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Heart failure & shock w MCC

MS-DRG 291 · negotiated-rate distribution across hospitals in MI

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Hospitals
31
Min
$95.00
Median
$10,470
Max
$12,166
Range multiplier
128.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2173$2,284.00$12,024$27,03311.8×
UnitedHealthcare2551$2,352.52$11,768$101,14643.0×
Medicare1044$2,827.00$11,069$19,4666.9×
Aetna1832$4,915.87$11,122$26,6915.4×
Humana2428$2,827.00$8,853.51$12,1264.3×
TRICARE1825$1,982.00$8,522.69$12,2236.2×
priority health912$8,132.22$16,103$22,8992.8×
smarthealth99$1,506.00$11,272$14,9479.9×
WellCare99$8,051.60$8,051.60$10,9041.4×
Ambetter88$13,285$13,285$17,2961.3×
First Health88$7,300.00$7,300.00$11,0001.5×
Medicare Advantage88$8,051.60$8,051.60$9,960.981.2×
hap38$9,665.95$12,543$24,1112.5×
blue mcr replacement77$8,051.60$8,051.60$8,051.601.0×
Cigna77$10,470$10,470$10,4701.0×
facility billing - op77$8,051.60$8,051.60$8,051.601.0×
healthspring mcr replacement77$8,212.63$8,212.63$8,212.631.0×
mi amish medical board77$3,251.04$12,729$13,9914.3×
occunet77$18,116$18,116$18,1161.0×
Oscar Health77$12,883$12,883$12,8831.0×
pcc employee77$10,815$10,815$10,8151.0×
Molina35$9,521.99$10,904$14,7201.5×
bcbsm35$9,665.95$10,904$21,8392.3×
meridian health plan of mi34$11,896$13,128$14,7201.2×
Anthem BCBS14$1,041.77$4,183.82$21,20120.4×
bcbsm/bcn33$23,312$26,055$27,8711.2×
cca health michigan33$9,665.95$9,782.40$10,9041.1×
CareSource33$9,665.95$9,782.40$10,9041.1×
upper pennisula health plan33$6,098.19$10,902$12,3182.0×
mclaren health33$9,665.95$9,782.40$10,9041.1×
vitalcore physicians group of mi33$17,882$18,097$20,1721.1×
bcn33$9,665.95$9,782.40$10,9041.1×
erickson22$9,782.40$10,343$10,9041.1×
pace of se mi22$9,293.28$9,825.92$10,3591.1×
quartz health solutions, inc.12$11,350$11,736$12,1221.1×
security health plan of wisconsin, inc.22$10,035$11,269$12,5041.2×
mount carmel health plan22$9,782.40$10,343$10,9041.1×
Multiplan22$95.00$4,634.07$9,173.1496.6×
cofinity group health22$18,520$21,308$24,0961.3×
amerihealth michigan22$9,586.75$10,136$10,6861.1×
united behavioral health11$9,960.98$9,960.98$9,960.981.0×
community care - st john network senior - govt11$2,284.00$2,284.00$2,284.001.0×
communitycare (select)11$2,734.80$2,734.80$2,734.801.0×
communitycare (standard)11$2,734.80$2,734.80$2,734.801.0×
connect health benefit11$4,568.00$4,568.00$4,568.001.0×
dean health plan11$11,770$11,770$11,7701.0×
employer direct healthcare11$15,401$15,401$15,4011.0×
uphp11$92.50$92.50$92.501.0×
cofinity auto11$20,045$20,045$20,0451.0×
harbor health plan11$9,960.98$9,960.98$9,960.981.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Aspirus Ironwood HospitalIronwoodMI6$5,366.21$9,847.47$14,010
W.a. Foote Memorial HospitalJacksonMI16$9,521.99$9,810.94$26,166
Henry Ford Health Wyandotte HospitalWyandotteMI20$8,820.82$9,782.40$23,312
Bay Regional Medical CenterBay CityMI8$30,521$15,260$8,735.54$9,710.43$20,590
Mclaren Port HuronPort HuronMI5$30,227$15,113$8,883.72$9,671.33$22,005
St. Francis HospitalEscanabaMI3$92.50$95.00$21,204
Ascension St John HospitalDetroitMI13$1,506.00$5,674.50$18,736
Aspirus Iron River Hopsital & ClinicIron RiverMI5$2,851.08$5,241.55$8,366.81
Mclaren Thumb RegionBad AxeMI5$10,185$5,092.65$2,827.00$2,883.54$7,138.26
Mclaren Greater LansingLansingMI7$36,468$18,234$8,132.22$12,166$19,466
Mclaren Lapeer RegionLapeerMI9$35,839$17,919$8,906.08$11,853$22,899
Mclaren Northern MichiganPetoskeyMI8$26,303$13,152$8,693.02$11,401$101,146
Mclaren FlintFlintMI6$29,994$14,997$7,794.70$11,387$18,219
Tawas St. Joseph HospitalTawasMI9$10,677$11,211$17,296
Henry Ford HospitalDetroitMI20$8,825.79$10,904$27,871
Aspirus Keweenaw HospitalLauriumMI4$5,879.66$10,769$12,126
Mclaren Central MichiganMt PleasantMI7$30,228$15,114$8,693.02$10,581$27,033
Borgess-Pipp Health CenterPlainwellMI17$7,300.00$10,470$19,155
Ascension Borgess HospitalKalamazooMI17$7,300.00$10,470$19,155
Genesys Regional Medical Ctr.Grand BlancMI17$7,300.00$10,470$19,155
Ascension Providence Rochester HospiRochesterMI17$7,300.00$10,470$19,155
Ascension Standish HospitalStandishMI17$7,300.00$10,470$19,155
Ascension Borgess-Lee HospitalDowagiacMI17$7,300.00$10,470$19,155
Ascension Allegan HospitalAlleganMI17$7,300.00$10,470$19,155
Garden City Hospital OsteopathicGarden CityMI19$11,847$9,960.98$10,210$21,019
Aspirus Ontonagon HospitalOntonagonMI8$1,041.77$10,035$21,201
Sparrow EatonCharlotteMI0$13,073$3,268.29
Carson City HospitalCarson CityMI0$20,974$5,243.45
North Ottawa Community HospitalGrand HavenMI0
Mh - Mercy CampusMuskegonMI0
Sparrow Clinton HospitalSt. JohnsMI0$19,911$4,977.79

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.