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Lap incisional hernia repair

CPT 49652 · negotiated-rate distribution across hospitals in MI

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Hospitals
15
Min
$1,485.15
Median
$5,819.26
Max
$11,830
Range multiplier
8.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid1020$275$3,086.87$17,97965.4×
Blue Cross Blue Shield1117$532.78$4,095.76$8,461.4715.9×
Medicare1016$4,810.25$5,034.06$5,407.241.1×
UnitedHealthcare1116$827.12$8,917.67$13,75416.6×
Aetna1214$556.06$10,591$16,04128.8×
priority health op rate1012$597.06$8,639.94$15,28725.6×
First Health89$864.77$12,056$17,97920.8×
hap preferred op rate46$484.46$7,620.15$15,40731.8×
Humana56$4,186.5$4,829.38$4,935.351.2×
hap - hmo op rate56$435.18$6,552.52$11,83027.2×
mclaren health op rate45$1,585.01$5,034$7,803.584.9×
hp - ppo op rate45$672.68$8,074.35$11,17116.6×
cofinity - auto op rate45$669.73$11,165$18,58627.8×
hp - hmo op rate45$505.49$5,819.26$8,394.5216.6×
cofinity - ppom op rate34$578.98$10,871$12,12620.9×
health plus hmo op rate23$2,993.35$8,538.73$10,8673.6×
hcap op rate33$8,509.77$8,509.77$11,5391.4×
hap hmo op rate23$2,492.64$7,729.47$9,048.893.6×
hap ahl op rate23$2,706.57$7,815.63$9,825.513.6×
hap - ppo op rate33$9,091.27$9,091.27$10,3581.1×
mhp - hmo op rate23$379.65$5,287.52$6,304.7216.6×
Cigna23$2,511.9$9,000.28$9,118.83.6×
health advantage - ppo op rate23$379.65$5,287.52$6,304.7216.6×
hurley medical center op rate12$330.85$2,912.58$5,494.3116.6×
bcn op rate22$3,966.96$6,214.22$8,461.472.1×
blue care network op rate22$4,405.93$4,405.93$4,405.931.0×
bsbs bcn op rate12$4,186.5$5,389.94$6,593.381.6×
cofinity - wc/auto op rate12$669.73$5,895.89$11,12216.6×
cofinity op rate22$11,885$12,578$13,2711.1×
cofinity ppom op rate12$3,294.78$7,627.81$11,9613.6×
cofinity wc op rate12$578.98$5,097.01$9,615.0416.6×
detroit medical center op rate12$1,544.82$3,576.44$5,608.063.6×
hap op rate22$7,805.02$11,558$15,3122.0×
hap/ahl op rate12$435.18$3,831.08$7,226.9816.6×
health advantage - commercial op rate22$4,971.12$4,971.12$4,971.121.0×
mclaren health advantage op rate22$9,432.21$9,897.41$10,3631.1×
mclaren health plan op rate22$2,568.68$2,568.68$2,568.681.0×
mi amish medical board op rate22$5,814.96$5,814.96$5,814.961.0×
Multiplan22$12,357$16,569$20,7821.7×
hap-hmo op rate11$11,718$11,718$11,7181.0×
oc inmates correct care solutions llc op rate11$12,379$12,379$12,3791.0×
com mclaren commercial ins op rate11$5,320.75$5,320.75$5,320.751.0×
phpmm-commercial hmo op rate11$11,045$11,045$11,0451.0×
com cofinity auto op rate11$9,687.03$9,687.03$9,687.031.0×
cofinity-ppom op rate11$9,785.78$9,785.78$9,785.781.0×
health plus ppo op rate11$9,231.06$9,231.06$9,231.061.0×
hospice care in michigan op rate11$12,988$12,988$12,9881.0×
cofinity w/c op rate11$16,550$16,550$16,5501.0×
cofinity auto op rate11$15,926$15,926$15,9261.0×
cofinity and wc op rate11$13,673$13,673$13,6731.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MCLAREN CENTRAL MICHIGANMT PLEASANTMI11$8,847.6$3,086.87$9,399.68$15,926
MCLAREN PORT HURONPORT HURONMI22$7,692.55$2,326$8,769.51$15,385
MCLAREN LAPEER REGIONLAPEERMI17$8,989.32$3,086.87$8,728.64$17,979
BAY REGIONAL MEDICAL CENTERBAY CITYMI17$7,091.48$2,568.68$5,819.26$12,126
MCLAREN BAY SPECIAL CAREBAY CITYMI17$7,091.48$2,568.68$5,819.26$12,126
MCLAREN GREATER LANSINGLANSING MI 489100MI12$6,655.93$4,916.52$5,373.33$10,649
MCLAREN NORTHERN MICHIGANPETOSKEYMI9$5,678.03$3,086.87$4,848.51$10,220
KARMANOS CANCER HOSPITALDETROITMI15$7,599$1,544.82$4,186.5$11,961
MCLAREN FLINTFLINTMI19$9,811.27$275$3,071.18$16,679
ASCENSION ST JOHN HOSPITALDETROITMI3$832.13$1,485.15$1,485.15
MCLAREN OAKLANDPONTIACMI14$9,824.24$3,010.96$11,830$19,648
MCLAREN MACOMBMT. CLEMENSMI20$12,988$2,995.26$11,718$23,379
CARSON CITY HOSPITALCARSON CITYMI0$1,433$716.5
SPARROW CLINTON HOSPITALST. JOHNSMI0$1,433$716.5
SPARROW EATONCHARLOTTEMI0$1,433$716.5

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.