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CPT 72125 · negotiated-rate distribution across hospitals in MI

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Hospitals
30
Min
$66.79
Median
$109.94
Max
$1,162.5
Range multiplier
17.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare21104$29.82$107.81$1,734.2358.2×
Medicare1382$45.67$103.71$165.943.6×
Medicaid1377$29.82$58.17$1,554.952.1×
Aetna2264$55.59$584.65$1,734.2331.2×
Blue Cross Blue Shield1541$74.56$351.21$1,345.718.0×
Humana1939$45.67$105.87$121.942.7×
priority health op rate1019$498.38$935.27$1,368.262.7×
First Health818$73$1,301.1$1,681.923.0×
priority health918$40$68.27$1,503.6237.6×
Ambetter816$176.12$176.12$179.581.0×
smarthealth816$149.44$149.44$155.191.0×
Medicare Advantage916$103.7$106.74$107.51.0×
healthspring mcr replacement714$107.81$108.34$108.871.0×
blue mcr replacement714$106.74$106.74$106.741.0×
WellCare714$106.74$106.74$106.741.0×
Oscar Health714$170.78$170.78$170.781.0×
occunet714$197.47$218.82$240.161.2×
facility billing - op714$106.74$106.74$106.741.0×
mclaren commercial ins813$66.79$66.79$708.1210.6×
hap - hmo op rate513$363.25$707.18$975.822.7×
Cigna1012$95.98$1,118.43$1,118.4311.7×
hp - hmo op rate412$421.94$642.73$846.492.0×
hp - ppo op rate412$561.5$873.14$1,126.472.0×
cofinity - ppom op rate311$483.29$1,308.75$1,539.683.2×
TRICARE1011$93.77$103.7$628.936.7×
u of m health plan810$52.52$52.52$1,50328.6×
hap - ppo op rate39$775.26$981.18$1,154.311.5×
hcap op rate39$883.08$1,064.58$1,166.181.3×
workers compensation88$444.73$610.76$1,051.772.4×
great lakes research op rate28$883.08$991.5$1,080.481.2×
health advantage - commercial op rate28$515.87$579.2$631.181.2×
mi amish medical board77$103.71$103.71$103.711.0×
cofinity auto77$197.05$197.05$197.051.0×
hap preferred op rate47$404.38$811.27$1,378.963.4×
cofinity - auto op rate46$559.03$996.27$1,663.543.0×
mclaren health op rate45$507.48$554.42$838.161.7×
harbor health plan14$55.59$61.14$103.71.9×
mhp - hmo op rate24$316.9$444.76$635.762.0×
health advantage - ppo op rate24$316.9$444.76$635.762.0×
health plus hmo op rate23$862.97$1,047.05$1,197.771.4×
hap/ahl op rate13$363.25$565.97$728.762.0×
hurley medical center op rate13$276.16$430.28$554.042.0×
hap hmo op rate23$781.18$871.9$997.411.3×
hap ahl op rate23$789.89$946.73$1,083.021.4×
cofinity - wc/auto op rate13$559.03$871$1,121.532.0×
cofinity wc op rate13$483.29$752.98$969.562.0×
total health care priority health13$55.59$102.07$103.71.9×
cofinity op rate22$364.82$895.14$1,425.453.9×
bcn op rate22$331.77$437.42$543.071.6×
blue care network op rate22$353.58$353.58$353.581.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MCLAREN NORTHERN MICHIGANPETOSKEYMI16$1,623$811.5$29.82$98.74$1,217.25
MCLAREN OAKLANDPONTIACMI14$842.75$66.47$975.82$1,620.7
KARMANOS CANCER HOSPITALDETROITMI15$871.1$66.47$972.07$1,318.38
MCLAREN BAY SPECIAL CAREBAY CITYMI18$936.4$55.31$930.92$1,539.68
MCLAREN THUMB REGIONBAD AXEMI11$1,770$885$29.82$66.79$1,503.62
BAY REGIONAL MEDICAL CENTERBAY CITYMI26$1,764.9$973.85$29.82$631.18$1,539.68
MCLAREN FLINTFLINTMI27$2,220.2$1,110.1$29.82$483.29$1,681.9
ASCENSION ST JOHN HOSPITALDETROITMI3$2,233$826.21$73$439.15$439.15
TAWAS ST. JOSEPH HOSPITALTAWASMI10$1,793$591.69$95.98$121.94$1,057.87
MCLAREN MACOMBMT. CLEMENSMI20$1,257.35$64.5$1,162.5$2,092.5
ASCENSION ALLEGAN HOSPITALALLEGANMI13$2,193$877.2$106.74$109.94$1,359
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI13$2,193$877.2$106.74$109.94$1,359
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI13$2,193$877.2$106.74$109.94$1,359
ASCENSION BORGESS HOSPITALKALAMAZOOMI13$2,193$877.2$106.74$109.94$1,359
ASCENSION STANDISH HOSPITALSTANDISHMI13$2,193$877.2$106.74$109.94$1,359
BORGESS-PIPP HEALTH CENTERPLAINWELLMI13$2,193$877.2$106.74$109.94$1,359
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI13$2,193$877.2$106.74$109.94$1,359
MCLAREN PORT HURONPORT HURONMI30$1,882.8$941.4$29.82$105.79$1,554.9
MCLAREN LAPEER REGIONLAPEERMI26$1,629.3$814.65$29.82$103.71$1,345.7
MCLAREN GREATER LANSINGLANSING MI 489100MI21$2,241.6$1,120.8$29.82$103.71$1,569.12
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI21$2,756.85$103$21.05$103.7$192.09
MCLAREN CENTRAL MICHIGANMT PLEASANTMI18$2,312.3$1,156.15$29.82$103.58$1,734.23
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$1,725$1,207.5
MCKENZIE HEALTH SYSTEMSANDUSYMI0$1,276$1,020.8
MH - MERCY CAMPUSMUSKEGONMI0$899.6$431.81
CARSON CITY HOSPITALCARSON CITYMI0$1,592$398
SPARROW EATONCHARLOTTEMI0$1,310$327.5
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$1,950$1,365
SOUTHEAST MICHIGAN SURGICAL HOSPITALWARRENMI0$2,820$2,256
SPARROW CLINTON HOSPITALST. JOHNSMI0$1,948$487

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.