▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in MI
Hospitals
28
Min
$104.17
Median
$134.67
Max
$290.40
Range multiplier
2.8×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 12 | 80 | $84.99 | $142.86 | $1,007.30 | 11.9× |
| Aetna | 13 | 65 | $66.35 | $137.30 | $694.50 | 10.5× |
| priority health op rate | 9 | 39 | $68.39 | $123.12 | $600.80 | 8.8× |
| First Health | 8 | 37 | $76.45 | $182.75 | $1,010.65 | 13.2× |
| Blue Cross Blue Shield | 12 | 33 | $97.23 | $205.51 | $656.00 | 6.7× |
| Medicaid | 8 | 26 | $84.99 | $88.39 | $656.00 | 7.7× |
| hap preferred op rate | 4 | 26 | $57.81 | $153.08 | $549.21 | 9.5× |
| priority health | 8 | 25 | $81.77 | $147.63 | $692.73 | 8.5× |
| cofinity - auto op rate | 4 | 25 | $79.92 | $216.35 | $673.93 | 8.4× |
| hap - hmo op rate | 5 | 25 | $51.93 | $101.18 | $437.91 | 8.4× |
| Medicare | 8 | 24 | $116.02 | $116.02 | $118.34 | 1.0× |
| hp - hmo op rate | 4 | 23 | $60.32 | $104.23 | $508.65 | 8.4× |
| hp - ppo op rate | 4 | 23 | $80.27 | $138.71 | $676.90 | 8.4× |
| mhp - hmo op rate | 2 | 17 | $45.00 | $122.64 | $382.03 | 8.5× |
| health advantage - ppo op rate | 2 | 17 | $45.00 | $122.64 | $382.03 | 8.5× |
| cofinity - ppom op rate | 3 | 17 | $69.09 | $142.78 | $582.61 | 8.4× |
| mclaren commercial ins | 8 | 17 | $44.62 | $125.00 | $325.83 | 7.3× |
| hap - ppo op rate | 3 | 12 | $88.14 | $140.38 | $377.92 | 4.3× |
| u of m health plan | 8 | 12 | $78.26 | $133.42 | $439.39 | 5.6× |
| cofinity - wc/auto op rate | 1 | 11 | $79.92 | $206.88 | $673.93 | 8.4× |
| hap/ahl op rate | 1 | 11 | $51.93 | $134.43 | $437.91 | 8.4× |
| hurley medical center op rate | 1 | 11 | $39.48 | $102.20 | $332.92 | 8.4× |
| cofinity wc op rate | 1 | 11 | $69.09 | $178.85 | $582.61 | 8.4× |
| Multiplan | 2 | 9 | $111.20 | $133.60 | $740.80 | 6.7× |
| hcap op rate | 3 | 9 | $94.80 | $118.50 | $239.25 | 2.5× |
| hap - hmo | 8 | 8 | $130.19 | $130.19 | $130.19 | 1.0× |
| mclaren health advantage op rate | 2 | 8 | $50.47 | $70.67 | $336.23 | 6.7× |
| mclaren health op rate | 3 | 8 | $51.70 | $89.79 | $408.37 | 7.9× |
| safe response program | 8 | 8 | $250.00 | $250.00 | $250.00 | 1.0× |
| Humana | 8 | 8 | $116.02 | $116.02 | $116.02 | 1.0× |
| evernorth behavioral health | 7 | 7 | $134.67 | $134.67 | $134.67 | 1.0× |
| workers compensation | 6 | 7 | $52.41 | $60.03 | $66.83 | 1.3× |
| hap ahl op rate | 2 | 6 | $80.26 | $145.54 | $287.05 | 3.6× |
| bcccnp | 6 | 6 | $115.00 | $115.00 | $115.00 | 1.0× |
| beech street op rate | 1 | 6 | $125.10 | $141.30 | $833.40 | 6.7× |
| Cigna | 2 | 6 | $92.43 | $152.50 | $266.40 | 2.9× |
| cofinity - wc op rate | 1 | 6 | $83.14 | $246.16 | $356.47 | 4.3× |
| cofinity w/c op rate | 1 | 6 | $88.56 | $100.03 | $589.95 | 6.7× |
| cofinity-ppom op rate | 1 | 6 | $83.28 | $246.57 | $357.06 | 4.3× |
| gift of life op rate | 1 | 6 | $97.30 | $109.90 | $648.20 | 6.7× |
| great lakes research op rate | 2 | 6 | $94.80 | $100.20 | $131.40 | 1.4× |
| hap hmo op rate | 2 | 6 | $79.38 | $139.34 | $264.36 | 3.3× |
| hap-hmo op rate | 1 | 6 | $62.70 | $70.82 | $417.72 | 6.7× |
| health advantage - commercial op rate | 2 | 6 | $55.38 | $58.53 | $76.76 | 1.4× |
| health plus hmo op rate | 2 | 6 | $87.69 | $159.92 | $317.46 | 3.6× |
| hospice care in michigan op rate | 1 | 6 | $69.50 | $78.50 | $463.00 | 6.7× |
| phpmm-commercial hmo op rate | 1 | 6 | $59.10 | $66.76 | $393.74 | 6.7× |
| usa mco-ppo op rate | 1 | 6 | $118.15 | $133.45 | $787.10 | 6.7× |
| cofinity op rate | 2 | 5 | $118.50 | $153.33 | $694.50 | 5.9× |
| com php op rate | 1 | 4 | $64.40 | $82.34 | $362.76 | 5.6× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Tawas St. Joseph Hospital | Tawas | MI | 1 | $852.00 | $281.16 | $290.40 | $290.40 | $429.44 |
| Ascension St John Hospital | Detroit | MI | 3 | $616.75 | $228.20 | $140.86 | $205.51 | $220.19 |
| Mclaren Lapeer Region | Lapeer | MI | 25 | $559.90 | $341.10 | $44.62 | $203.16 | $656.00 |
| Garden City Hospital Osteopathic | Garden City | MI | 3 | $407.00 | — | $115.00 | $168.05 | $407.00 |
| Mclaren Oakland | Pontiac | MI | 10 | — | $156.50 | $80.69 | $155.88 | $301.00 |
| Mclaren Port Huron | Port Huron | MI | 29 | $46,162 | $23,081 | $49.65 | $144.74 | $319.00 |
| Karmanos Cancer Hospital | Detroit | MI | 13 | — | $230.90 | $63.84 | $143.58 | $349.43 |
| Mclaren Flint | Flint | MI | 28 | $1,439.00 | $719.50 | $39.48 | $140.58 | $1,010.65 |
| Borgess-Pipp Health Center | Plainwell | MI | 1 | $707.00 | $282.80 | $134.67 | $134.67 | $134.67 |
| Ascension Borgess Hospital | Kalamazoo | MI | 1 | $707.00 | $282.80 | $134.67 | $134.67 | $134.67 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 1 | $707.00 | $282.80 | $134.67 | $134.67 | $134.67 |
| Ascension Providence Rochester Hospi | Rochester | MI | 1 | $707.00 | $282.80 | $134.67 | $134.67 | $134.67 |
| Ascension Standish Hospital | Standish | MI | 1 | $707.00 | $282.80 | $134.67 | $134.67 | $134.67 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 1 | $707.00 | $282.80 | $134.67 | $134.67 | $134.67 |
| Ascension Allegan Hospital | Allegan | MI | 1 | $707.00 | $282.80 | $134.67 | $134.67 | $134.67 |
| Mclaren Central Michigan | Mt Pleasant | MI | 17 | $1,127.00 | $563.50 | $69.68 | $131.81 | $845.25 |
| Mclaren Northern Michigan | Petoskey | MI | 13 | $1,089.00 | $544.50 | $57.45 | $127.60 | $660.04 |
| Mclaren Greater Lansing | Lansing | MI | 18 | $1,078.00 | $539.00 | $60.40 | $125.00 | $712.00 |
| Mclaren Thumb Region | Bad Axe | MI | 12 | $272.00 | $136.00 | $84.99 | $119.50 | $250.00 |
| Bay Regional Medical Center | Bay City | MI | 24 | $361.00 | $180.50 | $53.18 | $116.46 | $353.69 |
| Mclaren Macomb | Mt. Clemens | MI | 15 | — | $500.75 | $50.47 | $108.58 | $833.40 |
| Mclaren Bay Special Care | Bay City | MI | 12 | — | $113.90 | $55.38 | $104.17 | $187.25 |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | $409.00 | $286.30 | — | — | — |
| Mckenzie Health System | Sandusky | MI | 0 | $250.00 | $200.00 | — | — | — |
| Mackinac Straits Health System Inc | St. Ignace | MI | 0 | $395.00 | $276.50 | — | — | — |
| Carson City Hospital | Carson City | MI | 0 | $498.00 | $143.50 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $398.00 | $143.50 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $398.00 | $143.50 | — | — | — |
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.