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Office visit, new patient, 15-29 min

CPT 99202 · negotiated-rate distribution across hospitals in MI

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Hospitals
28
Min
$45.46
Median
$68.69
Max
$134.11
Range multiplier
3.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1374$29.82$87.69$617.2520.7×
Aetna1357$31.06$90.64$617.2519.9×
priority health op rate940$33.35$98.04$484.3414.5×
First Health838$55.00$133.80$632.8011.5×
Blue Cross Blue Shield1232$55.00$100.68$398.007.2×
cofinity - auto op rate429$37.41$118.77$588.8615.7×
hap preferred op rate428$27.06$87.20$488.1218.0×
hap - hmo op rate527$24.31$78.27$136.835.6×
Medicaid826$29.82$31.01$398.0013.3×
hp - ppo op rate424$37.57$111.12$229.296.1×
Medicare824$40.72$40.72$41.531.0×
hp - hmo op rate424$28.23$83.50$172.136.1×
mhp - hmo op rate220$21.21$71.29$117.055.5×
health advantage - ppo op rate220$21.21$71.29$117.055.5×
cofinity - ppom op rate318$32.34$98.26$167.585.2×
hurley medical center op rate114$18.48$54.65$95.765.2×
cofinity wc op rate114$32.34$95.64$167.585.2×
cofinity - wc/auto op rate114$37.41$110.63$193.855.2×
hap/ahl op rate114$24.31$71.89$125.965.2×
priority health812$52.44$52.44$548.0710.5×
hap - ppo op rate310$71.15$117.83$229.293.2×
mclaren commercial ins89$51.00$51.00$269.285.3×
Multiplan29$80.00$108.43$658.408.2×
u of m health plan89$46.83$46.83$66.851.4×
mclaren health advantage op rate29$36.31$60.27$298.838.2×
Humana88$40.72$40.72$40.721.0×
hap - hmo88$45.46$45.46$45.461.0×
safe response program88$200.00$200.00$200.001.0×
mclaren health op rate37$36.35$59.54$362.9410.0×
evernorth behavioral health77$63.72$63.72$63.721.0×
hcap op rate37$66.60$87.60$138.752.1×
phpmm-commercial hmo op rate16$42.52$52.09$349.948.2×
hospice care in michigan op rate16$50.00$61.25$411.508.2×
bcccnp66$68.62$68.62$68.621.0×
cofinity-ppom op rate16$70.76$148.05$216.633.1×
cofinity w/c op rate16$63.71$78.05$524.338.2×
cofinity - wc op rate16$70.64$147.81$216.273.1×
beech street op rate16$90.00$110.25$740.708.2×
gift of life op rate16$70.00$85.75$576.108.2×
hap-hmo op rate16$45.11$55.26$371.268.2×
usa mco-ppo op rate16$85.00$104.13$699.558.2×
health plus hmo op rate25$68.64$98.79$153.012.2×
hap ahl op rate25$62.06$90.42$138.352.2×
hap hmo op rate25$57.16$89.43$127.422.2×
Cigna25$57.60$104.13$128.402.2×
great lakes research op rate24$66.60$77.10$87.601.3×
com priority health op rate14$43.84$92.18$475.0010.8×
com php op rate14$29.75$62.57$322.4110.8×
health advantage - commercial op rate24$38.91$45.04$51.171.3×
com mclaren commercial ins op rate14$29.18$61.36$316.1610.8×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mclaren Port HuronPort HuronMI27$741.83$370.92$29.82$93.98$200.00
Mclaren FlintFlintMI26$414.00$207.00$18.48$83.94$290.70
Karmanos Cancer HospitalDetroitMI13$111.30$35.42$83.53$168.42
Mclaren MacombMt. ClemensMI15$445.05$36.31$79.82$740.70
Mclaren Bay Special CareBay CityMI12$75.90$38.91$79.39$124.83
Ascension St John HospitalDetroitMI3$354.25$131.07$55.48$78.74$84.36
Garden City Hospital OsteopathicGarden CityMI4$188.00$49.21$75.67$188.00
Mclaren Greater LansingLansingMI18$958.00$479.00$29.18$68.69$632.80
Bay Regional Medical CenterBay CityMI22$272.00$136.00$29.82$67.03$200.06
Mclaren Central MichiganMt PleasantMI17$1,002.00$501.00$29.82$64.08$740.70
Genesys Regional Medical Ctr.Grand BlancMI1$432.00$172.80$63.72$63.72$63.72
Borgess-Pipp Health CenterPlainwellMI1$432.00$172.80$63.72$63.72$63.72
Ascension Borgess-Lee HospitalDowagiacMI1$432.00$172.80$63.72$63.72$63.72
Ascension Providence Rochester HospiRochesterMI1$432.00$172.80$63.72$63.72$63.72
Ascension Allegan HospitalAlleganMI1$432.00$172.80$63.72$63.72$63.72
Ascension Standish HospitalStandishMI1$432.00$172.80$63.72$63.72$63.72
Ascension Borgess HospitalKalamazooMI1$432.00$172.80$63.72$63.72$63.72
Mclaren Northern MichiganPetoskeyMI12$900.00$450.00$29.82$46.83$269.28
Mclaren Thumb RegionBad AxeMI12$1,709.00$854.50$29.82$45.46$200.00
Mclaren Lapeer RegionLapeerMI23$337.40$207.00$29.82$134.11$398.00
Tawas St. Joseph HospitalTawasMI1$509.00$167.97$130.35$130.35$192.76
Mclaren OaklandPontiacMI10$92.05$68.56$110.32$177.00
Mackinac Straits Health System IncSt. IgnaceMI0$197.00$137.90
Sparrow Clinton HospitalSt. JohnsMI0$302.00$75.50
Mckenzie Health SystemSanduskyMI0$120.00$96.00
North Ottawa Community HospitalGrand HavenMI0$299.00$209.30
Carson City HospitalCarson CityMI0$376.00$94.00
Sparrow EatonCharlotteMI0$302.00$75.50

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.