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CPT 93005 · negotiated-rate distribution across hospitals in MI

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Hospitals
29
Min
$16.51
Median
$58.51
Max
$68.1
Range multiplier
4.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2189$27$60.22$192.157.1×
Aetna2281$8.63$61.41$1,617187.4×
Medicaid1364$31.36$33.3$2758.8×
Medicare1258$52.91$57.93$92.691.8×
priority health op rate1042$19.36$44.01$111.825.8×
Blue Cross Blue Shield1437$9.58$34.6$150.615.7×
Humana1832$40.4$61.41$68.111.7×
First Health830$12.94$58.24$153.1711.8×
hap preferred op rate427$16.4$35.38$108.546.6×
hap - hmo op rate523$14.73$25.46$83.255.7×
cofinity - auto op rate421$22.67$37.86$130.945.8×
hp - ppo op rate420$22.77$38.35$102.594.5×
hp - hmo op rate420$17.11$28.82$73.944.3×
cofinity - ppom op rate317$19.6$42.29$154.077.9×
Ambetter816$98.37$98.37$100.311.0×
Medicare Advantage916$54.9$59.62$59.621.1×
smarthealth816$83.47$83.47$86.691.0×
mclaren health op rate415$14.72$31.27$92.836.3×
facility billing - op714$59.62$59.62$59.621.0×
mhp - hmo op rate214$12.73$19.99$48.483.8×
health advantage - ppo op rate214$12.73$19.99$48.483.8×
occunet714$110.3$122.22$134.141.2×
Oscar Health714$95.39$95.39$95.391.0×
blue mcr replacement714$59.62$59.62$59.621.0×
WellCare714$59.62$59.62$59.621.0×
healthspring mcr replacement714$60.22$60.52$60.811.0×
hap ahl op rate211$22.86$48.97$72.023.2×
cofinity - wc/auto op rate111$22.67$37.86$85.533.8×
cofinity wc op rate111$19.6$32.73$73.943.8×
TRICARE1011$26.41$56.64$61.922.3×
Cigna211$24.24$49.56$66.842.8×
hap/ahl op rate111$14.73$24.6$55.583.8×
health plus hmo op rate211$24.98$53.7$79.653.2×
hap hmo op rate211$22.61$48.43$66.332.9×
priority health910$31.36$82.17$129.664.1×
hap - ppo op rate39$24.95$86.76$115.514.6×
detroit medical center op rate19$14.91$30.48$41.112.8×
cofinity ppom op rate19$31.79$65.01$87.672.8×
hcap op rate38$31.14$80.34$108.123.5×
workers compensation88$36.58$57.38$116.533.2×
mclaren commercial ins88$30.26$51.14$89.293.0×
cofinity auto77$80.37$110.07$110.071.4×
mi amish medical board77$57.93$57.93$57.931.0×
mclaren health advantage op rate27$14.52$43.14$66.454.6×
great lakes research op rate26$31.14$88.38$108.123.5×
Multiplan26$32$59.52$146.44.6×
health advantage - commercial op rate26$18.19$51.63$63.163.5×
hap-hmo op rate14$18.04$48.27$82.554.6×
beech street op rate14$36$96.3$164.74.6×
cofinity w/c op rate14$25.48$68.17$116.594.6×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MCLAREN GREATER LANSINGLANSING MI 489100MI21$225.8$112.9$27.19$68.1$158.06
TAWAS ST. JOSEPH HOSPITALTAWASMI9$598$197.34$31.35$65.02$352.82
MCLAREN BAY SPECIAL CAREBAY CITYMI18$93.7$18.19$63.56$154.07
ASCENSION STANDISH HOSPITALSTANDISHMI12$59.62$61.41$1,617
ASCENSION ALLEGAN HOSPITALALLEGANMI12$59.62$61.41$1,617
BORGESS-PIPP HEALTH CENTERPLAINWELLMI12$59.62$61.41$1,617
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI12$59.62$61.41$1,617
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI12$59.62$61.41$1,617
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI12$59.62$61.41$1,617
ASCENSION BORGESS HOSPITALKALAMAZOOMI12$59.62$61.41$1,617
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI21$393.35$58$21.05$58.51$90.69
MCLAREN CENTRAL MICHIGANMT PLEASANTMI18$256.2$128.1$9.58$57.93$192.15
BAY REGIONAL MEDICAL CENTERBAY CITYMI25$176.6$97.45$18.19$57.93$154.07
MCLAREN OAKLANDPONTIACMI14$52.05$20.89$54.28$100.1
MCLAREN NORTHERN MICHIGANPETOSKEYMI16$182.6$91.3$16.39$53.33$136.95
KARMANOS CANCER HOSPITALDETROITMI15$58$14.91$50.13$87.67
MCLAREN MACOMBMT. CLEMENSMI20$98.95$12.07$45.5$164.7
MCLAREN PORT HURONPORT HURONMI29$117$58.5$7.95$45$99.45
MCLAREN THUMB REGIONBAD AXEMI7$102$51$26.41$44.5$88.13
MCLAREN LAPEER REGIONLAPEERMI25$182.4$91.2$12.73$43.3$150.6
MCLAREN FLINTFLINTMI27$141.8$78.45$12.85$32.73$275
ASCENSION ST JOHN HOSPITALDETROITMI3$186$68.82$8.63$16.51$124.62
CARSON CITY HOSPITALCARSON CITYMI0$139$34.75
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$716$501.2
MH - MERCY CAMPUSMUSKEGONMI0$258.4$124.03
SOUTHEAST MICHIGAN SURGICAL HOSPITALWARRENMI0$328$262.4
MCKENZIE HEALTH SYSTEMSANDUSYMI0$122$97.6
SPARROW CLINTON HOSPITALST. JOHNSMI0$165$41.25
SPARROW EATONCHARLOTTEMI0$129$32.25

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.