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CPT 72193 · negotiated-rate distribution across hospitals in MI

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Hospitals
30
Min
$70.8
Median
$184.05
Max
$1,089.2
Range multiplier
15.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2198$34.72$180.48$2,080.459.9×
Medicare1382$52.58$173.62$277.795.3×
Medicaid1377$34.72$97.38$2,032.958.6×
Aetna2256$70.8$194.85$1,874.4426.5×
Blue Cross Blue Shield1541$86.81$557.71$1,632.818.8×
Humana1939$52.58$173.98$204.133.9×
Medicare Advantage916$173.98$178.69$178.691.0×
smarthealth816$250.17$250.17$259.81.0×
priority health op rate1016$561.89$935.24$1,375.322.4×
Ambetter816$294.84$294.84$300.621.0×
priority health915$79.5$79.5$1,700.2821.4×
First Health815$73$1,216.78$1,963.6826.9×
blue mcr replacement714$178.69$178.69$178.691.0×
WellCare714$178.69$178.69$178.691.0×
Oscar Health714$285.9$285.9$285.91.0×
occunet714$330.58$366.32$402.051.2×
facility billing - op714$178.69$178.69$178.691.0×
healthspring mcr replacement714$180.48$181.37$182.261.0×
Cigna1012$200.05$1,702.38$1,702.388.5×
TRICARE1011$156.98$173.98$829.345.3×
hap - hmo op rate510$409.55$661.35$1,017.012.5×
mclaren commercial ins810$75.6$75.6$938.8512.4×
hp - hmo op rate49$475.71$587.34$893.251.9×
hp - ppo op rate49$633.06$814.95$1,188.71.9×
u of m health plan89$60.47$60.47$1,211.3920.0×
cofinity - ppom op rate38$544.88$1,200.42$1,439.992.6×
mi amish medical board77$173.62$173.62$173.621.0×
hap - ppo op rate37$882.34$917.59$1,079.571.2×
hcap op rate37$825.9$858.9$1,524.681.8×
hap preferred op rate46$455.92$802.59$1,461.933.2×
health advantage - commercial op rate26$482.46$501.74$590.311.2×
great lakes research op rate26$825.9$858.9$1,010.521.2×
cofinity - auto op rate45$630.28$1,013.97$1,311.252.1×
mclaren health op rate45$618.48$670.39$890.381.4×
harbor health plan14$93.26$102.58$173.981.9×
total health care priority health13$93.26$171.25$173.981.9×
health advantage - ppo op rate23$357.29$480.21$670.871.9×
health plus hmo op rate23$1,128.26$1,168.02$1,616.831.4×
mhp - hmo op rate23$357.29$480.21$670.871.9×
hap ahl op rate23$1,032.71$1,056.12$1,461.931.4×
hap hmo op rate23$972.65$1,021.33$1,346.381.4×
workers compensation22$746.26$840.6$934.931.3×
cofinity op rate22$415.15$964.7$1,514.253.6×
cofinity ppom op rate12$1,285.64$1,532.64$1,779.641.4×
hurley medical center op rate12$311.36$448$584.641.9×
mclaren health advantage op rate22$458.6$674.72$890.831.9×
mclaren health plan12$93.26$133.62$173.981.9×
mclaren health plan op rate22$90.63$90.63$90.631.0×
hap op rate22$1,217$1,482.02$1,747.041.4×
detroit medical center op rate12$602.8$718.61$834.421.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MCLAREN BAY SPECIAL CAREBAY CITYMI18$875.8$90.63$825.9$1,439.99
MCLAREN MACOMBMT. CLEMENSMI20$683$105.68$743.28$1,136.7
MCLAREN THUMB REGIONBAD AXEMI10$2,334$1,167$34.72$70.8$829.34
BAY REGIONAL MEDICAL CENTERBAY CITYMI24$1,650.8$910.85$34.72$576.06$1,439.99
ASCENSION ST JOHN HOSPITALDETROITMI3$2,625$971.25$73$557.71$557.71
MCLAREN FLINTFLINTMI25$1,964.1$1,085.75$34.72$334.33$1,774.8
TAWAS ST. JOSEPH HOSPITALTAWASMI10$2,197$725.01$178.55$204.13$1,296.23
ASCENSION STANDISH HOSPITALSTANDISHMI13$3,338$1,335.2$178.69$184.05$1,702.38
ASCENSION BORGESS HOSPITALKALAMAZOOMI13$3,338$1,335.2$178.69$184.05$1,702.38
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI13$3,338$1,335.2$178.69$184.05$1,702.38
ASCENSION ALLEGAN HOSPITALALLEGANMI13$3,338$1,335.2$178.69$184.05$1,702.38
BORGESS-PIPP HEALTH CENTERPLAINWELLMI13$3,338$1,335.2$178.69$184.05$1,702.38
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI13$3,338$1,335.2$178.69$184.05$1,702.38
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI13$3,338$1,335.2$178.69$184.05$1,702.38
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI19$2,978.46$173$93.26$173.98$395.42
MCLAREN PORT HURONPORT HURONMI28$2,461.6$1,230.8$34.72$173.62$2,032.9
MCLAREN GREATER LANSINGLANSING MI 489100MI21$2,972$1,486$34.72$173.62$2,080.4
MCLAREN LAPEER REGIONLAPEERMI23$1,977$988.5$34.72$173.62$1,632.8
MCLAREN NORTHERN MICHIGANPETOSKEYMI16$2,144$1,072$34.72$132.95$1,593.63
KARMANOS CANCER HOSPITALDETROITMI15$1,175.9$108.92$1,089.2$1,779.64
MCLAREN CENTRAL MICHIGANMT PLEASANTMI16$2,456.5$1,228.25$34.72$108.92$1,817.1
MCLAREN OAKLANDPONTIACMI14$878.35$108.92$1,017.01$1,689.1
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$2,130$1,491
MCKENZIE HEALTH SYSTEMSANDUSYMI0$1,732$1,385.6
MH - MERCY CAMPUSMUSKEGONMI0$1,349.5$647.76
SPARROW CLINTON HOSPITALST. JOHNSMI0$2,956$739
SPARROW EATONCHARLOTTEMI0$1,422$355.5
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$2,045$1,431.5
CARSON CITY HOSPITALCARSON CITYMI0$1,728$432
SOUTHEAST MICHIGAN SURGICAL HOSPITALWARRENMI0$3,099$2,479.2

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.