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Knee revision arthroplasty single component

CPT 27486 · negotiated-rate distribution across hospitals in MI

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Hospitals
17
Min
$1,286.59
Median
$5,449.75
Max
$12,735
Range multiplier
9.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicare1236$1,255.21$1,280.31$13,15910.5×
UnitedHealthcare1335$907.38$1,878.63$26,23728.9×
Medicaid1229$275.00$943.68$7,662.2427.9×
Blue Cross Blue Shield1320$2,268.88$2,986.69$12,7355.6×
Aetna1317$1,561.73$1,797.44$17,63911.3×
Humana1011$1,255.21$1,255.21$12,73510.1×
priority health99$2,046.95$2,046.95$6,826.443.3×
u of m health plan88$1,443.49$1,443.49$1,443.491.0×
mclaren commercial ins88$1,538.69$1,538.69$1,538.691.0×
First Health66$1,578.51$13,216$31,85920.2×
priority health op rate55$8,634.08$12,549$18,9392.2×
hap - hmo op rate44$7,183.40$8,583.44$13,8041.9×
harbor health plan14$6,826.44$7,509.10$12,7351.9×
cofinity - auto op rate33$12,872$18,385$21,2441.7×
total health care priority health13$6,826.44$12,535$12,7351.9×
hp - ppo op rate33$8,851.76$8,851.76$21,3382.4×
hp - hmo op rate33$6,379.55$6,379.55$16,0342.5×
cofinity - ppom op rate33$13,294$13,294$18,3661.4×
mi amish medical board op rate22$14,151$14,151$14,1511.0×
blue care network op rate22$5,333.88$5,333.88$5,333.881.0×
hap - ppo op rate22$9,966.58$9,966.58$9,966.581.0×
hap preferred op rate22$15,240$15,304$15,3671.0×
hcap op rate22$9,329.09$9,329.09$9,329.091.0×
health advantage - commercial op rate22$5,449.75$5,449.75$5,449.751.0×
mclaren health advantage op rate22$8,744.87$9,037.48$9,330.091.1×
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×
hap-hmo op rate11$11,591$11,591$11,5911.0×
hap/ahl op rate11$13,804$13,804$13,8041.0×
com php op rate11$3,494.35$3,494.35$3,494.351.0×
TRICARE11$12,735$12,735$12,7351.0×
bc bcbsm trust op rate11$6,415.95$6,415.95$6,415.951.0×
health advantage - ppo op rate11$12,043$12,043$12,0431.0×
honest hmo11$12,735$12,735$12,7351.0×
hospice care in michigan op rate11$12,848$12,848$12,8481.0×
com mclaren commercial ins op rate11$3,426.63$3,426.63$3,426.631.0×
com cofinity auto op rate11$6,238.57$6,238.57$6,238.571.0×
cofinity wc op rate11$18,366$18,366$18,3661.0×
hurley medical center op rate11$10,495$10,495$10,4951.0×
longevity hp11$13,499$13,499$13,4991.0×
cofinity w/c op rate11$16,371$16,371$16,3711.0×
bc bcbsm traditional op rate11$6,415.95$6,415.95$6,415.951.0×
usa mco-ppo op rate11$21,841$21,841$21,8411.0×
zing11$13,372$13,372$13,3721.0×
cofinity and wc op rate11$11,539$11,539$11,5391.0×
cofinity - wc/auto op rate11$21,244$21,244$21,2441.0×
Medicare Advantage11$12,735$12,735$12,7351.0×
mhp - hmo op rate11$12,043$12,043$12,0431.0×
beech street op rate11$23,126$23,126$23,1261.0×
Multiplan11$20,557$20,557$20,5571.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Tawas St. Joseph HospitalTawasMI1$9,156.60$9,156.60$9,156.60
Mclaren FlintFlintMI23$10,055$18,741$275.00$8,984.26$31,859
Mclaren Bay Special CareBay CityMI17$7,774.25$5,333.88$8,851.76$14,151
Bay Regional Medical CenterBay CityMI21$10,055$7,774.25$907.38$5,449.75$14,151
Ascension St John HospitalDetroitMI3$1,561.73$2,986.69$2,986.69
Mclaren Greater LansingLansingMI17$10,055$5,027.50$907.38$2,157.92$11,965
Mclaren Lapeer RegionLapeerMI9$10,055$5,027.50$907.38$1,286.59$2,268.88
Mclaren Thumb RegionBad AxeMI9$10,055$5,027.50$907.38$1,286.59$2,268.88
Mclaren Northern MichiganPetoskeyMI9$10,055$5,027.50$907.38$1,286.59$2,268.88
Mclaren Port HuronPort HuronMI9$10,055$5,027.50$907.38$1,286.59$2,268.88
Mclaren Central MichiganMt PleasantMI9$10,055$5,027.50$907.38$1,286.59$2,268.88
Garden City Hospital OsteopathicGarden CityMI19$25,220$12,735$6,826.44$12,735$19,740
Mclaren MacombMt. ClemensMI20$12,848$7,289.07$12,491$23,126
Mclaren OaklandPontiacMI14$8,290.55$7,327.28$11,539$16,581
Sparrow EatonCharlotteMI0$2,836.00$1,418.00
Sparrow Clinton HospitalSt. JohnsMI0$2,836.00$1,418.00
Carson City HospitalCarson CityMI0$2,836.00$1,418.00

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.