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CPT 99285 · negotiated-rate distribution across hospitals in AZ

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Hospitals
9
Min
$386.40
Median
$923.63
Max
$2,326.50
Range multiplier
6.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare875$64.54$1,994.79$27,689429.0×
Aetna839$285.80$1,994.79$4,506.3015.8×
Cigna728$312.80$2,028.65$3,509.4611.2×
Humana824$152.79$846.54$5,035.0033.0×
Blue Cross Blue Shield520$313.17$561.00$8,455.1727.0×
First Health617$248.94$1,987.50$8,485.0234.1×
Medicare513$514.19$536.44$563.621.1×
Multiplan512$355.90$2,925.00$13,19937.1×
Anthem BCBS110$285.80$1,592.38$4,377.6215.3×
commercial | nhsi | all plans410$285.82$2,325.00$9,742.0634.1×
commercial | az foundation | pos38$461.00$1,914.63$15,02232.6×
WellCare28$354.47$519.93$951.332.7×
commercial | az foundation | ppo38$461.00$2,062.75$15,02232.6×
Bright Health48$227.49$980.25$8,455.1737.2×
Health Net27$152.79$653.45$3,899.4025.5×
arizona physicians ipa inc16$1,994.79$1,994.79$4,028.002.0×
Molina25$285.80$766.07$1,994.797.0×
Medicaid55$156.41$156.41$511.073.3×
commercial | connected care | intel45$356.00$2,630.00$15,71344.1×
umr13$1,339.36$2,723.17$3,590.022.7×
caresoure kentucky13$1,120.80$2,278.80$3,004.202.7×
eff date13$29,221$40,909$43,7701.5×
Meritain Health13$1,994.79$4,028.00$8,867.504.4×
banner health13$152.79$368.00$653.454.3×
arizona medical network12$368.00$510.73$653.451.8×
amount12$670.00$1,034.00$1,398.002.1×
bridgeway health solutions12$368.00$510.73$653.451.8×
commercial | azfmc | all other plans12$909.29$2,293.84$3,678.384.0×
commercial | azfmc | pos12$872.77$2,201.70$3,530.634.0×
de-identified max12$616.40$951.28$1,286.162.1×
de-identified min12$469.00$723.80$978.602.1×
devoted health12$390.08$541.37$692.661.8×
health choice pathway12$368.00$510.73$653.451.8×
health management network12$368.00$510.73$653.451.8×
imperial insurance12$386.40$536.27$686.131.8×
rural arizona network12$368.00$510.73$653.451.8×
the health plan12$354.47$467.39$580.301.6×
mercy care11$160.43$160.43$160.431.0×
commercial | lifetrac | all plans11$2,437.50$2,437.50$2,437.501.0×
care 1st11$152.79$152.79$152.791.0×
assured benefits administrator11$1,994.79$1,994.79$1,994.791.0×
optum ccn region 111$354.47$354.47$354.471.0×
optum ccn region 211$354.47$354.47$354.471.0×
albuquerque public schools aso11$1,994.79$1,994.79$1,994.791.0×
summit administration services11$1,994.79$1,994.79$1,994.791.0×
wmi mutual insurance company11$598.44$598.44$598.441.0×
acchs11$152.79$152.79$152.791.0×
arizona complete health11$152.79$152.79$152.791.0×
health choice11$160.43$160.43$160.431.0×
commercial | optum | optumhealth11$2,062.50$2,062.50$2,062.501.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Arizona General HospitalLaveenAZ11$3,750.00$2,625.00$227.49$923.63$3,718.50
Santa Cruz Valley Regional HospitalGreen ValleyAZ11$5,007.00$3,004.20$285.80$766.07$4,506.30
Chandler Regional Medical CenterChandlerAZ14$15,713$10,999$64.54$725.37$15,022
Mercy Gilbert Medical CenterGilbertAZ14$15,713$10,999$64.54$586.35$15,713
Yavapai Regional Medical CenterPrescottAZ21$4,020.00$2,982.84$152.79$386.40$3,899.40
Carondelet St. Joseph HospitalTucsonAZ11$3,750.00$2,625.00$340.71$2,326.50$4,131.00
St. Josephs Hospital & Medical CtrPhoenixAZ17$3,750.00$2,625.00$156.41$2,156.25$4,131.00
Mt. Graham Regional Medical CenterSaffordAZ15$27,689$978.60$469.00$1,994.79$43,770
Abrazo West CampusGoodyearAZ0$2,119.00$466.18

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.