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Open umbilical hernia repair

CPT 49560 · negotiated-rate distribution across hospitals in MI

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Hospitals
12
Min
$1,565.49
Median
$3,307.02
Max
$10,251
Range multiplier
6.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid715$275.00$1,941.88$21,11476.8×
Blue Cross Blue Shield813$1,565.49$2,555.73$5,279.913.4×
UnitedHealthcare812$1,894.13$4,230.52$14,7807.8×
Medicare711$3,050.09$3,166.81$3,401.581.1×
Aetna910$826.01$4,966.89$11,06413.4×
priority health op rate78$1,677.42$4,820.57$9,438.005.6×
First Health66$801.88$6,300.71$21,11426.3×
hap preferred op rate45$1,783.05$4,268.71$8,926.635.0×
Humana45$2,758.00$3,050.09$3,104.721.1×
mclaren health op rate34$1,044.18$1,859.49$2,710.762.6×
cofinity - auto op rate44$5,705.80$8,737.59$13,1122.3×
Cigna23$1,654.80$2,179.71$3,961.682.4×
hap ahl op rate23$1,783.05$1,892.81$4,268.712.4×
hap - hmo op rate33$3,707.56$5,201.44$7,259.032.0×
health plus hmo op rate23$1,971.97$2,067.93$4,721.002.4×
hap hmo op rate23$1,642.11$1,871.94$3,931.312.4×
health advantage - ppo op rate22$3,234.43$4,722.05$6,209.661.9×
bsbs bcn op rate12$2,758.00$3,436.12$4,114.231.5×
hp - ppo op rate22$5,730.96$8,947.40$12,1642.1×
hp - hmo op rate22$4,306.53$6,719.19$9,131.852.1×
detroit medical center op rate12$1,017.70$1,727.07$2,436.432.4×
mclaren health advantage op rate22$4,556.12$5,010.54$5,464.951.2×
bcn op rate22$1,585.41$3,432.66$5,279.913.3×
mhp - hmo op rate22$3,234.43$4,722.05$6,209.661.9×
Multiplan22$2,992.72$7,516.68$12,0414.0×
cofinity ppom op rate12$2,170.55$3,683.48$5,196.402.4×
hap/ahl op rate11$3,707.56$3,707.56$3,707.561.0×
hcap op rate11$2,794.50$2,794.50$2,794.501.0×
health plus ppo op rate11$2,235.60$2,235.60$2,235.601.0×
hospice care in michigan op rate11$7,525.40$7,525.40$7,525.401.0×
hurley medical center op rate11$2,818.67$2,818.67$2,818.671.0×
Medicare Advantage11$3,140.42$3,140.42$3,140.421.0×
oakland county community mental health op rate11$8,638.83$8,638.83$8,638.831.0×
oc inmates correct care solutions llc op rate11$5,442.46$5,442.46$5,442.461.0×
phpmm-commercial hmo op rate11$6,399.60$6,399.60$6,399.601.0×
theramatrix physical therapy op rate11$3,726.00$3,726.00$3,726.001.0×
usa mco-ppo op rate11$12,793$12,793$12,7931.0×
auto-cofinity op rate11$3,167.10$3,167.10$3,167.101.0×
bc bcbsm traditional op rate11$3,307.02$3,307.02$3,307.021.0×
bc bcbsm trust op rate11$3,307.02$3,307.02$3,307.021.0×
bc bcn op rate11$3,307.02$3,307.02$3,307.021.0×
beech street op rate11$13,546$13,546$13,5461.0×
CHAMPVA11$1,348.00$1,348.00$1,348.001.0×
cofinity - ppom op rate11$4,932.68$4,932.68$4,932.681.0×
cofinity - wc op rate11$11,473$11,473$11,4731.0×
cofinity - wc/auto op rate11$5,705.80$5,705.80$5,705.801.0×
cofinity and wc op rate11$6,011.76$6,011.76$6,011.761.0×
cofinity op rate11$2,878.34$2,878.34$2,878.341.0×
cofinity w/c op rate11$9,588.87$9,588.87$9,588.871.0×
cofinity wc op rate11$4,932.68$4,932.68$4,932.681.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mclaren MacombMt. ClemensMI20$7,525.41$1,884.26$6,789.42$13,546
Mclaren OaklandPontiacMI14$4,319.42$1,894.13$5,201.44$8,638.83
Mclaren FlintFlintMI19$5,033.34$275.00$3,917.45$8,556.68
Mclaren Greater LansingLansingMI12$2,702.17$2,160.11$3,307.02$4,323.47
Mclaren Northern MichiganPetoskeyMI9$3,579.97$1,941.88$3,050.09$6,443.95
Karmanos Cancer HospitalDetroitMI15$3,301.40$1,017.70$2,758.00$5,196.40
Mclaren Port HuronPort HuronMI22$1,937.50$1,219.15$2,299.32$3,726.00
Ascension St John HospitalDetroitMI3$801.88$1,565.49$1,565.49
Mclaren Lapeer RegionLapeerMI17$10,557$1,941.88$10,251$21,114
Sparrow EatonCharlotteMI0$1,420.00$710.00
Carson City HospitalCarson CityMI0$1,420.00$710.00
Sparrow Clinton HospitalSt. JohnsMI0$1,420.00$710.00

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.