruz Valley Regional HospitalGreen ValleyAZ11$1,527.00$916.20$23.56$122.82$1,374.30
Abrazo West CampusGoodyearAZ0$154.00$33.88

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.