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MS-DRG 619 · negotiated-rate distribution across hospitals in MI

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Hospitals
20
Min
$95
Median
$18,180
Max
$26,414
Range multiplier
278.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1262$2,284$14,865$41,05118.0×
UnitedHealthcare1438$2,352.52$18,845$46,38919.7×
Aetna1328$6,781$22,162$54,6778.1×
TRICARE1118$1,982$33,400$42,18021.3×
Humana1317$18,652$20,051$34,6961.9×
Medicare39$21,431$25,100$40,1601.9×
WellCare99$18,109$18,109$21,7421.2×
smarthealth99$1,506$25,352$33,61822.3×
Ambetter88$29,880$29,880$38,9011.3×
hap38$19,658$26,210$50,3832.6×
First Health88$7,300$7,300$11,0001.5×
Medicare Advantage88$18,109$18,109$21,7581.2×
healthspring mcr replacement77$18,471$18,471$18,4711.0×
blue mcr replacement77$18,109$18,109$18,1091.0×
Cigna77$10,470$10,470$10,4701.0×
priority health47$19,854$34,490$47,2652.4×
pcc employee77$10,815$10,815$10,8151.0×
Oscar Health77$28,974$28,974$28,9741.0×
occunet77$40,745$40,745$40,7451.0×
facility billing - op77$18,109$18,109$18,1091.0×
Molina35$18,704$21,742$29,3521.6×
bcbsm35$19,658$21,742$42,2802.2×
meridian health plan of mi34$23,440$26,752$29,3521.3×
mclaren health33$19,658$19,975$21,7421.1×
bcbsm/bcn33$45,132$50,441$53,9561.2×
bcn33$19,658$19,975$21,7421.1×
CareSource33$19,658$19,975$21,7421.1×
cca health michigan33$19,658$19,975$21,7421.1×
vitalcore physicians group of mi33$36,367$36,954$40,2231.1×
pace of se mi22$18,976$19,816$20,6551.1×
cofinity group health22$38,700$44,525$50,3501.3×
erickson22$19,975$20,859$21,7421.1×
amerihealth michigan22$19,576$20,442$21,3081.1×
mount carmel health plan22$19,975$20,859$21,7421.1×
harbor health plan11$21,758$21,758$21,7581.0×
mi amish medical board11$28,865$28,865$28,8651.0×
Multiplan11$95$95$951.0×
naphcare residential inmate treatment center11$33,725$33,725$33,7251.0×
national healthcare solutions, inc11$41,600$41,600$41,6001.0×
employer direct healthcare11$33,800$33,800$33,8001.0×
ontario ministry of health and long-term care11$30,000$30,000$30,0001.0×
connect health benefit11$4,568$4,568$4,5681.0×
communitycare (standard)11$2,734.8$2,734.8$2,734.81.0×
communitycare (select)11$2,734.8$2,734.8$2,734.81.0×
community care - st john network senior - govt11$2,284$2,284$2,2841.0×
sunrise11$21,758$21,758$21,7581.0×
thomas pace11$19,658$19,658$19,6581.0×
total health care priority health11$21,758$21,758$21,7581.0×
united behavioral health11$21,758$21,758$21,7581.0×
Bright Health11$30,016$30,016$30,0161.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. FRANCIS HOSPITALESCANABAMI3$92.5$95$41,051
ASCENSION ST JOHN HOSPITALDETROITMI13$1,506$5,674.5$18,736
TAWAS ST. JOSEPH HOSPITALTAWASMI9$22,566$26,414$38,901
MCLAREN FLINTFLINTMI6$53,591$26,795$19,872$25,476$40,160
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI19$26,000$21,758$22,302$42,180
HENRY FORD HOSPITALDETROITMI21$20,655$21,960$53,956
HENRY FORD HEALTH WYANDOTTE HOSPITALWYANDOTTEMI20$18,976$19,975$45,132
W.A. FOOTE MEMORIAL HOSPITALJACKSONMI16$18,704$19,953$54,677
ASCENSION STANDISH HOSPITALSTANDISHMI17$7,300$18,180$40,745
ASCENSION ALLEGAN HOSPITALALLEGANMI17$7,300$18,180$40,745
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI17$7,300$18,180$40,745
BORGESS-PIPP HEALTH CENTERPLAINWELLMI17$7,300$18,180$40,745
ASCENSION BORGESS HOSPITALKALAMAZOOMI17$7,300$18,180$40,745
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI17$7,300$18,180$40,745
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI17$7,300$18,180$40,745
CARSON CITY HOSPITALCARSON CITYMI0$30,254$7,563.51
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0
MH - MERCY CAMPUSMUSKEGONMI0
SPARROW CLINTON HOSPITALST. JOHNSMI0$30,254$7,563.51
SPARROW EATONCHARLOTTEMI0$30,254$7,563.51

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.