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Hip & femur procedures except major joint w CC

MS-DRG 481 · negotiated-rate distribution across hospitals in MI

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Hospitals
30
Min
$95.00
Median
$15,389
Max
$19,992
Range multiplier
210.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2070$2,284.00$14,865$48,89121.4×
UnitedHealthcare2445$2,352.52$16,961$51,93422.1×
Medicare1044$2,827.00$18,058$31,05611.0×
Aetna1428$6,781.00$17,097$45,3296.7×
Humana2226$2,827.00$14,496$26,0879.2×
TRICARE1825$1,982.00$14,007$36,84118.6×
priority health69$15,229$26,826$35,9712.4×
smarthealth99$1,506.00$18,390$24,38616.2×
WellCare99$13,136$13,136$16,7751.3×
hap38$15,078$19,946$38,3422.5×
First Health88$7,300.00$7,300.00$11,0001.5×
Medicare Advantage88$13,136$13,136$15,9251.2×
Ambetter88$21,674$21,674$28,2191.3×
occunet77$29,556$29,556$29,5561.0×
Oscar Health77$21,018$21,018$21,0181.0×
pcc employee77$10,815$10,815$10,8151.0×
blue mcr replacement77$13,136$13,136$13,1361.0×
facility billing - op77$13,136$13,136$13,1361.0×
mi amish medical board77$3,251.04$20,767$22,3226.9×
Cigna77$10,470$10,470$10,4701.0×
healthspring mcr replacement77$13,399$13,399$13,3991.0×
Molina35$15,089$16,775$22,6461.5×
bcbsm35$15,078$16,775$44,2272.9×
meridian health plan of mi34$18,896$20,508$22,6461.2×
cca health michigan33$15,078$15,304$16,7751.1×
bcbsm/bcn33$47,211$52,764$56,4421.2×
bcn33$15,078$15,304$16,7751.1×
vitalcore physicians group of mi33$27,895$28,311$31,0331.1×
CareSource33$15,078$15,304$16,7751.1×
mclaren health33$15,078$15,304$16,7751.1×
amerihealth michigan22$14,997$15,718$16,4391.1×
cofinity group health22$29,451$33,884$38,3171.3×
erickson22$15,304$16,039$16,7751.1×
upper pennisula health plan22$10,616$17,586$24,5562.3×
workers compensation22$12,307$21,857$31,4082.6×
Anthem BCBS22$16,910$22,691$28,4731.7×
mount carmel health plan22$15,304$16,039$16,7751.1×
pace of se mi22$14,538$15,237$15,9361.1×
uphp11$92.50$92.50$92.501.0×
cofinity auto11$28,782$28,782$28,7821.0×
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$24,703$24,703$24,7031.0×
harbor health plan11$15,925$15,925$15,9251.0×
honest hmo11$15,925$15,925$15,9251.0×
immergrun inc11$16,586$16,586$16,5861.0×
kempton group administrators11$2,284.00$2,284.00$2,284.001.0×
longevity hp11$16,880$16,880$16,8801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Francis HospitalEscanabaMI3$92.50$95.00$38,349
Ascension St John HospitalDetroitMI13$1,506.00$5,674.50$18,736
Mclaren Thumb RegionBad AxeMI5$52,567$26,283$2,827.00$2,883.54$36,841
Mclaren Greater LansingLansingMI7$65,735$32,867$14,498$19,992$45,329
Mclaren Northern MichiganPetoskeyMI7$45,853$22,926$14,537$19,684$51,934
Mclaren Lapeer RegionLapeerMI7$63,217$31,608$14,530$19,274$33,410
Aspirus Ironwood HospitalIronwoodMI4$10,785$19,048$28,473
Aspirus Keweenaw HospitalLauriumMI4$10,616$18,921$24,653
Mclaren FlintFlintMI7$70,153$35,077$14,415$18,869$31,408
Tawas St. Joseph HospitalTawasMI9$17,419$18,290$28,219
Aspirus Ontonagon HospitalOntonagonMI3$13,001$16,910$18,184
Henry Ford HospitalDetroitMI20$15,936$16,775$56,442
Mclaren Central MichiganMt PleasantMI6$51,955$25,977$14,473$16,637$48,891
Garden City Hospital OsteopathicGarden CityMI19$19,002$15,925$16,323$38,014
Mclaren Port HuronPort HuronMI5$47,835$23,917$14,494$15,540$35,431
Bay Regional Medical CenterBay CityMI8$54,662$27,331$12,307$15,389$28,782
W.a. Foote Memorial HospitalJacksonMI16$15,078$15,305$52,764
Henry Ford Health Wyandotte HospitalWyandotteMI20$14,538$15,304$47,211
Borgess-Pipp Health CenterPlainwellMI17$7,300.00$13,530$39,104
Ascension Borgess HospitalKalamazooMI17$7,300.00$13,530$39,104
Genesys Regional Medical Ctr.Grand BlancMI17$7,300.00$13,530$39,104
Ascension Providence Rochester HospiRochesterMI17$7,300.00$13,530$39,104
Ascension Standish HospitalStandishMI17$7,300.00$13,530$39,104
Ascension Borgess-Lee HospitalDowagiacMI17$7,300.00$13,530$39,104
Ascension Allegan HospitalAlleganMI17$7,300.00$13,530$39,104
Sparrow EatonCharlotteMI0$64,838$16,210
Mh - Mercy CampusMuskegonMI0
Carson City HospitalCarson CityMI0$64,838$16,210
North Ottawa Community HospitalGrand HavenMI0
Sparrow Clinton HospitalSt. JohnsMI0$64,838$16,210

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.