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CPT 73130 · negotiated-rate distribution across hospitals in MI
Hospitals
29
Min
$10.29
Median
$91.03
Max
$259.34
Range multiplier
25.2×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 21 | 123 | $5.33 | $89.26 | $425.18 | 79.8× |
| Medicare | 13 | 84 | $8.49 | $85.87 | $137.40 | 16.2× |
| Medicaid | 13 | 82 | $5.33 | $48.16 | $309.90 | 58.1× |
| Aetna | 22 | 80 | $9.94 | $91.03 | $483.80 | 48.7× |
| Blue Cross Blue Shield | 15 | 54 | $13.32 | $87.21 | $309.90 | 23.3× |
| Humana | 19 | 39 | $8.49 | $85.87 | $100.97 | 11.9× |
| priority health op rate | 10 | 37 | $31.92 | $133.38 | $265.49 | 8.3× |
| First Health | 8 | 29 | $10.66 | $142.12 | $401.28 | 37.6× |
| hap - hmo op rate | 5 | 24 | $24.31 | $92.75 | $211.22 | 8.7× |
| Cigna | 10 | 23 | $32.35 | $513.06 | $1,027.65 | 31.8× |
| hp - ppo op rate | 4 | 18 | $37.57 | $114.29 | $178.53 | 4.8× |
| hp - hmo op rate | 4 | 18 | $28.23 | $82.37 | $134.03 | 4.7× |
| cofinity - ppom op rate | 3 | 17 | $32.34 | $160.74 | $227.09 | 7.0× |
| priority health | 9 | 17 | $12.19 | $40.00 | $347.49 | 28.5× |
| Ambetter | 8 | 16 | $145.83 | $145.83 | $148.70 | 1.0× |
| Medicare Advantage | 9 | 16 | $79.81 | $88.38 | $88.38 | 1.1× |
| smarthealth | 8 | 16 | $123.73 | $123.73 | $128.51 | 1.0× |
| hcap op rate | 3 | 15 | $51.42 | $136.65 | $223.43 | 4.3× |
| mclaren commercial ins | 8 | 15 | $6.80 | $6.80 | $191.88 | 28.2× |
| cofinity - auto op rate | 4 | 15 | $37.41 | $66.66 | $274.04 | 7.3× |
| healthspring mcr replacement | 7 | 14 | $89.26 | $89.71 | $90.15 | 1.0× |
| WellCare | 7 | 14 | $88.38 | $88.38 | $88.38 | 1.0× |
| blue mcr replacement | 7 | 14 | $88.38 | $88.38 | $88.38 | 1.0× |
| facility billing - op | 7 | 14 | $88.38 | $88.38 | $88.38 | 1.0× |
| hap - ppo op rate | 3 | 14 | $41.13 | $145.41 | $178.53 | 4.3× |
| Oscar Health | 7 | 14 | $141.41 | $141.41 | $141.41 | 1.0× |
| occunet | 7 | 14 | $163.50 | $181.18 | $198.85 | 1.2× |
| hap preferred op rate | 4 | 13 | $27.06 | $51.01 | $227.16 | 8.4× |
| health advantage - commercial op rate | 2 | 12 | $30.04 | $79.51 | $93.09 | 3.1× |
| great lakes research op rate | 2 | 12 | $51.42 | $136.11 | $159.36 | 3.1× |
| TRICARE | 10 | 11 | $41.93 | $83.95 | $91.79 | 2.2× |
| u of m health plan | 8 | 10 | $9.76 | $9.76 | $247.58 | 25.4× |
| mclaren health op rate | 4 | 10 | $24.21 | $111.78 | $136.11 | 5.6× |
| workers compensation | 8 | 8 | $53.30 | $94.56 | $191.08 | 3.6× |
| mclaren health advantage op rate | 2 | 8 | $23.96 | $84.02 | $185.01 | 7.7× |
| cofinity auto | 7 | 7 | $105.99 | $163.16 | $163.16 | 1.5× |
| mi amish medical board | 7 | 7 | $85.87 | $85.87 | $85.87 | 1.0× |
| health plus hmo op rate | 2 | 6 | $41.07 | $185.38 | $223.22 | 5.4× |
| Multiplan | 2 | 6 | $52.80 | $107.57 | $306.40 | 5.8× |
| mhp - hmo op rate | 2 | 6 | $21.00 | $31.62 | $91.14 | 4.3× |
| bcn op rate | 2 | 6 | $66.00 | $83.92 | $163.66 | 2.5× |
| hap ahl op rate | 2 | 6 | $37.59 | $168.54 | $201.84 | 5.4× |
| hap hmo op rate | 2 | 6 | $37.18 | $160.36 | $185.88 | 5.0× |
| health advantage - ppo op rate | 2 | 6 | $21.00 | $31.62 | $91.14 | 4.3× |
| hurley medical center op rate | 1 | 5 | $18.48 | $30.30 | $42.25 | 2.3× |
| cofinity - wc/auto op rate | 1 | 5 | $37.41 | $61.33 | $85.53 | 2.3× |
| oakland county community mental health op rate | 1 | 5 | $71.40 | $176.60 | $350.80 | 4.9× |
| hap - preferred op rate | 1 | 5 | $54.33 | $134.37 | $266.92 | 4.9× |
| oc inmates correct care solutions llc op rate | 1 | 5 | $44.98 | $111.26 | $221.00 | 4.9× |
| cofinity wc op rate | 1 | 5 | $32.34 | $53.02 | $73.94 | 2.3× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Tawas St. Joseph Hospital | Tawas | MI | 10 | $820.00 | $270.60 | $32.35 | $96.38 | $483.80 |
| Bay Regional Medical Center | Bay City | MI | 26 | $318.50 | $159.25 | $5.33 | $95.82 | $260.09 |
| Ascension Borgess Hospital | Kalamazoo | MI | 13 | $2,015.00 | $806.00 | $81.04 | $91.03 | $1,027.65 |
| Ascension Allegan Hospital | Allegan | MI | 13 | $2,015.00 | $806.00 | $81.04 | $91.03 | $1,027.65 |
| Ascension Standish Hospital | Standish | MI | 13 | $2,015.00 | $806.00 | $81.04 | $91.03 | $1,027.65 |
| Borgess-Pipp Health Center | Plainwell | MI | 13 | $2,015.00 | $806.00 | $81.04 | $91.03 | $1,027.65 |
| Ascension Providence Rochester Hospi | Rochester | MI | 13 | $2,015.00 | $806.00 | $81.04 | $91.03 | $1,027.65 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 13 | $2,015.00 | $806.00 | $81.04 | $91.03 | $1,027.65 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 13 | $2,015.00 | $806.00 | $81.04 | $91.03 | $1,027.65 |
| Garden City Hospital Osteopathic | Garden City | MI | 21 | $465.28 | $86.00 | $21.05 | $86.31 | $133.78 |
| Mclaren Northern Michigan | Petoskey | MI | 17 | $258.40 | $186.95 | $5.33 | $85.87 | $323.55 |
| Mclaren Greater Lansing | Lansing | MI | 21 | $607.40 | $303.70 | $5.33 | $85.87 | $425.18 |
| Mclaren Central Michigan | Mt Pleasant | MI | 18 | $357.00 | $178.50 | $5.33 | $76.90 | $267.75 |
| Mclaren Port Huron | Port Huron | MI | 30 | $223.29 | $154.90 | $5.33 | $76.45 | $297.90 |
| Mclaren Lapeer Region | Lapeer | MI | 25 | $375.20 | $187.60 | $5.33 | $71.40 | $309.90 |
| Mclaren Macomb | Mt. Clemens | MI | 20 | — | $207.10 | $23.96 | $60.20 | $344.70 |
| Mclaren Flint | Flint | MI | 27 | $187.00 | $93.50 | $5.33 | $48.22 | $275.00 |
| Ascension St John Hospital | Detroit | MI | 3 | $710.00 | $262.70 | $10.66 | $259.34 | $259.34 |
| Karmanos Cancer Hospital | Detroit | MI | 15 | — | $162.40 | $49.35 | $185.88 | $245.70 |
| Mclaren Bay Special Care | Bay City | MI | 18 | — | $138.10 | $30.04 | $119.54 | $227.09 |
| Mclaren Oakland | Pontiac | MI | 14 | — | $182.40 | $37.66 | $116.85 | $350.80 |
| Mclaren Thumb Region | Bad Axe | MI | 11 | $118.00 | $59.00 | $5.33 | $10.29 | $97.00 |
| Carson City Hospital | Carson City | MI | 0 | $322.00 | $80.50 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | $660.00 | $462.00 | — | — | — |
| Mh - Mercy Campus | Muskegon | MI | 0 | $288.40 | $138.43 | — | — | — |
| Mackinac Straits Health System Inc | St. Ignace | MI | 0 | $750.00 | $525.00 | — | — | — |
| Mckenzie Health System | Sandusky | MI | 0 | $145.00 | $116.00 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $244.00 | $61.00 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $245.00 | $61.25 | — | — | — |
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.