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OR procedure for obesity w/o CC/MCC

MS-DRG 621 · negotiated-rate distribution across hospitals in MI

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Hospitals
22
Min
$95
Median
$11,133
Max
$14,740
Range multiplier
155.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1464$2,284$13,705$26,95211.8×
UnitedHealthcare1640$2,352.52$16,948$31,19013.3×
Aetna1530$6,781$12,565$30,9654.6×
TRICARE1320$1,982$11,133$19,76510.0×
Humana1519$9,744.03$10,469$16,2581.7×
Medicare519$11,187$13,005$21,2921.9×
smarthealth99$1,506$13,244$17,56211.7×
WellCare99$9,460.22$9,460.22$12,1011.3×
First Health88$7,300$7,300$11,0001.5×
priority health58$10,877$18,458$25,3402.3×
Medicare Advantage88$9,460.22$9,460.22$11,6131.2×
Ambetter88$15,609$15,609$20,3221.3×
hap38$10,769$14,052$27,0132.5×
facility billing - op77$9,460.22$9,460.22$9,460.221.0×
blue mcr replacement77$9,460.22$9,460.22$9,460.221.0×
pcc employee77$10,815$10,815$10,8151.0×
Cigna77$10,470$10,470$10,4701.0×
Oscar Health77$15,136$15,136$15,1361.0×
occunet77$21,285$21,285$21,2851.0×
healthspring mcr replacement77$9,649.42$9,649.42$9,649.421.0×
Molina35$10,908$12,101$16,3361.5×
bcbsm35$10,769$12,101$27,7592.6×
meridian health plan of mi34$13,961$14,632$16,3361.2×
mclaren health33$10,769$10,908$12,1011.1×
CareSource33$10,769$10,908$12,1011.1×
bcn33$10,769$10,908$12,1011.1×
bcbsm/bcn33$29,632$33,117$35,4251.2×
vitalcore physicians group of mi33$19,923$20,180$22,3861.1×
cca health michigan33$10,769$10,908$12,1011.1×
amerihealth michigan22$10,690$11,274$11,8591.1×
cofinity group health22$20,749$23,872$26,9951.3×
mi amish medical board22$14,956$15,130$15,3031.0×
erickson22$10,908$11,504$12,1011.1×
pace of se mi22$10,363$10,929$11,4961.1×
mount carmel health plan22$10,908$11,504$12,1011.1×
naphcare residential inmate treatment center11$18,000$18,000$18,0001.0×
national healthcare solutions, inc11$22,127$22,127$22,1271.0×
community care - st john network senior - govt11$2,284$2,284$2,2841.0×
ontario ministry of health and long-term care11$24,700$24,700$24,7001.0×
Bright Health11$15,681$15,681$15,6811.0×
sunrise11$11,613$11,613$11,6131.0×
thomas pace11$10,769$10,769$10,7691.0×
total health care priority health11$11,613$11,613$11,6131.0×
united behavioral health11$11,613$11,613$11,6131.0×
uphp11$92.5$92.5$92.51.0×
va community care network11$2,110$2,110$2,1101.0×
harbor health plan11$11,613$11,613$11,6131.0×
zing11$12,194$12,194$12,1941.0×
honest hmo11$11,613$11,613$11,6131.0×
employer direct healthcare11$17,978$17,978$17,9781.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. FRANCIS HOSPITALESCANABAMI3$92.5$95$26,952
ASCENSION ST JOHN HOSPITALDETROITMI13$1,506$5,674.5$18,736
TAWAS ST. JOSEPH HOSPITALTAWASMI9$12,545$14,740$31,190
MCLAREN NORTHERN MICHIGANPETOSKEYMI8$36,286$18,143$10,469$13,726$29,577
MCLAREN FLINTFLINTMI8$52,047$26,023$9,855.75$13,507$22,835
HENRY FORD HOSPITALDETROITMI21$11,496$12,222$35,425
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI19$13,829$11,613$11,904$26,717
MCLAREN PORT HURONPORT HURONMI5$44,297$22,148$10,438$11,306$24,901
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI17$7,300$11,133$30,965
BORGESS-PIPP HEALTH CENTERPLAINWELLMI17$7,300$11,133$30,965
ASCENSION BORGESS HOSPITALKALAMAZOOMI17$7,300$11,133$30,965
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI17$7,300$11,133$30,965
ASCENSION STANDISH HOSPITALSTANDISHMI17$7,300$11,133$30,965
ASCENSION ALLEGAN HOSPITALALLEGANMI17$7,300$11,133$30,965
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI17$7,300$11,133$30,965
W.A. FOOTE MEMORIAL HOSPITALJACKSONMI16$10,769$11,075$33,117
HENRY FORD HEALTH WYANDOTTE HOSPITALWYANDOTTEMI20$10,363$10,908$29,632
CARSON CITY HOSPITALCARSON CITYMI0$36,219$9,054.83
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0
MH - MERCY CAMPUSMUSKEGONMI0
SPARROW CLINTON HOSPITALST. JOHNSMI0$36,219$9,054.83
SPARROW EATONCHARLOTTEMI0$36,219$9,054.83

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.