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Urinalysis non-automated

CPT 81002 · negotiated-rate distribution across hospitals in MI

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Hospitals
26
Min
$3.39
Median
$3.57
Max
$20.23
Range multiplier
6.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1961$1.33$3.48$18.8314.2×
Medicaid1255$1.82$1.90$8.004.4×
Aetna2053$1.82$3.98$26.8014.7×
Medicare1148$3.39$3.39$5.431.6×
Blue Cross Blue Shield1438$3.48$6.84$20.235.8×
Humana1831$3.39$3.58$3.831.1×
priority health op rate1022$3.40$5.20$14.124.2×
First Health720$2.61$6.89$34.0013.0×
smarthealth817$2.61$4.87$4.871.9×
Medicare Advantage916$3.48$3.48$3.521.0×
Ambetter816$5.64$5.74$5.741.0×
healthspring mcr replacement714$3.51$3.53$3.551.0×
WellCare714$3.48$3.48$3.481.0×
blue mcr replacement714$3.48$3.48$3.481.0×
Oscar Health714$5.57$5.57$5.571.0×
occunet714$6.44$7.14$7.831.2×
facility billing - op714$3.48$3.48$3.481.0×
hap - hmo op rate514$2.58$3.74$9.663.7×
cofinity - auto op rate413$3.97$5.71$17.174.3×
Cigna1012$4.05$12.76$14.983.7×
hap preferred op rate412$2.87$4.14$14.235.0×
cofinity - ppom op rate311$3.43$6.93$17.875.2×
TRICARE910$3.07$3.37$3.481.1×
cofinity - wc/auto op rate17$3.97$4.76$9.302.3×
hap/ahl op rate17$2.58$3.09$6.042.3×
cofinity wc op rate17$3.43$4.12$8.042.3×
safe response program77$25.00$25.00$25.001.0×
mi amish medical board77$3.39$3.39$3.391.0×
hurley medical center op rate17$1.96$2.35$4.592.3×
priority health66$1.82$7.40$15.448.5×
mclaren health advantage op rate25$2.54$4.01$8.713.4×
mclaren health op rate45$2.62$4.20$11.074.2×
hcap op rate35$4.86$6.00$12.542.6×
harbor health plan14$1.82$2.00$3.481.9×
hap - ppo op rate24$5.19$9.30$13.402.6×
Multiplan24$5.60$6.82$19.203.4×
great lakes research op rate24$4.86$8.70$12.542.6×
hospice care in michigan op rate13$3.50$4.50$12.003.4×
bcn op rate23$5.49$7.00$8.981.6×
beech street op rate13$6.30$8.10$21.603.4×
cofinity w/c op rate13$4.46$5.73$15.293.4×
gift of life op rate13$4.90$6.30$16.803.4×
hap op rate23$5.22$10.10$21.724.2×
hap-hmo op rate13$3.16$4.06$10.833.4×
imagine health13$5.05$5.05$5.051.0×
phpmm-commercial hmo op rate13$2.98$3.83$10.203.4×
total health care priority health13$1.82$3.36$3.481.9×
usa mco-ppo op rate13$5.95$7.65$20.403.4×
com php op rate12$3.10$10.21$17.325.6×
mclaren health plan12$1.82$2.65$3.481.9×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Karmanos Cancer HospitalDetroitMI15$5.80$1.33$6.61$8.74
Mclaren OaklandPontiacMI14$6.60$2.12$5.90$12.70
Mclaren Bay Special CareBay CityMI11$10.85$1.76$5.85$17.87
Mclaren MacombMt. ClemensMI20$13.00$2.07$5.67$21.60
Bay Regional Medical CenterBay CityMI19$25.00$12.50$1.76$4.25$25.00
Mclaren Greater LansingLansingMI18$9.10$22.10$1.90$4.14$34.00
Mclaren FlintFlintMI20$19.90$9.95$1.90$4.02$25.00
Tawas St. Joseph HospitalTawasMI11$9.00$2.97$2.61$3.83$14.98
Borgess-Pipp Health CenterPlainwellMI13$20.50$8.20$3.48$3.57$12.76
Ascension Borgess HospitalKalamazooMI13$20.50$8.20$3.48$3.57$12.76
Genesys Regional Medical Ctr.Grand BlancMI13$20.50$8.20$3.48$3.57$12.76
Ascension Providence Rochester HospiRochesterMI13$20.50$8.20$3.48$3.57$12.76
Ascension Standish HospitalStandishMI13$20.50$8.20$3.48$3.57$12.76
Ascension Borgess-Lee HospitalDowagiacMI13$20.50$8.20$3.48$3.57$12.76
Ascension Allegan HospitalAlleganMI13$20.50$8.20$3.48$3.57$12.76
Mclaren Central MichiganMt PleasantMI16$30.50$15.25$1.90$3.48$25.00
Garden City Hospital OsteopathicGarden CityMI19$15.00$3.00$1.82$3.48$5.39
Mclaren Port HuronPort HuronMI26$5.20$4.15$1.90$3.40$25.00
Mclaren Northern MichiganPetoskeyMI13$17.80$8.90$1.90$3.39$25.00
Mclaren Lapeer RegionLapeerMI17$9.10$4.55$1.90$3.39$25.00
Ascension St John HospitalDetroitMI5$50.25$18.59$2.61$20.23$50.25
Sparrow Clinton HospitalSt. JohnsMI0$38.00$9.50
North Ottawa Community HospitalGrand HavenMI0$26.00$18.20
Carson City HospitalCarson CityMI0$56.00$14.00
Sparrow EatonCharlotteMI0$16.00$4.00
Mckenzie Health SystemSanduskyMI0$5.00$4.00

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.