▸ 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
$366.30
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 | $1,313.20 | 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 | $1,594.60 | 19.2× |
| Blue Cross Blue Shield | 12 | 33 | $117.84 | $264.56 | $934.00 | 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 | $934.00 | 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 | $64.60 | $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 | $200.80 | $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 | $168.00 | $168.00 | 3.5× |
| hap - ppo op rate | 3 | 10 | $93.90 | $236.70 | $538.08 | 5.7× |
| u of m health plan | 8 | 9 | $84.37 | $183.01 | $183.01 | 2.2× |
| Multiplan | 2 | 9 | $120.80 | $174.40 | $785.60 | 6.5× |
| hap - hmo | 8 | 8 | $177.00 | $177.00 | $177.00 | 1.0× |
| safe response program | 8 | 8 | $275.00 | $275.00 | $275.00 | 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 | $127.50 | $153.00 | $304.50 | 2.4× |
| bcccnp | 6 | 6 | $115.00 | $115.00 | $115.00 | 1.0× |
| beech street op rate | 1 | 6 | $135.90 | $169.20 | $883.80 | 6.5× |
| hospice care in michigan op rate | 1 | 6 | $75.50 | $94.00 | $491.00 | 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 | $96.20 | $119.78 | $625.63 | 6.5× |
| usa mco-ppo op rate | 1 | 6 | $128.35 | $159.80 | $834.70 | 6.5× |
| gift of life op rate | 1 | 6 | $105.70 | $131.60 | $687.40 | 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 | $56.50 | $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 | $266.40 | 2.7× |
| cofinity op rate | 2 | 5 | $127.50 | $199.80 | $736.50 | 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 | $82.90 | $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 | $1,106.00 | $364.98 | $366.30 | $366.30 | $541.68 |
| Mclaren Lapeer Region | Lapeer | MI | 24 | $731.70 | $485.70 | $47.94 | $274.69 | $934.00 |
| Ascension St John Hospital | Detroit | MI | 3 | $750.50 | $277.69 | $183.33 | $264.56 | $283.45 |
| Garden City Hospital Osteopathic | Garden City | MI | 3 | $488.00 | — | $115.00 | $211.34 | $488.00 |
| Mclaren Oakland | Pontiac | MI | 10 | — | $204.90 | $85.97 | $185.40 | $394.00 |
| Mclaren Port Huron | Port Huron | MI | 29 | $473.00 | $236.50 | $55.62 | $184.28 | $406.00 |
| Karmanos Cancer Hospital | Detroit | MI | 13 | — | $230.90 | $80.44 | $177.97 | $349.43 |
| Borgess-Pipp Health Center | Plainwell | MI | 1 | $1,083.00 | $433.20 | $171.42 | $171.42 | $171.42 |
| Ascension Borgess Hospital | Kalamazoo | MI | 1 | $1,083.00 | $433.20 | $171.42 | $171.42 | $171.42 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 1 | $1,083.00 | $433.20 | $171.42 | $171.42 | $171.42 |
| Ascension Providence Rochester Hospi | Rochester | MI | 1 | $1,083.00 | $433.20 | $171.42 | $171.42 | $171.42 |
| Ascension Standish Hospital | Standish | MI | 1 | $1,083.00 | $433.20 | $171.42 | $171.42 | $171.42 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 1 | $1,083.00 | $433.20 | $171.42 | $171.42 | $171.42 |
| Ascension Allegan Hospital | Allegan | MI | 1 | $1,083.00 | $433.20 | $171.42 | $171.42 | $171.42 |
| Mclaren Thumb Region | Bad Axe | MI | 12 | $339.00 | $169.50 | $99.17 | $165.96 | $275.00 |
| Mclaren Northern Michigan | Petoskey | MI | 13 | $1,200.00 | $600.00 | $61.93 | $160.73 | $275.00 |
| Mclaren Central Michigan | Mt Pleasant | MI | 18 | $1,194.00 | $597.00 | $74.97 | $159.14 | $883.80 |
| Bay Regional Medical Center | Bay City | MI | 23 | $409.00 | $204.50 | $64.45 | $159.14 | $428.68 |
| Mclaren Flint | Flint | MI | 28 | $2,271.00 | $1,135.50 | $42.28 | $153.30 | $1,594.60 |
| Mclaren Greater Lansing | Lansing | MI | 17 | $1,143.00 | $571.50 | $65.39 | $147.72 | $334.28 |
| Mclaren Bay Special Care | Bay City | MI | 12 | — | $132.60 | $76.41 | $143.39 | $218.03 |
| Mclaren Macomb | Mt. Clemens | MI | 15 | — | $531.10 | $54.83 | $128.32 | $883.80 |
| Carson City Hospital | Carson City | MI | 0 | $573.00 | $181.50 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $459.00 | $181.50 | — | — | — |
| Mackinac Straits Health System Inc | St. Ignace | MI | 0 | $491.00 | $343.70 | — | — | — |
| Mckenzie Health System | Sandusky | MI | 0 | $320.00 | $256.00 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | $477.00 | $333.90 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $458.00 | $181.50 | — | — | — |
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.