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CPT 90834 · negotiated-rate distribution across hospitals in MI

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Hospitals
26
Min
$80.67
Median
$153.20
Max
$184.24
Range multiplier
2.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicare1169$91.44$156.70$250.722.7×
UnitedHealthcare1960$60.50$98.11$226.113.7×
Medicaid1159$60.50$87.89$275.004.5×
Aetna2035$94.37$166.12$267.632.8×
Humana1834$91.44$166.12$184.242.0×
Blue Cross Blue Shield1221$71.91$118.02$307.444.3×
Medicare Advantage916$131.83$161.28$176.061.3×
Ambetter816$266.11$266.11$271.331.0×
smarthealth816$225.79$225.79$234.491.0×
WellCare714$161.28$161.28$161.281.0×
healthspring mcr replacement714$162.89$163.70$164.511.0×
Oscar Health714$258.05$258.05$258.051.0×
occunet714$298.37$330.63$362.881.2×
facility billing - op714$161.28$161.28$161.281.0×
blue mcr replacement714$161.28$161.28$161.281.0×
priority health99$94.37$114.36$114.361.2×
TRICARE89$141.68$157.42$176.061.2×
mclaren commercial ins88$78.98$78.98$78.981.0×
hap - hmo88$89.67$89.67$89.671.0×
u of m health plan88$105.16$105.16$105.161.0×
evernorth behavioral health77$63.00$63.00$63.001.0×
mi amish medical board66$156.70$156.70$156.701.0×
priority health op rate55$74.69$92.29$287.363.8×
First Health44$131.82$141.27$483.403.7×
harbor health plan14$94.37$103.81$176.061.9×
beacon health strategies14$75.00$85.38$94.371.3×
hap - hmo op rate33$76.78$76.78$209.452.7×
hcap op rate33$99.72$99.72$126.751.3×
hp - ppo op rate33$94.62$94.62$323.763.4×
total health care priority health13$94.37$173.29$176.061.9×
cofinity - ppom op rate33$142.10$142.10$278.662.0×
hp - hmo op rate33$68.19$68.19$243.293.6×
health advantage - commercial op rate22$58.25$58.25$58.251.0×
blue care network op rate22$88.90$88.90$88.901.0×
Bright Health12$209.36$209.36$209.361.0×
Cigna22$73.68$86.27$98.861.3×
great lakes research op rate22$99.72$99.72$99.721.0×
hap - ppo op rate22$106.53$106.53$106.531.0×
hap ahl op rate22$79.39$82.62$85.851.1×
hap hmo op rate22$73.12$79.02$84.911.2×
hap preferred op rate22$79.39$156.28$233.172.9×
health plus hmo op rate22$87.80$90.80$93.801.1×
mclaren health op rate22$46.49$50.90$55.301.2×
mclaren health plan12$94.37$135.22$176.061.9×
mclaren health plan op rate22$67.83$67.83$67.831.0×
mi amish medical board op rate22$153.56$153.56$153.561.0×
health advantage - ppo op rate11$182.72$182.72$182.721.0×
bsbs bcn op rate11$80.67$80.67$80.671.0×
bcn op rate11$71.91$71.91$71.911.0×
auto-cofinity op rate11$143.65$143.65$143.651.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mclaren Port HuronPort HuronMI29$201.20$100.60$55.30$98.11$250.72
Mclaren Bay Special CareBay CityMI18$86.40$58.25$97.17$153.56
Bay Regional Medical CenterBay CityMI25$199.20$99.60$58.25$94.62$250.72
Ascension St John HospitalDetroitMI1$94.45$94.45$94.45
Mclaren Greater LansingLansingMI12$201.20$100.60$60.50$93.73$250.72
Mclaren Northern MichiganPetoskeyMI12$201.20$100.60$60.50$93.73$250.72
Mclaren Lapeer RegionLapeerMI12$201.20$100.60$60.50$93.73$250.72
Mclaren Central MichiganMt PleasantMI10$160.20$80.10$60.50$91.44$118.02
Mclaren Thumb RegionBad AxeMI10$160.20$80.10$60.50$91.44$118.02
Karmanos Cancer HospitalDetroitMI15$63.90$45.31$80.67$122.80
Tawas St. Joseph HospitalTawasMI10$332.00$109.56$167.49$184.24$307.44
Garden City Hospital OsteopathicGarden CityMI19$577.60$176.00$75.00$174.68$272.89
Genesys Regional Medical Ctr.Grand BlancMI13$63.00$164.51$362.88
Borgess-Pipp Health CenterPlainwellMI13$63.00$164.51$362.88
Ascension Allegan HospitalAlleganMI13$63.00$164.51$362.88
Ascension Providence Rochester HospiRochesterMI13$63.00$164.51$362.88
Ascension Borgess HospitalKalamazooMI13$63.00$164.51$362.88
Ascension Standish HospitalStandishMI13$63.00$164.51$362.88
Ascension Borgess-Lee HospitalDowagiacMI13$63.00$164.51$362.88
Mclaren FlintFlintMI26$201.20$295.70$60.50$153.20$483.40
Carson City HospitalCarson CityMI0$185.00$84.50
North Ottawa Community HospitalGrand HavenMI0$571.00$399.70
Mh - Mercy CampusMuskegonMI0$368.70$176.98
Mckenzie Health SystemSanduskyMI0$163.00$130.40
Sparrow Clinton HospitalSt. JohnsMI0$297.00$84.50
Sparrow EatonCharlotteMI0$297.00$84.50

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.