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Laparoscopic cholecystectomy w/o CDE w MCC

MS-DRG 418 · negotiated-rate distribution across hospitals in MI

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Hospitals
28
Min
$95.00
Median
$12,502
Max
$39,037
Range multiplier
410.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1868$2,284.00$14,865$40,55017.8×
UnitedHealthcare2141$2,352.52$15,586$39,03716.6×
Medicare939$12,305$14,874$25,2962.1×
Aetna1327$6,781.00$13,599$33,2584.9×
TRICARE1724$1,982.00$9,850.12$20,99010.6×
Humana1923$10,927$11,709$17,2661.6×
smarthealth99$1,506.00$14,853$19,69513.1×
WellCare99$10,609$10,609$13,5991.3×
Medicare Advantage88$10,609$10,609$12,9611.2×
hap38$12,151$15,942$30,6462.5×
priority health58$12,273$20,824$28,7522.3×
First Health88$7,300.00$7,300.00$11,0001.5×
Ambetter88$17,505$17,505$22,7901.3×
blue mcr replacement77$10,609$10,609$10,6091.0×
facility billing - op77$10,609$10,609$10,6091.0×
occunet77$23,871$23,871$23,8711.0×
Oscar Health77$16,975$16,975$16,9751.0×
pcc employee77$10,815$10,815$10,8151.0×
healthspring mcr replacement77$10,821$10,821$10,8211.0×
Cigna77$10,470$10,470$10,4701.0×
mi amish medical board66$14,151$16,939$18,1821.3×
bcbsm35$12,151$13,599$32,7592.7×
Molina35$11,991$13,599$18,3591.5×
meridian health plan of mi34$15,000$16,516$18,3591.2×
bcn33$12,151$12,317$13,5991.1×
bcbsm/bcn33$34,969$39,082$41,8061.2×
CareSource33$12,151$12,317$13,5991.1×
vitalcore physicians group of mi33$22,480$22,787$25,1591.1×
cca health michigan33$12,151$12,317$13,5991.1×
mclaren health33$12,151$12,317$13,5991.1×
amerihealth michigan22$12,071$12,699$13,3281.1×
mount carmel health plan22$12,317$12,958$13,5991.1×
erickson22$12,317$12,958$13,5991.1×
pace of se mi22$11,702$12,311$12,9201.1×
cofinity group health22$23,539$27,083$30,6261.3×
zing11$13,609$13,609$13,6091.0×
Bright Health11$17,585$17,585$17,5851.0×
community care - st john network senior - govt11$2,284.00$2,284.00$2,284.001.0×
communitycare (select)11$2,734.80$2,734.80$2,734.801.0×
communitycare (standard)11$2,734.80$2,734.80$2,734.801.0×
connect health benefit11$4,568.00$4,568.00$4,568.001.0×
employer direct healthcare11$20,080$20,080$20,0801.0×
harbor health plan11$12,961$12,961$12,9611.0×
honest hmo11$12,961$12,961$12,9611.0×
immergrun inc11$13,366$13,366$13,3661.0×
keenan11$14,850$14,850$14,8501.0×
kempton group administrators11$2,284.00$2,284.00$2,284.001.0×
longevity hp11$13,739$13,739$13,7391.0×
managed health services insurance corp.11$12,722$12,722$12,7221.0×
mclaren commercial ins11$18,070$18,070$18,0701.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Francis HospitalEscanabaMI3$92.50$95.00$31,806
Ascension St John HospitalDetroitMI13$1,506.00$5,674.50$18,736
Aspirus Ironwood HospitalIronwoodMI1$39,037$39,037$39,037
Mclaren Greater LansingLansingMI8$52,512$26,256$11,709$16,047$25,514
Mclaren Lapeer RegionLapeerMI6$40,189$20,095$11,735$15,359$24,224
Mclaren FlintFlintMI6$47,027$23,513$11,642$15,097$23,798
Mclaren Northern MichiganPetoskeyMI7$45,270$22,635$11,741$14,929$29,369
Tawas St. Joseph HospitalTawasMI9$14,068$14,772$22,790
Mclaren Central MichiganMt PleasantMI6$38,578$19,289$11,689$13,706$40,550
Garden City Hospital OsteopathicGarden CityMI20$15,446$12,961$13,609$31,528
Henry Ford HospitalDetroitMI20$12,920$13,599$41,806
Aspirus Ontonagon HospitalOntonagonMI1$12,722$12,722$12,722
Mclaren Port HuronPort HuronMI5$42,021$21,010$11,706$12,630$29,386
Bay Regional Medical CenterBay CityMI6$48,656$24,328$11,510$12,502$19,698
W.a. Foote Memorial HospitalJacksonMI16$11,991$12,333$39,082
Henry Ford Health Wyandotte HospitalWyandotteMI20$11,702$12,317$34,969
Borgess-Pipp Health CenterPlainwellMI17$7,300.00$10,927$23,871
Ascension Borgess HospitalKalamazooMI17$7,300.00$10,927$23,871
Genesys Regional Medical Ctr.Grand BlancMI17$7,300.00$10,927$23,871
Ascension Providence Rochester HospiRochesterMI17$7,300.00$10,927$23,871
Ascension Standish HospitalStandishMI17$7,300.00$10,927$23,871
Ascension Borgess-Lee HospitalDowagiacMI17$7,300.00$10,927$23,871
Ascension Allegan HospitalAlleganMI17$7,300.00$10,927$23,871
Sparrow EatonCharlotteMI0$51,016$12,754
Mh - Mercy CampusMuskegonMI0
Carson City HospitalCarson CityMI0$51,016$12,754
North Ottawa Community HospitalGrand HavenMI0
Sparrow Clinton HospitalSt. JohnsMI0$36,051$9,012.84

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.