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Diagnostic mammography unilateral

CPT 77065 · negotiated-rate distribution across hospitals in MI

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Hospitals
29
Min
$38.23
Median
$94.32
Max
$296.7
Range multiplier
7.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2186$24.28$85.79$418.9517.3×
Aetna2259$43.62$126.33$418.959.6×
Medicare1347$37.12$37.86$96.442.6×
Blue Cross Blue Shield1543$60.72$239.64$581.959.6×
Medicaid1337$24.28$49.57$417.417.2×
Humana1932$37.12$82.72$96.442.6×
smarthealth816$112.43$112.43$122.741.1×
priority health916$43.62$55.6$285.996.6×
Ambetter816$132.51$132.51$142.031.1×
Medicare Advantage916$80.31$80.31$84.271.0×
mclaren commercial ins815$41$41$194.674.7×
facility billing - op714$80.31$80.31$80.311.0×
WellCare714$80.31$80.31$80.311.0×
Oscar Health714$128.5$128.5$128.51.0×
occunet714$148.57$164.64$180.71.2×
blue mcr replacement714$80.31$80.31$80.311.0×
healthspring mcr replacement714$81.11$81.52$81.921.0×
priority health op rate1013$85.9$196.69$329.443.8×
Cigna1011$96.71$512.04$805.958.3×
First Health711$131.5$261.97$417.43.2×
u of m health plan810$42.69$42.69$363.098.5×
hap - hmo op rate58$71.47$142.95$262.093.7×
hp - hmo op rate47$63.47$126.45$180.532.8×
hp - ppo op rate47$88.07$175.46$240.462.7×
cofinity - ppom op rate36$132.27$199.16$263.512.0×
bcccnp66$81.01$81.01$81.011.0×
hcap op rate35$92.82$184.92$245.252.6×
hap preferred op rate45$166.58$167.04$319.691.9×
hap - ppo op rate35$99.16$197.56$240.462.4×
cofinity - auto op rate45$230.29$259.21$357.031.6×
blue care network op rate24$154.7$231.45$308.22.0×
great lakes research op rate24$92.82$138.87$184.922.0×
harbor health plan14$43.62$47.98$83.41.9×
health advantage - commercial op rate24$54.22$81.12$108.022.0×
mclaren health op rate44$106.99$150.35$202.421.9×
TRICARE34$67.87$85.54$87.671.3×
health advantage - ppo op rate23$122.76$130.54$130.641.1×
mhp - hmo op rate23$122.76$130.54$130.641.1×
total health care priority health13$43.62$80.46$83.41.9×
cofinity op rate22$202.09$273.17$344.251.7×
Bright Health12$109.59$109.59$109.591.0×
mi amish medical board op rate22$95.81$95.81$95.811.0×
Multiplan22$262.65$330.93$399.21.5×
cofinity wc op rate12$199.09$199.16$199.231.0×
bc bcbsm traditional op rate12$250.4$290.5$330.61.3×
hap/ahl op rate12$149.64$149.7$149.751.0×
hap ahl op rate22$166.12$242.91$319.691.9×
cofinity - wc/auto op rate12$230.29$230.38$230.461.0×
hurley medical center op rate12$113.76$113.81$113.851.0×
bcn op rate22$293.66$387.17$480.671.6×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
TAWAS ST. JOSEPH HOSPITALTAWASMI10$647$213.51$85.79$96.44$805.95
BAY REGIONAL MEDICAL CENTERBAY CITYMI23$369.5$184.75$24.28$94.32$371.03
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI21$291$83$30$83.4$197.33
ASCENSION ALLEGAN HOSPITALALLEGANMI13$1,004$401.6$80.31$82.72$512.04
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI13$1,004$401.6$80.31$82.72$512.04
BORGESS-PIPP HEALTH CENTERPLAINWELLMI13$1,004$401.6$80.31$82.72$512.04
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI13$1,004$401.6$80.31$82.72$512.04
ASCENSION STANDISH HOSPITALSTANDISHMI13$1,004$401.6$80.31$82.72$512.04
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI13$1,004$401.6$80.31$82.72$512.04
ASCENSION BORGESS HOSPITALKALAMAZOOMI13$1,004$401.6$80.31$82.72$512.04
MCLAREN CENTRAL MICHIGANMT PLEASANTMI15$558.6$279.3$24.28$82.16$418.95
MCLAREN NORTHERN MICHIGANPETOSKEYMI13$363$181.5$24.28$58.16$360.79
MCLAREN THUMB REGIONBAD AXEMI10$191$95.5$24.28$38.23$67.87
KARMANOS CANCER HOSPITALDETROITMI15$257.2$55.73$296.7$389.17
MCLAREN MACOMBMT. CLEMENSMI20$269.9$54.36$293.66$480.67
MCLAREN OAKLANDPONTIACMI14$226.35$55.73$274.24$435.3
ASCENSION ST JOHN HOSPITALDETROITMI2$437$161.69$95.22$223.66$239.64
MCLAREN GREATER LANSINGLANSING MI 489100MI18$499.9$249.95$24.28$150.37$427.21
MCLAREN FLINTFLINTMI24$565.3$282.65$24.28$149.75$581.95
MCLAREN LAPEER REGIONLAPEERMI21$505.5$252.75$24.28$133.13$417.4
MCLAREN BAY SPECIAL CAREBAY CITYMI18$160.25$42.29$126.39$308.2
MCLAREN PORT HURONPORT HURONMI27$396.1$198.05$24.28$104.71$327
CARSON CITY HOSPITALCARSON CITYMI0$76$38
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$481$336.7
MH - MERCY CAMPUSMUSKEGONMI0$971.5$466.32
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$350$245
MCKENZIE HEALTH SYSTEMSANDUSYMI0$641$512.8
SPARROW CLINTON HOSPITALST. JOHNSMI0$76$38
SPARROW EATONCHARLOTTEMI0$76$38

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.