▸ Compare · PriceTransparency
Major joint replacement w/o MCC
MS-DRG 470 · negotiated-rate distribution across hospitals in MI
Hospitals
30
Min
$95.00
Median
$13,946
Max
$23,637
Range multiplier
248.8×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 19 | 69 | $2,284.00 | $14,865 | $44,902 | 19.7× |
| Medicare | 10 | 44 | $2,827.00 | $16,631 | $28,689 | 10.1× |
| UnitedHealthcare | 22 | 42 | $2,352.52 | $16,961 | $32,080 | 13.6× |
| Aetna | 13 | 27 | $6,781.00 | $15,331 | $44,380 | 6.5× |
| TRICARE | 18 | 25 | $1,982.00 | $12,429 | $39,671 | 20.0× |
| Humana | 20 | 24 | $2,827.00 | $13,350 | $20,213 | 7.2× |
| WellCare | 9 | 9 | $12,097 | $12,097 | $15,331 | 1.3× |
| smarthealth | 9 | 9 | $1,506.00 | $16,936 | $22,458 | 14.9× |
| Medicare Advantage | 8 | 8 | $12,097 | $12,097 | $14,707 | 1.2× |
| priority health | 5 | 8 | $13,885 | $21,589 | $32,687 | 2.4× |
| First Health | 8 | 8 | $7,300.00 | $7,300.00 | $11,000 | 1.5× |
| hap | 3 | 8 | $13,747 | $18,125 | $34,842 | 2.5× |
| Ambetter | 8 | 8 | $19,961 | $19,961 | $25,988 | 1.3× |
| Oscar Health | 7 | 7 | $19,356 | $19,356 | $19,356 | 1.0× |
| mi amish medical board | 7 | 7 | $3,251.04 | $19,125 | $20,620 | 6.3× |
| Cigna | 7 | 7 | $10,470 | $10,470 | $10,470 | 1.0× |
| healthspring mcr replacement | 7 | 7 | $12,339 | $12,339 | $12,339 | 1.0× |
| blue mcr replacement | 7 | 7 | $12,097 | $12,097 | $12,097 | 1.0× |
| facility billing - op | 7 | 7 | $12,097 | $12,097 | $12,097 | 1.0× |
| occunet | 7 | 7 | $27,219 | $27,219 | $27,219 | 1.0× |
| pcc employee | 7 | 7 | $10,815 | $10,815 | $10,815 | 1.0× |
| Molina | 3 | 5 | $13,729 | $15,331 | $20,697 | 1.5× |
| bcbsm | 3 | 5 | $13,747 | $15,331 | $37,249 | 2.7× |
| meridian health plan of mi | 3 | 4 | $17,186 | $18,693 | $20,697 | 1.2× |
| bcbsm/bcn | 3 | 3 | $39,761 | $44,438 | $47,536 | 1.2× |
| bcn | 3 | 3 | $13,747 | $13,946 | $15,331 | 1.1× |
| vitalcore physicians group of mi | 3 | 3 | $25,432 | $25,799 | $28,362 | 1.1× |
| CareSource | 3 | 3 | $13,747 | $13,946 | $15,331 | 1.1× |
| cca health michigan | 3 | 3 | $13,747 | $13,946 | $15,331 | 1.1× |
| mclaren health | 3 | 3 | $13,747 | $13,946 | $15,331 | 1.1× |
| cofinity auto | 3 | 3 | $32,116 | $34,068 | $38,250 | 1.2× |
| aspirus health plan, inc. | 1 | 2 | $16,252 | $19,945 | $23,637 | 1.5× |
| erickson | 2 | 2 | $13,946 | $14,638 | $15,331 | 1.1× |
| mount carmel health plan | 2 | 2 | $13,946 | $14,638 | $15,331 | 1.1× |
| amerihealth michigan | 2 | 2 | $13,667 | $14,345 | $15,024 | 1.1× |
| pace of se mi | 2 | 2 | $13,248 | $13,906 | $14,564 | 1.1× |
| cofinity group health | 2 | 2 | $26,763 | $30,791 | $34,820 | 1.3× |
| zing | 1 | 1 | $15,442 | $15,442 | $15,442 | 1.0× |
| Bright Health | 1 | 1 | $20,052 | $20,052 | $20,052 | 1.0× |
| community care - st john network senior - govt | 1 | 1 | $2,284.00 | $2,284.00 | $2,284.00 | 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 | $22,803 | $22,803 | $22,803 | 1.0× |
| harbor health plan | 1 | 1 | $14,707 | $14,707 | $14,707 | 1.0× |
| honest hmo | 1 | 1 | $14,707 | $14,707 | $14,707 | 1.0× |
| immergrun inc | 1 | 1 | $15,122 | $15,122 | $15,122 | 1.0× |
| keenan | 1 | 1 | $7,650.00 | $7,650.00 | $7,650.00 | 1.0× |
| kempton group administrators | 1 | 1 | $2,284.00 | $2,284.00 | $2,284.00 | 1.0× |
| longevity hp | 1 | 1 | $15,589 | $15,589 | $15,589 | 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 | $35,220 |
| Aspirus Keweenaw Hospital | Laurium | MI | 2 | — | — | $7,453.96 | $8,249.44 | $9,044.92 |
| Ascension St John Hospital | Detroit | MI | 13 | — | — | $1,506.00 | $5,674.50 | $18,736 |
| Mclaren Thumb Region | Bad Axe | MI | 5 | $56,605 | $28,303 | $2,827.00 | $2,883.54 | $39,671 |
| Aspirus Ontonagon Hospital | Ontonagon | MI | 2 | — | — | $16,252 | $23,637 | $24,985 |
| Mclaren Greater Lansing | Lansing | MI | 7 | $72,993 | $36,497 | $13,351 | $18,448 | $34,068 |
| Mclaren Lapeer Region | Lapeer | MI | 6 | $73,180 | $36,590 | $13,381 | $17,500 | $27,585 |
| Mclaren Flint | Flint | MI | 7 | $90,334 | $45,167 | $13,276 | $17,410 | $32,116 |
| Mclaren Northern Michigan | Petoskey | MI | 8 | $43,277 | $21,639 | $13,388 | $17,303 | $38,250 |
| Tawas St. Joseph Hospital | Tawas | MI | 9 | — | — | $16,042 | $16,844 | $25,988 |
| Mclaren Central Michigan | Mt Pleasant | MI | 6 | $75,884 | $37,942 | $13,329 | $15,432 | $44,902 |
| Henry Ford Hospital | Detroit | MI | 20 | — | — | $14,564 | $15,331 | $47,536 |
| Garden City Hospital Osteopathic | Garden City | MI | 20 | — | $17,540 | $7,650.00 | $14,707 | $34,912 |
| Mclaren Port Huron | Port Huron | MI | 5 | $50,780 | $25,390 | $13,348 | $14,344 | $32,540 |
| Bay Regional Medical Center | Bay City | MI | 6 | $72,269 | $36,134 | $13,125 | $14,202 | $22,368 |
| W.a. Foote Memorial Hospital | Jackson | MI | 16 | — | — | $13,729 | $13,953 | $44,438 |
| Henry Ford Health Wyandotte Hospital | Wyandotte | MI | 20 | — | — | $13,248 | $13,946 | $39,761 |
| Aspirus Ironwood Hospital | Ironwood | MI | 1 | — | — | $13,019 | $13,019 | $13,019 |
| Borgess-Pipp Health Center | Plainwell | MI | 17 | — | — | $7,300.00 | $12,429 | $44,380 |
| Ascension Borgess Hospital | Kalamazoo | MI | 17 | — | — | $7,300.00 | $12,429 | $44,380 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 17 | — | — | $7,300.00 | $12,429 | $44,380 |
| Ascension Providence Rochester Hospi | Rochester | MI | 17 | — | — | $7,300.00 | $12,429 | $44,380 |
| Ascension Standish Hospital | Standish | MI | 17 | — | — | $7,300.00 | $12,429 | $44,380 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 17 | — | — | $7,300.00 | $12,429 | $44,380 |
| Ascension Allegan Hospital | Allegan | MI | 17 | — | — | $7,300.00 | $12,429 | $44,380 |
| Sparrow Eaton | Charlotte | MI | 0 | $58,582 | $14,646 | — | — | — |
| Mh - Mercy Campus | Muskegon | MI | 0 | — | — | — | — | — |
| Carson City Hospital | Carson City | MI | 0 | $58,582 | $14,646 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | — | — | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $58,582 | $14,646 | — | — | — |
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.