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Umbilical hernia repair age 5+

CPT 49585 · negotiated-rate distribution across hospitals in MI

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Hospitals
14
Min
$943.83
Median
$4,402.72
Max
$7,584.43
Range multiplier
8.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid918$275$1,941.88$9,068.4233.0×
Medicare1016$3,026.02$3,166.81$3,401.581.1×
UnitedHealthcare1015$1,894.13$5,758.48$8,949.344.7×
Blue Cross Blue Shield1014$943.83$2,373.51$4,981.785.3×
Aetna1113$494.46$4,781.76$10,44021.1×
First Health810$469.62$7,041.33$10,86723.1×
priority health op rate910$3,379.64$5,007.78$9,894.572.9×
hap - hmo op rate56$3,029.78$4,512.14$6,294.822.1×
cofinity - auto op rate45$4,662.72$5,631.49$12,0302.6×
hp - hmo op rate45$3,519.25$3,922.09$5,245.591.5×
hp - ppo op rate45$4,683.29$5,224.32$7,278.371.6×
Humana44$3,026.02$3,071.48$3,104.721.0×
hap preferred op rate34$3,372.82$3,524.59$9,971.913.0×
cofinity - ppom op rate34$4,030.93$7,509.14$10,9312.7×
hcap op rate33$5,528.02$7,670.86$7,670.861.4×
mclaren health op rate33$2,011.53$2,411.69$4,634.232.3×
mhp - hmo op rate23$2,643.14$2,667.02$2,680.11.0×
hap - ppo op rate33$5,224.32$8,195.03$8,195.031.6×
health advantage - ppo op rate23$2,643.14$2,667.02$2,680.11.0×
hurley medical center op rate12$2,303.39$2,319.5$2,335.61.0×
bc bcbsm traditional op rate12$3,096.63$3,108.46$3,120.291.0×
bc bcbsm trust op rate12$3,096.63$3,108.46$3,120.291.0×
bc bcn op rate12$3,096.63$3,108.46$3,120.291.0×
bcn op rate22$2,335.59$3,658.69$4,981.782.1×
blue care network op rate22$2,594.04$2,594.04$2,594.041.0×
cofinity - wc/auto op rate12$4,662.72$4,695.33$4,727.931.0×
cofinity op rate22$5,693.86$6,787.6$7,881.341.4×
cofinity wc op rate12$4,030.93$4,059.12$4,087.311.0×
com cofinity auto op rate12$2,253.42$3,871.68$5,489.942.4×
com mclaren commercial ins op rate12$1,237.72$2,126.58$3,015.432.4×
com php op rate12$1,262.19$2,168.61$3,075.032.4×
com priority health op rate12$1,859.53$3,194.93$4,530.322.4×
hap op rate22$3,651.67$6,372.32$9,092.972.5×
hap/ahl op rate12$3,029.78$3,050.97$3,072.151.0×
health advantage - commercial op rate22$4,481.06$4,481.06$4,481.061.0×
mclaren health advantage op rate22$5,513.85$5,809.36$6,104.871.1×
mclaren health plan op rate22$1,615.9$1,615.9$1,615.91.0×
mi amish medical board op rate22$3,658.07$3,658.07$3,658.071.0×
Multiplan22$5,920.14$9,685.35$13,4512.3×
phpmm-commercial hmo op rate11$7,148.97$7,148.97$7,148.971.0×
gift of life op rate11$11,769$11,769$11,7691.0×
health plus hmo op rate11$4,090.73$4,090.73$4,090.731.0×
health plus ppo op rate11$4,422.41$4,422.41$4,422.411.0×
hospice care in michigan op rate11$8,406.6$8,406.6$8,406.61.0×
fidelis op rate11$3,228.91$3,228.91$3,228.911.0×
cofinity-ppom op rate11$4,935.94$4,935.94$4,935.941.0×
cofinity w/c op rate11$10,712$10,712$10,7121.0×
cofinity auto op rate11$9,457.61$9,457.61$9,457.611.0×
beech street op rate11$15,132$15,132$15,1321.0×
cofinity and wc op rate11$7,275.47$7,275.47$7,275.471.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ASCENSION ST JOHN HOSPITALDETROITMI3$469.62$943.83$943.83
MCLAREN MACOMBMT. CLEMENSMI20$8,406.6$1,884.26$7,584.43$15,132
MCLAREN OAKLANDPONTIACMI14$5,227.39$1,894.13$6,294.82$10,455
MCLAREN CENTRAL MICHIGANMT PLEASANTMI11$5,254.23$1,941.88$5,582.09$9,457.61
MCLAREN BAY SPECIAL CAREBAY CITYMI17$6,392.39$1,615.9$5,245.59$10,931
BAY REGIONAL MEDICAL CENTERBAY CITYMI17$6,392.39$1,615.9$5,245.59$10,931
MCLAREN LAPEER REGIONLAPEERMI17$4,534.21$1,941.88$4,402.72$9,068.42
MCLAREN PORT HURONPORT HURONMI22$3,685.34$1,135$4,201.29$7,370.69
MCLAREN FLINTFLINTMI19$4,170.72$275$3,543.86$7,090.22
MCLAREN GREATER LANSINGLANSING MI 489100MI12$3,772.12$1,237.72$3,094.75$6,035.39
MCLAREN NORTHERN MICHIGANPETOSKEYMI9$2,656.54$1,941.88$3,050.09$4,781.76
SPARROW CLINTON HOSPITALST. JOHNSMI0$862$431
SPARROW EATONCHARLOTTEMI0$862$431
CARSON CITY HOSPITALCARSON CITYMI0$862$431

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.