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Complete blood count without differential

CPT 85027 · negotiated-rate distribution across hospitals in MI

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Hospitals
31
Min
$4.77
Median
$6.94
Max
$396.5
Range multiplier
83.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2062$3.36$6.47$26.187.8×
Medicaid1362$3.38$3.65$27581.4×
Medicare1148$6.31$6.31$10.11.6×
Aetna2048$3.38$11.32$33.159.8×
Blue Cross Blue Shield1432$6.47$12.53$51.918.0×
Humana1932$6.31$6.57$7.121.1×
smarthealth817$4.85$9.06$9.061.9×
Ambetter816$10.48$10.68$10.681.0×
Medicare Advantage916$6.47$6.47$6.541.0×
priority health op rate1014$12.63$17.17$21.491.7×
facility billing - op714$6.47$6.47$6.471.0×
WellCare714$6.47$6.47$6.471.0×
blue mcr replacement714$6.47$6.47$6.471.0×
healthspring mcr replacement714$6.53$6.57$6.61.0×
Oscar Health714$10.35$10.35$10.351.0×
priority health1014$3.38$21.17$1,081319.8×
occunet714$11.97$13.27$14.561.2×
Cigna1013$7.36$24.24$27.243.7×
Molina113$6.47$300$61094.3×
First Health712$6.78$25.34$405.9×
TRICARE1011$5.71$6.34$23.814.2×
safe response program88$45$45$451.0×
hap - hmo op rate58$9.83$13.32$17.881.8×
meridian health plan18$6.47$344.5$659101.9×
cofinity - auto op rate47$15.13$18.32$23.231.5×
cofinity auto77$11.99$11.99$11.991.0×
mi amish medical board77$6.31$6.31$6.311.0×
workers compensation77$11.19$12.9$18.741.7×
hap preferred op rate46$10.95$14.33$18.811.7×
mclaren health op rate45$6.87$11.02$14.332.1×
cofinity - ppom op rate35$13.08$16.36$33.092.5×
southwest michigan behavioral health15$1,081$1,081$1,0811.0×
harbor health plan14$3.38$3.72$6.471.9×
cofinity group 15892 & 1589344$16.81$18.36$24.191.4×
hcap op rate34$15.75$23.22$26.41.7×
mclaren health plan13$3.38$6.47$4513.3×
Multiplan23$16.87$23.2$28.271.7×
northern michigan regional entity13$1,081.5$1,081.5$1,1561.1×
total health care priority health13$3.38$6.24$6.471.9×
cofinity - wc/auto op rate13$15.13$15.76$18.921.3×
hap ahl op rate23$10.67$17.88$18.811.8×
hap hmo op rate23$10.55$17.33$17.681.7×
hap/ahl op rate13$9.83$10.24$12.291.3×
hurley medical center op rate13$7.48$7.78$9.351.2×
imagine health13$9.38$9.38$9.381.0×
cofinity wc op rate13$13.08$13.62$16.361.3×
mclaren health advantage op rate23$10.53$12.07$12.451.2×
Bright Health12$8.09$8.09$8.091.0×
cofinity and wc op rate12$15.92$16.17$16.421.0×
u of m health plan22$16.71$21.75$26.781.6×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
TAWAS ST. JOSEPH HOSPITALTAWASMI11$53$17.49$4.85$7.12$27.24
BAY REGIONAL MEDICAL CENTERBAY CITYMI22$40.6$20.9$3.29$6.94$45
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI13$51$20.4$6.47$6.63$24.24
ASCENSION BORGESS HOSPITALKALAMAZOOMI13$51$20.4$6.47$6.63$24.24
BORGESS-PIPP HEALTH CENTERPLAINWELLMI13$51$20.4$6.47$6.63$24.24
ASCENSION STANDISH HOSPITALSTANDISHMI13$51$20.4$6.47$6.63$24.24
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI13$51$20.4$6.47$6.63$24.24
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI13$51$20.4$6.47$6.63$24.24
ASCENSION ALLEGAN HOSPITALALLEGANMI13$51$20.4$6.47$6.63$24.24
MCLAREN CENTRAL MICHIGANMT PLEASANTMI18$41.2$20.6$3.54$6.47$45
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI19$114$6$3.38$6.47$45
MCLAREN NORTHERN MICHIGANPETOSKEYMI17$41$20.5$3.54$6.39$45
ASCENSION ST JOHN HOSPITALDETROITMI3$80$29.6$6.78$51.91$51.91
MCLAREN THUMB REGIONBAD AXEMI5$67$33.5$4.77$4.77$56.92
HEALTHSOURCE SAGINAW INC.SAGINAWMI8$6.47$396.5$1,156
MCLAREN BAY SPECIAL CAREBAY CITYMI11$20.1$3.29$19.69$33.09
KARMANOS CANCER HOSPITALDETROITMI15$15.2$3.36$17.33$22.9
MCLAREN MACOMBMT. CLEMENSMI20$15.7$3.85$16.32$26.1
MCLAREN OAKLANDPONTIACMI14$12.25$3.95$15.1$23.6
MCLAREN FLINTFLINTMI23$41$20.5$3.54$12.29$275
MCLAREN LAPEER REGIONLAPEERMI20$41$20.5$3.54$10.8$45
MCLAREN PORT HURONPORT HURONMI29$42.8$21.4$3.54$10.67$45
MCLAREN GREATER LANSINGLANSING MI 489100MI20$41$20.5$3.54$10.1$45
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$57$39.9
MCKENZIE HEALTH SYSTEMSANDUSYMI0$56$44.8
MH - MERCY CAMPUSMUSKEGONMI0$306.1$146.93
SOUTHEAST MICHIGAN SURGICAL HOSPITALWARRENMI0$119$95.2
SPARROW EATONCHARLOTTEMI0$33.64$8.41
CARSON CITY HOSPITALCARSON CITYMI0$39.98$10
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$128$89.6
SPARROW CLINTON HOSPITALST. JOHNSMI0$39.98$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.