▸ Compare · PriceTransparency
Major joint replacement w MCC
MS-DRG 469 · negotiated-rate distribution across hospitals in MI
Hospitals
27
Min
$95.00
Median
$21,808
Max
$28,215
Range multiplier
297.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 18 | 68 | $2,284.00 | $14,865 | $66,383 | 29.1× |
| UnitedHealthcare | 19 | 39 | $2,352.52 | $19,214 | $55,614 | 23.6× |
| Medicare | 8 | 34 | $21,772 | $26,417 | $44,477 | 2.0× |
| Aetna | 13 | 27 | $6,781.00 | $25,226 | $65,551 | 9.7× |
| TRICARE | 16 | 23 | $1,982.00 | $19,134 | $38,533 | 19.4× |
| Humana | 18 | 22 | $19,594 | $21,019 | $31,696 | 1.6× |
| smarthealth | 9 | 9 | $1,506.00 | $26,633 | $35,316 | 23.5× |
| WellCare | 9 | 9 | $19,023 | $19,023 | $25,876 | 1.4× |
| Ambetter | 8 | 8 | $31,388 | $31,388 | $40,865 | 1.3× |
| First Health | 8 | 8 | $7,300.00 | $7,300.00 | $11,000 | 1.5× |
| Medicare Advantage | 8 | 8 | $19,023 | $19,023 | $22,830 | 1.2× |
| hap | 3 | 8 | $23,469 | $31,422 | $60,402 | 2.6× |
| blue mcr replacement | 7 | 7 | $19,023 | $19,023 | $19,023 | 1.0× |
| Cigna | 7 | 7 | $10,470 | $10,470 | $10,470 | 1.0× |
| facility billing - op | 7 | 7 | $19,023 | $19,023 | $19,023 | 1.0× |
| healthspring mcr replacement | 7 | 7 | $19,404 | $19,404 | $19,404 | 1.0× |
| occunet | 7 | 7 | $42,802 | $42,802 | $42,802 | 1.0× |
| Oscar Health | 7 | 7 | $30,437 | $30,437 | $30,437 | 1.0× |
| pcc employee | 7 | 7 | $10,815 | $10,815 | $10,815 | 1.0× |
| priority health | 4 | 7 | $23,703 | $36,232 | $56,663 | 2.4× |
| Molina | 3 | 5 | $23,862 | $25,876 | $34,933 | 1.5× |
| bcbsm | 3 | 5 | $23,469 | $25,876 | $68,682 | 2.9× |
| mi amish medical board | 5 | 5 | $25,038 | $30,299 | $31,968 | 1.3× |
| meridian health plan of mi | 3 | 4 | $30,000 | $31,948 | $34,933 | 1.2× |
| mclaren health | 3 | 3 | $23,469 | $23,862 | $25,876 | 1.1× |
| bcn | 3 | 3 | $23,469 | $23,862 | $25,876 | 1.1× |
| bcbsm/bcn | 3 | 3 | $73,315 | $81,939 | $87,650 | 1.2× |
| cca health michigan | 3 | 3 | $23,469 | $23,862 | $25,876 | 1.1× |
| CareSource | 3 | 3 | $23,469 | $23,862 | $25,876 | 1.1× |
| vitalcore physicians group of mi | 3 | 3 | $43,417 | $44,145 | $47,871 | 1.1× |
| erickson | 2 | 2 | $23,862 | $24,869 | $25,876 | 1.1× |
| upper pennisula health plan | 2 | 2 | $2,986.35 | $3,175.95 | $3,365.54 | 1.1× |
| amerihealth michigan | 2 | 2 | $23,385 | $24,372 | $25,358 | 1.1× |
| pace of se mi | 2 | 2 | $22,669 | $23,626 | $24,582 | 1.1× |
| mount carmel health plan | 2 | 2 | $23,862 | $24,869 | $25,876 | 1.1× |
| cofinity group health | 2 | 2 | $46,396 | $53,380 | $60,363 | 1.3× |
| thomas pace | 1 | 1 | $23,469 | $23,469 | $23,469 | 1.0× |
| total health care priority health | 1 | 1 | $22,830 | $22,830 | $22,830 | 1.0× |
| united behavioral health | 1 | 1 | $22,830 | $22,830 | $22,830 | 1.0× |
| uphp | 1 | 1 | $92.50 | $92.50 | $92.50 | 1.0× |
| communitycare (select) | 1 | 1 | $2,734.80 | $2,734.80 | $2,734.80 | 1.0× |
| communitycare (standard) | 1 | 1 | $2,734.80 | $2,734.80 | $2,734.80 | 1.0× |
| connect health benefit | 1 | 1 | $4,568.00 | $4,568.00 | $4,568.00 | 1.0× |
| employer direct healthcare | 1 | 1 | $35,473 | $35,473 | $35,473 | 1.0× |
| national healthcare solutions, inc | 1 | 1 | $43,659 | $43,659 | $43,659 | 1.0× |
| harbor health plan | 1 | 1 | $22,830 | $22,830 | $22,830 | 1.0× |
| va community care network | 1 | 1 | $2,110.00 | $2,110.00 | $2,110.00 | 1.0× |
| honest hmo | 1 | 1 | $22,830 | $22,830 | $22,830 | 1.0× |
| immergrun inc | 1 | 1 | $25,815 | $25,815 | $25,815 | 1.0× |
| kempton group administrators | 1 | 1 | $2,284.00 | $2,284.00 | $2,284.00 | 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 | $66,383 |
| Ascension St John Hospital | Detroit | MI | 13 | — | — | $1,506.00 | $5,674.50 | $18,736 |
| Aspirus Keweenaw Hospital | Laurium | MI | 1 | — | — | $2,986.35 | $2,986.35 | $2,986.35 |
| Mclaren Greater Lansing | Lansing | MI | 6 | $94,896 | $47,448 | $20,995 | $28,215 | $53,251 |
| Mclaren Lapeer Region | Lapeer | MI | 6 | $143,346 | $71,673 | $21,042 | $27,462 | $50,559 |
| Mclaren Flint | Flint | MI | 6 | $80,243 | $40,122 | $20,876 | $26,742 | $49,641 |
| Mclaren Northern Michigan | Petoskey | MI | 6 | $36,883 | $18,442 | $21,052 | $26,544 | $61,295 |
| Tawas St. Joseph Hospital | Tawas | MI | 9 | — | — | $25,226 | $26,487 | $40,865 |
| Henry Ford Hospital | Detroit | MI | 20 | — | — | $24,582 | $25,876 | $87,650 |
| W.a. Foote Memorial Hospital | Jackson | MI | 16 | — | — | $23,469 | $23,929 | $81,939 |
| Henry Ford Health Wyandotte Hospital | Wyandotte | MI | 20 | — | — | $22,669 | $23,862 | $73,315 |
| Garden City Hospital Osteopathic | Garden City | MI | 19 | — | $27,286 | $22,830 | $23,401 | $65,803 |
| Mclaren Port Huron | Port Huron | MI | 5 | $49,033 | $24,517 | $20,989 | $22,322 | $61,332 |
| Bay Regional Medical Center | Bay City | MI | 7 | $87,257 | $43,628 | $17,555 | $21,808 | $41,112 |
| Borgess-Pipp Health Center | Plainwell | MI | 17 | — | — | $7,300.00 | $19,023 | $44,380 |
| Ascension Borgess Hospital | Kalamazoo | MI | 17 | — | — | $7,300.00 | $19,023 | $44,380 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 17 | — | — | $7,300.00 | $19,023 | $44,380 |
| Ascension Providence Rochester Hospi | Rochester | MI | 17 | — | — | $7,300.00 | $19,023 | $44,380 |
| Ascension Standish Hospital | Standish | MI | 17 | — | — | $7,300.00 | $19,023 | $44,380 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 17 | — | — | $7,300.00 | $19,023 | $44,380 |
| Ascension Allegan Hospital | Allegan | MI | 17 | — | — | $7,300.00 | $19,023 | $44,380 |
| Aspirus Ironwood Hospital | Ironwood | MI | 2 | — | — | $3,365.54 | $12,129 | $20,892 |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $93,821 | $23,455 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $93,821 | $23,455 | — | — | — |
| Mh - Mercy Campus | Muskegon | MI | 0 | — | — | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | — | — | — | — | — |
| Carson City Hospital | Carson City | MI | 0 | $93,821 | $23,455 | — | — | — |
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.