▸ Compare · PriceTransparency
Office visit, new patient, 60-74 min
CPT 99205 · negotiated-rate distribution across hospitals in MI
Hospitals
28
Min
$128.32
Median
$171.42
Max
$366.3
Range multiplier
2.9×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 12 | 73 | $101.93 | $163.91 | $1,313.2 | 12.9× |
| Aetna | 13 | 56 | $71.06 | $181.96 | $882.85 | 12.4× |
| priority health op rate | 9 | 38 | $72.86 | $162.51 | $947.94 | 13.0× |
| First Health | 8 | 37 | $83.05 | $216.75 | $1,594.6 | 19.2× |
| Blue Cross Blue Shield | 12 | 33 | $117.84 | $264.56 | $934 | 7.9× |
| cofinity - auto op rate | 4 | 27 | $85.59 | $206.88 | $1,063.32 | 12.4× |
| hap preferred op rate | 4 | 27 | $61.91 | $149.65 | $769.16 | 12.4× |
| Medicaid | 8 | 26 | $115.66 | $120.29 | $934 | 8.1× |
| hap - hmo op rate | 5 | 25 | $55.61 | $133.69 | $690.93 | 12.4× |
| Medicare | 8 | 24 | $159.14 | $159.14 | $162.32 | 1.0× |
| hp - hmo op rate | 4 | 23 | $64.6 | $155.29 | $802.55 | 12.4× |
| hp - ppo op rate | 4 | 23 | $85.96 | $206.66 | $1,068.01 | 12.4× |
| health advantage - ppo op rate | 2 | 19 | $47.94 | $122.64 | $602.76 | 12.6× |
| mhp - hmo op rate | 2 | 19 | $47.94 | $122.64 | $602.76 | 12.6× |
| priority health | 8 | 17 | $88.16 | $200.8 | $243.13 | 2.8× |
| cofinity - ppom op rate | 3 | 17 | $73.99 | $186.39 | $919.24 | 12.4× |
| hurley medical center op rate | 1 | 13 | $42.28 | $101.64 | $525.28 | 12.4× |
| cofinity - wc/auto op rate | 1 | 13 | $85.59 | $205.75 | $1,063.32 | 12.4× |
| hap/ahl op rate | 1 | 13 | $55.61 | $133.69 | $690.93 | 12.4× |
| cofinity wc op rate | 1 | 13 | $73.99 | $177.87 | $919.24 | 12.4× |
| mclaren commercial ins | 8 | 12 | $48.11 | $168 | $168 | 3.5× |
| hap - ppo op rate | 3 | 10 | $93.9 | $236.7 | $538.08 | 5.7× |
| u of m health plan | 8 | 9 | $84.37 | $183.01 | $183.01 | 2.2× |
| Multiplan | 2 | 9 | $120.8 | $174.4 | $785.6 | 6.5× |
| hap - hmo | 8 | 8 | $177 | $177 | $177 | 1.0× |
| safe response program | 8 | 8 | $275 | $275 | $275 | 1.0× |
| Humana | 8 | 8 | $159.14 | $159.14 | $159.14 | 1.0× |
| mclaren health advantage op rate | 2 | 8 | $54.83 | $82.57 | $356.56 | 6.5× |
| mclaren health op rate | 3 | 7 | $55.62 | $127.61 | $433.06 | 7.8× |
| evernorth behavioral health | 7 | 7 | $171.42 | $171.42 | $171.42 | 1.0× |
| hcap op rate | 3 | 7 | $127.5 | $153 | $304.5 | 2.4× |
| bcccnp | 6 | 6 | $115 | $115 | $115 | 1.0× |
| beech street op rate | 1 | 6 | $135.9 | $169.2 | $883.8 | 6.5× |
| hospice care in michigan op rate | 1 | 6 | $75.5 | $94 | $491 | 6.5× |
| cofinity-ppom op rate | 1 | 6 | $88.72 | $323.04 | $508.38 | 5.7× |
| hap-hmo op rate | 1 | 6 | $68.12 | $84.81 | $442.98 | 6.5× |
| cofinity w/c op rate | 1 | 6 | $96.2 | $119.78 | $625.63 | 6.5× |
| usa mco-ppo op rate | 1 | 6 | $128.35 | $159.8 | $834.7 | 6.5× |
| gift of life op rate | 1 | 6 | $105.7 | $131.6 | $687.4 | 6.5× |
| phpmm-commercial hmo op rate | 1 | 6 | $64.21 | $79.94 | $417.55 | 6.5× |
| cofinity - wc op rate | 1 | 6 | $88.57 | $322.51 | $507.54 | 5.7× |
| workers compensation | 5 | 6 | $56.5 | $64.59 | $127.35 | 2.3× |
| hap ahl op rate | 2 | 5 | $86.36 | $198.12 | $287.05 | 3.3× |
| Cigna | 2 | 5 | $99.45 | $228.15 | $266.4 | 2.7× |
| cofinity op rate | 2 | 5 | $127.5 | $199.8 | $736.5 | 5.8× |
| hap hmo op rate | 2 | 5 | $85.41 | $195.94 | $264.36 | 3.1× |
| health plus hmo op rate | 2 | 5 | $94.35 | $216.45 | $317.46 | 3.4× |
| com php op rate | 1 | 4 | $69.29 | $92.12 | $140.21 | 2.0× |
| com priority health op rate | 1 | 4 | $102.09 | $135.71 | $206.57 | 2.0× |
| health advantage - commercial op rate | 2 | 4 | $76.41 | $82.9 | $89.38 | 1.2× |
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 | $1,106 | $364.98 | $366.3 | $366.3 | $541.68 |
| MCLAREN LAPEER REGION | LAPEER | MI | 24 | $731.7 | $485.7 | $47.94 | $274.69 | $934 |
| ASCENSION ST JOHN HOSPITAL | DETROIT | MI | 3 | $750.5 | $277.69 | $183.33 | $264.56 | $283.45 |
| GARDEN CITY HOSPITAL OSTEOPATHIC | GARDEN CITY | MI | 3 | $488 | — | $115 | $211.34 | $488 |
| MCLAREN OAKLAND | PONTIAC | MI | 10 | — | $204.9 | $85.97 | $185.4 | $394 |
| MCLAREN PORT HURON | PORT HURON | MI | 29 | $473 | $236.5 | $55.62 | $184.28 | $406 |
| KARMANOS CANCER HOSPITAL | DETROIT | MI | 13 | — | $230.9 | $80.44 | $177.97 | $349.43 |
| BORGESS-PIPP HEALTH CENTER | PLAINWELL | MI | 1 | $1,083 | $433.2 | $171.42 | $171.42 | $171.42 |
| ASCENSION BORGESS HOSPITAL | KALAMAZOO | MI | 1 | $1,083 | $433.2 | $171.42 | $171.42 | $171.42 |
| GENESYS REGIONAL MEDICAL CTR. | GRAND BLANC | MI | 1 | $1,083 | $433.2 | $171.42 | $171.42 | $171.42 |
| ASCENSION PROVIDENCE ROCHESTER HOSPI | ROCHESTER | MI | 1 | $1,083 | $433.2 | $171.42 | $171.42 | $171.42 |
| ASCENSION STANDISH HOSPITAL | STANDISH | MI | 1 | $1,083 | $433.2 | $171.42 | $171.42 | $171.42 |
| ASCENSION BORGESS-LEE HOSPITAL | DOWAGIAC | MI | 1 | $1,083 | $433.2 | $171.42 | $171.42 | $171.42 |
| ASCENSION ALLEGAN HOSPITAL | ALLEGAN | MI | 1 | $1,083 | $433.2 | $171.42 | $171.42 | $171.42 |
| MCLAREN THUMB REGION | BAD AXE | MI | 12 | $339 | $169.5 | $99.17 | $165.96 | $275 |
| MCLAREN NORTHERN MICHIGAN | PETOSKEY | MI | 13 | $1,200 | $600 | $61.93 | $160.73 | $275 |
| MCLAREN CENTRAL MICHIGAN | MT PLEASANT | MI | 18 | $1,194 | $597 | $74.97 | $159.14 | $883.8 |
| BAY REGIONAL MEDICAL CENTER | BAY CITY | MI | 23 | $409 | $204.5 | $64.45 | $159.14 | $428.68 |
| MCLAREN FLINT | FLINT | MI | 28 | $2,271 | $1,135.5 | $42.28 | $153.3 | $1,594.6 |
| MCLAREN GREATER LANSING | LANSING MI 489100 | MI | 17 | $1,143 | $571.5 | $65.39 | $147.72 | $334.28 |
| MCLAREN BAY SPECIAL CARE | BAY CITY | MI | 12 | — | $132.6 | $76.41 | $143.39 | $218.03 |
| MCLAREN MACOMB | MT. CLEMENS | MI | 15 | — | $531.1 | $54.83 | $128.32 | $883.8 |
| CARSON CITY HOSPITAL | CARSON CITY | MI | 0 | $573 | $181.5 | — | — | — |
| SPARROW EATON | CHARLOTTE | MI | 0 | $459 | $181.5 | — | — | — |
| MACKINAC STRAITS HEALTH SYSTEM INC | ST. IGNACE | MI | 0 | $491 | $343.7 | — | — | — |
| MCKENZIE HEALTH SYSTEM | SANDUSY | MI | 0 | $320 | $256 | — | — | — |
| NORTH OTTAWA COMMUNITY HOSPITAL | GRAND HAVEN | MI | 0 | $477 | $333.9 | — | — | — |
| SPARROW CLINTON HOSPITAL | ST. JOHNS | MI | 0 | $458 | $181.5 | — | — | — |
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.