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Renal function panel

CPT 80069 · negotiated-rate distribution across hospitals in MI

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Hospitals
27
Min
$6.41
Median
$8.90
Max
$176.88
Range multiplier
27.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2061$4.51$8.68$116.4825.8×
Medicaid1361$4.54$4.89$275.0060.6×
Medicare1148$8.47$8.47$13.541.6×
Aetna1946$4.54$15.34$240.6653.0×
Blue Cross Blue Shield1437$8.68$24.29$166.4019.2×
Humana1831$8.47$8.94$9.551.1×
smarthealth817$10.84$12.15$12.151.1×
Ambetter816$14.06$14.32$14.321.0×
Medicare Advantage916$8.68$8.68$8.781.0×
priority health op rate1015$14.41$45.04$226.6815.7×
facility billing - op714$8.68$8.68$8.681.0×
WellCare714$8.68$8.68$8.681.0×
Oscar Health714$13.89$13.89$13.891.0×
occunet714$16.06$17.80$19.531.2×
blue mcr replacement714$8.68$8.68$8.681.0×
Cigna1014$9.93$33.16$183.4818.5×
healthspring mcr replacement714$8.77$8.81$8.851.0×
TRICARE1011$7.65$8.50$30.203.9×
First Health711$9.12$61.29$82.689.1×
hap preferred op rate48$15.32$34.38$197.7012.9×
hap - hmo op rate58$25.24$33.31$180.347.1×
priority health78$4.54$50.88$85.8218.9×
cofinity - auto op rate47$24.33$48.46$232.529.6×
mi amish medical board77$8.47$8.47$8.471.0×
mclaren health op rate46$8.97$34.93$115.7812.9×
cofinity - ppom op rate35$33.58$41.90$61.651.8×
harbor health plan14$4.54$4.99$8.681.9×
health plus hmo op rate24$9.86$41.69$218.6522.2×
hap ahl op rate24$15.32$56.96$197.7012.9×
hap hmo op rate24$14.11$54.28$182.0712.9×
hcap op rate33$43.26$43.26$79.501.8×
cofinity wc op rate13$33.58$40.28$41.891.2×
mclaren health advantage op rate23$12.35$131.43$157.9712.8×
hap/ahl op rate13$25.24$30.27$31.491.2×
imagine health13$12.59$12.59$12.591.0×
cofinity ppom op rate13$18.65$73.11$240.6612.9×
hurley medical center op rate13$19.19$23.02$23.941.2×
total health care priority health13$4.54$8.37$8.681.9×
cofinity - wc/auto op rate13$38.85$46.59$48.461.2×
great lakes research op rate22$43.26$43.26$43.261.0×
community care - st john network senior - govt12$71.75$71.75$71.751.0×
cofinity and wc op rate12$173.42$190.93$208.441.2×
cofinity op rate22$18.59$53.47$88.354.8×
hap - ppo op rate22$46.22$46.22$46.221.0×
hap - preferred op rate12$189.62$208.76$227.901.2×
hap op rate22$48.66$75.30$101.932.1×
mclaren health plan12$4.54$6.61$8.681.9×
mclaren health plan op rate22$4.41$4.41$4.411.0×
Bright Health12$10.85$10.85$10.851.0×
mi amish medical board op rate22$9.98$9.98$9.981.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mclaren Port HuronPort HuronMI26$128.50$64.25$4.75$9.86$106.00
Tawas St. Joseph HospitalTawasMI11$144.00$47.52$8.68$9.55$36.78
Ascension Standish HospitalStandishMI13$78.70$31.48$8.68$8.90$33.16
Ascension Borgess HospitalKalamazooMI13$78.70$31.48$8.68$8.90$33.16
Borgess-Pipp Health CenterPlainwellMI13$78.70$31.48$8.68$8.90$33.16
Genesys Regional Medical Ctr.Grand BlancMI13$78.70$31.48$8.68$8.90$33.16
Ascension Providence Rochester HospiRochesterMI13$78.70$31.48$8.68$8.90$33.16
Ascension Allegan HospitalAlleganMI13$78.70$31.48$8.68$8.90$33.16
Ascension Borgess-Lee HospitalDowagiacMI13$78.70$31.48$8.68$8.90$33.16
Mclaren Lapeer RegionLapeerMI16$201.50$100.75$4.75$8.68$166.40
Garden City Hospital OsteopathicGarden CityMI20$264.42$8.00$4.54$8.68$40.00
Mclaren Greater LansingLansingMI17$94.90$47.45$4.75$8.58$62.72
Mclaren Central MichiganMt PleasantMI15$143.30$71.65$4.75$8.58$107.48
Bay Regional Medical CenterBay CityMI17$86.40$43.20$4.41$8.47$61.65
Mclaren Northern MichiganPetoskeyMI14$85.70$42.85$4.75$8.47$63.72
Mclaren Thumb RegionBad AxeMI3$85.00$42.50$6.41$6.41$30.20
Karmanos Cancer HospitalDetroitMI15$159.00$4.51$55.31$240.66
Mclaren Bay Special CareBay CityMI11$37.50$4.41$36.68$61.65
Ascension St John HospitalDetroitMI5$71.75$26.55$9.12$35.88$109.05
Mclaren FlintFlintMI19$103.50$51.75$4.75$31.49$275.00
Mclaren MacombMt. ClemensMI20$18.40$5.16$19.36$34.00
Mclaren OaklandPontiacMI14$155.75$5.29$176.88$299.52
Mckenzie Health SystemSanduskyMI0$77.00$61.60
Mackinac Straits Health System IncSt. IgnaceMI0$86.00$60.20
Southeast Michigan Surgical HospitalWarrenMI0$221.00$176.80
Mh - Mercy CampusMuskegonMI0$295.20$141.70
North Ottawa Community HospitalGrand HavenMI0$203.00$142.10

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.