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Laparoscopic cholecystectomy w/o CDE w/o CC/MCC

MS-DRG 420 · negotiated-rate distribution across hospitals in MI

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Hospitals
23
Min
$95.00
Median
$21,368
Max
$29,987
Range multiplier
315.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1363$2,284.00$14,865$78,90934.5×
UnitedHealthcare1636$2,352.52$20,213$60,05125.5×
Aetna1327$6,781.00$22,009$70,78110.4×
TRICARE1219$1,982.00$34,529$64,86632.7×
Humana1418$22,009$24,579$53,3572.4×
Medicare414$24,763$29,544$47,2701.9×
smarthealth99$1,506.00$29,916$39,66926.3×
WellCare99$21,368$21,368$27,8641.3×
Medicare Advantage88$21,368$21,368$25,5811.2×
Ambetter88$35,258$35,258$45,9031.3×
First Health88$7,300.00$7,300.00$11,0001.5×
hap38$25,302$33,929$65,2222.6×
Cigna77$10,470$10,470$10,4701.0×
healthspring mcr replacement77$21,796$21,796$21,7961.0×
priority health47$25,555$40,698$61,1832.4×
pcc employee77$10,815$10,815$10,8151.0×
Oscar Health77$34,189$34,189$34,1891.0×
occunet77$48,079$48,079$48,0791.0×
facility billing - op77$21,368$21,368$21,3681.0×
blue mcr replacement77$21,368$21,368$21,3681.0×
bcbsm35$25,302$27,864$81,2723.2×
Molina35$23,013$27,864$37,6171.6×
meridian health plan of mi34$28,859$34,448$37,6171.3×
mclaren health33$25,302$25,732$27,8641.1×
bcbsm/bcn33$86,754$96,959$103,7171.2×
bcn33$25,302$25,732$27,8641.1×
CareSource33$25,302$25,732$27,8641.1×
cca health michigan33$25,302$25,732$27,8641.1×
vitalcore physicians group of mi33$46,808$47,604$51,5491.1×
erickson22$25,732$26,798$27,8641.1×
upper pennisula health plan22$1,608.00$2,154.57$2,701.141.7×
cofinity group health22$50,098$57,639$65,1791.3×
pace of se mi22$24,445$25,458$26,4711.1×
amerihealth michigan22$25,217$26,262$27,3071.1×
mount carmel health plan22$25,732$26,798$27,8641.1×
mi amish medical board11$33,976$33,976$33,9761.0×
employer direct healthcare11$39,763$39,763$39,7631.0×
Multiplan11$95.00$95.00$95.001.0×
naphcare residential inmate treatment center11$39,651$39,651$39,6511.0×
national healthcare solutions, inc11$48,939$48,939$48,9391.0×
connect health benefit11$4,568.00$4,568.00$4,568.001.0×
communitycare (standard)11$2,734.80$2,734.80$2,734.801.0×
communitycare (select)11$2,734.80$2,734.80$2,734.801.0×
community care - st john network senior - govt11$2,284.00$2,284.00$2,284.001.0×
sunrise11$25,581$25,581$25,5811.0×
thomas pace11$25,302$25,302$25,3021.0×
total health care priority health11$25,581$25,581$25,5811.0×
Bright Health11$35,419$35,419$35,4191.0×
united behavioral health11$25,581$25,581$25,5811.0×
Anthem BCBS11$4,940.53$4,940.53$4,940.531.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Francis HospitalEscanabaMI3$92.50$95.00$78,909
Ascension St John HospitalDetroitMI13$1,506.00$5,674.50$18,736
Aspirus Keweenaw HospitalLauriumMI2$2,701.14$3,820.84$4,940.53
Mclaren FlintFlintMI6$47,319$23,660$23,449$29,987$59,008
Tawas St. Joseph HospitalTawasMI9$28,335$29,752$45,903
Aspirus Ironwood HospitalIronwoodMI2$1,608.00$2,862.55$4,117.10
Henry Ford HospitalDetroitMI20$26,471$27,864$103,717
Garden City Hospital OsteopathicGarden CityMI19$30,586$25,581$26,221$78,219
Henry Ford Health Wyandotte HospitalWyandotteMI20$24,445$25,732$86,754
W.a. Foote Memorial HospitalJacksonMI16$23,013$25,681$96,959
Mclaren Port HuronPort HuronMI5$10,472$5,236.00$23,577$25,023$72,904
Borgess-Pipp Health CenterPlainwellMI17$7,300.00$21,368$48,079
Ascension Borgess HospitalKalamazooMI17$7,300.00$21,368$48,079
Genesys Regional Medical Ctr.Grand BlancMI17$7,300.00$21,368$48,079
Ascension Providence Rochester HospiRochesterMI17$7,300.00$21,368$48,079
Ascension Standish HospitalStandishMI17$7,300.00$21,368$48,079
Ascension Borgess-Lee HospitalDowagiacMI17$7,300.00$21,368$48,079
Ascension Allegan HospitalAlleganMI17$7,300.00$21,368$48,079
Sparrow EatonCharlotteMI0$73,321$18,330
Mh - Mercy CampusMuskegonMI0
Carson City HospitalCarson CityMI0$73,321$18,330
North Ottawa Community HospitalGrand HavenMI0
Sparrow Clinton HospitalSt. JohnsMI0$73,321$18,330

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.