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CPT 81003 · negotiated-rate distribution across hospitals in MI

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Hospitals
30
Min
$1.69
Median
$3.7
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$6.1$39.0933.1×
Medicaid1365$1.18$1.27$275233.1×
Medicare1148$2.19$2.19$3.511.6×
Blue Cross Blue Shield1435$2.25$4.48$62.827.9×
Humana1831$2.19$2.32$2.481.1×
priority health op rate1031$3.4$11.37$31.489.3×
First Health721$2.35$13.06$2912.3×
hap - hmo op rate519$2.61$10.64$25.059.6×
cofinity - auto op rate419$4.29$13.89$399.1×
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$3.6$3.6$3.61.0×
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$14.3$4033.9×
TRICARE1011$1.98$2.2$9.955.0×
mclaren health advantage op rate210$2.18$10.11$21.9410.1×
cofinity - ppom op rate39$4.46$11.56$21.24.8×
mclaren health op rate48$2.62$5.09$16.636.3×
safe response program88$25$25$251.0×
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$7.6$21.74$41.65.5×
Multiplan26$4.8$6.42$21.64.5×
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$13.7$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$14.3$30.593.1×
cofinity - wc/auto op rate15$5.16$13.38$16.373.2×
hap hmo op rate24$4.02$8.4$11.132.8×
hap op rate24$5.22$7.46$32.626.2×
usa mco-ppo op rate14$5.1$6.38$22.954.5×
cofinity w/c op rate14$3.82$4.78$17.24.5×
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$4.2$5.25$18.94.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MCLAREN FLINTFLINTMI23$29.7$15$1.23$8.86$275
MCLAREN LAPEER REGIONLAPEERMI20$74.6$37.3$1.23$8.63$62.8
KARMANOS CANCER HOSPITALDETROITMI15$9.7$1.17$8.47$14.72
MCLAREN BAY SPECIAL CAREBAY CITYMI11$12.9$1.14$5.83$21.2
MCLAREN MACOMBMT. CLEMENSMI20$14.6$1.34$4.73$24.3
MCLAREN GREATER LANSINGLANSING MI 489100MI20$21.2$10.6$1.23$4.38$25
BAY REGIONAL MEDICAL CENTERBAY CITYMI22$29.8$14.9$1.14$4.17$25
MCLAREN PORT HURONPORT HURONMI29$22$11$1.23$4.02$25
MCLAREN NORTHERN MICHIGANPETOSKEYMI17$16.8$8.4$1.23$3.7$25
ASCENSION ST JOHN HOSPITALDETROITMI5$58$21.46$2.35$20.23$58
TAWAS ST. JOSEPH HOSPITALTAWASMI11$58$19.14$1.69$2.48$9.53
MCLAREN CENTRAL MICHIGANMT PLEASANTMI19$45.9$22.95$1.23$2.45$34.43
BORGESS-PIPP HEALTH CENTERPLAINWELLMI13$36.4$14.56$2.25$2.31$8.92
ASCENSION BORGESS HOSPITALKALAMAZOOMI13$36.4$14.56$2.25$2.31$8.92
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI13$36.4$14.56$2.25$2.31$8.92
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI13$36.4$14.56$2.25$2.31$8.92
ASCENSION STANDISH HOSPITALSTANDISHMI13$36.4$14.56$2.25$2.31$8.92
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI13$36.4$14.56$2.25$2.31$8.92
ASCENSION ALLEGAN HOSPITALALLEGANMI13$36.4$14.56$2.25$2.31$8.92
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI20$20$2$1.18$2.25$40
MCLAREN OAKLANDPONTIACMI14$21.65$1.37$15.18$41.6
MCLAREN THUMB REGIONBAD AXEMI6$28$14$1.66$1.69$25
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$24$16.8
MCKENZIE HEALTH SYSTEMSANDUSYMI0$55$44
SPARROW CLINTON HOSPITALST. JOHNSMI0$27$6.75
CARSON CITY HOSPITALCARSON CITYMI0$40$10
SOUTHEAST MICHIGAN SURGICAL HOSPITALWARRENMI0$62$49.6
SPARROW EATONCHARLOTTEMI0$11.7$2.93
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$88$61.6
MH - MERCY CAMPUSMUSKEGONMI0$88.5$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.