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Major small/large bowel procedures w MCC

MS-DRG 329 · negotiated-rate distribution across hospitals in MI

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Hospitals
28
Min
$95.00
Median
$33,321
Max
$41,942
Range multiplier
441.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1969$2,284.00$14,865$86,11337.7×
UnitedHealthcare2142$2,352.52$29,116$78,12733.2×
Medicare939$32,803$39,715$66,8272.0×
Aetna1630$6,781.00$29,693$92,08613.6×
TRICARE1724$1,982.00$30,715$44,21522.3×
Humana1923$29,693$31,816$42,0491.4×
smarthealth99$1,506.00$40,359$53,51735.5×
WellCare99$28,828$28,828$35,9641.2×
priority health69$33,096$56,609$100,6943.0×
hap38$32,768$44,142$84,8542.6×
Ambetter88$47,566$47,566$61,9271.3×
Medicare Advantage88$28,828$28,828$34,3311.2×
First Health88$7,300.00$7,300.00$11,0001.5×
Oscar Health77$46,125$46,125$46,1251.0×
pcc employee77$10,815$10,815$10,8151.0×
occunet77$64,863$64,863$64,8631.0×
facility billing - op77$28,828$28,828$28,8281.0×
blue mcr replacement77$28,828$28,828$28,8281.0×
healthspring mcr replacement77$29,404$29,404$29,4041.0×
Cigna77$10,470$10,470$10,4701.0×
mi amish medical board66$37,724$45,623$48,0321.3×
Molina35$32,275$35,964$48,5511.5×
bcbsm35$32,768$35,964$69,5682.1×
meridian health plan of mi34$40,504$44,629$48,5511.2×
mclaren health33$32,768$33,349$35,9641.1×
bcn33$32,768$33,349$35,9641.1×
bcbsm/bcn33$74,261$82,996$88,7811.2×
cca health michigan33$32,768$33,349$35,9641.1×
CareSource33$32,768$33,349$35,9641.1×
vitalcore physicians group of mi33$60,621$61,695$66,5331.1×
mount carmel health plan22$33,349$34,656$35,9641.1×
amerihealth michigan22$32,682$33,963$35,2441.1×
cofinity group health22$65,177$74,988$84,7991.3×
pace of se mi22$31,681$32,923$34,1661.1×
erickson22$33,349$34,656$35,9641.1×
Multiplan11$95.00$95.00$95.001.0×
naphcare residential inmate treatment center11$53,213$53,213$53,2131.0×
national healthcare solutions, inc11$65,735$65,735$65,7351.0×
community care - st john network senior - govt11$2,284.00$2,284.00$2,284.001.0×
Bright Health11$47,783$47,783$47,7831.0×
sunrise11$34,331$34,331$34,3311.0×
thomas pace11$32,768$32,768$32,7681.0×
total health care priority health11$34,331$34,331$34,3311.0×
u of m health plan11$163,634$163,634$163,6341.0×
united behavioral health11$34,331$34,331$34,3311.0×
uphp11$92.50$92.50$92.501.0×
va community care network11$2,110.00$2,110.00$2,110.001.0×
harbor health plan11$34,331$34,331$34,3311.0×
zing11$36,047$36,047$36,0471.0×
honest hmo11$34,331$34,331$34,3311.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Francis HospitalEscanabaMI3$92.50$95.00$67,545
Aspirus Iron River Hopsital & ClinicIron RiverMI1$7,287.44$7,287.44$7,287.44
Ascension St John HospitalDetroitMI13$1,506.00$5,674.50$18,736
Aspirus Keweenaw HospitalLauriumMI2$29,610$41,942$54,274
Mclaren Greater LansingLansingMI7$125,446$62,723$31,816$41,767$163,634
Mclaren Lapeer RegionLapeerMI6$85,915$42,958$31,887$40,950$65,520
Mclaren FlintFlintMI9$110,498$55,249$27,060$40,222$100,694
Tawas St. Joseph HospitalTawasMI9$38,227$40,138$61,927
Mclaren Northern MichiganPetoskeyMI8$79,554$39,777$31,446$39,630$63,408
Henry Ford HospitalDetroitMI20$31,927$35,964$92,086
Garden City Hospital OsteopathicGarden CityMI19$41,084$34,331$35,189$66,955
Mclaren Central MichiganMt PleasantMI6$143,114$71,557$31,446$34,321$86,113
Mclaren Port HuronPort HuronMI5$93,466$46,733$31,807$33,615$62,405
Henry Ford Health Wyandotte HospitalWyandotteMI20$31,681$33,349$74,261
Bay Regional Medical CenterBay CityMI6$85,083$42,541$31,277$33,321$52,485
W.a. Foote Memorial HospitalJacksonMI16$32,275$33,260$92,086
Borgess-Pipp Health CenterPlainwellMI17$7,300.00$28,828$64,863
Ascension Borgess HospitalKalamazooMI17$7,300.00$28,828$64,863
Genesys Regional Medical Ctr.Grand BlancMI17$7,300.00$28,828$64,863
Ascension Providence Rochester HospiRochesterMI17$7,300.00$28,828$64,863
Ascension Standish HospitalStandishMI17$7,300.00$28,828$64,863
Ascension Borgess-Lee HospitalDowagiacMI17$7,300.00$28,828$64,863
Ascension Allegan HospitalAlleganMI17$7,300.00$28,828$64,863
Sparrow Clinton HospitalSt. JohnsMI0$91,602$22,901
Sparrow EatonCharlotteMI0$91,602$22,901
Mh - Mercy CampusMuskegonMI0
North Ottawa Community HospitalGrand HavenMI0
Carson City HospitalCarson CityMI0$91,602$22,901

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.