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Total knee replacement

CPT 27447 · negotiated-rate distribution across hospitals in MI

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Hospitals
26
Min
$1,812.71
Median
$17,808
Max
$20,714
Range multiplier
11.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicare1271$1,143.32$12,305$20,07817.6×
Medicaid1271$275.00$7,038.15$37,700137.1×
UnitedHealthcare1252$828.14$7,038.15$32,20538.9×
Blue Cross Blue Shield1330$2,274.87$17,286$35,18015.5×
Aetna2029$1,506.93$21,187$32,70821.7×
Humana1019$1,143.32$11,799$12,73511.1×
priority health910$40.00$1,869.11$6,826.44170.7×
priority health op rate910$15,006$19,068$23,2471.5×
Cigna88$8,720.00$8,720.00$17,2432.0×
First Health88$1,731.60$29,519$39,10622.6×
mclaren commercial ins88$2,037.43$2,037.43$2,037.431.0×
TRICARE88$11,346$12,122$15,1541.3×
u of m health plan88$1,314.82$1,314.82$1,314.821.0×
mi amish medical board66$12,549$12,549$12,5491.0×
hap - hmo op rate55$12,961$16,064$17,0201.3×
hp - hmo op rate44$14,267$15,286$19,6821.4×
cofinity - auto op rate44$21,944$24,291$26,0761.2×
harbor health plan14$6,826.44$7,509.10$12,7351.9×
hp - ppo op rate44$19,795$20,757$26,1921.3×
mclaren health op rate34$9,644.16$11,178$12,4581.3×
total health care priority health13$6,826.44$12,535$12,7351.9×
hap preferred op rate33$15,088$18,863$20,8651.4×
cofinity - ppom op rate33$22,543$29,730$29,7301.3×
hap op rate23$20,243$20,343$24,4441.2×
hcap op rate33$20,863$20,863$22,1061.1×
hap - ppo op rate33$21,719$22,289$22,2891.0×
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$19,603$19,603$19,6031.0×
health advantage - commercial op rate22$12,187$12,187$12,1871.0×
cofinity op rate22$21,187$21,978$22,7691.1×
mhp - hmo op rate22$11,088$12,935$14,7821.3×
Medicare Advantage22$12,148$12,442$12,7351.0×
health advantage - ppo op rate22$11,088$12,935$14,7821.3×
mi amish medical board op rate22$14,151$14,151$14,1511.0×
Multiplan22$23,674$25,909$28,1441.2×
bcn op rate22$17,650$26,415$35,1802.0×
mclaren health advantage op rate22$12,774$13,841$14,9081.2×
health plus hmo op rate11$16,359$16,359$16,3591.0×
health plus ppo op rate11$17,685$17,685$17,6851.0×
honest hmo11$12,735$12,735$12,7351.0×
hospice care in michigan op rate11$17,590$17,590$17,5901.0×
cofinity - wc op rate11$20,486$20,486$20,4861.0×
usa mco-ppo op rate11$29,903$29,903$29,9031.0×
hurley medical center op rate11$12,882$12,882$12,8821.0×
longevity hp11$13,499$13,499$13,4991.0×
CHAMPVA11$2,954.00$2,954.00$2,954.001.0×
zing11$13,372$13,372$13,3721.0×
beech street op rate11$31,662$31,662$31,6621.0×
beacon health strategies11$6,826.44$6,826.44$6,826.441.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mclaren Central MichiganMt PleasantMI16$50,570$25,285$828.14$7,512.00$25,424
Ascension St John HospitalDetroitMI3$1,506.93$3,265.16$3,265.16
Ascension Borgess HospitalKalamazooMI2$8,720.00$20,714$32,708
Ascension Providence Rochester HospiRochesterMI2$8,720.00$20,714$32,708
Ascension Borgess-Lee HospitalDowagiacMI2$8,720.00$20,714$32,708
Borgess-Pipp Health CenterPlainwellMI2$8,720.00$20,714$32,708
Genesys Regional Medical Ctr.Grand BlancMI2$8,720.00$20,714$32,708
Ascension Standish HospitalStandishMI2$8,720.00$20,714$32,708
Ascension Allegan HospitalAlleganMI2$8,720.00$20,714$32,708
Mclaren MacombMt. ClemensMI20$17,590$7,289.07$19,349$35,180
Mclaren Bay Special CareBay CityMI17$17,386$6,250.97$19,309$29,730
Mclaren Thumb RegionBad AxeMI10$42,648$21,324$828.14$1,812.71$15,154
Mclaren OaklandPontiacMI14$14,134$7,327.28$17,808$28,267
Garden City Hospital OsteopathicGarden CityMI19$25,888$12,735$40.00$12,735$21,175
Mclaren FlintFlintMI25$66,131$33,066$275.00$12,549$39,106
Bay Regional Medical CenterBay CityMI23$57,354$28,677$828.14$12,305$29,730
Mclaren Lapeer RegionLapeerMI23$50,188$25,094$828.14$12,141$37,700
Mclaren Port HuronPort HuronMI26$11,257$14,737$828.14$12,079$29,475
Mclaren Greater LansingLansingMI19$49,575$24,788$828.14$11,965$29,482
Mclaren Northern MichiganPetoskeyMI14$31,300$15,650$828.14$11,178$26,639
Mckenzie Health SystemSanduskyMI0$2,789.00$2,231.20
Sparrow Clinton HospitalSt. JohnsMI0$2,844.00$1,422.00
Sparrow EatonCharlotteMI0$2,844.00$1,422.00
North Ottawa Community HospitalGrand HavenMI0$26,302$18,411
Mackinac Straits Health System IncSt. IgnaceMI0$4,486.00$3,140.20
Carson City HospitalCarson CityMI0$2,844.00$1,422.00

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.