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CPT 70460 · negotiated-rate distribution across hospitals in MI
Hospitals
29
Min
$65.60
Median
$184.05
Max
$1,084.40
Range multiplier
16.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 21 | 96 | $33.87 | $180.48 | $1,971.55 | 58.2× |
| Medicare | 13 | 82 | $51.27 | $173.62 | $277.79 | 5.4× |
| Medicaid | 13 | 77 | $33.87 | $97.38 | $1,553.20 | 45.9× |
| Aetna | 22 | 55 | $69.08 | $194.85 | $2,645.56 | 38.3× |
| Blue Cross Blue Shield | 15 | 41 | $84.68 | $357.17 | $1,553.20 | 18.3× |
| Humana | 19 | 39 | $51.27 | $173.98 | $204.13 | 4.0× |
| Ambetter | 8 | 16 | $294.84 | $294.84 | $300.62 | 1.0× |
| smarthealth | 8 | 16 | $250.17 | $250.17 | $259.80 | 1.0× |
| priority health op rate | 10 | 16 | $544.16 | $884.76 | $1,423.18 | 2.6× |
| Medicare Advantage | 9 | 16 | $173.98 | $178.69 | $178.69 | 1.0× |
| First Health | 8 | 15 | $71.19 | $1,151.16 | $2,394.03 | 33.6× |
| occunet | 7 | 14 | $330.58 | $366.32 | $402.05 | 1.2× |
| WellCare | 7 | 14 | $178.69 | $178.69 | $178.69 | 1.0× |
| Oscar Health | 7 | 14 | $285.90 | $285.90 | $285.90 | 1.0× |
| blue mcr replacement | 7 | 14 | $178.69 | $178.69 | $178.69 | 1.0× |
| facility billing - op | 7 | 14 | $178.69 | $178.69 | $178.69 | 1.0× |
| healthspring mcr replacement | 7 | 14 | $180.48 | $181.37 | $182.26 | 1.0× |
| Cigna | 10 | 12 | $109.59 | $1,406.58 | $1,406.58 | 12.8× |
| priority health | 9 | 11 | $77.55 | $77.55 | $1,291.42 | 16.7× |
| TRICARE | 10 | 11 | $156.98 | $173.98 | $829.34 | 5.3× |
| hap - hmo op rate | 5 | 10 | $396.62 | $625.69 | $1,037.32 | 2.6× |
| hp - ppo op rate | 4 | 9 | $613.08 | $771.00 | $1,603.43 | 2.6× |
| hp - hmo op rate | 4 | 9 | $460.70 | $555.67 | $1,204.90 | 2.6× |
| mclaren commercial ins | 8 | 9 | $65.54 | $65.54 | $697.87 | 10.6× |
| cofinity - ppom op rate | 3 | 8 | $527.68 | $1,157.93 | $1,380.09 | 2.6× |
| u of m health plan | 8 | 8 | $58.96 | $58.96 | $58.96 | 1.0× |
| mi amish medical board | 7 | 7 | $173.62 | $173.62 | $173.62 | 1.0× |
| hcap op rate | 3 | 7 | $781.32 | $812.58 | $1,131.15 | 1.4× |
| hap - ppo op rate | 3 | 7 | $834.71 | $868.11 | $1,021.31 | 1.2× |
| great lakes research op rate | 2 | 6 | $781.32 | $812.58 | $955.98 | 1.2× |
| health advantage - commercial op rate | 2 | 6 | $456.42 | $474.68 | $558.45 | 1.2× |
| hap preferred op rate | 4 | 6 | $441.53 | $1,005.51 | $1,208.18 | 2.7× |
| cofinity - auto op rate | 4 | 5 | $610.39 | $1,151.96 | $1,596.39 | 2.6× |
| mclaren health op rate | 4 | 5 | $493.48 | $666.22 | $707.53 | 1.4× |
| harbor health plan | 1 | 4 | $93.26 | $102.58 | $173.98 | 1.9× |
| mhp - hmo op rate | 2 | 3 | $346.01 | $456.80 | $904.94 | 2.6× |
| hap ahl op rate | 2 | 3 | $766.17 | $1,056.12 | $1,208.18 | 1.6× |
| hap hmo op rate | 2 | 3 | $757.72 | $972.65 | $1,112.68 | 1.5× |
| health advantage - ppo op rate | 2 | 3 | $346.01 | $456.80 | $904.94 | 2.6× |
| health plus hmo op rate | 2 | 3 | $837.05 | $1,168.02 | $1,336.19 | 1.6× |
| total health care priority health | 1 | 3 | $93.26 | $171.25 | $173.98 | 1.9× |
| Bright Health | 1 | 2 | $231.96 | $231.96 | $231.96 | 1.0× |
| blue care network op rate | 2 | 2 | $357.17 | $357.17 | $357.17 | 1.0× |
| mclaren health plan | 1 | 2 | $93.26 | $133.62 | $173.98 | 1.9× |
| mclaren health plan op rate | 2 | 2 | $90.63 | $90.63 | $90.63 | 1.0× |
| cofinity ppom op rate | 1 | 2 | $1,285.64 | $1,378.20 | $1,470.75 | 1.1× |
| bcn op rate | 2 | 2 | $335.14 | $441.86 | $548.58 | 1.6× |
| cofinity - wc/auto op rate | 1 | 2 | $610.39 | $1,103.39 | $1,596.39 | 2.6× |
| hurley medical center op rate | 1 | 2 | $301.53 | $545.08 | $788.62 | 2.6× |
| hap op rate | 2 | 2 | $1,209.44 | $1,296.83 | $1,384.22 | 1.1× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Mclaren Macomb | Mt. Clemens | MI | 20 | — | $870.70 | $105.68 | $805.00 | $1,449.00 |
| Mclaren Bay Special Care | Bay City | MI | 18 | — | $828.50 | $90.63 | $781.32 | $1,362.27 |
| Mclaren Thumb Region | Bad Axe | MI | 10 | $2,334.00 | $1,167.00 | $33.87 | $65.60 | $829.34 |
| Ascension St John Hospital | Detroit | MI | 3 | $2,387.25 | $883.28 | $71.19 | $443.05 | $443.05 |
| Bay Regional Medical Center | Bay City | MI | 24 | $1,561.60 | $861.65 | $33.87 | $385.27 | $1,362.27 |
| Mclaren Flint | Flint | MI | 25 | $2,748.60 | $1,464.60 | $33.87 | $323.77 | $2,394.03 |
| Tawas St. Joseph Hospital | Tawas | MI | 10 | $4,484.00 | $1,479.72 | $109.59 | $204.13 | $2,645.56 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 13 | $2,758.00 | $1,103.20 | $178.69 | $184.05 | $1,406.58 |
| Ascension Borgess Hospital | Kalamazoo | MI | 13 | $2,758.00 | $1,103.20 | $178.69 | $184.05 | $1,406.58 |
| Ascension Allegan Hospital | Allegan | MI | 13 | $2,758.00 | $1,103.20 | $178.69 | $184.05 | $1,406.58 |
| Borgess-Pipp Health Center | Plainwell | MI | 13 | $2,758.00 | $1,103.20 | $178.69 | $184.05 | $1,406.58 |
| Ascension Standish Hospital | Standish | MI | 13 | $2,758.00 | $1,103.20 | $178.69 | $184.05 | $1,406.58 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 13 | $2,758.00 | $1,103.20 | $178.69 | $184.05 | $1,406.58 |
| Ascension Providence Rochester Hospi | Rochester | MI | 13 | $2,758.00 | $1,103.20 | $178.69 | $184.05 | $1,406.58 |
| Garden City Hospital Osteopathic | Garden City | MI | 20 | $1,204.60 | $173.00 | $30.00 | $173.98 | $269.67 |
| Mclaren Lapeer Region | Lapeer | MI | 23 | $1,880.60 | $940.30 | $33.87 | $173.62 | $1,553.20 |
| Mclaren Port Huron | Port Huron | MI | 28 | $1,826.40 | $913.20 | $33.87 | $173.62 | $1,508.20 |
| Mclaren Greater Lansing | Lansing | MI | 19 | $2,505.00 | $1,252.50 | $33.87 | $169.59 | $1,655.04 |
| Mclaren Central Michigan | Mt Pleasant | MI | 17 | $1,946.30 | $973.15 | $33.87 | $163.35 | $1,459.73 |
| Karmanos Cancer Hospital | Detroit | MI | 15 | — | $971.80 | $108.92 | $1,084.40 | $1,470.75 |
| Mclaren Northern Michigan | Petoskey | MI | 14 | $2,130.70 | $1,065.35 | $33.87 | $104.61 | $1,583.73 |
| Mclaren Oakland | Pontiac | MI | 14 | — | $878.35 | $108.92 | $1,017.01 | $1,689.10 |
| Carson City Hospital | Carson City | MI | 0 | $1,610.00 | $402.50 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | $3,459.00 | $2,421.30 | — | — | — |
| Mh - Mercy Campus | Muskegon | MI | 0 | $1,349.50 | $647.76 | — | — | — |
| Southeast Michigan Surgical Hospital | Warren | MI | 0 | $2,902.00 | $2,321.60 | — | — | — |
| Mckenzie Health System | Sandusky | MI | 0 | $1,245.00 | $996.00 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $1,847.00 | $461.75 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $1,422.00 | $355.50 | — | — | — |
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.