▸ Compare · PriceTransparency
Heart failure & shock w/o CC/MCC
MS-DRG 293 · negotiated-rate distribution across hospitals in MI
Hospitals
23
Min
$95.00
Median
$5,674.50
Max
$7,300.00
Range multiplier
76.8×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 15 | 65 | $2,284.00 | $12,024 | $19,155 | 8.4× |
| UnitedHealthcare | 17 | 37 | $2,352.52 | $6,354.63 | $18,845 | 8.0× |
| Aetna | 13 | 27 | $3,656.27 | $5,139.44 | $16,275 | 4.5× |
| Medicare | 6 | 24 | $4,362.52 | $5,213.10 | $9,203.38 | 2.1× |
| TRICARE | 14 | 21 | $1,982.00 | $3,849.25 | $5,930.10 | 3.0× |
| Humana | 16 | 20 | $3,656.27 | $3,923.03 | $5,242.23 | 1.4× |
| smarthealth | 9 | 9 | $1,506.00 | $4,969.69 | $6,589.98 | 4.4× |
| WellCare | 9 | 9 | $3,549.78 | $3,549.78 | $5,139.44 | 1.4× |
| Medicare Advantage | 8 | 8 | $3,549.78 | $3,549.78 | $4,680.50 | 1.3× |
| First Health | 8 | 8 | $7,300.00 | $7,300.00 | $11,000 | 1.5× |
| hap | 3 | 8 | $4,351.94 | $5,274.65 | $10,139 | 2.3× |
| Ambetter | 8 | 8 | $5,857.14 | $5,857.14 | $7,625.55 | 1.3× |
| healthspring mcr replacement | 7 | 7 | $3,620.78 | $3,620.78 | $3,620.78 | 1.0× |
| blue mcr replacement | 7 | 7 | $3,549.78 | $3,549.78 | $3,549.78 | 1.0× |
| Cigna | 7 | 7 | $10,470 | $10,470 | $10,470 | 1.0× |
| priority health | 4 | 7 | $4,361.67 | $6,760.87 | $9,517.56 | 2.2× |
| pcc employee | 7 | 7 | $10,815 | $10,815 | $10,815 | 1.0× |
| Oscar Health | 7 | 7 | $5,679.65 | $5,679.65 | $5,679.65 | 1.0× |
| occunet | 7 | 7 | $7,987.01 | $7,987.01 | $7,987.01 | 1.0× |
| facility billing - op | 7 | 7 | $3,549.78 | $3,549.78 | $3,549.78 | 1.0× |
| Molina | 3 | 5 | $4,361.67 | $5,139.44 | $6,938.24 | 1.6× |
| bcbsm | 3 | 5 | $4,351.94 | $5,139.44 | $9,630.24 | 2.2× |
| mi amish medical board | 4 | 4 | $5,016.90 | $5,823.76 | $6,614.93 | 1.3× |
| meridian health plan of mi | 3 | 4 | $5,503.38 | $5,881.69 | $6,938.24 | 1.3× |
| mclaren health | 3 | 3 | $4,351.94 | $4,361.67 | $5,139.44 | 1.2× |
| bcbsm/bcn | 3 | 3 | $10,280 | $11,489 | $12,290 | 1.2× |
| bcn | 3 | 3 | $4,351.94 | $4,361.67 | $5,139.44 | 1.2× |
| CareSource | 3 | 3 | $4,351.94 | $4,361.67 | $5,139.44 | 1.2× |
| cca health michigan | 3 | 3 | $4,351.94 | $4,361.67 | $5,139.44 | 1.2× |
| vitalcore physicians group of mi | 3 | 3 | $8,051.09 | $8,069.09 | $9,507.96 | 1.2× |
| pace of se mi | 2 | 2 | $4,143.59 | $4,513.03 | $4,882.47 | 1.2× |
| cofinity group health | 2 | 2 | $7,788.25 | $8,960.55 | $10,133 | 1.3× |
| mount carmel health plan | 2 | 2 | $4,361.67 | $4,750.56 | $5,139.44 | 1.2× |
| amerihealth michigan | 2 | 2 | $4,274.44 | $4,655.55 | $5,036.65 | 1.2× |
| erickson | 2 | 2 | $4,361.67 | $4,750.56 | $5,139.44 | 1.2× |
| harbor health plan | 1 | 1 | $4,680.50 | $4,680.50 | $4,680.50 | 1.0× |
| Multiplan | 1 | 1 | $95.00 | $95.00 | $95.00 | 1.0× |
| naphcare residential inmate treatment center | 1 | 1 | $7,254.78 | $7,254.78 | $7,254.78 | 1.0× |
| national healthcare solutions, inc | 1 | 1 | $8,819.33 | $8,819.33 | $8,819.33 | 1.0× |
| employer direct healthcare | 1 | 1 | $7,165.70 | $7,165.70 | $7,165.70 | 1.0× |
| connect health benefit | 1 | 1 | $4,568.00 | $4,568.00 | $4,568.00 | 1.0× |
| communitycare (standard) | 1 | 1 | $2,734.80 | $2,734.80 | $2,734.80 | 1.0× |
| communitycare (select) | 1 | 1 | $2,734.80 | $2,734.80 | $2,734.80 | 1.0× |
| community care - st john network senior - govt | 1 | 1 | $2,284.00 | $2,284.00 | $2,284.00 | 1.0× |
| sunrise | 1 | 1 | $4,680.50 | $4,680.50 | $4,680.50 | 1.0× |
| thomas pace | 1 | 1 | $4,351.94 | $4,351.94 | $4,351.94 | 1.0× |
| total health care priority health | 1 | 1 | $4,680.50 | $4,680.50 | $4,680.50 | 1.0× |
| united behavioral health | 1 | 1 | $4,680.50 | $4,680.50 | $4,680.50 | 1.0× |
| Bright Health | 1 | 1 | $5,883.91 | $5,883.91 | $5,883.91 | 1.0× |
| uphp | 1 | 1 | $92.50 | $92.50 | $92.50 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| St. Francis Hospital | Escanaba | MI | 3 | — | — | $92.50 | $95.00 | $9,350.24 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 17 | — | — | $3,549.78 | $7,300.00 | $19,155 |
| Ascension Allegan Hospital | Allegan | MI | 17 | — | — | $3,549.78 | $7,300.00 | $19,155 |
| Borgess-Pipp Health Center | Plainwell | MI | 17 | — | — | $3,549.78 | $7,300.00 | $19,155 |
| Ascension Standish Hospital | Standish | MI | 17 | — | — | $3,549.78 | $7,300.00 | $19,155 |
| Ascension Borgess Hospital | Kalamazoo | MI | 17 | — | — | $3,549.78 | $7,300.00 | $19,155 |
| Ascension Providence Rochester Hospi | Rochester | MI | 17 | — | — | $3,549.78 | $7,300.00 | $19,155 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 17 | — | — | $3,549.78 | $7,300.00 | $19,155 |
| Mclaren Greater Lansing | Lansing | MI | 6 | $17,766 | $8,883.00 | $3,917.74 | $5,752.11 | $9,203.38 |
| Ascension St John Hospital | Detroit | MI | 13 | — | — | $1,506.00 | $5,674.50 | $18,736 |
| Mclaren Flint | Flint | MI | 6 | $8,927.50 | $4,463.75 | $3,895.47 | $5,248.36 | $8,397.38 |
| Henry Ford Hospital | Detroit | MI | 20 | — | — | $4,282.02 | $5,139.44 | $12,290 |
| Tawas St. Joseph Hospital | Tawas | MI | 9 | — | — | $4,707.13 | $4,942.49 | $7,625.55 |
| Mclaren Northern Michigan | Petoskey | MI | 6 | $15,477 | $7,738.50 | $3,928.32 | $4,879.92 | $8,633.58 |
| Garden City Hospital Osteopathic | Garden City | MI | 19 | — | $5,512.00 | $4,680.50 | $4,797.52 | $9,268.54 |
| W.a. Foote Memorial Hospital | Jackson | MI | 16 | — | — | $4,351.94 | $4,438.40 | $11,489 |
| Bay Regional Medical Center | Bay City | MI | 6 | $11,496 | $5,748.00 | $3,851.31 | $4,434.36 | $6,980.04 |
| Henry Ford Health Wyandotte Hospital | Wyandotte | MI | 20 | — | — | $4,143.59 | $4,361.67 | $10,280 |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | — | — | — | — | — |
| Mh - Mercy Campus | Muskegon | MI | 0 | — | — | — | — | — |
| Carson City Hospital | Carson City | MI | 0 | $7,029.15 | $1,757.29 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $7,029.15 | $1,757.29 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $7,029.15 | $1,757.29 | — | — | — |
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.