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CPT 70470 · negotiated-rate distribution across hospitals in MI
Hospitals
30
Min
$74.50
Median
$184.05
Max
$1,877.50
Range multiplier
25.2×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 21 | 96 | $38.13 | $180.48 | $2,677.86 | 70.2× |
| Medicare | 13 | 82 | $57.47 | $173.62 | $277.79 | 4.8× |
| Medicaid | 13 | 77 | $38.13 | $97.38 | $2,351.10 | 61.7× |
| Aetna | 22 | 57 | $77.73 | $194.85 | $3,067.65 | 39.5× |
| Blue Cross Blue Shield | 15 | 41 | $95.34 | $427.64 | $2,351.10 | 24.7× |
| Humana | 19 | 39 | $57.47 | $173.98 | $204.13 | 3.6× |
| Medicare Advantage | 9 | 16 | $173.98 | $178.69 | $178.69 | 1.0× |
| 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 | $672.55 | $1,097.65 | $2,370.70 | 3.5× |
| First Health | 8 | 15 | $80.04 | $1,302.88 | $2,622.34 | 32.8× |
| blue mcr replacement | 7 | 14 | $178.69 | $178.69 | $178.69 | 1.0× |
| occunet | 7 | 14 | $330.58 | $366.32 | $402.05 | 1.2× |
| Oscar Health | 7 | 14 | $285.90 | $285.90 | $285.90 | 1.0× |
| WellCare | 7 | 14 | $178.69 | $178.69 | $178.69 | 1.0× |
| healthspring mcr replacement | 7 | 14 | $180.48 | $181.37 | $182.26 | 1.0× |
| facility billing - op | 7 | 14 | $178.69 | $178.69 | $178.69 | 1.0× |
| priority health | 9 | 12 | $87.29 | $87.29 | $1,512.58 | 17.3× |
| Cigna | 10 | 12 | $131.28 | $1,520.82 | $2,338.74 | 17.8× |
| TRICARE | 10 | 11 | $156.98 | $173.98 | $874.82 | 5.6× |
| hap - hmo op rate | 5 | 10 | $490.21 | $758.23 | $1,136.24 | 2.3× |
| hp - hmo op rate | 4 | 9 | $569.40 | $628.91 | $1,319.81 | 2.3× |
| hp - ppo op rate | 4 | 9 | $757.74 | $872.62 | $1,756.35 | 2.3× |
| mclaren commercial ins | 8 | 9 | $73.46 | $73.46 | $489.57 | 6.7× |
| cofinity - ppom op rate | 3 | 8 | $652.19 | $1,310.54 | $1,541.74 | 2.4× |
| u of m health plan | 8 | 8 | $66.09 | $66.09 | $66.09 | 1.0× |
| hcap op rate | 3 | 7 | $884.28 | $919.68 | $1,439.78 | 1.6× |
| mi amish medical board | 7 | 7 | $173.62 | $173.62 | $173.62 | 1.0× |
| hap - ppo op rate | 3 | 7 | $944.71 | $982.52 | $1,354.47 | 1.4× |
| health advantage - commercial op rate | 2 | 6 | $516.57 | $537.25 | $632.02 | 1.2× |
| great lakes research op rate | 2 | 6 | $884.28 | $919.68 | $1,081.92 | 1.2× |
| hap preferred op rate | 4 | 6 | $545.71 | $1,422.46 | $2,519.99 | 4.6× |
| mclaren health op rate | 4 | 5 | $628.13 | $950.05 | $1,475.74 | 2.3× |
| cofinity - auto op rate | 4 | 5 | $754.41 | $1,460.03 | $1,906.09 | 2.5× |
| harbor health plan | 1 | 4 | $93.26 | $102.58 | $173.98 | 1.9× |
| hap ahl op rate | 2 | 3 | $975.21 | $1,820.48 | $2,519.99 | 2.6× |
| health plus hmo op rate | 2 | 3 | $1,065.43 | $2,013.37 | $2,787.00 | 2.6× |
| hap hmo op rate | 2 | 3 | $964.46 | $1,676.59 | $2,320.81 | 2.4× |
| cofinity auto | 3 | 3 | $329.88 | $329.88 | $329.88 | 1.0× |
| mhp - hmo op rate | 2 | 3 | $427.65 | $691.46 | $991.24 | 2.3× |
| health advantage - ppo op rate | 2 | 3 | $427.65 | $691.46 | $991.24 | 2.3× |
| total health care priority health | 1 | 3 | $93.26 | $171.25 | $173.98 | 1.9× |
| detroit medical center op rate | 1 | 2 | $1,039.07 | $1,238.70 | $1,438.33 | 1.4× |
| cofinity wc op rate | 1 | 2 | $652.19 | $1,081.95 | $1,511.70 | 2.3× |
| cofinity ppom op rate | 1 | 2 | $2,216.11 | $2,641.88 | $3,067.65 | 1.4× |
| cofinity - wc/auto op rate | 1 | 2 | $754.41 | $1,251.52 | $1,748.63 | 2.3× |
| hap op rate | 2 | 2 | $1,416.66 | $1,640.39 | $1,864.12 | 1.3× |
| hap/ahl op rate | 1 | 2 | $490.21 | $813.23 | $1,136.24 | 2.3× |
| hurley medical center op rate | 1 | 2 | $372.68 | $618.26 | $863.83 | 2.3× |
| mclaren health advantage op rate | 2 | 2 | $942.67 | $954.99 | $967.30 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Mclaren Bay Special Care | Bay City | MI | 18 | — | $937.65 | $90.63 | $884.28 | $1,541.74 |
| Mclaren Thumb Region | Bad Axe | MI | 10 | $2,462.00 | $1,231.00 | $38.13 | $74.50 | $874.82 |
| Bay Regional Medical Center | Bay City | MI | 25 | $1,767.40 | $975.15 | $38.13 | $489.57 | $1,541.74 |
| Ascension St John Hospital | Detroit | MI | 3 | $2,878.75 | $1,065.14 | $80.04 | $448.51 | $448.51 |
| Mclaren Flint | Flint | MI | 25 | $2,688.30 | $1,604.25 | $38.13 | $400.17 | $2,622.34 |
| Tawas St. Joseph Hospital | Tawas | MI | 10 | $4,932.00 | $1,627.56 | $131.28 | $204.13 | $2,909.88 |
| Karmanos Cancer Hospital | Detroit | MI | 15 | — | $2,026.90 | $108.92 | $1,877.50 | $3,067.65 |
| Ascension Borgess Hospital | Kalamazoo | MI | 13 | $2,982.00 | $1,192.80 | $178.69 | $184.05 | $1,520.82 |
| Borgess-Pipp Health Center | Plainwell | MI | 13 | $2,982.00 | $1,192.80 | $178.69 | $184.05 | $1,520.82 |
| Ascension Allegan Hospital | Allegan | MI | 13 | $2,982.00 | $1,192.80 | $178.69 | $184.05 | $1,520.82 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 13 | $2,982.00 | $1,192.80 | $178.69 | $184.05 | $1,520.82 |
| Ascension Providence Rochester Hospi | Rochester | MI | 13 | $2,982.00 | $1,192.80 | $178.69 | $184.05 | $1,520.82 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 13 | $2,982.00 | $1,192.80 | $178.69 | $184.05 | $1,520.82 |
| Ascension Standish Hospital | Standish | MI | 13 | $2,982.00 | $1,192.80 | $178.69 | $184.05 | $1,520.82 |
| Garden City Hospital Osteopathic | Garden City | MI | 20 | $3,152.00 | $173.00 | $30.00 | $173.98 | $269.67 |
| Mclaren Port Huron | Port Huron | MI | 28 | $2,324.50 | $1,162.25 | $38.13 | $173.62 | $1,919.70 |
| Mclaren Lapeer Region | Lapeer | MI | 24 | $2,846.70 | $1,423.35 | $38.13 | $173.62 | $2,351.10 |
| Mclaren Greater Lansing | Lansing | MI | 20 | $3,529.80 | $1,764.90 | $38.13 | $173.47 | $2,332.16 |
| Mclaren Central Michigan | Mt Pleasant | MI | 17 | $2,621.00 | $1,310.50 | $38.13 | $156.98 | $1,965.75 |
| Mclaren Macomb | Mt. Clemens | MI | 20 | — | $1,440.70 | $105.68 | $1,332.00 | $2,397.60 |
| Mclaren Northern Michigan | Petoskey | MI | 14 | $2,495.60 | $1,247.80 | $38.13 | $108.92 | $1,871.70 |
| Mclaren Oakland | Pontiac | MI | 14 | — | $929.45 | $108.92 | $1,076.19 | $1,787.40 |
| Mckenzie Health System | Sandusky | MI | 0 | $1,477.00 | $1,181.60 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | $2,681.00 | $1,876.70 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $2,956.00 | $739.00 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $1,527.00 | $381.75 | — | — | — |
| Southeast Michigan Surgical Hospital | Warren | MI | 0 | $3,360.00 | $2,688.00 | — | — | — |
| Carson City Hospital | Carson City | MI | 0 | $1,913.00 | $478.25 | — | — | — |
| Mh - Mercy Campus | Muskegon | MI | 0 | $1,799.40 | $863.71 | — | — | — |
| Mackinac Straits Health System Inc | St. Ignace | MI | 0 | $2,060.00 | $1,442.00 | — | — | — |
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.