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ED visit level 1

CPT 99281 · negotiated-rate distribution across hospitals in AZ

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Hospitals
9
Min
$49.35
Median
$128.65
Max
$450.98
Range multiplier
9.1×

By payer (46 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare844$8.54$450.98$1,124131.6×
Cigna627$39.95$385$61015.3×
Aetna824$15.61$181$75148.1×
Humana818$9.85$84.19$1,433145.5×
Blue Cross Blue Shield518$40$185$57514.4×
First Health617$32.94$132.3$495.915.1×
Medicare513$71.5$74.52$77.781.1×
Multiplan512$47.1$197.47$48310.3×
commercial | nhsi | all plans410$37.82$151.9$356.59.4×
Health Net27$9.85$93.85$506.3451.4×
commercial | az foundation | pos26$61$125$2454.0×
WellCare26$47$50.45$98.552.1×
commercial | az foundation | ppo26$61$125$2454.0×
Medicaid55$20.44$20.44$55.92.7×
Bright Health45$27.98$132.54$159.515.7×
commercial | connected care | intel44$523$526$5421.0×
Anthem BCBS14$15.61$67.81$89.185.7×
eff date13$29,221$40,909$43,7701.5×
banner health13$9.85$47$93.859.5×
arizona medical network12$47$70.43$93.852.0×
amount12$72$137$2022.8×
arizona physicians ipa inc12$450.98$450.98$450.981.0×
bridgeway health solutions12$47$70.43$93.852.0×
commercial | azfmc | all other plans12$111.82$337.92$564.025.0×
commercial | azfmc | pos12$107.33$324.35$541.365.0×
de-identified max12$66.24$126.04$185.842.8×
de-identified min12$50.4$95.9$141.42.8×
devoted health12$49.82$74.66$99.492.0×
health choice pathway12$47$70.43$93.852.0×
health management network12$47$70.43$93.852.0×
imperial insurance12$49.35$73.95$98.552.0×
rural arizona network12$47$70.43$93.852.0×
the health plan12$20$35.45$50.912.5×
commercial | lifetrac | all plans11$373.75$373.75$373.751.0×
caresoure kentucky11$61.2$61.2$61.21.0×
mercy care11$10.35$10.35$10.351.0×
Meritain Health11$450.98$450.98$450.981.0×
Molina11$15.61$15.61$15.611.0×
care 1st11$9.85$9.85$9.851.0×
optum ccn region 111$50.91$50.91$50.911.0×
optum ccn region 211$50.91$50.91$50.911.0×
acchs11$9.85$9.85$9.851.0×
arizona complete health11$9.85$9.85$9.851.0×
health choice11$10.35$10.35$10.351.0×
commercial | optum | optumhealth11$316.25$316.25$316.251.0×
umr11$73.13$73.13$73.131.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
SANTA CRUZ VALLEY REGIONAL HOSPITALGREEN VALLEYAZ11$102$61.2$15.61$50.91$91.8
YAVAPAI REGIONAL MEDICAL CENTERPRESCOTTAZ21$522$387.33$9.85$49.35$506.34
MT. GRAHAM REGIONAL MEDICAL CENTERSAFFORDAZ9$530$141.4$50.4$450.98$43,770
CARONDELET ST. JOSEPH HOSPITALTUCSONAZ11$575$402.5$55.9$368$1,433
ST. JOSEPHS HOSPITAL & MEDICAL CTRPHOENIXAZ15$575$402.5$20.44$350.75$1,433
CHANDLER REGIONAL MEDICAL CENTERCHANDLERAZ14$575$402.5$8.54$128.65$1,433
MERCY GILBERT MEDICAL CENTERGILBERTAZ14$575$402.5$8.54$128.65$1,433
ARIZONA GENERAL HOSPITALLAVEENAZ11$575$402.5$27.98$112.91$575
ABRAZO WEST CAMPUSGOODYEARAZ0$633$139.26

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.