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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$1,145.3$12,549$20,07817.5×
Medicaid1275$275$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$1,145.3$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$8,720$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$1,317.1$1,317.1$1,317.11.0×
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$7,509.1$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$7,249.3$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$20,977$33,233
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI2$8,720$20,977$33,233
ASCENSION BORGESS HOSPITALKALAMAZOOMI2$8,720$20,977$33,233
ASCENSION ALLEGAN HOSPITALALLEGANMI2$8,720$20,977$33,233
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI2$8,720$20,977$33,233
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI2$8,720$20,977$33,233
ASCENSION STANDISH HOSPITALSTANDISHMI2$8,720$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$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 LANSINGLANSING MI 489100MI19$59,648$29,824$829.21$11,965$35,952
CARSON CITY HOSPITALCARSON CITYMI0$2,847$1,423.5
SPARROW CLINTON HOSPITALST. JOHNSMI0$2,847$1,423.5
SPARROW EATONCHARLOTTEMI0$2,847$1,423.5
MCKENZIE HEALTH SYSTEMSANDUSYMI0$2,791$2,232.8
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$28,878$20,215
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$4,491$3,143.7

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.