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CPT 81003 · negotiated-rate distribution across hospitals in MI

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Hospitals
30
Min
$1.69
Median
$3.70
Max
$20.23
Range multiplier
12.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2067$1.17$2.25$43.9637.6×
Aetna2166$1.18$6.10$39.0933.1×
Medicaid1365$1.18$1.27$275.00233.1×
Medicare1148$2.19$2.19$3.511.6×
Blue Cross Blue Shield1435$2.25$4.48$62.8027.9×
Humana1831$2.19$2.32$2.481.1×
priority health op rate1031$3.40$11.37$31.489.3×
First Health721$2.35$13.06$29.0012.3×
hap - hmo op rate519$2.61$10.64$25.059.6×
cofinity - auto op rate419$4.29$13.89$39.009.1×
smarthealth817$1.69$3.15$3.151.9×
Medicare Advantage916$2.25$2.25$2.281.0×
Ambetter816$3.65$3.71$3.711.0×
hap preferred op rate415$3.04$9.64$25.138.3×
Cigna1014$2.57$8.92$11.224.4×
blue mcr replacement714$2.25$2.25$2.251.0×
Oscar Health714$3.60$3.60$3.601.0×
WellCare714$2.25$2.25$2.251.0×
facility billing - op714$2.25$2.25$2.251.0×
healthspring mcr replacement714$2.27$2.28$2.291.0×
occunet714$4.16$4.61$5.061.2×
priority health911$1.18$14.30$40.0033.9×
TRICARE1011$1.98$2.20$9.955.0×
mclaren health advantage op rate210$2.18$10.11$21.9410.1×
cofinity - ppom op rate39$4.46$11.56$21.204.8×
mclaren health op rate48$2.62$5.09$16.636.3×
safe response program88$25.00$25.00$25.001.0×
mi amish medical board77$2.19$2.19$2.191.0×
cofinity auto77$4.17$4.17$4.171.0×
workers compensation77$5.85$8.47$20.883.6×
oakland county community mental health op rate16$7.60$21.74$41.605.5×
Multiplan26$4.80$6.42$21.604.5×
cofinity and wc op rate16$5.29$15.13$28.955.5×
hap - preferred op rate16$5.78$16.54$31.655.5×
hcap op rate36$5.46$9.72$14.882.7×
oc inmates correct care solutions llc op rate16$4.79$13.70$26.215.5×
hurley medical center op rate15$2.55$6.61$8.093.2×
hap/ahl op rate15$3.35$8.69$10.643.2×
cofinity wc op rate15$4.46$11.56$14.153.2×
cofinity group 15892 & 1589355$9.91$14.30$30.593.1×
cofinity - wc/auto op rate15$5.16$13.38$16.373.2×
hap hmo op rate24$4.02$8.40$11.132.8×
hap op rate24$5.22$7.46$32.626.2×
usa mco-ppo op rate14$5.10$6.38$22.954.5×
cofinity w/c op rate14$3.82$4.78$17.204.5×
hap-hmo op rate14$2.71$3.39$12.184.5×
harbor health plan14$1.18$1.29$2.251.9×
health advantage - ppo op rate14$2.24$11.89$18.478.2×
cofinity-ppom op rate14$4.14$21.99$34.188.3×
gift of life op rate14$4.20$5.25$18.904.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mclaren FlintFlintMI23$29.70$15.00$1.23$8.86$275.00
Mclaren Lapeer RegionLapeerMI20$74.60$37.30$1.23$8.63$62.80
Karmanos Cancer HospitalDetroitMI15$9.70$1.17$8.47$14.72
Mclaren Bay Special CareBay CityMI11$12.90$1.14$5.83$21.20
Mclaren MacombMt. ClemensMI20$14.60$1.34$4.73$24.30
Mclaren Greater LansingLansingMI20$21.20$10.60$1.23$4.38$25.00
Bay Regional Medical CenterBay CityMI22$29.80$14.90$1.14$4.17$25.00
Mclaren Port HuronPort HuronMI29$22.00$11.00$1.23$4.02$25.00
Mclaren Northern MichiganPetoskeyMI17$16.80$8.40$1.23$3.70$25.00
Ascension St John HospitalDetroitMI5$58.00$21.46$2.35$20.23$58.00
Tawas St. Joseph HospitalTawasMI11$58.00$19.14$1.69$2.48$9.53
Mclaren Central MichiganMt PleasantMI19$45.90$22.95$1.23$2.45$34.43
Borgess-Pipp Health CenterPlainwellMI13$36.40$14.56$2.25$2.31$8.92
Ascension Borgess HospitalKalamazooMI13$36.40$14.56$2.25$2.31$8.92
Genesys Regional Medical Ctr.Grand BlancMI13$36.40$14.56$2.25$2.31$8.92
Ascension Providence Rochester HospiRochesterMI13$36.40$14.56$2.25$2.31$8.92
Ascension Standish HospitalStandishMI13$36.40$14.56$2.25$2.31$8.92
Ascension Borgess-Lee HospitalDowagiacMI13$36.40$14.56$2.25$2.31$8.92
Ascension Allegan HospitalAlleganMI13$36.40$14.56$2.25$2.31$8.92
Garden City Hospital OsteopathicGarden CityMI20$20.00$2.00$1.18$2.25$40.00
Mclaren OaklandPontiacMI14$21.65$1.37$15.18$41.60
Mclaren Thumb RegionBad AxeMI6$28.00$14.00$1.66$1.69$25.00
Mackinac Straits Health System IncSt. IgnaceMI0$24.00$16.80
Mckenzie Health SystemSanduskyMI0$55.00$44.00
Sparrow Clinton HospitalSt. JohnsMI0$27.00$6.75
Carson City HospitalCarson CityMI0$40.00$10.00
Southeast Michigan Surgical HospitalWarrenMI0$62.00$49.60
Sparrow EatonCharlotteMI0$11.70$2.93
North Ottawa Community HospitalGrand HavenMI0$88.00$61.60
Mh - Mercy CampusMuskegonMI0$88.50$42.48

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.