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Urine culture bacterial

CPT 87086 · negotiated-rate distribution across hospitals in MI

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Hospitals
26
Min
$5.96
Median
$8.27
Max
$56.64
Range multiplier
9.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2062$4.20$8.07$76.4418.2×
Medicaid1362$4.22$4.55$275.0065.2×
Medicare1148$7.87$7.87$12.591.6×
Aetna2047$4.22$12.56$70.4316.7×
Blue Cross Blue Shield1433$8.07$15.66$109.2013.5×
Humana1831$7.87$8.31$8.881.1×
smarthealth817$6.05$11.30$11.301.9×
Medicare Advantage916$8.07$8.07$8.161.0×
Ambetter816$13.07$13.32$13.321.0×
facility billing - op714$8.07$8.07$8.071.0×
healthspring mcr replacement714$8.15$8.19$8.231.0×
blue mcr replacement714$8.07$8.07$8.071.0×
WellCare714$8.07$8.07$8.071.0×
Oscar Health714$12.91$12.91$12.911.0×
occunet714$14.93$16.55$18.161.2×
Cigna1012$9.19$30.60$47.405.2×
priority health op rate1012$24.07$38.13$48.812.0×
TRICARE1011$7.12$7.91$30.914.3×
First Health710$8.60$50.36$70.388.2×
priority health910$4.22$40.96$73.9117.5×
safe response program88$20.00$20.00$20.001.0×
mi amish medical board77$7.87$7.87$7.871.0×
hap - hmo op rate57$19.15$29.98$37.542.0×
hap preferred op rate46$22.85$38.83$51.072.2×
cofinity - auto op rate46$24.69$46.03$67.812.7×
cofinity auto66$14.95$14.95$14.951.0×
workers compensation44$10.66$21.23$42.714.0×
cofinity - ppom op rate34$39.00$48.03$55.491.4×
harbor health plan14$4.22$4.64$8.071.9×
mclaren health op rate44$16.36$24.51$34.052.1×
mclaren health plan13$4.22$8.07$45.0010.7×
total health care priority health13$4.22$7.79$8.071.9×
hcap op rate33$38.94$38.94$43.801.1×
imagine health13$11.70$11.70$11.701.0×
hurley medical center op rate12$22.29$22.74$23.181.0×
bcn op rate22$12.72$16.77$20.821.6×
Bright Health12$10.09$10.09$10.091.0×
cofinity - wc op rate12$31.03$45.19$59.341.9×
cofinity - wc/auto op rate12$45.12$46.03$46.931.0×
cofinity op rate22$8.19$33.05$57.907.1×
cofinity wc op rate12$39.00$39.79$40.571.0×
cofinity-ppom op rate12$31.08$45.26$59.441.9×
great lakes research op rate22$38.94$38.94$38.941.0×
hap - ppo op rate22$41.60$41.60$41.601.0×
hap ahl op rate22$29.67$40.37$51.071.7×
hap hmo op rate22$29.34$38.19$47.041.6×
hap op rate22$29.69$48.25$66.802.2×
hap/ahl op rate12$29.32$29.91$30.501.0×
health advantage - ppo op rate12$16.79$24.46$32.121.9×
health plus hmo op rate22$6.62$31.55$56.488.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Tawas St. Joseph HospitalTawasMI11$89.00$29.37$6.05$8.88$34.05
Mclaren Central MichiganMt PleasantMI19$93.90$46.95$4.41$8.77$70.43
Genesys Regional Medical Ctr.Grand BlancMI13$45.40$18.16$8.07$8.27$30.60
Ascension Borgess HospitalKalamazooMI13$45.40$18.16$8.07$8.27$30.60
Ascension Providence Rochester HospiRochesterMI13$45.40$18.16$8.07$8.27$30.60
Ascension Standish HospitalStandishMI13$45.40$18.16$8.07$8.27$30.60
Borgess-Pipp Health CenterPlainwellMI13$45.40$18.16$8.07$8.27$30.60
Ascension Borgess-Lee HospitalDowagiacMI13$45.40$18.16$8.07$8.27$30.60
Ascension Allegan HospitalAlleganMI13$45.40$18.16$8.07$8.27$30.60
Mclaren Port HuronPort HuronMI27$145.09$72.55$4.41$8.12$58.40
Garden City Hospital OsteopathicGarden CityMI20$181.50$8.00$4.22$8.07$45.00
Bay Regional Medical CenterBay CityMI21$77.90$38.95$4.09$8.03$63.61
Mclaren Northern MichiganPetoskeyMI16$52.30$26.15$4.41$7.87$38.88
Ascension St John HospitalDetroitMI3$129.25$47.82$8.60$56.64$64.63
Mclaren Thumb RegionBad AxeMI5$87.00$43.50$5.96$5.96$73.91
Karmanos Cancer HospitalDetroitMI15$41.10$4.20$47.04$62.17
Mclaren MacombMt. ClemensMI20$41.65$4.80$36.62$69.30
Mclaren Bay Special CareBay CityMI11$33.75$4.09$33.01$55.49
Mclaren FlintFlintMI21$100.20$50.10$4.41$25.14$275.00
Mclaren Lapeer RegionLapeerMI18$132.20$66.10$4.41$20.00$109.20
Mclaren OaklandPontiacMI14$16.55$4.92$19.15$31.80
Mclaren Greater LansingLansingMI20$33.90$16.95$4.41$10.66$22.40
Mckenzie Health SystemSanduskyMI0$61.00$48.80
Southeast Michigan Surgical HospitalWarrenMI0$140.00$112.00
Mh - Mercy CampusMuskegonMI0$73.80$35.42
North Ottawa Community HospitalGrand HavenMI0$261.00$182.70

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.