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COPD w/o CC/MCC

MS-DRG 192 · negotiated-rate distribution across hospitals in MI

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Hospitals
28
Min
$95
Median
$5,803.24
Max
$7,300
Range multiplier
76.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1767$2,284$12,024$19,1558.4×
UnitedHealthcare2243$2,352.52$6,182.84$18,8458.0×
Medicare939$2,827$5,606.15$10,2903.6×
Aetna1327$4,147.21$5,890.38$16,2753.9×
Humana2024$2,827$4,430.55$6,008.192.1×
TRICARE1724$1,982$4,152.93$6,489.063.3×
smarthealth99$1,506$5,636.99$7,474.875.0×
WellCare99$4,026.42$4,026.42$5,890.381.5×
Medicare Advantage88$4,026.42$4,026.42$5,239.591.3×
First Health88$7,300$7,300$11,0001.5×
hap38$5,044.22$6,221.54$11,9602.4×
Ambetter88$6,643.59$6,643.59$8,649.491.3×
healthspring mcr replacement77$4,106.95$4,106.95$4,106.951.0×
blue mcr replacement77$4,026.42$4,026.42$4,026.421.0×
Cigna77$10,470$10,470$10,4701.0×
priority health47$5,067.85$7,668.69$11,2202.2×
pcc employee77$10,815$10,815$10,8151.0×
Oscar Health77$6,442.27$6,442.27$6,442.271.0×
occunet77$9,059.44$9,059.44$9,059.441.0×
facility billing - op77$4,026.42$4,026.42$4,026.421.0×
mi amish medical board66$3,251.04$6,519.6$7,395.92.3×
Molina35$5,002.95$5,890.38$7,952.011.6×
bcbsm35$5,044.22$5,890.38$11,8032.3×
meridian health plan of mi34$6,213.96$6,825.65$7,952.011.3×
mclaren health33$5,044.22$5,067.85$5,890.381.2×
bcbsm/bcn33$12,600$14,082$15,0631.2×
bcn33$5,044.22$5,067.85$5,890.381.2×
CareSource33$5,044.22$5,067.85$5,890.381.2×
cca health michigan33$5,044.22$5,067.85$5,890.381.2×
vitalcore physicians group of mi33$9,331.81$9,375.52$10,8971.2×
pace of se mi22$4,814.46$5,205.16$5,595.861.2×
cofinity group health22$9,186.36$10,569$11,9521.3×
mount carmel health plan22$5,067.85$5,479.12$5,890.381.2×
amerihealth michigan22$4,966.49$5,369.53$5,772.571.2×
erickson22$5,067.85$5,479.12$5,890.381.2×
harbor health plan11$5,239.59$5,239.59$5,239.591.0×
Multiplan11$95$95$951.0×
naphcare residential inmate treatment center11$8,121.36$8,121.36$8,121.361.0×
national healthcare solutions, inc11$9,892.54$9,892.54$9,892.541.0×
employer direct healthcare11$8,037.69$8,037.69$8,037.691.0×
connect health benefit11$4,568$4,568$4,5681.0×
communitycare (standard)11$2,734.8$2,734.8$2,734.81.0×
communitycare (select)11$2,734.8$2,734.8$2,734.81.0×
community care - st john network senior - govt11$2,284$2,284$2,2841.0×
sunrise11$5,239.59$5,239.59$5,239.591.0×
thomas pace11$5,044.22$5,044.22$5,044.221.0×
total health care priority health11$5,239.59$5,239.59$5,239.591.0×
united behavioral health11$5,239.59$5,239.59$5,239.591.0×
Bright Health11$6,673.99$6,673.99$6,673.991.0×
uphp11$92.5$92.5$92.51.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. FRANCIS HOSPITALESCANABAMI3$92.5$95$11,460
BORGESS-PIPP HEALTH CENTERPLAINWELLMI17$4,026.42$7,300$19,155
ASCENSION BORGESS HOSPITALKALAMAZOOMI17$4,026.42$7,300$19,155
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI17$4,026.42$7,300$19,155
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI17$4,026.42$7,300$19,155
ASCENSION STANDISH HOSPITALSTANDISHMI17$4,026.42$7,300$19,155
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI17$4,026.42$7,300$19,155
ASCENSION ALLEGAN HOSPITALALLEGANMI17$4,026.42$7,300$19,155
MCLAREN GREATER LANSINGLANSING MI 489100MI6$18,119$9,059.33$4,258.02$6,431.22$10,290
ASPIRUS KEWEENAW HOSPITALLAURIUMMI1$5,924$5,924$5,924
MCLAREN FLINTFLINTMI6$22,129$11,064$4,366.82$5,898.27$9,437.24
HENRY FORD HOSPITALDETROITMI20$4,095.53$5,890.38$15,063
MCLAREN LAPEER REGIONLAPEERMI6$28,859$14,430$4,258.02$5,803.24$9,285.19
ASCENSION ST JOHN HOSPITALDETROITMI13$1,506$5,674.5$18,736
TAWAS ST. JOSEPH HOSPITALTAWASMI9$5,339.19$5,606.15$8,649.49
MCLAREN NORTHERN MICHIGANPETOSKEYMI6$8,641$4,320.5$4,033.91$5,535.18$10,582
ASPIRUS ONTONAGON HOSPITALONTONAGONMI2$5,094.1$5,432.42$6,355.52
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI19$6,182$5,239.59$5,370.58$11,360
W.A. FOOTE MEMORIAL HOSPITALJACKSONMI16$4,665.45$5,069.44$14,082
HENRY FORD HEALTH WYANDOTTE HOSPITALWYANDOTTEMI20$4,093.22$5,067.85$12,600
MCLAREN PORT HURONPORT HURONMI5$22,061$11,031$4,442.55$4,991.81$10,588
BAY REGIONAL MEDICAL CENTERBAY CITYMI6$13,758$6,879.18$4,368.45$4,905.57$7,838.1
MCLAREN THUMB REGIONBAD AXEMI5$9,259$4,629.5$2,827$2,883.54$6,489.06
MH - MERCY CAMPUSMUSKEGONMI0
SPARROW EATONCHARLOTTEMI0$12,659$3,164.76
CARSON CITY HOSPITALCARSON CITYMI0$12,659$3,164.76
SPARROW CLINTON HOSPITALST. JOHNSMI0$12,659$3,164.76
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0

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.