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Initial hospital care, high complexity

CPT 99223 · negotiated-rate distribution across hospitals in AZ

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Hospitals
4
Min
$152.94
Median
$242.21
Max
$496.33
Range multiplier
3.2×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare329$151.3$496.33$496.333.3×
Aetna38$152.94$420.52$496.333.2×
Humana24$151.3$482.53$496.333.3×
Meritain Health13$496.33$496.33$496.331.0×
arizona physicians ipa inc13$468.73$496.33$496.331.1×
Cigna23$325.55$334.36$496.331.5×
eff date12$40,909$42,263$43,6171.1×
de-identified max12$193.2$271.4$349.61.8×
de-identified min12$147$206.5$2661.8×
the health plan12$130.48$141.71$152.941.2×
Health Net12$151.3$261.41$371.512.5×
WellCare12$119.25$136.1$152.941.3×
amount12$210$295$3801.8×
wmi mutual insurance company11$496.33$496.33$496.331.0×
arizona complete health11$151.3$151.3$151.31.0×
banner health11$151.3$151.3$151.31.0×
Blue Cross Blue Shield11$325.94$325.94$325.941.0×
care 1st11$151.3$151.3$151.31.0×
caresoure kentucky11$252.35$252.35$252.351.0×
dmba deseret alliance11$496.33$496.33$496.331.0×
First Health11$363.85$363.85$363.851.0×
health choice11$158.87$158.87$158.871.0×
mercy care11$158.87$158.87$158.871.0×
optum ccn region 111$152.94$152.94$152.941.0×
optum ccn region 211$152.94$152.94$152.941.0×
acchs11$151.3$151.3$151.31.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MT. GRAHAM REGIONAL MEDICAL CENTERSAFFORDAZ12$496.33$266$147$496.33$43,617
YAVAPAI REGIONAL MEDICAL CENTERPRESCOTTAZ13$383$284.19$151.3$242.21$371.51
SANTA CRUZ VALLEY REGIONAL HOSPITALGREEN VALLEYAZ7$321$192.6$119.25$152.94$252.35
ABRAZO WEST CAMPUSGOODYEARAZ0$194$42.68

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.