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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
$439.8
Max
$481.92
Range multiplier
3.9×

By payer (31 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare732$9.6$268.14$1,094.86114.0×
Aetna423$23.56$328.5$1,374.358.3×
Cigna519$239.7$685.31$1,3295.5×
First Health515$248.94$496.98$978.53.9×
Blue Cross Blue Shield411$226.1$586.35$876.533.9×
Humana69$23.56$101.32$451.819.2×
Health Net29$101.32$527.1$999.19.9×
commercial | nhsi | all plans48$285.82$451.36$823.982.9×
Multiplan48$355.9$591.95$1,116.363.1×
WellCare16$35.42$105$351.219.9×
commercial | az foundation | ppo24$461$474.5$4881.1×
commercial | az foundation | pos24$461$474.5$4881.1×
caresoure kentucky14$92.4$202.65$916.29.9×
Medicaid44$27.87$27.87$55.92.0×
the health plan14$107.57$115.2$122.821.1×
commercial | connected care | intel33$356$466.86$704.372.0×
Anthem BCBS13$233.63$1,268.33$1,335.065.7×
Meritain Health12$323$323$3231.0×
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$323$3231.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CARONDELET ST. JOSEPH HOSPITALTUCSONAZ6$753$527.1$55.9$481.92$753
CHANDLER REGIONAL MEDICAL CENTERCHANDLERAZ11$1,329$930.3$27.87$461$1,329
ST. JOSEPHS HOSPITAL & MEDICAL CTRPHOENIXAZ12$753$527.1$27.87$459.33$753
MERCY GILBERT MEDICAL CENTERGILBERTAZ11$1,329$930.3$27.87$439.8$1,329
YAVAPAI REGIONAL MEDICAL CENTERPRESCOTTAZ13$1,030$764.26$101.32$346.75$999.1
MT. GRAHAM REGIONAL MEDICAL CENTERSAFFORDAZ6$412$9.6$323$357
SANTA CRUZ VALLEY REGIONAL HOSPITALGREEN VALLEYAZ11$1,527$916.2$23.56$122.82$1,374.3
ABRAZO WEST CAMPUSGOODYEARAZ0$154$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.