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Fractures of femur w/o MCC

MS-DRG 533 · negotiated-rate distribution across hospitals in MI

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Hospitals
20
Min
$95.00
Median
$10,470
Max
$14,212
Range multiplier
149.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1262$2,284.00$12,544$25,09911.0×
UnitedHealthcare1434$2,352.52$16,727$25,94511.0×
Aetna1327$6,781.00$12,582$30,5804.5×
TRICARE1118$1,982.00$9,300.67$19,1749.7×
Humana1317$10,127$11,437$15,7711.6×
Medicare39$13,038$14,031$22,4491.7×
WellCare99$9,832.13$9,832.13$12,5821.3×
smarthealth99$1,506.00$13,765$18,25312.1×
Ambetter88$16,223$16,223$21,1211.3×
hap38$11,213$14,659$28,1792.5×
First Health88$7,300.00$7,300.00$11,0001.5×
Medicare Advantage88$9,832.13$9,832.13$12,0501.2×
healthspring mcr replacement77$10,029$10,029$10,0291.0×
blue mcr replacement77$9,832.13$9,832.13$9,832.131.0×
Cigna77$10,470$10,470$10,4701.0×
priority health47$11,325$18,726$26,4342.3×
pcc employee77$10,815$10,815$10,8151.0×
Oscar Health77$15,731$15,731$15,7311.0×
occunet77$22,122$22,122$22,1221.0×
facility billing - op77$9,832.13$9,832.13$9,832.131.0×
Molina35$11,360$12,582$16,9851.5×
bcbsm35$11,213$12,582$25,8512.3×
meridian health plan of mi34$14,971$15,237$16,9851.1×
mclaren health33$11,213$11,360$12,5821.1×
bcbsm/bcn33$27,594$30,840$32,9901.2×
bcn33$11,213$11,360$12,5821.1×
CareSource33$11,213$11,360$12,5821.1×
cca health michigan33$11,213$11,360$12,5821.1×
vitalcore physicians group of mi33$20,744$21,017$23,2761.1×
pace of se mi22$10,792$11,372$11,9531.1×
cofinity group health22$21,644$24,902$28,1601.3×
mount carmel health plan22$11,360$11,971$12,5821.1×
amerihealth michigan22$11,133$11,732$12,3301.1×
erickson22$11,360$11,971$12,5821.1×
harbor health plan11$12,050$12,050$12,0501.0×
mi amish medical board11$16,135$16,135$16,1351.0×
Multiplan11$95.00$95.00$95.001.0×
naphcare residential inmate treatment center11$18,677$18,677$18,6771.0×
national healthcare solutions, inc11$22,964$22,964$22,9641.0×
employer direct healthcare11$18,659$18,659$18,6591.0×
connect health benefit11$4,568.00$4,568.00$4,568.001.0×
communitycare (standard)11$2,734.80$2,734.80$2,734.801.0×
communitycare (select)11$2,734.80$2,734.80$2,734.801.0×
community care - st john network senior - govt11$2,284.00$2,284.00$2,284.001.0×
sunrise11$12,050$12,050$12,0501.0×
thomas pace11$11,213$11,213$11,2131.0×
total health care priority health11$12,050$12,050$12,0501.0×
united behavioral health11$12,050$12,050$12,0501.0×
Bright Health11$16,297$16,297$16,2971.0×
uphp11$92.50$92.50$92.501.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Francis HospitalEscanabaMI3$92.50$95.00$25,099
Ascension St John HospitalDetroitMI13$1,506.00$5,674.50$18,736
Mclaren Lapeer RegionLapeerMI6$90,769$45,384$10,876$14,212$22,449
Tawas St. Joseph HospitalTawasMI9$13,038$13,690$21,121
Henry Ford HospitalDetroitMI20$11,953$12,582$32,990
Garden City Hospital OsteopathicGarden CityMI19$14,352$12,050$12,351$24,880
W.a. Foote Memorial HospitalJacksonMI16$11,213$11,702$30,840
Henry Ford Health Wyandotte HospitalWyandotteMI20$10,792$11,360$27,594
Ascension Borgess HospitalKalamazooMI17$7,300.00$10,470$22,122
Genesys Regional Medical Ctr.Grand BlancMI17$7,300.00$10,470$22,122
Ascension Allegan HospitalAlleganMI17$7,300.00$10,470$22,122
Borgess-Pipp Health CenterPlainwellMI17$7,300.00$10,470$22,122
Ascension Providence Rochester HospiRochesterMI17$7,300.00$10,470$22,122
Ascension Standish HospitalStandishMI17$7,300.00$10,470$22,122
Ascension Borgess-Lee HospitalDowagiacMI17$7,300.00$10,470$22,122
Carson City HospitalCarson CityMI0$18,995$4,748.71
North Ottawa Community HospitalGrand HavenMI0
Mh - Mercy CampusMuskegonMI0
Sparrow Clinton HospitalSt. JohnsMI0$18,995$4,748.71
Sparrow EatonCharlotteMI0$18,995$4,748.71

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.