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CPT 90839 · negotiated-rate distribution across hospitals in MI

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Hospitals
24
Min
$104.73
Median
$148.06
Max
$175.86
Range multiplier
1.7×

By payer (43 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicare957$128.94$156.70$250.721.9×
UnitedHealthcare1755$81.51$152.38$226.112.8×
Medicaid945$81.51$87.89$169.002.1×
Humana1732$126.73$166.12$184.241.5×
Aetna1830$96.33$166.12$251.242.6×
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×
blue mcr replacement714$161.28$161.28$161.281.0×
Blue Cross Blue Shield1014$71.91$169.26$226.113.1×
facility billing - op714$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×
Oscar Health714$258.05$258.05$258.051.0×
WellCare714$161.28$161.28$161.281.0×
mclaren commercial ins88$102.00$102.00$102.001.0×
u of m health plan88$148.28$148.28$148.281.0×
hap - hmo88$127.95$127.95$127.951.0×
priority health88$158.13$158.13$158.131.0×
TRICARE67$141.68$153.20$167.491.2×
evernorth behavioral health77$225.00$225.00$225.001.0×
mi amish medical board55$156.70$156.70$156.701.0×
hap ahl op rate22$85.85$95.29$104.731.2×
Bright Health12$209.36$209.36$209.361.0×
health plus hmo op rate22$93.80$104.82$115.831.2×
priority health op rate22$98.53$100.09$101.651.0×
Cigna22$97.20$98.03$98.861.0×
mclaren health op rate22$55.30$58.32$61.331.1×
hap hmo op rate22$84.91$90.68$96.451.1×
theramatrix physical therapy op rate11$169.00$169.00$169.001.0×
hap ppo op rate11$106.93$106.93$106.931.0×
hap preferred op rate11$104.73$104.73$104.731.0×
hcap op rate11$126.75$126.75$126.751.0×
health plus ppo op rate11$101.40$101.40$101.401.0×
CHAMPVA11$98.84$98.84$98.841.0×
bsbs bcn op rate11$106.42$106.42$106.421.0×
Multiplan11$135.74$135.74$135.741.0×
auto-cofinity op rate11$143.65$143.65$143.651.0×
bcn op rate11$71.91$71.91$71.911.0×
cofinity op rate11$104.44$104.44$104.441.0×
cofinity ppom op rate11$127.49$127.49$127.491.0×
detroit medical center op rate11$59.78$59.78$59.781.0×
First Health11$131.82$131.82$131.821.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Tawas St. Joseph HospitalTawasMI9$167.49$175.86$271.33
Borgess-Pipp Health CenterPlainwellMI13$161.28$166.12$362.88
Ascension Borgess HospitalKalamazooMI13$161.28$166.12$362.88
Genesys Regional Medical Ctr.Grand BlancMI13$161.28$166.12$362.88
Ascension Providence Rochester HospiRochesterMI13$161.28$166.12$362.88
Ascension Standish HospitalStandishMI13$161.28$166.12$362.88
Ascension Borgess-Lee HospitalDowagiacMI13$161.28$166.12$362.88
Ascension Allegan HospitalAlleganMI13$161.28$166.12$362.88
Ascension St John HospitalDetroitMI1$148.06$148.06$148.06
Mclaren Greater LansingLansingMI12$221.70$110.90$86.77$132.17$250.72
Mclaren Lapeer RegionLapeerMI12$221.70$110.90$86.77$132.17$250.72
Mclaren FlintFlintMI12$221.70$110.90$86.77$132.17$250.72
Bay Regional Medical CenterBay CityMI12$221.70$110.90$86.77$132.17$250.72
Mclaren Northern MichiganPetoskeyMI12$221.70$110.90$86.77$132.17$250.72
Mclaren Central MichiganMt PleasantMI10$221.70$110.90$86.77$128.94$169.26
Mclaren Thumb RegionBad AxeMI10$221.70$110.90$86.77$128.94$169.26
Mclaren Port HuronPort HuronMI27$221.70$110.90$55.30$121.68$169.26
Karmanos Cancer HospitalDetroitMI15$84.30$59.78$104.73$127.49
Sparrow Clinton HospitalSt. JohnsMI0$241.00$120.50
Sparrow EatonCharlotteMI0$297.00$120.50
Mckenzie Health SystemSanduskyMI0$246.00$196.80
Mh - Mercy CampusMuskegonMI0$556.50$267.12
Carson City HospitalCarson CityMI0$241.00$120.50
North Ottawa Community HospitalGrand HavenMI0$571.00$399.70

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.