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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in AZ

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Hospitals
9
Min
$386.4
Median
$923.63
Max
$2,326.5
Range multiplier
6.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare875$64.54$1,994.79$27,689429.0×
Aetna839$285.8$1,994.79$4,506.315.8×
Cigna728$312.8$2,028.65$3,509.4611.2×
Humana824$152.79$846.54$5,03533.0×
Blue Cross Blue Shield520$313.17$561$8,455.1727.0×
First Health617$248.94$1,987.5$8,485.0234.1×
Medicare513$514.19$536.44$563.621.1×
Multiplan512$355.9$2,925$13,19937.1×
Anthem BCBS110$285.8$1,592.38$4,377.6215.3×
commercial | nhsi | all plans410$285.82$2,325$9,742.0634.1×
commercial | az foundation | pos38$461$1,914.63$15,02232.6×
WellCare28$354.47$519.93$951.332.7×
commercial | az foundation | ppo38$461$2,062.75$15,02232.6×
Bright Health48$227.49$980.25$8,455.1737.2×
Health Net27$152.79$653.45$3,899.425.5×
arizona physicians ipa inc16$1,994.79$1,994.79$4,0282.0×
Molina25$285.8$766.07$1,994.797.0×
Medicaid55$156.41$156.41$511.073.3×
commercial | connected care | intel45$356$2,630$15,71344.1×
umr13$1,339.36$2,723.17$3,590.022.7×
caresoure kentucky13$1,120.8$2,278.8$3,004.22.7×
eff date13$29,221$40,909$43,7701.5×
Meritain Health13$1,994.79$4,028$8,867.54.4×
banner health13$152.79$368$653.454.3×
arizona medical network12$368$510.73$653.451.8×
amount12$670$1,034$1,3982.1×
bridgeway health solutions12$368$510.73$653.451.8×
commercial | azfmc | all other plans12$909.29$2,293.84$3,678.384.0×
commercial | azfmc | pos12$872.77$2,201.7$3,530.634.0×
de-identified max12$616.4$951.28$1,286.162.1×
de-identified min12$469$723.8$978.62.1×
devoted health12$390.08$541.37$692.661.8×
health choice pathway12$368$510.73$653.451.8×
health management network12$368$510.73$653.451.8×
imperial insurance12$386.4$536.27$686.131.8×
rural arizona network12$368$510.73$653.451.8×
the health plan12$354.47$467.39$580.31.6×
mercy care11$160.43$160.43$160.431.0×
commercial | lifetrac | all plans11$2,437.5$2,437.5$2,437.51.0×
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$2,062.5$2,062.5$2,062.51.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ARIZONA GENERAL HOSPITALLAVEENAZ11$3,750$2,625$227.49$923.63$3,718.5
SANTA CRUZ VALLEY REGIONAL HOSPITALGREEN VALLEYAZ11$5,007$3,004.2$285.8$766.07$4,506.3
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$2,982.84$152.79$386.4$3,899.4
CARONDELET ST. JOSEPH HOSPITALTUCSONAZ11$3,750$2,625$340.71$2,326.5$4,131
ST. JOSEPHS HOSPITAL & MEDICAL CTRPHOENIXAZ17$3,750$2,625$156.41$2,156.25$4,131
MT. GRAHAM REGIONAL MEDICAL CENTERSAFFORDAZ15$27,689$978.6$469$1,994.79$43,770
ABRAZO WEST CAMPUSGOODYEARAZ0$2,119$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.