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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
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$12,024$27,03311.8×
UnitedHealthcare2551$2,352.52$11,768$101,14643.0×
Medicare1044$2,827$11,069$19,4666.9×
Aetna1832$4,915.87$11,122$26,6915.4×
Humana2428$2,827$8,853.51$12,1264.3×
TRICARE1825$1,982$8,522.69$12,2236.2×
priority health912$8,132.22$16,103$22,8992.8×
smarthealth99$1,506$11,272$14,9479.9×
WellCare99$8,051.6$8,051.6$10,9041.4×
Ambetter88$13,285$13,285$17,2961.3×
First Health88$7,300$7,300$11,0001.5×
Medicare Advantage88$8,051.6$8,051.6$9,960.981.2×
hap38$9,665.95$12,543$24,1112.5×
blue mcr replacement77$8,051.6$8,051.6$8,051.61.0×
Cigna77$10,470$10,470$10,4701.0×
facility billing - op77$8,051.6$8,051.6$8,051.61.0×
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$9,782.4$10,9041.1×
CareSource33$9,665.95$9,782.4$10,9041.1×
upper pennisula health plan33$6,098.19$10,902$12,3182.0×
mclaren health33$9,665.95$9,782.4$10,9041.1×
vitalcore physicians group of mi33$17,882$18,097$20,1721.1×
bcn33$9,665.95$9,782.4$10,9041.1×
erickson22$9,782.4$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$9,782.4$10,343$10,9041.1×
Multiplan22$95$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$2,284$2,2841.0×
communitycare (select)11$2,734.8$2,734.8$2,734.81.0×
communitycare (standard)11$2,734.8$2,734.8$2,734.81.0×
connect health benefit11$4,568$4,568$4,5681.0×
dean health plan11$11,770$11,770$11,7701.0×
employer direct healthcare11$15,401$15,401$15,4011.0×
uphp11$92.5$92.5$92.51.0×
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$9,782.4$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$92.5$95$21,204
ASCENSION ST JOHN HOSPITALDETROITMI13$1,506$5,674.5$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$2,883.54$7,138.26
MCLAREN GREATER LANSINGLANSING MI 489100MI7$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$7,794.7$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$10,470$19,155
ASCENSION BORGESS HOSPITALKALAMAZOOMI17$7,300$10,470$19,155
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI17$7,300$10,470$19,155
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI17$7,300$10,470$19,155
ASCENSION STANDISH HOSPITALSTANDISHMI17$7,300$10,470$19,155
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI17$7,300$10,470$19,155
ASCENSION ALLEGAN HOSPITALALLEGANMI17$7,300$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.