▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in MI
Hospitals
31
Min
$95.00
Median
$7,156.02
Max
$14,300
Range multiplier
150.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 19 | 69 | $2,284.00 | $12,024 | $19,155 | 8.4× |
| UnitedHealthcare | 24 | 47 | $2,352.52 | $7,477.74 | $18,845 | 8.0× |
| Medicare | 10 | 44 | $2,827.00 | $7,156.02 | $12,633 | 4.5× |
| Aetna | 14 | 28 | $5,205.98 | $7,110.59 | $16,444 | 3.2× |
| Humana | 22 | 26 | $2,827.00 | $5,577.50 | $7,372.49 | 2.6× |
| TRICARE | 18 | 25 | $1,982.00 | $5,193.32 | $9,382.97 | 4.7× |
| smarthealth | 9 | 9 | $1,506.00 | $7,076.09 | $9,383.16 | 6.2× |
| WellCare | 9 | 9 | $5,054.35 | $5,054.35 | $7,207.76 | 1.4× |
| Medicare Advantage | 8 | 8 | $5,054.35 | $5,054.35 | $6,445.32 | 1.3× |
| hap | 3 | 8 | $6,258.69 | $7,882.66 | $15,153 | 2.4× |
| priority health | 5 | 8 | $6,306.71 | $9,413.96 | $14,216 | 2.3× |
| First Health | 8 | 8 | $7,300.00 | $7,300.00 | $11,000 | 1.5× |
| Ambetter | 8 | 8 | $8,339.68 | $8,339.68 | $10,858 | 1.3× |
| mi amish medical board | 7 | 7 | $3,251.04 | $8,229.43 | $9,080.13 | 2.8× |
| occunet | 7 | 7 | $11,372 | $11,372 | $11,372 | 1.0× |
| Oscar Health | 7 | 7 | $8,086.96 | $8,086.96 | $8,086.96 | 1.0× |
| pcc employee | 7 | 7 | $10,815 | $10,815 | $10,815 | 1.0× |
| facility billing - op | 7 | 7 | $5,054.35 | $5,054.35 | $5,054.35 | 1.0× |
| blue mcr replacement | 7 | 7 | $5,054.35 | $5,054.35 | $5,054.35 | 1.0× |
| healthspring mcr replacement | 7 | 7 | $5,155.44 | $5,155.44 | $5,155.44 | 1.0× |
| Cigna | 7 | 7 | $10,470 | $10,470 | $10,470 | 1.0× |
| Molina | 3 | 5 | $6,272.59 | $7,207.76 | $9,730.48 | 1.6× |
| bcbsm | 3 | 5 | $6,258.69 | $7,207.76 | $11,886 | 1.9× |
| meridian health plan of mi | 3 | 4 | $7,810.33 | $8,481.65 | $9,730.48 | 1.2× |
| bcbsm/bcn | 3 | 3 | $12,688 | $14,180 | $15,169 | 1.2× |
| cca health michigan | 3 | 3 | $6,258.69 | $6,306.71 | $7,207.76 | 1.2× |
| mclaren health | 3 | 3 | $6,258.69 | $6,306.71 | $7,207.76 | 1.2× |
| CareSource | 3 | 3 | $6,258.69 | $6,306.71 | $7,207.76 | 1.2× |
| vitalcore physicians group of mi | 3 | 3 | $11,579 | $11,667 | $13,334 | 1.2× |
| bcn | 3 | 3 | $6,258.69 | $6,306.71 | $7,207.76 | 1.2× |
| erickson | 2 | 2 | $6,306.71 | $6,757.24 | $7,207.76 | 1.1× |
| upper pennisula health plan | 2 | 2 | $3,206.87 | $8,753.54 | $14,300 | 4.5× |
| cofinity group health | 2 | 2 | $11,639 | $13,391 | $15,143 | 1.3× |
| amerihealth michigan | 2 | 2 | $6,180.58 | $6,622.09 | $7,063.60 | 1.1× |
| mount carmel health plan | 2 | 2 | $6,306.71 | $6,757.24 | $7,207.76 | 1.1× |
| pace of se mi | 2 | 2 | $5,991.37 | $6,419.37 | $6,847.37 | 1.1× |
| zing | 1 | 1 | $6,767.59 | $6,767.59 | $6,767.59 | 1.0× |
| Bright Health | 1 | 1 | $8,377.83 | $8,377.83 | $8,377.83 | 1.0× |
| community care - st john network senior - govt | 1 | 1 | $2,284.00 | $2,284.00 | $2,284.00 | 1.0× |
| communitycare (select) | 1 | 1 | $2,734.80 | $2,734.80 | $2,734.80 | 1.0× |
| communitycare (standard) | 1 | 1 | $2,734.80 | $2,734.80 | $2,734.80 | 1.0× |
| connect health benefit | 1 | 1 | $4,568.00 | $4,568.00 | $4,568.00 | 1.0× |
| employer direct healthcare | 1 | 1 | $9,918.18 | $9,918.18 | $9,918.18 | 1.0× |
| harbor health plan | 1 | 1 | $6,445.32 | $6,445.32 | $6,445.32 | 1.0× |
| honest hmo | 1 | 1 | $6,445.32 | $6,445.32 | $6,445.32 | 1.0× |
| immergrun inc | 1 | 1 | $6,884.56 | $6,884.56 | $6,884.56 | 1.0× |
| kempton group administrators | 1 | 1 | $2,284.00 | $2,284.00 | $2,284.00 | 1.0× |
| longevity hp | 1 | 1 | $6,832.04 | $6,832.04 | $6,832.04 | 1.0× |
| managed health services insurance corp. | 1 | 1 | $7,799.76 | $7,799.76 | $7,799.76 | 1.0× |
| mclaren health plan | 1 | 1 | $6,445.32 | $6,445.32 | $6,445.32 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| St. Francis Hospital | Escanaba | MI | 3 | — | — | $92.50 | $95.00 | $11,540 |
| Borgess-Pipp Health Center | Plainwell | MI | 17 | — | — | $5,054.35 | $8,339.68 | $19,155 |
| Ascension Borgess Hospital | Kalamazoo | MI | 17 | — | — | $5,054.35 | $8,339.68 | $19,155 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 17 | — | — | $5,054.35 | $8,339.68 | $19,155 |
| Ascension Providence Rochester Hospi | Rochester | MI | 17 | — | — | $5,054.35 | $8,339.68 | $19,155 |
| Ascension Standish Hospital | Standish | MI | 17 | — | — | $5,054.35 | $8,339.68 | $19,155 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 17 | — | — | $5,054.35 | $8,339.68 | $19,155 |
| Ascension Allegan Hospital | Allegan | MI | 17 | — | — | $5,054.35 | $8,339.68 | $19,155 |
| Mclaren Greater Lansing | Lansing | MI | 7 | $30,951 | $15,475 | $5,578.28 | $7,895.76 | $12,633 |
| Mclaren Flint | Flint | MI | 7 | $19,291 | $9,645.51 | $5,546.58 | $7,299.86 | $11,680 |
| Mclaren Lapeer Region | Lapeer | MI | 6 | $24,197 | $12,099 | $5,590.75 | $7,259.95 | $11,616 |
| Henry Ford Hospital | Detroit | MI | 20 | — | — | $5,742.08 | $7,207.76 | $16,444 |
| Mclaren Central Michigan | Mt Pleasant | MI | 6 | $19,979 | $9,989.58 | $5,568.92 | $7,156.02 | $14,713 |
| Mclaren Northern Michigan | Petoskey | MI | 7 | $16,539 | $8,269.35 | $5,593.35 | $7,052.52 | $11,117 |
| Tawas St. Joseph Hospital | Tawas | MI | 9 | — | — | $6,702.26 | $7,037.37 | $10,858 |
| Aspirus Ontonagon Hospital | Ontonagon | MI | 4 | — | — | $5,348.56 | $6,927.56 | $10,413 |
| Garden City Hospital Osteopathic | Garden City | MI | 19 | — | $7,629.00 | $6,445.32 | $6,606.46 | $12,207 |
| W.a. Foote Memorial Hospital | Jackson | MI | 16 | — | — | $6,258.69 | $6,352.57 | $16,444 |
| Henry Ford Health Wyandotte Hospital | Wyandotte | MI | 20 | — | — | $5,738.84 | $6,306.71 | $12,688 |
| Mclaren Port Huron | Port Huron | MI | 5 | $25,223 | $12,611 | $5,576.72 | $6,231.34 | $10,662 |
| Bay Regional Medical Center | Bay City | MI | 6 | $20,356 | $10,178 | $5,483.69 | $6,153.73 | $9,688.56 |
| Aspirus Keweenaw Hospital | Laurium | MI | 1 | — | — | $6,069.32 | $6,069.32 | $6,069.32 |
| Ascension St John Hospital | Detroit | MI | 13 | — | — | $1,506.00 | $5,674.50 | $18,736 |
| Aspirus Ironwood Hospital | Ironwood | MI | 5 | — | — | $3,206.87 | $5,105.90 | $10,623 |
| Mclaren Thumb Region | Bad Axe | MI | 5 | $13,388 | $6,694.10 | $2,827.00 | $2,883.54 | $9,382.97 |
| Aspirus Iron River Hopsital & Clinic | Iron River | MI | 1 | — | — | $14,300 | $14,300 | $14,300 |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $17,796 | $4,449.08 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | — | — | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $15,339 | $3,834.86 | — | — | — |
| Carson City Hospital | Carson City | MI | 0 | $15,182 | $3,795.39 | — | — | — |
| Mh - Mercy Campus | Muskegon | MI | 0 | — | — | — | — | — |
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.