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Lipid panel

CPT 80061 · negotiated-rate distribution across hospitals in MI

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Hospitals
31
Min
$10.03
Median
$14.73
Max
$330
Range multiplier
32.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2067$6.96$13.39$64.479.3×
Medicaid1365$7$7.54$27539.3×
Aetna2153$7$20.85$165.3523.6×
Medicare1148$13.06$13.06$20.891.6×
Blue Cross Blue Shield1440$13.39$26.27$109.058.1×
Humana1932$13.06$13.59$14.731.1×
priority health op rate1018$10.53$38.14$127.7812.1×
smarthealth817$11.58$18.75$18.751.6×
Medicare Advantage916$13.39$13.39$13.541.0×
First Health716$13.65$30.48$89.756.6×
Cigna1016$10.24$50.96$126.0612.3×
Ambetter816$21.69$22.09$22.091.0×
healthspring mcr replacement714$13.52$13.59$13.661.0×
WellCare714$13.39$13.39$13.391.0×
Oscar Health714$21.42$21.42$21.421.0×
occunet714$24.77$27.45$30.131.2×
facility billing - op714$13.39$13.39$13.391.0×
blue mcr replacement714$13.39$13.39$13.391.0×
priority health1013$7$49.05$111.2815.9×
Molina112$13.39$305$61045.6×
TRICARE1011$11.81$13.12$46.553.9×
mclaren health op rate410$5.73$15.87$79.5413.9×
safe response program88$30$30$301.0×
hcap op rate37$13.13$21.75$56.44.3×
mi amish medical board77$13.06$13.06$13.061.0×
cofinity auto77$24.81$24.81$24.811.0×
Multiplan27$14.06$23.29$60.44.3×
meridian health plan17$13.39$373$65949.2×
cofinity - auto op rate46$25.76$47.81$65.832.6×
hap ahl op rate26$8.89$13.59$135.8315.3×
hap - hmo op rate56$30.64$35.38$51.061.7×
hap preferred op rate46$21.35$34.59$135.836.4×
hap hmo op rate26$8.79$13.44$125.0914.2×
theramatrix physical therapy op rate15$17.5$24.5$75.24.3×
cofinity group 15892 & 1589355$41.78$48.43$60.121.4×
hap ppo op rate15$11.07$15.5$47.584.3×
cofinity op rate25$13.52$18.93$60.754.5×
auto-cofinity op rate15$14.88$20.83$63.924.3×
bcn op rate25$17.5$24.35$39.852.3×
workers compensation44$27.81$30.56$35.471.3×
hap op rate24$21.31$37.12$70.093.3×
community care - st john network senior - govt14$74.6$127.05$179.52.4×
harbor health plan14$7$7.7$13.391.9×
cofinity - ppom op rate34$40.77$57.12$72.331.8×
northern michigan regional entity13$1,081.5$1,081.5$1,1561.1×
mclaren health advantage op rate23$13.07$15.61$44.723.4×
imagine health13$19.42$19.42$19.421.0×
southwest michigan behavioral health13$1,081$1,081$1,0811.0×
total health care priority health13$7$12.92$13.391.9×
mi amish medical board op rate22$15.4$15.4$15.41.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ASCENSION ST JOHN HOSPITALDETROITMI5$179.5$66.42$16.63$74.6$179.5
MCLAREN OAKLANDPONTIACMI14$44.1$8.17$51.06$84.8
MCLAREN BAY SPECIAL CAREBAY CITYMI11$44$6.79$43.04$72.33
HEALTHSOURCE SAGINAW INC.SAGINAWMI6$13.39$330$1,156
MCLAREN FLINTFLINTMI23$101.9$50.95$7.32$30.64$275
MCLAREN LAPEER REGIONLAPEERMI20$101.9$50.95$7.32$25.06$92.1
MCLAREN MACOMBMT. CLEMENSMI20$23.25$7.97$23.3$39.85
MCLAREN GREATER LANSINGLANSING MI 489100MI20$101.9$50.95$7.32$20.89$67.36
MCLAREN NORTHERN MICHIGANPETOSKEYMI17$101.9$50.95$7.32$20.44$61.76
MCLAREN PORT HURONPORT HURONMI28$91.3$45.65$5.73$15.5$75.2
TAWAS ST. JOSEPH HOSPITALTAWASMI11$175$57.75$11.58$14.73$55.85
BORGESS-PIPP HEALTH CENTERPLAINWELLMI13$93$37.2$13.39$13.73$50.96
ASCENSION BORGESS HOSPITALKALAMAZOOMI13$93$37.2$13.39$13.73$50.96
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI13$93$37.2$13.39$13.73$50.96
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI13$93$37.2$13.39$13.73$50.96
ASCENSION STANDISH HOSPITALSTANDISHMI13$93$37.2$13.39$13.73$50.96
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI13$93$37.2$13.39$13.73$50.96
ASCENSION ALLEGAN HOSPITALALLEGANMI13$93$37.2$13.39$13.73$50.96
MCLAREN CENTRAL MICHIGANMT PLEASANTMI18$102.4$51.2$7.32$13.39$76.8
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI20$99$13$7$13.39$40
BAY REGIONAL MEDICAL CENTERBAY CITYMI21$100.9$50.45$6.79$13.32$82.39
KARMANOS CANCER HOSPITALDETROITMI15$109.3$6.96$125.09$165.35
MCLAREN THUMB REGIONBAD AXEMI6$131$65.5$9.88$10.03$113.18
SPARROW CLINTON HOSPITALST. JOHNSMI0$83$20.75
CARSON CITY HOSPITALCARSON CITYMI0$83$20.75
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$293$205.1
MCKENZIE HEALTH SYSTEMSANDUSYMI0$115$92
SOUTHEAST MICHIGAN SURGICAL HOSPITALWARRENMI0$229$183.2
MH - MERCY CAMPUSMUSKEGONMI0$53.6$25.73
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$144$100.8
SPARROW EATONCHARLOTTEMI0$69.63$17.41

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.