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Hip & femur procedures except major joint w/o CC/MCC

MS-DRG 482 · negotiated-rate distribution across hospitals in MI

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Hospitals
30
Min
$95
Median
$11,820
Max
$26,503
Range multiplier
279.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1969$2,284$14,865$37,47516.4×
Medicare1044$2,827$14,062$24,4308.6×
UnitedHealthcare2343$2,352.52$14,786$26,99111.5×
Aetna1327$6,781$13,051$39,1045.8×
Humana2125$2,827$11,289$18,0256.4×
TRICARE1825$1,982$9,460.21$27,31813.8×
priority health710$11,762$22,526$32,0692.7×
smarthealth99$1,506$14,321$18,99012.6×
WellCare99$10,229$10,229$13,0511.3×
Ambetter88$16,878$16,878$21,9741.3×
First Health88$7,300$7,300$11,0001.5×
Medicare Advantage88$10,229$10,229$12,5151.2×
hap38$11,645$15,250$29,3152.5×
mi amish medical board77$3,251.04$16,171$17,5595.4×
blue mcr replacement77$10,229$10,229$10,2291.0×
Cigna77$10,470$10,470$10,4701.0×
facility billing - op77$10,229$10,229$10,2291.0×
healthspring mcr replacement77$10,434$10,434$10,4341.0×
occunet77$23,016$23,016$23,0161.0×
Oscar Health77$16,367$16,367$16,3671.0×
pcc employee77$10,815$10,815$10,8151.0×
bcbsm35$11,645$13,051$30,9742.7×
Molina35$11,665$13,051$17,6181.5×
meridian health plan of mi34$14,591$15,826$17,6181.2×
CareSource33$11,645$11,801$13,0511.1×
workers compensation33$14,203$17,378$21,1851.5×
cca health michigan33$11,645$11,801$13,0511.1×
mclaren health33$11,645$11,801$13,0511.1×
bcn33$11,645$11,801$13,0511.1×
vitalcore physicians group of mi33$21,543$21,832$24,1441.1×
bcbsm/bcn33$33,064$36,953$39,5281.2×
erickson22$11,801$12,426$13,0511.1×
cofinity auto22$32,343$32,954$33,5641.0×
mount carmel health plan22$11,801$12,426$13,0511.1×
cofinity group health22$22,517$25,907$29,2961.3×
amerihealth michigan22$11,565$12,177$12,7901.1×
pace of se mi22$11,211$11,805$12,3981.1×
total health care priority health11$12,515$12,515$12,5151.0×
united behavioral health11$12,515$12,515$12,5151.0×
Anthem BCBS11$13,689$13,689$13,6891.0×
uphp11$92.5$92.5$92.51.0×
communitycare (select)11$2,734.8$2,734.8$2,734.81.0×
communitycare (standard)11$2,734.8$2,734.8$2,734.81.0×
connect health benefit11$4,568$4,568$4,5681.0×
employer direct healthcare11$19,385$19,385$19,3851.0×
naphcare residential inmate treatment center11$19,399$19,399$19,3991.0×
community care - st john network senior - govt11$2,284$2,284$2,2841.0×
harbor health plan11$12,515$12,515$12,5151.0×
honest hmo11$12,515$12,515$12,5151.0×
immergrun inc11$12,810$12,810$12,8101.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. FRANCIS HOSPITALESCANABAMI3$92.5$95$29,395
ASCENSION ST JOHN HOSPITALDETROITMI13$1,506$5,674.5$18,736
MCLAREN THUMB REGIONBAD AXEMI5$38,978$19,489$2,827$2,883.54$27,318
ASPIRUS KEWEENAW HOSPITALLAURIUMMI1$26,503$26,503$26,503
MCLAREN GREATER LANSINGLANSING MI 489100MI7$47,729$23,865$11,289$15,727$26,033
MCLAREN FLINTFLINTMI8$58,954$29,477$11,225$15,648$24,541
MCLAREN NORTHERN MICHIGANPETOSKEYMI8$33,921$16,960$11,320$15,035$32,343
MCLAREN LAPEER REGIONLAPEERMI8$53,135$26,568$11,315$14,812$33,564
TAWAS ST. JOSEPH HOSPITALTAWASMI9$13,564$14,242$21,974
ASPIRUS ONTONAGON HOSPITALONTONAGONMI3$11,024$13,689$13,881
MCLAREN CENTRAL MICHIGANMT PLEASANTMI6$46,989$23,494$11,271$13,265$37,475
HENRY FORD HOSPITALDETROITMI20$12,398$13,051$39,528
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI19$14,911$12,515$12,828$29,138
BAY REGIONAL MEDICAL CENTERBAY CITYMI7$46,695$23,348$11,098$12,234$19,004
MCLAREN PORT HURONPORT HURONMI5$43,247$21,623$11,286$12,192$27,158
W.A. FOOTE MEMORIAL HOSPITALJACKSONMI16$11,645$11,820$36,953
HENRY FORD HEALTH WYANDOTTE HOSPITALWYANDOTTEMI20$11,211$11,801$33,064
ASPIRUS IRONWOOD HOSPITALIRONWOODMI1$10,654$10,654$10,654
BORGESS-PIPP HEALTH CENTERPLAINWELLMI17$7,300$10,536$39,104
ASCENSION BORGESS HOSPITALKALAMAZOOMI17$7,300$10,536$39,104
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI17$7,300$10,536$39,104
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI17$7,300$10,536$39,104
ASCENSION STANDISH HOSPITALSTANDISHMI17$7,300$10,536$39,104
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI17$7,300$10,536$39,104
ASCENSION ALLEGAN HOSPITALALLEGANMI17$7,300$10,536$39,104
SPARROW EATONCHARLOTTEMI0$35,368$8,841.88
MH - MERCY CAMPUSMUSKEGONMI0
CARSON CITY HOSPITALCARSON CITYMI0$46,346$11,586
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0
SPARROW CLINTON HOSPITALST. JOHNSMI0$46,346$11,586

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.