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Respiratory infections & inflammations w MCC

MS-DRG 177 · negotiated-rate distribution across hospitals in MI

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Hospitals
31
Min
$95.00
Median
$12,017
Max
$15,920
Range multiplier
167.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2171$2,284.00$14,865$29,92213.1×
UnitedHealthcare2548$2,352.52$14,159$62,59926.6×
Medicare1044$2,827.00$13,473$23,4538.3×
Humana2428$2,827.00$10,777$15,9205.6×
Aetna1428$6,781.00$13,138$33,0054.9×
TRICARE1825$1,982.00$11,701$14,4317.3×
smarthealth99$1,506.00$13,721$18,19512.1×
WellCare99$9,800.77$9,800.77$13,2801.4×
First Health88$7,300.00$7,300.00$11,0001.5×
Ambetter88$16,171$16,171$21,0541.3×
hap38$11,857$15,539$29,8712.5×
Medicare Advantage88$9,800.77$9,800.77$12,0131.2×
mi amish medical board77$3,251.04$15,494$16,8575.2×
blue mcr replacement77$9,800.77$9,800.77$9,800.771.0×
Cigna77$10,470$10,470$10,4701.0×
priority health47$11,975$18,666$28,0242.3×
facility billing - op77$9,800.77$9,800.77$9,800.771.0×
pcc employee77$10,815$10,815$10,8151.0×
Oscar Health77$15,681$15,681$15,6811.0×
healthspring mcr replacement77$9,996.79$9,996.79$9,996.791.0×
occunet77$22,052$22,052$22,0521.0×
Molina35$12,017$13,280$17,9281.5×
bcbsm35$11,857$13,280$24,1732.0×
meridian health plan of mi34$15,546$16,115$17,9281.2×
vitalcore physicians group of mi33$21,935$22,232$24,5681.1×
bcn33$11,857$12,017$13,2801.1×
CareSource33$11,857$12,017$13,2801.1×
Anthem BCBS13$11,390$13,420$29,4092.6×
cca health michigan33$11,857$12,017$13,2801.1×
bcbsm/bcn33$25,803$28,839$30,8491.2×
mclaren health33$11,857$12,017$13,2801.1×
mount carmel health plan22$12,017$12,649$13,2801.1×
amerihealth michigan22$11,777$12,396$13,0141.1×
cofinity group health22$22,945$26,398$29,8521.3×
erickson22$12,017$12,649$13,2801.1×
pace of se mi22$11,416$12,016$12,6161.1×
upper pennisula health plan22$15,235$15,587$15,9391.0×
mclaren commercial ins11$6,756.03$6,756.03$6,756.031.0×
longevity hp11$12,733$12,733$12,7331.0×
kempton group administrators11$2,284.00$2,284.00$2,284.001.0×
immergrun inc11$13,042$13,042$13,0421.0×
Multiplan11$95.00$95.00$95.001.0×
naphcare residential inmate treatment center11$18,620$18,620$18,6201.0×
national healthcare solutions, inc11$22,894$22,894$22,8941.0×
honest hmo11$12,013$12,013$12,0131.0×
health partners11$13,363$13,363$13,3631.0×
Bright Health11$16,245$16,245$16,2451.0×
harbor health plan11$12,013$12,013$12,0131.0×
employer direct healthcare11$18,601$18,601$18,6011.0×
security health plan of wisconsin, inc.11$14,725$14,725$14,7251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Francis HospitalEscanabaMI3$92.50$95.00$23,470
Ascension St John HospitalDetroitMI13$1,506.00$5,674.50$18,736
Mclaren Thumb RegionBad AxeMI5$17,520$8,759.80$2,827.00$2,883.54$12,278
Aspirus Iron River Hopsital & ClinicIron RiverMI4$4,260.40$15,920$21,960
Mclaren Greater LansingLansingMI8$44,192$22,096$10,080$14,658$33,005
Mclaren Lapeer RegionLapeerMI6$42,871$21,435$10,833$13,986$22,378
Mclaren FlintFlintMI7$43,764$21,882$6,756.03$13,772$22,035
Tawas St. Joseph HospitalTawasMI9$12,996$13,646$21,054
Mclaren Northern MichiganPetoskeyMI6$28,839$14,420$10,263$13,473$21,671
Aspirus Ontonagon HospitalOntonagonMI4$11,390$13,420$29,409
Henry Ford HospitalDetroitMI20$10,420$13,280$32,417
Mclaren Central MichiganMt PleasantMI6$32,313$16,156$10,263$12,580$29,922
Garden City Hospital OsteopathicGarden CityMI19$14,308$12,013$12,313$23,265
Aspirus Ironwood HospitalIronwoodMI4$5,400.94$12,254$22,061
W.a. Foote Memorial HospitalJacksonMI16$11,857$12,034$32,417
Henry Ford Health Wyandotte HospitalWyandotteMI20$10,414$12,017$25,803
Aspirus Keweenaw HospitalLauriumMI4$10,205$11,900$62,599
Borgess-Pipp Health CenterPlainwellMI17$7,300.00$11,701$22,052
Ascension Borgess HospitalKalamazooMI17$7,300.00$11,701$22,052
Genesys Regional Medical Ctr.Grand BlancMI17$7,300.00$11,701$22,052
Ascension Providence Rochester HospiRochesterMI17$7,300.00$11,701$22,052
Ascension Standish HospitalStandishMI17$7,300.00$11,701$22,052
Ascension Borgess-Lee HospitalDowagiacMI17$7,300.00$11,701$22,052
Ascension Allegan HospitalAlleganMI17$7,300.00$11,701$22,052
Mclaren Port HuronPort HuronMI5$31,265$15,632$10,814$11,575$21,684
Bay Regional Medical CenterBay CityMI6$38,240$19,120$10,633$11,411$18,233
Sparrow EatonCharlotteMI0$20,132$5,033.01
Carson City HospitalCarson CityMI0$19,970$4,992.46
North Ottawa Community HospitalGrand HavenMI0
Mh - Mercy CampusMuskegonMI0
Sparrow Clinton HospitalSt. JohnsMI0$27,605$6,901.25

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.