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Total hip replacement

CPT 27130 · negotiated-rate distribution across hospitals in MI

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Hospitals
26
Min
$1,813.84
Median
$18,076
Max
$23,191
Range multiplier
12.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicare1275$1,145.30$12,549$20,07817.5×
Medicaid1275$275.00$7,038.15$39,969145.3×
UnitedHealthcare1252$829.21$7,038.15$48,48358.5×
Blue Cross Blue Shield1330$2,277.79$18,393$38,60616.9×
Aetna2027$1,507.65$25,829$33,23322.0×
Humana1019$1,145.30$11,965$12,73511.1×
priority health99$1,872.02$1,872.02$6,826.443.6×
TRICARE99$11,346$12,268$16,1791.4×
Cigna88$8,720.00$8,720.00$21,2072.4×
First Health88$1,617.76$33,733$58,87336.4×
mclaren commercial ins88$1,897.84$1,897.84$1,897.841.0×
priority health op rate88$17,866$21,921$34,9982.0×
u of m health plan88$1,317.10$1,317.10$1,317.101.0×
mi amish medical board77$12,549$12,549$12,5491.0×
hap - hmo op rate55$13,741$18,335$25,5091.9×
hp - ppo op rate44$22,593$22,810$39,4311.7×
cofinity - auto op rate44$22,273$27,495$39,2581.8×
harbor health plan14$6,826.44$7,509.10$12,7351.9×
hp - hmo op rate44$16,283$16,785$29,6301.8×
hcap op rate33$23,812$23,812$27,1881.1×
cofinity - ppom op rate33$33,932$33,932$33,9381.0×
hap - ppo op rate33$23,026$25,439$25,4391.1×
total health care priority health13$6,826.44$12,535$12,7351.9×
hap preferred op rate33$15,996$25,008$28,3971.8×
mclaren health advantage op rate22$15,132$15,221$15,3101.0×
mclaren health op rate22$11,115$11,488$11,8611.1×
mclaren health plan12$6,826.44$9,780.88$12,7351.9×
mclaren health plan op rate22$6,250.97$6,250.97$6,250.971.0×
blue care network op rate22$20,102$20,102$20,1021.0×
health advantage - ppo op rate22$11,755$17,004$22,2541.9×
Medicare Advantage22$12,148$12,442$12,7351.0×
mhp - hmo op rate22$11,755$17,004$22,2541.9×
mi amish medical board op rate22$14,151$14,151$14,1511.0×
Multiplan22$29,117$31,425$33,7321.2×
health advantage - commercial op rate22$13,910$13,910$13,9101.0×
bcn op rate22$18,100$28,353$38,6062.1×
hap/ahl op rate11$25,509$25,509$25,5091.0×
usa mco-ppo op rate11$35,840$35,840$35,8401.0×
health plus hmo op rate11$20,119$20,119$20,1191.0×
health plus ppo op rate11$21,751$21,751$21,7511.0×
honest hmo11$12,735$12,735$12,7351.0×
hospice care in michigan op rate11$21,083$21,083$21,0831.0×
zing11$13,372$13,372$13,3721.0×
cofinity - wc op rate11$21,719$21,719$21,7191.0×
hurley medical center op rate11$19,393$19,393$19,3931.0×
longevity hp11$13,499$13,499$13,4991.0×
CHAMPVA11$1,165.19$1,165.19$1,165.191.0×
beech street op rate11$37,949$37,949$37,9491.0×
beacon health strategies11$6,826.44$6,826.44$6,826.441.0×
naphcare residential inmate treatment center11$19,740$19,740$19,7401.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mclaren Northern MichiganPetoskeyMI14$35,394$17,697$829.21$7,249.30$26,422
Mclaren Central MichiganMt PleasantMI11$55,186$27,593$829.21$7,038.15$20,531
Ascension St John HospitalDetroitMI3$1,507.65$3,058.45$3,058.45
Mclaren MacombMt. ClemensMI20$21,083$7,289.07$23,191$38,606
Borgess-Pipp Health CenterPlainwellMI2$8,720.00$20,977$33,233
Ascension Providence Rochester HospiRochesterMI2$8,720.00$20,977$33,233
Ascension Borgess HospitalKalamazooMI2$8,720.00$20,977$33,233
Ascension Allegan HospitalAlleganMI2$8,720.00$20,977$33,233
Genesys Regional Medical Ctr.Grand BlancMI2$8,720.00$20,977$33,233
Ascension Borgess-Lee HospitalDowagiacMI2$8,720.00$20,977$33,233
Ascension Standish HospitalStandishMI2$8,720.00$20,977$33,233
Mclaren Bay Special CareBay CityMI17$19,843$6,250.97$20,102$33,932
Mclaren Thumb RegionBad AxeMI10$45,533$22,767$829.21$1,813.84$16,179
Mclaren OaklandPontiacMI14$14,346$7,327.28$18,076$28,691
Garden City Hospital OsteopathicGarden CityMI19$25,313$12,735$6,826.44$12,735$21,714
Bay Regional Medical CenterBay CityMI23$55,231$27,615$829.21$12,549$33,932
Mclaren FlintFlintMI25$79,237$39,618$275.00$12,549$58,873
Mclaren Port HuronPort HuronMI28$42,368$21,184$829.21$12,400$36,251
Mclaren Lapeer RegionLapeerMI23$50,014$25,007$829.21$12,141$39,969
Mclaren Greater LansingLansingMI19$59,648$29,824$829.21$11,965$35,952
Carson City HospitalCarson CityMI0$2,847.00$1,423.50
Sparrow Clinton HospitalSt. JohnsMI0$2,847.00$1,423.50
Sparrow EatonCharlotteMI0$2,847.00$1,423.50
Mckenzie Health SystemSanduskyMI0$2,791.00$2,232.80
North Ottawa Community HospitalGrand HavenMI0$28,878$20,215
Mackinac Straits Health System IncSt. IgnaceMI0$4,491.00$3,143.70

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.