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Hip & femur procedures except major joint w MCC

MS-DRG 480 · negotiated-rate distribution across hospitals in MI

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Hospitals
28
Min
$95.00
Median
$21,448
Max
$27,118
Range multiplier
285.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1868$2,284.00$14,865$76,61233.5×
Medicare1044$2,827.00$25,109$42,74815.1×
UnitedHealthcare2141$2,352.52$18,845$50,03821.3×
Aetna1428$6,781.00$23,799$58,9798.7×
TRICARE1825$1,982.00$22,940$47,95024.2×
Humana2024$2,827.00$20,156$39,44214.0×
WellCare99$18,265$18,265$23,3781.3×
smarthealth99$1,506.00$25,571$33,90822.5×
Ambetter88$30,137$30,137$39,2371.3×
First Health88$7,300.00$7,300.00$11,0001.5×
Medicare Advantage88$18,265$18,265$21,9411.2×
hap38$21,165$28,272$54,3472.6×
priority health47$21,377$34,787$50,9862.4×
mi amish medical board77$3,251.04$28,876$30,7259.5×
facility billing - op77$18,265$18,265$18,2651.0×
blue mcr replacement77$18,265$18,265$18,2651.0×
Oscar Health77$29,224$29,224$29,2241.0×
Cigna77$10,470$10,470$10,4701.0×
pcc employee77$10,815$10,815$10,8151.0×
healthspring mcr replacement77$18,630$18,630$18,6301.0×
occunet77$41,096$41,096$41,0961.0×
Molina35$21,240$23,378$31,5601.5×
bcbsm35$21,165$23,378$66,8753.2×
meridian health plan of mi34$26,630$28,808$31,5601.2×
CareSource33$21,165$21,513$23,3781.1×
vitalcore physicians group of mi33$39,156$39,799$43,2491.1×
cca health michigan33$21,165$21,513$23,3781.1×
mclaren health33$21,165$21,513$23,3781.1×
bcbsm/bcn33$71,386$79,784$85,3441.2×
bcn33$21,165$21,513$23,3781.1×
cofinity group health22$41,745$48,028$54,3111.3×
erickson22$21,513$22,445$23,3781.1×
mount carmel health plan22$21,513$22,445$23,3781.1×
pace of se mi22$20,437$21,323$22,2091.1×
amerihealth michigan22$21,083$21,996$22,9101.1×
zing11$23,038$23,038$23,0381.0×
Bright Health11$30,275$30,275$30,2751.0×
cofinity auto11$57,751$57,751$57,7511.0×
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$34,086$34,086$34,0861.0×
harbor health plan11$21,941$21,941$21,9411.0×
honest hmo11$21,941$21,941$21,9411.0×
immergrun inc11$23,282$23,282$23,2821.0×
kempton group administrators11$2,284.00$2,284.00$2,284.001.0×
longevity hp11$23,257$23,257$23,2571.0×
managed health services insurance corp.11$24,691$24,691$24,6911.0×
mclaren health plan11$21,941$21,941$21,9411.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Francis HospitalEscanabaMI3$92.50$95.00$60,093
Ascension St John HospitalDetroitMI13$1,506.00$5,674.50$18,736
Mclaren Thumb RegionBad AxeMI5$58,249$29,124$2,827.00$2,883.54$40,823
Mclaren Greater LansingLansingMI6$92,010$46,005$20,158$27,118$48,205
Mclaren Lapeer RegionLapeerMI6$86,141$43,071$20,203$26,371$45,768
Mclaren Northern MichiganPetoskeyMI9$57,379$28,690$7,424.14$25,862$57,751
Mclaren FlintFlintMI6$101,307$50,653$20,044$25,692$44,937
Tawas St. Joseph HospitalTawasMI9$24,220$25,431$39,237
Aspirus Ontonagon HospitalOntonagonMI1$24,691$24,691$24,691
Henry Ford HospitalDetroitMI20$22,209$23,378$85,344
Mclaren Central MichiganMt PleasantMI6$68,653$34,327$20,125$22,585$76,612
Garden City Hospital OsteopathicGarden CityMI19$26,219$21,941$22,490$59,568
Henry Ford Health Wyandotte HospitalWyandotteMI20$20,437$21,513$71,386
W.a. Foote Memorial HospitalJacksonMI16$21,165$21,483$79,784
Mclaren Port HuronPort HuronMI5$53,535$26,768$20,153$21,448$55,520
Bay Regional Medical CenterBay CityMI6$59,939$29,970$19,817$21,250$37,892
Borgess-Pipp Health CenterPlainwellMI17$7,300.00$18,265$41,096
Ascension Borgess HospitalKalamazooMI17$7,300.00$18,265$41,096
Genesys Regional Medical Ctr.Grand BlancMI17$7,300.00$18,265$41,096
Ascension Providence Rochester HospiRochesterMI17$7,300.00$18,265$41,096
Ascension Standish HospitalStandishMI17$7,300.00$18,265$41,096
Ascension Borgess-Lee HospitalDowagiacMI17$7,300.00$18,265$41,096
Ascension Allegan HospitalAlleganMI17$7,300.00$18,265$41,096
Sparrow Clinton HospitalSt. JohnsMI0$77,825$19,456
Sparrow EatonCharlotteMI0$77,825$19,456
Mh - Mercy CampusMuskegonMI0
Carson City HospitalCarson CityMI0$77,825$19,456
North Ottawa Community HospitalGrand HavenMI0

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.