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CPT 90837 · negotiated-rate distribution across hospitals in MI

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Hospitals
25
Min
$97.17
Median
$138.00
Max
$184.24
Range multiplier
1.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicare1066$130.33$156.70$250.721.9×
UnitedHealthcare1858$81.51$146.34$226.112.8×
Medicaid1054$81.51$87.89$169.002.1×
Humana1733$126.73$166.12$184.241.5×
Aetna1932$96.33$166.12$251.242.6×
Blue Cross Blue Shield1119$71.91$174.72$451.406.3×
smarthealth816$225.79$225.79$234.491.0×
Ambetter816$266.11$266.11$271.331.0×
Medicare Advantage815$131.83$161.28$161.281.2×
Oscar Health714$258.05$258.05$258.051.0×
WellCare714$161.28$161.28$161.281.0×
blue mcr replacement714$161.28$161.28$161.281.0×
healthspring mcr replacement714$162.89$163.70$164.511.0×
occunet714$298.37$330.63$362.881.2×
facility billing - op714$161.28$161.28$161.281.0×
u of m health plan88$154.82$154.82$154.821.0×
TRICARE78$141.68$155.31$167.491.2×
mclaren commercial ins88$119.16$119.16$119.161.0×
hap - hmo88$132.36$132.36$132.361.0×
priority health88$165.24$165.24$165.241.0×
evernorth behavioral health77$68.00$68.00$68.001.0×
mi amish medical board66$156.70$156.70$156.701.0×
priority health op rate44$92.29$93.37$101.651.1×
hcap op rate33$99.72$99.72$126.751.3×
First Health33$131.82$141.27$141.271.1×
health plus hmo op rate22$93.80$102.42$111.041.2×
hap ahl op rate22$85.85$93.13$100.401.2×
hap hmo op rate22$84.91$88.69$92.471.1×
health advantage - commercial op rate22$58.25$58.25$58.251.0×
hap - ppo op rate22$106.53$106.53$106.531.0×
hp - hmo op rate22$68.19$68.19$68.191.0×
hp - ppo op rate22$94.62$94.62$94.621.0×
hap - hmo op rate22$76.78$76.78$76.781.0×
great lakes research op rate22$99.72$99.72$99.721.0×
mclaren health op rate22$55.30$57.05$58.801.1×
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×
cofinity - ppom op rate22$142.10$142.10$142.101.0×
Cigna22$93.18$96.02$98.861.1×
Bright Health12$209.36$209.36$209.361.0×
blue care network op rate22$88.90$88.90$88.901.0×
health plus ppo op rate11$101.40$101.40$101.401.0×
theramatrix physical therapy op rate11$169.00$169.00$169.001.0×
Multiplan11$135.74$135.74$135.741.0×
bcn op rate11$71.91$71.91$71.911.0×
auto-cofinity op rate11$143.65$143.65$143.651.0×
CHAMPVA11$94.59$94.59$94.591.0×
hap ppo op rate11$106.93$106.93$106.931.0×
bsbs bcn op rate11$102.02$102.02$102.021.0×
hap preferred op rate11$100.40$100.40$100.401.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mclaren Bay Special CareBay CityMI18$86.40$58.25$97.17$153.56
Tawas St. Joseph HospitalTawasMI9$473.00$156.09$167.49$184.24$451.40
Borgess-Pipp Health CenterPlainwellMI13$68.00$164.51$362.88
Ascension Borgess HospitalKalamazooMI13$68.00$164.51$362.88
Genesys Regional Medical Ctr.Grand BlancMI13$68.00$164.51$362.88
Ascension Providence Rochester HospiRochesterMI13$68.00$164.51$362.88
Ascension Standish HospitalStandishMI13$68.00$164.51$362.88
Ascension Borgess-Lee HospitalDowagiacMI13$68.00$164.51$362.88
Ascension Allegan HospitalAlleganMI13$68.00$164.51$362.88
Ascension St John HospitalDetroitMI1$142.05$142.05$142.05
Mclaren Lapeer RegionLapeerMI12$221.70$110.90$87.89$138.00$250.72
Mclaren Greater LansingLansingMI12$221.70$110.90$87.89$138.00$250.72
Mclaren Northern MichiganPetoskeyMI12$221.70$110.90$87.89$138.00$250.72
Mclaren FlintFlintMI12$221.70$110.90$87.89$138.00$250.72
Mclaren Central MichiganMt PleasantMI10$221.70$110.90$89.59$134.63$174.72
Mclaren Thumb RegionBad AxeMI10$221.70$110.90$89.59$134.63$174.72
Bay Regional Medical CenterBay CityMI25$221.70$110.90$58.25$132.95$250.72
Mclaren Port HuronPort HuronMI29$817.10$408.55$55.30$130.33$250.72
Karmanos Cancer HospitalDetroitMI15$80.80$57.31$100.40$126.73
Mh - Mercy CampusMuskegonMI0$556.50$267.12
North Ottawa Community HospitalGrand HavenMI0$571.00$399.70
Mckenzie Health SystemSanduskyMI0$240.00$192.00
Sparrow EatonCharlotteMI0$297.00$125.00
Sparrow Clinton HospitalSt. JohnsMI0$250.00$125.00
Carson City HospitalCarson CityMI0$250.00$125.00

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.