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PCI with drug-eluting stent

CPT 92928 · negotiated-rate distribution across hospitals in MI

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Hospitals
27
Min
$479.52
Median
$8,425.00
Max
$22,049
Range multiplier
46.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2076$248.37$18,946$34,355138.3×
UnitedHealthcare2168$366.57$7,636.90$24,58067.1×
Medicaid1262$275.00$6,203.29$18,99669.1×
Medicare1161$467.82$10,035$17,69637.8×
Aetna1424$673.91$7,251.33$14,82922.0×
Cigna1016$4,450.38$17,138$29,7576.7×
Humana1016$467.82$3,942.56$11,45124.5×
priority health op rate712$4,511.20$7,790.27$15,9223.5×
First Health510$7,301.80$11,056$26,7833.7×
priority health99$809.36$809.36$6,138.157.6×
hcap op rate38$7,576.58$8,979.35$14,2471.9×
mclaren commercial ins88$647.20$647.20$647.201.0×
mclaren health op rate38$2,808.19$3,839.36$6,215.362.2×
u of m health plan88$537.99$537.99$537.991.0×
health plus hmo op rate27$5,303.37$6,483.40$10,5432.0×
Multiplan27$8,114.01$9,466.68$15,2571.9×
hap hmo op rate27$4,416.26$5,868.94$9,543.392.2×
hap ahl op rate27$4,795.28$5,934.35$9,649.762.0×
auto-cofinity op rate16$8,586.79$9,973.90$16,1461.9×
theramatrix physical therapy op rate16$10,102$11,734$18,9961.9×
TRICARE66$10,000$10,962$11,4511.1×
cofinity op rate16$7,803.88$9,064.52$14,6741.9×
hap ppo op rate16$6,391.60$7,424.10$12,0191.9×
health plus ppo op rate16$6,061.26$7,040.40$11,3971.9×
mi amish medical board55$11,060$11,060$11,0601.0×
harbor health plan14$6,138.15$6,751.97$11,4511.9×
hp - ppo op rate33$8,652.45$8,652.45$17,9392.1×
hap preferred op rate33$4,795.28$7,874.00$12,9192.7×
hp - hmo op rate33$6,235.90$6,235.90$13,4802.2×
total health care priority health13$6,138.15$11,271$11,4511.9×
hap - hmo op rate33$7,021.66$7,021.66$11,6051.7×
cofinity - ppom op rate33$12,995$12,995$15,4401.2×
hap - ppo op rate22$9,742.17$9,742.17$9,742.171.0×
mi amish medical board op rate22$11,540$11,540$11,5401.0×
bcn op rate22$248.37$321.97$395.571.6×
great lakes research op rate22$9,119.04$9,119.04$9,119.041.0×
cofinity - auto op rate22$9,498.98$13,679$17,8601.9×
Medicare Advantage22$9,907.32$10,679$11,4511.2×
mclaren health plan op rate22$5,097.80$5,097.80$5,097.801.0×
health advantage - commercial op rate22$5,327.04$5,327.04$5,327.041.0×
mclaren health plan12$6,138.15$8,794.70$11,4511.9×
blue care network op rate22$982.33$982.33$982.331.0×
health advantage - ppo op rate11$10,124$10,124$10,1241.0×
beacon health strategies11$6,138.15$6,138.15$6,138.151.0×
beech street op rate11$11,948$11,948$11,9481.0×
bsbs bcn op rate11$404.59$404.59$404.591.0×
CHAMPVA11$515.89$515.89$515.891.0×
cofinity - wc/auto op rate11$17,860$17,860$17,8601.0×
cofinity ppom op rate11$5,837.42$5,837.42$5,837.421.0×
cofinity w/c op rate11$8,458.14$8,458.14$8,458.141.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mclaren Bay Special CareBay CityMI18$7,903.15$982.33$8,885.75$12,995
Tawas St. Joseph HospitalTawasMI4$43,760$14,441$7,429.00$8,425.00$30,632
Mclaren Port HuronPort HuronMI28$22,389$11,195$366.57$8,114.01$18,996
Mclaren MacombMt. ClemensMI20$7,179.65$248.37$7,874.00$11,948
Mclaren Northern MichiganPetoskeyMI12$1,835.20$6,349.90$366.57$691.74$10,990
Bay Regional Medical CenterBay CityMI24$42,860$21,430$366.57$6,242.31$17,696
Mclaren Central MichiganMt PleasantMI11$14,866$7,433.05$366.57$6,203.29$17,696
Mclaren Greater LansingLansingMI11$31,345$15,672$366.57$6,203.29$17,696
Karmanos Cancer HospitalDetroitMI15$3,857.00$404.59$4,795.28$7,417.30
Mclaren Thumb RegionBad AxeMI9$1,835.20$917.60$366.57$479.52$916.60
Mclaren Lapeer RegionLapeerMI9$1,835.20$917.60$366.57$479.52$916.60
Ascension Standish HospitalStandishMI3$18,946$22,049$34,355
Ascension Borgess HospitalKalamazooMI3$18,946$22,049$34,355
Ascension Allegan HospitalAlleganMI3$18,946$22,049$34,355
Borgess-Pipp Health CenterPlainwellMI3$18,946$22,049$34,355
Genesys Regional Medical Ctr.Grand BlancMI3$18,946$22,049$34,355
Ascension Providence Rochester HospiRochesterMI3$18,946$22,049$34,355
Ascension Borgess-Lee HospitalDowagiacMI3$18,946$22,049$34,355
Ascension St John HospitalDetroitMI3$673.91$1,288.59$21,711
Garden City Hospital OsteopathicGarden CityMI19$51,292$11,451$6,138.15$11,451$17,749
Mclaren FlintFlintMI25$44,219$22,109$275.00$10,322$26,783
Carson City HospitalCarson CityMI0$1,146.00$573.00
North Ottawa Community HospitalGrand HavenMI0$19,396$13,577
Mh - Mercy CampusMuskegonMI0$48,193$23,133
Southeast Michigan Surgical HospitalWarrenMI0$53,073$42,458
Sparrow Clinton HospitalSt. JohnsMI0$1,146.00$573.00
Sparrow EatonCharlotteMI0$1,146.00$573.00

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.