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Office visit, established patient, 10-19 min

CPT 99212 · negotiated-rate distribution across hospitals in MI

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Hospitals
29
Min
$31.6
Median
$59.81
Max
$129.96
Range multiplier
4.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1399$21.7$84.38$751.534.6×
Aetna1381$20.24$87.04$751.537.1×
priority health op rate958$21.73$85.35$484.3422.3×
First Health854$28$135.95$632.822.6×
hap - hmo op rate545$15.84$67.4$23114.6×
cofinity - auto op rate441$24.07$103.72$588.8624.5×
hp - ppo op rate440$24.48$101.28$284.6511.6×
hp - hmo op rate440$18.4$76.11$205.1511.1×
hap preferred op rate438$17.63$80.15$488.1227.7×
cofinity - ppom op rate334$21.07$94.91$427.520.3×
Blue Cross Blue Shield1233$39.37$79.2$3789.6×
mhp - hmo op rate230$13.82$66.73$111.178.0×
health advantage - ppo op rate230$13.82$66.73$111.178.0×
Medicaid826$22.37$23.26$37816.9×
cofinity - wc/auto op rate124$24.37$108.54$193.858.0×
Medicare824$30.83$30.83$31.451.0×
cofinity wc op rate124$21.07$93.84$167.588.0×
hurley medical center op rate124$12.04$53.62$95.768.0×
hap/ahl op rate124$15.84$70.53$125.968.0×
priority health823$39.04$83$548.0714.0×
mclaren commercial ins820$25$42.03$302.6312.1×
hap - ppo op rate316$57.69$74.3$320.55.6×
hcap op rate313$54$69$3005.6×
u of m health plan812$35.45$35.45$651.318.4×
mclaren health advantage op rate211$16.35$45.39$298.8318.3×
great lakes research op rate210$54$66.6$3005.6×
health advantage - commercial op rate210$31.54$38.91$175.255.6×
Multiplan29$80$105.6$658.48.2×
Humana88$30.83$30.83$30.831.0×
hap - hmo88$34.44$34.44$34.441.0×
mclaren health op rate37$23.47$59.54$362.9415.5×
evernorth behavioral health77$37.61$37.61$37.611.0×
workers compensation46$44.76$59.19$88.172.0×
bcccnp66$21.87$21.87$21.871.0×
beech street op rate16$90$110.25$740.78.2×
cofinity - wc op rate16$70.64$147.81$205.412.9×
cofinity w/c op rate16$63.71$78.05$524.338.2×
cofinity-ppom op rate16$70.76$148.05$205.752.9×
gift of life op rate16$70$85.75$576.18.2×
hap-hmo op rate16$45.11$55.26$371.268.2×
hospice care in michigan op rate16$50$61.25$411.58.2×
phpmm-commercial hmo op rate16$42.52$52.09$349.948.2×
usa mco-ppo op rate16$85$104.13$699.558.2×
hap hmo op rate25$36.91$89.43$124.443.4×
health plus hmo op rate25$44.33$98.79$149.443.4×
hap - preferred op rate15$23.59$98.92$137.725.8×
cofinity and wc op rate15$21.57$90.47$125.965.8×
Cigna25$37.2$104.13$125.43.4×
oakland county community mental health op rate15$31$130$1815.8×
oc inmates correct care solutions llc op rate15$19.53$81.9$114.035.8×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MCLAREN PORT HURONPORT HURONMI27$215.3$107.65$21.87$93.98$185
MCLAREN OAKLANDPONTIACMI10$94.1$16.35$90.74$181
TAWAS ST. JOSEPH HOSPITALTAWASMI1$509$167.97$79.2$79.2$117.12
MCLAREN MACOMBMT. CLEMENSMI15$445.05$36.31$77.69$740.7
MCLAREN FLINTFLINTMI26$414$207$12.04$76.37$290.7
MCLAREN GREATER LANSINGLANSING MI 489100MI16$958$479$13.99$75.59$670.6
MCLAREN BAY SPECIAL CAREBAY CITYMI12$260$31.54$68.45$427.5
MCLAREN CENTRAL MICHIGANMT PLEASANTMI16$1,002$501$21.87$65.63$751.5
BAY REGIONAL MEDICAL CENTERBAY CITYMI22$272$270.4$21.87$63.19$427.5
KARMANOS CANCER HOSPITALDETROITMI13$108.7$22.88$59.81$164.48
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI4$207$21.87$40.37$207
ASCENSION ST JOHN HOSPITALDETROITMI3$354.25$131.07$28.2$39.37$42.18
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI1$395$158$37.61$37.61$37.61
BORGESS-PIPP HEALTH CENTERPLAINWELLMI1$395$158$37.61$37.61$37.61
ASCENSION ALLEGAN HOSPITALALLEGANMI1$395$158$37.61$37.61$37.61
ASCENSION BORGESS HOSPITALKALAMAZOOMI1$395$158$37.61$37.61$37.61
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI1$395$158$37.61$37.61$37.61
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI1$395$158$37.61$37.61$37.61
ASCENSION STANDISH HOSPITALSTANDISHMI1$395$158$37.61$37.61$37.61
MCLAREN NORTHERN MICHIGANPETOSKEYMI11$779$389.5$21.87$33.1$584.25
MCLAREN THUMB REGIONBAD AXEMI11$368.47$184.24$22.37$31.6$138.47
MCLAREN LAPEER REGIONLAPEERMI23$337.4$196.6$22.37$129.96$378
CARSON CITY HOSPITALCARSON CITYMI0$376$94
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$286$200.2
MH - MERCY CAMPUSMUSKEGONMI0$289.2$138.82
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$132$92.4
MCKENZIE HEALTH SYSTEMSANDUSYMI0$80$64
SPARROW CLINTON HOSPITALST. JOHNSMI0$154$43.5
SPARROW EATONCHARLOTTEMI0$154$43.5

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.