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Heart failure & shock w CC

MS-DRG 292 · negotiated-rate distribution across hospitals in MI

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Hospitals
29
Min
$95.00
Median
$7,521.86
Max
$11,288
Range multiplier
118.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1970$2,284.00$12,024$19,1558.4×
Medicare1044$2,827.00$7,464.90$13,2494.7×
UnitedHealthcare2242$2,352.52$7,954.13$18,8458.0×
Aetna1327$5,484.40$7,413.73$17,2713.1×
TRICARE1825$1,982.00$5,339.92$9,483.644.8×
Humana2024$2,827.00$5,875.79$7,800.902.8×
smarthealth99$1,506.00$7,454.52$9,884.986.6×
WellCare99$5,324.66$5,324.66$7,521.861.4×
hap38$6,548.25$8,278.72$15,9142.4×
Ambetter88$8,785.69$8,785.69$11,4381.3×
Medicare Advantage88$5,324.66$5,324.66$6,762.381.3×
First Health88$7,300.00$7,300.00$11,0001.5×
Oscar Health77$8,519.46$8,519.46$8,519.461.0×
occunet77$11,980$11,980$11,9801.0×
priority health47$6,602.08$10,141$14,9322.3×
mi amish medical board77$3,251.04$8,584.64$9,523.022.9×
facility billing - op77$5,324.66$5,324.66$5,324.661.0×
blue mcr replacement77$5,324.66$5,324.66$5,324.661.0×
healthspring mcr replacement77$5,431.15$5,431.15$5,431.151.0×
pcc employee77$10,815$10,815$10,8151.0×
Cigna77$10,470$10,470$10,4701.0×
Molina35$6,513.99$7,521.86$10,1551.6×
bcbsm35$6,548.25$7,521.86$14,6882.2×
meridian health plan of mi34$8,113.86$8,876.48$10,1551.3×
CareSource33$6,548.25$6,602.08$7,521.861.1×
vitalcore physicians group of mi33$12,114$12,214$13,9151.1×
cca health michigan33$6,548.25$6,602.08$7,521.861.1×
bcbsm/bcn33$15,679$17,523$18,7451.2×
bcn33$6,548.25$6,602.08$7,521.861.1×
mclaren health33$6,548.25$6,602.08$7,521.861.1×
pace of se mi22$6,271.98$6,708.88$7,145.771.1×
mount carmel health plan22$6,602.08$7,061.97$7,521.861.1×
cofinity group health22$12,224$14,064$15,9041.3×
erickson22$6,602.08$7,061.97$7,521.861.1×
amerihealth michigan22$6,470.04$6,920.73$7,371.421.1×
Multiplan11$95.00$95.00$95.001.0×
naphcare residential inmate treatment center11$10,482$10,482$10,4821.0×
national healthcare solutions, inc11$12,816$12,816$12,8161.0×
community care - st john network senior - govt11$2,284.00$2,284.00$2,284.001.0×
Bright Health11$8,825.88$8,825.88$8,825.881.0×
sunrise11$6,762.38$6,762.38$6,762.381.0×
thomas pace11$6,548.25$6,548.25$6,548.251.0×
total health care priority health11$6,762.38$6,762.38$6,762.381.0×
united behavioral health11$6,762.38$6,762.38$6,762.381.0×
uphp11$92.50$92.50$92.501.0×
upper pennisula health plan11$10,418$10,418$10,4181.0×
va community care network11$2,110.00$2,110.00$2,110.001.0×
harbor health plan11$6,762.38$6,762.38$6,762.381.0×
zing11$7,100.50$7,100.50$7,100.501.0×
honest hmo11$6,762.38$6,762.38$6,762.381.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Francis HospitalEscanabaMI3$92.50$95.00$14,261
Borgess-Pipp Health CenterPlainwellMI17$5,324.66$8,785.69$19,155
Ascension Allegan HospitalAlleganMI17$5,324.66$8,785.69$19,155
Ascension Borgess-Lee HospitalDowagiacMI17$5,324.66$8,785.69$19,155
Ascension Standish HospitalStandishMI17$5,324.66$8,785.69$19,155
Ascension Providence Rochester HospiRochesterMI17$5,324.66$8,785.69$19,155
Genesys Regional Medical Ctr.Grand BlancMI17$5,324.66$8,785.69$19,155
Ascension Borgess HospitalKalamazooMI17$5,324.66$8,785.69$19,155
Mclaren Greater LansingLansingMI6$23,466$11,733$5,876.61$8,280.89$13,249
Mclaren FlintFlintMI6$17,983$8,991.68$5,843.21$7,668.43$12,270
Mclaren Lapeer RegionLapeerMI6$25,879$12,940$5,889.75$7,643.01$12,229
Henry Ford HospitalDetroitMI20$6,847.96$7,521.86$18,745
Mclaren Central MichiganMt PleasantMI6$30,223$15,112$5,866.75$7,464.90$18,181
Tawas St. Joseph HospitalTawasMI9$7,060.70$7,413.73$11,438
Mclaren Northern MichiganPetoskeyMI6$13,773$6,886.50$5,892.48$7,319.89$13,168
Garden City Hospital OsteopathicGarden CityMI19$8,009.00$6,762.38$6,931.44$14,137
W.a. Foote Memorial HospitalJacksonMI16$6,513.99$6,646.48$17,523
Henry Ford Health Wyandotte HospitalWyandotteMI20$6,271.98$6,602.08$15,679
Mclaren Port HuronPort HuronMI5$22,500$11,250$5,874.96$6,542.70$13,176
Bay Regional Medical CenterBay CityMI6$17,419$8,709.43$5,776.97$6,462.63$10,175
Aspirus Ontonagon HospitalOntonagonMI1$5,898.10$5,898.10$5,898.10
Ascension St John HospitalDetroitMI13$1,506.00$5,674.50$18,736
Mclaren Thumb RegionBad AxeMI5$12,746$6,372.75$2,827.00$2,883.54$8,932.54
Aspirus Ironwood HospitalIronwoodMI3$5,206.00$11,288$12,848
North Ottawa Community HospitalGrand HavenMI0
Sparrow EatonCharlotteMI0$17,322$4,330.42
Sparrow Clinton HospitalSt. JohnsMI0$20,940$5,235.04
Carson City HospitalCarson CityMI0$17,322$4,330.42
Mh - Mercy CampusMuskegonMI0

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.