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Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in AZ
Hospitals
3
Min
$72.79
Median
$119.52
Max
$479.09
Range multiplier
6.6×
By payer (22 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 3 | 13 | $72.22 | $479.09 | $479.09 | 6.6× |
| Aetna | 2 | 4 | $72.79 | $136.50 | $172.80 | 2.4× |
| Humana | 2 | 3 | $72.22 | $479.09 | $479.09 | 6.6× |
| WellCare | 1 | 2 | $51.66 | $62.23 | $72.79 | 1.4× |
| Health Net | 1 | 2 | $72.22 | $129.23 | $186.24 | 2.6× |
| Cigna | 1 | 2 | $163.20 | $165.41 | $167.62 | 1.0× |
| the health plan | 1 | 2 | $62.54 | $67.66 | $72.79 | 1.2× |
| de-identified max | 1 | 1 | $170.20 | $170.20 | $170.20 | 1.0× |
| de-identified min | 1 | 1 | $129.50 | $129.50 | $129.50 | 1.0× |
| acchs | 1 | 1 | $72.22 | $72.22 | $72.22 | 1.0× |
| First Health | 1 | 1 | $182.40 | $182.40 | $182.40 | 1.0× |
| health choice | 1 | 1 | $75.84 | $75.84 | $75.84 | 1.0× |
| mercy care | 1 | 1 | $75.84 | $75.84 | $75.84 | 1.0× |
| optum ccn region 1 | 1 | 1 | $72.79 | $72.79 | $72.79 | 1.0× |
| optum ccn region 2 | 1 | 1 | $72.79 | $72.79 | $72.79 | 1.0× |
| eff date | 1 | 1 | $40,909 | $40,909 | $40,909 | 1.0× |
| amount | 1 | 1 | $185.00 | $185.00 | $185.00 | 1.0× |
| arizona complete health | 1 | 1 | $72.22 | $72.22 | $72.22 | 1.0× |
| banner health | 1 | 1 | $72.22 | $72.22 | $72.22 | 1.0× |
| Blue Cross Blue Shield | 1 | 1 | $163.40 | $163.40 | $163.40 | 1.0× |
| care 1st | 1 | 1 | $72.22 | $72.22 | $72.22 | 1.0× |
| caresoure kentucky | 1 | 1 | $120.10 | $120.10 | $120.10 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Santa Cruz Valley Regional Hospital | Green Valley | AZ | 7 | $162.00 | $97.20 | $51.66 | $72.79 | $120.10 |
| Mt. Graham Regional Medical Center | Safford | AZ | 6 | $479.09 | $129.50 | $129.50 | $479.09 | $40,909 |
| Yavapai Regional Medical Center | Prescott | AZ | 13 | $192.00 | $142.47 | $72.22 | $119.52 | $186.24 |
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.