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CPT 71046 · negotiated-rate distribution across hospitals in MI

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Hospitals
29
Min
$13.92
Median
$86.31
Max
$145.66
Range multiplier
10.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare21109$6.60$89.26$286.6543.4×
Medicare1384$9.83$85.87$137.4014.0×
Medicaid1382$6.60$48.16$275.0041.7×
Aetna2269$12.35$91.03$356.9528.9×
Blue Cross Blue Shield1545$16.51$72.87$231.5014.0×
Humana1939$9.83$85.87$100.9710.3×
priority health op rate1023$31.92$107.19$183.025.7×
priority health918$15.12$43.13$221.9214.7×
First Health717$54.45$151.81$256.324.7×
mclaren commercial ins816$11.48$33.68$133.2011.6×
Medicare Advantage916$79.81$88.38$88.381.1×
Ambetter816$145.83$145.83$148.701.0×
smarthealth816$123.73$123.73$128.511.0×
Oscar Health714$141.41$141.41$141.411.0×
healthspring mcr replacement714$89.26$89.71$90.151.0×
hap - hmo op rate514$24.55$81.05$113.804.6×
blue mcr replacement714$88.38$88.38$88.381.0×
occunet714$163.50$181.18$198.851.2×
Cigna1014$26.10$274.26$330.9912.7×
facility billing - op714$88.38$88.38$88.381.0×
WellCare714$88.38$88.38$88.381.0×
hp - hmo op rate412$30.88$77.51$100.123.2×
hp - ppo op rate412$41.13$107.54$133.373.2×
TRICARE1011$53.65$83.95$91.791.7×
hap preferred op rate411$28.57$84.26$184.456.5×
cofinity - auto op rate410$44.34$69.96$222.525.0×
u of m health plan810$11.30$11.30$248.4322.0×
cofinity - ppom op rate39$44.25$152.70$186.904.2×
hap - ppo op rate39$41.13$127.69$140.123.4×
hcap op rate38$64.50$119.52$133.652.1×
workers compensation77$65.05$76.51$173.852.7×
mi amish medical board77$85.87$85.87$85.871.0×
cofinity auto77$129.34$163.16$163.161.3×
mclaren health op rate47$28.14$78.29$138.524.9×
mhp - hmo op rate26$21.00$34.09$68.083.2×
health advantage - ppo op rate26$21.00$34.09$68.083.2×
health advantage - commercial op rate26$62.60$69.82$76.621.2×
great lakes research op rate26$107.16$119.52$131.161.2×
hap hmo op rate25$43.21$123.13$154.983.6×
health plus hmo op rate25$47.73$147.86$186.113.9×
hap ahl op rate25$43.69$133.70$168.283.9×
Multiplan24$69.08$111.17$248.803.6×
mclaren health advantage op rate24$35.95$71.65$112.923.1×
cofinity group 15892 & 1589344$102.72$126.32$202.572.0×
harbor health plan14$46.26$50.89$86.311.9×
cofinity op rate23$66.44$137.66$235.583.5×
bcn op rate23$68.37$99.00$111.921.6×
cofinity - wc op rate13$38.80$44.88$125.803.2×
cofinity - wc/auto op rate13$51.18$69.09$116.482.3×
cofinity ppom op rate13$162.75$188.49$204.861.3×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Tawas St. Joseph HospitalTawasMI10$605.00$199.65$26.10$96.38$356.95
Ascension Borgess-Lee HospitalDowagiacMI13$649.00$259.60$67.80$91.03$330.99
Ascension Borgess HospitalKalamazooMI13$649.00$259.60$67.80$91.03$330.99
Ascension Standish HospitalStandishMI13$649.00$259.60$67.80$91.03$330.99
Ascension Allegan HospitalAlleganMI13$649.00$259.60$67.80$91.03$330.99
Borgess-Pipp Health CenterPlainwellMI13$649.00$259.60$67.80$91.03$330.99
Ascension Providence Rochester HospiRochesterMI13$649.00$259.60$67.80$91.03$330.99
Genesys Regional Medical Ctr.Grand BlancMI13$649.00$259.60$67.80$91.03$330.99
Garden City Hospital OsteopathicGarden CityMI20$437.00$86.00$30.00$86.31$133.78
Bay Regional Medical CenterBay CityMI27$214.00$118.20$6.60$85.87$186.90
Mclaren Greater LansingLansingMI21$387.90$193.95$6.60$84.37$271.53
Mclaren MacombMt. ClemensMI20$168.15$35.95$79.84$279.90
Mclaren OaklandPontiacMI14$98.30$43.62$79.69$189.00
Mclaren Central MichiganMt PleasantMI19$382.20$191.10$6.60$76.90$286.65
Mclaren Northern MichiganPetoskeyMI17$233.40$116.70$6.60$72.99$175.05
Mclaren Port HuronPort HuronMI30$216.10$108.05$6.60$67.56$178.20
Mclaren FlintFlintMI27$228.20$114.10$6.60$57.94$275.00
Mclaren Lapeer RegionLapeerMI26$280.30$140.15$6.60$49.80$231.50
Ascension St John HospitalDetroitMI2$320.00$118.40$23.34$32.14$34.44
Karmanos Cancer HospitalDetroitMI15$135.40$49.35$145.66$204.86
Mclaren Thumb RegionBad AxeMI10$151.00$75.50$6.60$13.92$130.46
Mclaren Bay Special CareBay CityMI18$113.65$41.07$112.01$186.90
Carson City HospitalCarson CityMI0$251.00$62.75
North Ottawa Community HospitalGrand HavenMI0$367.00$256.90
Mh - Mercy CampusMuskegonMI0$432.90$207.79
Southeast Michigan Surgical HospitalWarrenMI0$502.00$401.60
Mckenzie Health SystemSanduskyMI0$132.00$105.60
Sparrow Clinton HospitalSt. JohnsMI0$188.00$47.00
Sparrow EatonCharlotteMI0$261.00$65.25

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.