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CPT 74170 · negotiated-rate distribution across hospitals in MI

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Hospitals
30
Min
$81.98
Median
$184.05
Max
$1,877.50
Range multiplier
22.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2199$41.75$180.48$3,300.9979.1×
Medicare1382$63.04$173.62$277.794.4×
Medicaid1378$41.75$97.38$2,425.2058.1×
Aetna2259$85.06$278.36$3,671.5743.2×
Blue Cross Blue Shield1542$104.39$653.65$2,421.9023.2×
Humana1939$63.04$173.98$204.133.2×
First Health817$88.13$1,977.36$3,115.7635.4×
priority health op rate1017$683.57$1,291.79$2,123.533.1×
Ambetter816$294.84$294.84$300.621.0×
Medicare Advantage916$173.98$178.69$178.691.0×
smarthealth816$250.17$250.17$259.801.0×
occunet714$330.58$366.32$402.051.2×
WellCare714$178.69$178.69$178.691.0×
Oscar Health714$285.90$285.90$285.901.0×
facility billing - op714$178.69$178.69$178.691.0×
blue mcr replacement714$178.69$178.69$178.691.0×
healthspring mcr replacement714$180.48$181.37$182.261.0×
priority health913$93.26$95.58$2,697.8528.9×
Cigna1012$225.43$2,141.49$2,141.499.5×
hap - hmo op rate511$498.24$972.09$1,117.762.2×
mclaren commercial ins811$80.98$80.98$1,027.8712.7×
TRICARE1011$156.98$173.98$874.825.6×
hp - hmo op rate410$578.73$954.48$1,047.471.8×
hp - ppo op rate410$770.15$1,324.36$1,395.261.8×
u of m health plan89$72.50$72.50$1,922.1226.5×
hap - ppo op rate38$1,259.87$1,443.21$1,550.841.2×
cofinity - ppom op rate38$662.87$1,894.00$2,068.593.1×
hcap op rate37$1,262.46$1,395.78$1,818.901.4×
hap preferred op rate47$554.65$976.33$2,257.254.1×
mi amish medical board77$173.62$173.62$173.621.0×
health advantage - commercial op rate26$737.49$815.37$848.001.1×
great lakes research op rate26$1,262.46$1,395.78$1,451.641.1×
cofinity - auto op rate46$766.77$1,372.81$1,504.002.0×
mclaren health op rate45$793.53$1,066.10$1,321.881.7×
harbor health plan14$93.26$102.58$173.981.9×
health advantage - ppo op rate24$434.65$677.73$765.111.8×
mhp - hmo op rate24$434.65$677.73$765.111.8×
hap ahl op rate23$1,232.00$1,820.48$2,257.251.8×
hap hmo op rate23$1,218.42$1,676.59$2,078.841.7×
health plus hmo op rate23$1,345.99$2,013.37$2,496.421.9×
total health care priority health13$93.26$171.25$173.981.9×
cofinity - wc op rate12$1,188.36$1,252.21$1,316.061.1×
cofinity - wc/auto op rate12$766.77$1,058.25$1,349.721.8×
cofinity auto22$329.88$329.88$329.881.0×
cofinity op rate22$495.64$1,156.90$1,818.153.7×
cofinity ppom op rate12$2,216.11$2,481.96$2,747.811.2×
cofinity wc op rate12$662.87$914.86$1,166.841.8×
cofinity-ppom op rate12$1,190.33$1,254.29$1,318.241.1×
com cofinity auto op rate12$2,644.24$2,739.21$2,834.171.1×
com mclaren commercial ins op rate12$1,452.39$1,504.55$1,556.711.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Bay Regional Medical CenterBay CityMI24$2,901.30$1,450.65$41.75$815.37$2,369.20
Mclaren Thumb RegionBad AxeMI10$2,462.00$1,231.00$41.75$81.98$874.82
Ascension St John HospitalDetroitMI3$2,954.50$1,093.17$88.13$653.65$653.65
Mclaren Lapeer RegionLapeerMI25$2,932.60$1,466.30$41.75$643.17$2,421.90
Mclaren FlintFlintMI25$1,955.90$1,238.30$41.75$378.78$2,024.11
Tawas St. Joseph HospitalTawasMI10$6,223.00$2,053.59$178.55$204.13$3,671.57
Karmanos Cancer HospitalDetroitMI15$1,815.60$108.92$1,877.50$2,747.81
Ascension Borgess HospitalKalamazooMI13$4,199.00$1,679.60$178.69$184.05$2,141.49
Ascension Allegan HospitalAlleganMI13$4,199.00$1,679.60$178.69$184.05$2,141.49
Borgess-Pipp Health CenterPlainwellMI13$4,199.00$1,679.60$178.69$184.05$2,141.49
Ascension Borgess-Lee HospitalDowagiacMI13$4,199.00$1,679.60$178.69$184.05$2,141.49
Ascension Providence Rochester HospiRochesterMI13$4,199.00$1,679.60$178.69$184.05$2,141.49
Genesys Regional Medical Ctr.Grand BlancMI13$4,199.00$1,679.60$178.69$184.05$2,141.49
Ascension Standish HospitalStandishMI13$4,199.00$1,679.60$178.69$184.05$2,141.49
Garden City Hospital OsteopathicGarden CityMI19$3,347.00$173.00$93.26$173.98$444.94
Mclaren Port HuronPort HuronMI28$3,033.80$1,516.90$41.75$173.62$2,425.20
Mclaren Greater LansingLansingMI20$4,715.70$2,357.85$41.75$173.62$3,300.99
Mclaren Central MichiganMt PleasantMI16$2,949.40$1,474.70$41.75$156.98$2,212.05
Mclaren Bay Special CareBay CityMI18$1,258.10$90.63$1,308.08$2,068.59
Mclaren Northern MichiganPetoskeyMI14$2,546.80$1,273.40$41.75$108.92$1,893.15
Mclaren OaklandPontiacMI14$929.45$108.92$1,076.19$1,787.40
Mclaren MacombMt. ClemensMI20$1,117.85$105.68$1,075.12$1,860.30
Mackinac Straits Health System IncSt. IgnaceMI0$2,598.00$1,818.60
Mckenzie Health SystemSanduskyMI0$2,010.00$1,608.00
North Ottawa Community HospitalGrand HavenMI0$2,615.00$1,830.50
Sparrow Clinton HospitalSt. JohnsMI0$2,956.00$739.00
Sparrow EatonCharlotteMI0$1,527.00$381.75
Carson City HospitalCarson CityMI0$1,763.00$440.75
Southeast Michigan Surgical HospitalWarrenMI0$3,736.00$2,988.80
Mh - Mercy CampusMuskegonMI0$1,799.40$863.71

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.