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MS-DRG 191 · negotiated-rate distribution across hospitals in MI

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Hospitals
29
Min
$95.00
Median
$7,505.85
Max
$8,723.60
Range multiplier
91.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1868$2,284.00$12,024$19,9138.7×
Medicare1044$2,827.00$7,421.90$13,1644.7×
UnitedHealthcare2243$2,352.52$8,209.64$18,8458.0×
Aetna1428$5,445.64$7,433.60$17,2283.2×
Humana2125$2,827.00$5,835.08$7,711.882.7×
TRICARE1825$1,982.00$5,206.87$9,100.764.6×
smarthealth99$1,506.00$7,401.84$9,815.126.5×
WellCare99$5,287.03$5,287.03$7,505.851.4×
Medicare Advantage88$5,287.03$5,287.03$6,718.241.3×
hap38$6,533.49$8,258.53$15,8752.4×
First Health88$7,300.00$7,300.00$11,0001.5×
Ambetter88$8,723.60$8,723.60$11,3581.3×
mi amish medical board77$3,251.04$8,535.19$9,461.362.9×
blue mcr replacement77$5,287.03$5,287.03$5,287.031.0×
Cigna77$10,470$10,470$10,4701.0×
priority health47$6,587.03$10,070$14,8942.3×
facility billing - op77$5,287.03$5,287.03$5,287.031.0×
pcc employee77$10,815$10,815$10,8151.0×
healthspring mcr replacement77$5,392.77$5,392.77$5,392.771.0×
Oscar Health77$8,459.25$8,459.25$8,459.251.0×
occunet77$11,896$11,896$11,8961.0×
bcbsm35$6,533.49$7,505.85$16,0872.5×
Molina35$6,461.21$7,505.85$10,1331.6×
meridian health plan of mi34$8,047.49$8,856.35$10,1331.3×
cca health michigan33$6,533.49$6,587.03$7,505.851.1×
bcbsm/bcn33$17,172$19,192$20,5301.2×
bcn33$6,533.49$6,587.03$7,505.851.1×
CareSource33$6,533.49$6,587.03$7,505.851.1×
mclaren health33$6,533.49$6,587.03$7,505.851.1×
vitalcore physicians group of mi33$12,087$12,186$13,8861.1×
pace of se mi22$6,257.68$6,694.12$7,130.561.1×
amerihealth michigan22$6,455.29$6,905.51$7,355.731.1×
cofinity group health22$12,194$14,030$15,8651.3×
erickson22$6,587.03$7,046.44$7,505.851.1×
mount carmel health plan22$6,587.03$7,046.44$7,505.851.1×
mclaren health plan11$6,718.24$6,718.24$6,718.241.0×
longevity hp11$7,121.33$7,121.33$7,121.331.0×
kempton group administrators11$2,284.00$2,284.00$2,284.001.0×
zing11$7,054.15$7,054.15$7,054.151.0×
Multiplan11$95.00$95.00$95.001.0×
naphcare residential inmate treatment center11$10,413$10,413$10,4131.0×
national healthcare solutions, inc11$12,731$12,731$12,7311.0×
keenan11$12,150$12,150$12,1501.0×
immergrun inc11$7,186.84$7,186.84$7,186.841.0×
honest hmo11$6,718.24$6,718.24$6,718.241.0×
harbor health plan11$6,718.24$6,718.24$6,718.241.0×
employer direct healthcare11$10,344$10,344$10,3441.0×
connect health benefit11$4,568.00$4,568.00$4,568.001.0×
sunrise11$6,718.24$6,718.24$6,718.241.0×
thomas pace11$6,533.49$6,533.49$6,533.491.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Francis HospitalEscanabaMI3$92.50$95.00$15,619
Borgess-Pipp Health CenterPlainwellMI17$5,206.87$8,723.60$19,155
Ascension Allegan HospitalAlleganMI17$5,206.87$8,723.60$19,155
Ascension Borgess-Lee HospitalDowagiacMI17$5,206.87$8,723.60$19,155
Genesys Regional Medical Ctr.Grand BlancMI17$5,206.87$8,723.60$19,155
Ascension Standish HospitalStandishMI17$5,206.87$8,723.60$19,155
Ascension Providence Rochester HospiRochesterMI17$5,206.87$8,723.60$19,155
Ascension Borgess HospitalKalamazooMI17$5,206.87$8,723.60$19,155
Mclaren Greater LansingLansingMI6$26,685$13,343$5,835.08$8,227.27$13,164
Aspirus Ontonagon HospitalOntonagonMI1$8,209.64$8,209.64$8,209.64
Mclaren FlintFlintMI6$17,324$8,661.76$5,801.92$7,617.12$12,187
Mclaren Lapeer RegionLapeerMI6$20,170$10,085$5,848.12$7,589.68$12,143
Henry Ford HospitalDetroitMI20$6,571.49$7,505.85$20,530
Aspirus Keweenaw HospitalLauriumMI1$7,428.48$7,428.48$7,428.48
Mclaren Central MichiganMt PleasantMI6$20,724$10,362$5,825.29$7,421.90$19,913
Tawas St. Joseph HospitalTawasMI9$7,010.80$7,361.34$11,358
Mclaren Northern MichiganPetoskeyMI7$17,929$8,964.28$5,850.84$7,268.16$14,422
Garden City Hospital OsteopathicGarden CityMI20$7,956.00$6,718.24$7,054.15$15,483
W.a. Foote Memorial HospitalJacksonMI16$6,461.21$6,631.49$19,192
Henry Ford Health Wyandotte HospitalWyandotteMI20$6,257.68$6,587.03$17,172
Mclaren Port HuronPort HuronMI5$19,976$9,988.12$5,833.44$6,499.36$14,431
Bay Regional Medical CenterBay CityMI6$19,798$9,899.20$5,736.14$6,419.63$10,107
Ascension St John HospitalDetroitMI13$1,506.00$5,674.50$18,736
Mclaren Thumb RegionBad AxeMI5$12,314$6,156.83$2,827.00$2,883.54$8,629.89
Sparrow Clinton HospitalSt. JohnsMI0$15,761$3,940.31
Mh - Mercy CampusMuskegonMI0
North Ottawa Community HospitalGrand HavenMI0
Sparrow EatonCharlotteMI0$14,569$3,642.20
Carson City HospitalCarson CityMI0$19,425$4,856.16

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.