▸ Compare · PriceTransparency
Office visit, established patient, 5 min
CPT 99211 · negotiated-rate distribution across hospitals in MI
Hospitals
29
Min
$8.63
Median
$22.58
Max
$104.73
Range multiplier
12.1×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 13 | 122 | $5.54 | $80.15 | $579.00 | 104.5× |
| Aetna | 13 | 108 | $7.57 | $85.72 | $579.00 | 76.5× |
| priority health op rate | 9 | 88 | $12.95 | $71.24 | $454.32 | 35.1× |
| First Health | 8 | 85 | $9.60 | $107.10 | $593.60 | 61.8× |
| hap - hmo op rate | 5 | 70 | $17.46 | $56.73 | $234.70 | 13.4× |
| hp - hmo op rate | 4 | 65 | $21.39 | $54.98 | $208.43 | 9.7× |
| hp - ppo op rate | 4 | 65 | $28.46 | $76.29 | $289.20 | 10.2× |
| cofinity - ppom op rate | 3 | 56 | $24.50 | $93.17 | $434.34 | 17.7× |
| hap - ppo op rate | 3 | 45 | $40.38 | $76.47 | $325.63 | 8.1× |
| cofinity - auto op rate | 4 | 45 | $15.74 | $93.15 | $552.37 | 35.1× |
| hap preferred op rate | 4 | 42 | $13.05 | $72.70 | $457.87 | 35.1× |
| hcap op rate | 3 | 39 | $37.80 | $66.00 | $304.80 | 8.1× |
| great lakes research op rate | 2 | 36 | $37.80 | $65.70 | $304.80 | 8.1× |
| Blue Cross Blue Shield | 12 | 36 | $14.48 | $44.30 | $262.00 | 18.1× |
| health advantage - commercial op rate | 2 | 36 | $22.08 | $38.38 | $178.05 | 8.1× |
| mhp - hmo op rate | 2 | 29 | $16.07 | $61.07 | $89.00 | 5.5× |
| Medicaid | 8 | 29 | $5.54 | $5.76 | $275.00 | 49.6× |
| health advantage - ppo op rate | 2 | 29 | $16.07 | $61.07 | $89.00 | 5.5× |
| Medicare | 8 | 24 | $7.61 | $7.61 | $7.76 | 1.0× |
| cofinity - wc/auto op rate | 1 | 20 | $28.34 | $92.50 | $157.00 | 5.5× |
| hap/ahl op rate | 1 | 20 | $18.42 | $60.11 | $102.02 | 5.5× |
| cofinity wc op rate | 1 | 20 | $24.50 | $79.97 | $135.73 | 5.5× |
| hurley medical center op rate | 1 | 20 | $14.00 | $45.70 | $77.56 | 5.5× |
| priority health | 8 | 17 | $9.66 | $63.89 | $513.75 | 53.2× |
| mclaren health advantage op rate | 2 | 16 | $7.99 | $40.67 | $280.31 | 35.1× |
| Multiplan | 2 | 14 | $17.60 | $95.00 | $617.60 | 35.1× |
| mclaren commercial ins | 8 | 12 | $10.00 | $10.00 | $62.02 | 6.2× |
| phpmm-commercial hmo op rate | 1 | 11 | $9.35 | $46.77 | $328.25 | 35.1× |
| hospice care in michigan op rate | 1 | 11 | $11.00 | $55.00 | $386.00 | 35.1× |
| cofinity w/c op rate | 1 | 11 | $14.02 | $70.08 | $491.84 | 35.1× |
| gift of life op rate | 1 | 11 | $15.40 | $77.00 | $540.40 | 35.1× |
| usa mco-ppo op rate | 1 | 11 | $18.70 | $93.50 | $656.20 | 35.1× |
| hap-hmo op rate | 1 | 11 | $9.92 | $49.62 | $348.25 | 35.1× |
| beech street op rate | 1 | 11 | $19.80 | $99.00 | $694.80 | 35.1× |
| cofinity-ppom op rate | 1 | 9 | $64.77 | $117.57 | $142.61 | 2.2× |
| u of m health plan | 8 | 9 | $8.75 | $8.75 | $85.19 | 9.7× |
| cofinity - wc op rate | 1 | 9 | $64.66 | $117.37 | $142.37 | 2.2× |
| hap - hmo | 8 | 8 | $8.50 | $8.50 | $8.50 | 1.0× |
| Humana | 8 | 8 | $7.61 | $7.61 | $7.61 | 1.0× |
| evernorth behavioral health | 7 | 7 | $20.73 | $20.73 | $20.73 | 1.0× |
| mclaren health op rate | 3 | 7 | $12.49 | $50.39 | $340.45 | 27.3× |
| bcccnp | 6 | 6 | $21.87 | $21.87 | $21.87 | 1.0× |
| oc inmates correct care solutions llc op rate | 1 | 5 | $18.27 | $74.97 | $80.64 | 4.4× |
| Cigna | 2 | 5 | $19.80 | $86.58 | $121.20 | 6.1× |
| cofinity and wc op rate | 1 | 5 | $20.18 | $82.81 | $89.08 | 4.4× |
| com cofinity auto op rate | 1 | 5 | $8.73 | $90.23 | $539.95 | 61.8× |
| com php op rate | 1 | 5 | $4.89 | $50.54 | $302.44 | 61.8× |
| com priority health op rate | 1 | 5 | $7.21 | $74.46 | $445.57 | 61.8× |
| hap - preferred op rate | 1 | 5 | $22.07 | $90.55 | $97.40 | 4.4× |
| hap ahl op rate | 2 | 5 | $21.33 | $75.18 | $130.59 | 6.1× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Mclaren Northern Michigan | Petoskey | MI | 11 | $708.00 | $354.00 | $5.54 | $8.91 | $429.12 |
| Mclaren Thumb Region | Bad Axe | MI | 11 | $145.00 | $72.50 | $5.54 | $8.63 | $98.50 |
| Mclaren Port Huron | Port Huron | MI | 26 | $179.10 | $89.55 | $5.54 | $78.03 | $154.00 |
| Mclaren Oakland | Pontiac | MI | 10 | — | $66.55 | $15.29 | $75.12 | $128.00 |
| Mclaren Flint | Flint | MI | 25 | $164.00 | $144.05 | $5.54 | $71.42 | $275.00 |
| Mclaren Bay Special Care | Bay City | MI | 12 | — | $264.15 | $22.08 | $67.94 | $434.34 |
| Mclaren Macomb | Mt. Clemens | MI | 15 | — | $417.50 | $7.99 | $67.20 | $694.80 |
| Bay Regional Medical Center | Bay City | MI | 22 | $228.00 | $274.70 | $5.54 | $66.00 | $434.34 |
| Tawas St. Joseph Hospital | Tawas | MI | 1 | $250.00 | $82.50 | $41.25 | $41.25 | $61.00 |
| Karmanos Cancer Hospital | Detroit | MI | 13 | — | $105.10 | $12.18 | $33.00 | $158.97 |
| Mclaren Greater Lansing | Lansing | MI | 19 | $898.00 | $449.00 | $4.80 | $23.52 | $593.60 |
| Mclaren Central Michigan | Mt Pleasant | MI | 16 | $939.00 | $469.50 | $5.54 | $22.58 | $694.80 |
| Ascension Standish Hospital | Standish | MI | 1 | $432.00 | $172.80 | $20.73 | $20.73 | $20.73 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 1 | $432.00 | $172.80 | $20.73 | $20.73 | $20.73 |
| Ascension Borgess Hospital | Kalamazoo | MI | 1 | $432.00 | $172.80 | $20.73 | $20.73 | $20.73 |
| Ascension Allegan Hospital | Allegan | MI | 1 | $432.00 | $172.80 | $20.73 | $20.73 | $20.73 |
| Borgess-Pipp Health Center | Plainwell | MI | 1 | $432.00 | $172.80 | $20.73 | $20.73 | $20.73 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 1 | $432.00 | $172.80 | $20.73 | $20.73 | $20.73 |
| Ascension Providence Rochester Hospi | Rochester | MI | 1 | $432.00 | $172.80 | $20.73 | $20.73 | $20.73 |
| Garden City Hospital Osteopathic | Garden City | MI | 4 | $134.00 | — | $9.01 | $20.06 | $134.00 |
| Ascension St John Hospital | Detroit | MI | 3 | $251.00 | $92.87 | $10.21 | $14.48 | $15.51 |
| Mclaren Lapeer Region | Lapeer | MI | 23 | $283.60 | $141.80 | $5.54 | $104.73 | $262.00 |
| Carson City Hospital | Carson City | MI | 0 | $328.00 | $82.00 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | $234.00 | $163.80 | — | — | — |
| Mh - Mercy Campus | Muskegon | MI | 0 | $249.90 | $119.95 | — | — | — |
| Southeast Michigan Surgical Hospital | Warren | MI | 0 | $143.00 | $114.40 | — | — | — |
| Mckenzie Health System | Sandusky | MI | 0 | $352.00 | $281.60 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $293.00 | $73.25 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $56.00 | $20.00 | — | — | — |
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.