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Major small/large bowel procedures w/o CC/MCC

MS-DRG 331 · negotiated-rate distribution across hospitals in MI

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Hospitals
28
Min
$95
Median
$12,297
Max
$38,852
Range multiplier
409.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1868$2,284$14,865$38,26016.8×
UnitedHealthcare2142$2,352.52$15,438$28,09011.9×
Medicare939$12,244$14,800$25,1722.1×
Aetna1428$6,781$13,769$33,1094.9×
TRICARE1724$1,982$11,153$21,92311.1×
Humana1923$10,871$11,649$18,0331.7×
WellCare99$10,555$10,555$13,5431.3×
priority health69$12,220$21,304$36,7303.0×
smarthealth99$1,506$14,776$19,59413.0×
hap38$12,099$15,871$30,5092.5×
First Health88$7,300$7,300$11,0001.5×
Ambetter88$17,415$17,415$22,6731.3×
Medicare Advantage88$10,555$10,555$12,8971.2×
healthspring mcr replacement77$10,766$10,766$10,7661.0×
blue mcr replacement77$10,555$10,555$10,5551.0×
Cigna77$10,470$10,470$10,4701.0×
pcc employee77$10,815$10,815$10,8151.0×
Oscar Health77$16,887$16,887$16,8871.0×
occunet77$23,748$23,748$23,7481.0×
facility billing - op77$10,555$10,555$10,5551.0×
mi amish medical board66$14,080$16,853$18,0921.3×
Molina35$12,253$13,543$18,2831.5×
bcbsm35$12,099$13,543$30,9092.6×
meridian health plan of mi34$15,330$16,445$18,2831.2×
mclaren health33$12,099$12,264$13,5431.1×
bcbsm/bcn33$32,994$36,875$39,4451.2×
bcn33$12,099$12,264$13,5431.1×
CareSource33$12,099$12,264$13,5431.1×
cca health michigan33$12,099$12,264$13,5431.1×
vitalcore physicians group of mi33$22,383$22,689$25,0551.1×
pace of se mi22$11,651$12,259$12,8661.1×
mount carmel health plan22$12,264$12,904$13,5431.1×
Multiplan22$95$19,473$38,852409.0×
cofinity group health22$23,434$26,962$30,4891.3×
amerihealth michigan22$12,019$12,646$13,2721.1×
erickson22$12,264$12,904$13,5431.1×
naphcare residential inmate treatment center11$19,990$19,990$19,9901.0×
national healthcare solutions, inc11$24,591$24,591$24,5911.0×
employer direct healthcare11$19,980$19,980$19,9801.0×
connect health benefit11$4,568$4,568$4,5681.0×
communitycare (standard)11$2,734.8$2,734.8$2,734.81.0×
communitycare (select)11$2,734.8$2,734.8$2,734.81.0×
community care - st john network senior - govt11$2,284$2,284$2,2841.0×
sunrise11$12,897$12,897$12,8971.0×
thomas pace11$12,099$12,099$12,0991.0×
total health care priority health11$12,897$12,897$12,8971.0×
united behavioral health11$12,897$12,897$12,8971.0×
Bright Health11$17,495$17,495$17,4951.0×
uphp11$92.5$92.5$92.51.0×
va community care network11$2,110$2,110$2,1101.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. FRANCIS HOSPITALESCANABAMI3$92.5$95$30,010
ASPIRUS KEWEENAW HOSPITALLAURIUMMI1$6,254.08$6,254.08$6,254.08
ASCENSION ST JOHN HOSPITALDETROITMI13$1,506$5,674.5$18,736
ASPIRUS ONTONAGON HOSPITALONTONAGONMI1$38,852$38,852$38,852
MCLAREN FLINTFLINTMI8$55,509$27,754$11,583$16,061$28,213
MCLAREN GREATER LANSINGLANSING MI 489100MI6$48,564$24,282$11,649$15,968$25,172
MCLAREN LAPEER REGIONLAPEERMI6$40,371$20,186$11,675$15,280$24,087
MCLAREN NORTHERN MICHIGANPETOSKEYMI7$41,690$20,845$11,680$14,945$36,730
TAWAS ST. JOSEPH HOSPITALTAWASMI9$13,996$14,696$22,673
MCLAREN CENTRAL MICHIGANMT PLEASANTMI6$52,004$26,002$11,629$13,844$38,260
HENRY FORD HOSPITALDETROITMI20$12,866$13,543$39,445
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI19$15,369$12,897$13,219$29,748
MCLAREN PORT HURONPORT HURONMI5$45,664$22,832$11,645$12,567$27,726
BAY REGIONAL MEDICAL CENTERBAY CITYMI6$47,301$23,651$11,451$12,439$19,590
W.A. FOOTE MEMORIAL HOSPITALJACKSONMI16$12,099$12,297$36,875
HENRY FORD HEALTH WYANDOTTE HOSPITALWYANDOTTEMI20$11,651$12,264$32,994
BORGESS-PIPP HEALTH CENTERPLAINWELLMI17$7,300$11,153$23,748
ASCENSION BORGESS HOSPITALKALAMAZOOMI17$7,300$11,153$23,748
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI17$7,300$11,153$23,748
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI17$7,300$11,153$23,748
ASCENSION STANDISH HOSPITALSTANDISHMI17$7,300$11,153$23,748
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI17$7,300$11,153$23,748
ASCENSION ALLEGAN HOSPITALALLEGANMI17$7,300$11,153$23,748
SPARROW CLINTON HOSPITALST. JOHNSMI0$47,012$11,753
SPARROW EATONCHARLOTTEMI0$47,012$11,753
MH - MERCY CAMPUSMUSKEGONMI0
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0
CARSON CITY HOSPITALCARSON CITYMI0$47,012$11,753

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.