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Knee X-ray 1-2 views
CPT 73560 · negotiated-rate distribution across hospitals in MI
Hospitals
29
Min
$10.55
Median
$91.03
Max
$259.34
Range multiplier
24.6×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 21 | 127 | $5.11 | $85.87 | $323.33 | 63.3× |
| Aetna | 22 | 85 | $9.54 | $91.03 | $304.47 | 31.9× |
| Medicare | 13 | 84 | $7.86 | $85.87 | $137.40 | 17.5× |
| Medicaid | 13 | 82 | $5.11 | $48.16 | $275.00 | 53.8× |
| Blue Cross Blue Shield | 15 | 63 | $12.78 | $85.66 | $259.34 | 20.3× |
| priority health op rate | 10 | 42 | $31.92 | $65.97 | $220.23 | 6.9× |
| Humana | 19 | 39 | $7.86 | $85.87 | $100.97 | 12.8× |
| First Health | 8 | 34 | $10.66 | $80.03 | $305.12 | 28.6× |
| hap - hmo op rate | 5 | 29 | $24.31 | $46.06 | $175.21 | 7.2× |
| hp - hmo op rate | 4 | 23 | $30.88 | $40.91 | $100.75 | 3.3× |
| hp - ppo op rate | 4 | 23 | $41.13 | $56.76 | $134.07 | 3.3× |
| cofinity - ppom op rate | 3 | 22 | $32.34 | $80.50 | $170.40 | 5.3× |
| hcap op rate | 3 | 21 | $46.80 | $59.82 | $201.23 | 4.3× |
| hap - ppo op rate | 3 | 20 | $41.13 | $63.91 | $127.75 | 3.1× |
| health advantage - commercial op rate | 2 | 18 | $27.34 | $34.94 | $69.85 | 2.6× |
| priority health | 9 | 18 | $11.71 | $43.13 | $264.25 | 22.6× |
| great lakes research op rate | 2 | 18 | $46.80 | $59.82 | $119.58 | 2.6× |
| smarthealth | 8 | 16 | $123.73 | $123.73 | $128.51 | 1.0× |
| Ambetter | 8 | 16 | $145.83 | $145.83 | $148.70 | 1.0× |
| Cigna | 10 | 16 | $29.41 | $201.03 | $498.78 | 17.0× |
| Medicare Advantage | 9 | 16 | $79.81 | $88.38 | $88.38 | 1.1× |
| mclaren commercial ins | 8 | 14 | $6.69 | $6.69 | $145.91 | 21.8× |
| occunet | 7 | 14 | $163.50 | $181.18 | $198.85 | 1.2× |
| cofinity - auto op rate | 4 | 14 | $37.41 | $82.23 | $225.90 | 6.0× |
| healthspring mcr replacement | 7 | 14 | $89.26 | $89.71 | $90.15 | 1.0× |
| Oscar Health | 7 | 14 | $141.41 | $141.41 | $141.41 | 1.0× |
| blue care network op rate | 2 | 14 | $78.00 | $83.62 | $167.25 | 2.1× |
| 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 preferred op rate | 4 | 12 | $27.06 | $56.06 | $125.14 | 4.6× |
| TRICARE | 10 | 11 | $41.93 | $83.95 | $91.79 | 2.2× |
| mclaren health op rate | 4 | 10 | $24.21 | $67.40 | $128.08 | 5.3× |
| u of m health plan | 8 | 9 | $9.04 | $9.04 | $188.27 | 20.8× |
| mclaren health advantage op rate | 2 | 8 | $23.96 | $75.75 | $153.47 | 6.4× |
| mi amish medical board | 7 | 7 | $85.87 | $85.87 | $85.87 | 1.0× |
| workers compensation | 7 | 7 | $29.55 | $71.03 | $145.30 | 4.9× |
| health plus hmo op rate | 2 | 6 | $41.07 | $114.87 | $148.91 | 3.6× |
| cofinity auto | 6 | 6 | $94.90 | $163.16 | $163.16 | 1.7× |
| Multiplan | 2 | 6 | $52.80 | $103.17 | $215.50 | 4.1× |
| bcn op rate | 2 | 6 | $66.00 | $76.74 | $156.93 | 2.4× |
| hap ahl op rate | 2 | 6 | $37.59 | $103.86 | $136.30 | 3.6× |
| hap hmo op rate | 2 | 6 | $37.18 | $97.72 | $134.79 | 3.6× |
| health advantage - ppo op rate | 2 | 5 | $21.00 | $33.74 | $75.67 | 3.6× |
| oakland county community mental health op rate | 1 | 5 | $71.40 | $176.60 | $291.00 | 4.1× |
| oc inmates correct care solutions llc op rate | 1 | 5 | $44.98 | $111.26 | $183.33 | 4.1× |
| cofinity and wc op rate | 1 | 5 | $49.69 | $122.90 | $202.51 | 4.1× |
| mhp - hmo op rate | 2 | 5 | $21.00 | $33.74 | $75.67 | 3.6× |
| hap - preferred op rate | 1 | 5 | $54.33 | $134.37 | $221.42 | 4.1× |
| hap/ahl op rate | 1 | 4 | $24.31 | $33.92 | $86.73 | 3.6× |
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 | $216.00 | $71.28 | $29.41 | $96.38 | $245.10 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 13 | $978.00 | $391.20 | $77.72 | $91.03 | $498.78 |
| Ascension Borgess Hospital | Kalamazoo | MI | 13 | $978.00 | $391.20 | $77.72 | $91.03 | $498.78 |
| Ascension Allegan Hospital | Allegan | MI | 13 | $978.00 | $391.20 | $77.72 | $91.03 | $498.78 |
| Ascension Standish Hospital | Standish | MI | 13 | $978.00 | $391.20 | $77.72 | $91.03 | $498.78 |
| Borgess-Pipp Health Center | Plainwell | MI | 13 | $978.00 | $391.20 | $77.72 | $91.03 | $498.78 |
| Ascension Providence Rochester Hospi | Rochester | MI | 13 | $978.00 | $391.20 | $77.72 | $91.03 | $498.78 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 13 | $978.00 | $391.20 | $77.72 | $91.03 | $498.78 |
| Garden City Hospital Osteopathic | Garden City | MI | 20 | $434.12 | $86.00 | $30.00 | $86.31 | $133.78 |
| Mclaren Greater Lansing | Lansing | MI | 21 | $461.90 | $230.95 | $5.11 | $85.87 | $323.33 |
| Mclaren Northern Michigan | Petoskey | MI | 17 | $209.30 | $175.90 | $5.11 | $85.77 | $304.47 |
| Mclaren Port Huron | Port Huron | MI | 30 | $234.44 | $139.50 | $5.11 | $76.24 | $268.30 |
| Mclaren Central Michigan | Mt Pleasant | MI | 18 | $248.50 | $124.25 | $5.11 | $71.70 | $186.38 |
| Mclaren Bay Special Care | Bay City | MI | 18 | — | $103.65 | $27.34 | $66.87 | $170.40 |
| Bay Regional Medical Center | Bay City | MI | 26 | $94.90 | $107.80 | $5.11 | $64.25 | $170.40 |
| Mclaren Macomb | Mt. Clemens | MI | 20 | — | $114.10 | $23.96 | $56.10 | $189.90 |
| Mclaren Lapeer Region | Lapeer | MI | 25 | $204.60 | $102.30 | $5.11 | $49.70 | $169.00 |
| Mclaren Flint | Flint | MI | 26 | $249.20 | $124.60 | $5.11 | $49.10 | $275.00 |
| Ascension St John Hospital | Detroit | MI | 3 | $560.00 | $207.20 | $10.66 | $259.34 | $259.34 |
| Mclaren Oakland | Pontiac | MI | 14 | — | $151.30 | $37.66 | $112.05 | $291.00 |
| Karmanos Cancer Hospital | Detroit | MI | 15 | — | $94.40 | $49.35 | $104.96 | $142.84 |
| Mclaren Thumb Region | Bad Axe | MI | 10 | $118.00 | $59.00 | $5.11 | $10.55 | $100.24 |
| Carson City Hospital | Carson City | MI | 0 | $222.00 | $55.50 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | $534.00 | $373.80 | — | — | — |
| Mh - Mercy Campus | Muskegon | MI | 0 | $432.90 | $207.79 | — | — | — |
| Mackinac Straits Health System Inc | St. Ignace | MI | 0 | $410.00 | $287.00 | — | — | — |
| Mckenzie Health System | Sandusky | MI | 0 | $146.00 | $116.80 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $244.00 | $61.00 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $213.00 | $53.25 | — | — | — |
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.