▸ Compare · PriceTransparency
Office visit, established patient, 10-19 min
CPT 99212 · negotiated-rate distribution across hospitals in MI
Hospitals
29
Min
$31.60
Median
$59.81
Max
$129.96
Range multiplier
4.1×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 13 | 99 | $21.70 | $84.38 | $751.50 | 34.6× |
| Aetna | 13 | 81 | $20.24 | $87.04 | $751.50 | 37.1× |
| priority health op rate | 9 | 58 | $21.73 | $85.35 | $484.34 | 22.3× |
| First Health | 8 | 54 | $28.00 | $135.95 | $632.80 | 22.6× |
| hap - hmo op rate | 5 | 45 | $15.84 | $67.40 | $231.00 | 14.6× |
| cofinity - auto op rate | 4 | 41 | $24.07 | $103.72 | $588.86 | 24.5× |
| hp - ppo op rate | 4 | 40 | $24.48 | $101.28 | $284.65 | 11.6× |
| hp - hmo op rate | 4 | 40 | $18.40 | $76.11 | $205.15 | 11.1× |
| hap preferred op rate | 4 | 38 | $17.63 | $80.15 | $488.12 | 27.7× |
| cofinity - ppom op rate | 3 | 34 | $21.07 | $94.91 | $427.50 | 20.3× |
| Blue Cross Blue Shield | 12 | 33 | $39.37 | $79.20 | $378.00 | 9.6× |
| mhp - hmo op rate | 2 | 30 | $13.82 | $66.73 | $111.17 | 8.0× |
| health advantage - ppo op rate | 2 | 30 | $13.82 | $66.73 | $111.17 | 8.0× |
| Medicaid | 8 | 26 | $22.37 | $23.26 | $378.00 | 16.9× |
| cofinity - wc/auto op rate | 1 | 24 | $24.37 | $108.54 | $193.85 | 8.0× |
| Medicare | 8 | 24 | $30.83 | $30.83 | $31.45 | 1.0× |
| cofinity wc op rate | 1 | 24 | $21.07 | $93.84 | $167.58 | 8.0× |
| hurley medical center op rate | 1 | 24 | $12.04 | $53.62 | $95.76 | 8.0× |
| hap/ahl op rate | 1 | 24 | $15.84 | $70.53 | $125.96 | 8.0× |
| priority health | 8 | 23 | $39.04 | $83.00 | $548.07 | 14.0× |
| mclaren commercial ins | 8 | 20 | $25.00 | $42.03 | $302.63 | 12.1× |
| hap - ppo op rate | 3 | 16 | $57.69 | $74.30 | $320.50 | 5.6× |
| hcap op rate | 3 | 13 | $54.00 | $69.00 | $300.00 | 5.6× |
| u of m health plan | 8 | 12 | $35.45 | $35.45 | $651.30 | 18.4× |
| mclaren health advantage op rate | 2 | 11 | $16.35 | $45.39 | $298.83 | 18.3× |
| great lakes research op rate | 2 | 10 | $54.00 | $66.60 | $300.00 | 5.6× |
| health advantage - commercial op rate | 2 | 10 | $31.54 | $38.91 | $175.25 | 5.6× |
| Multiplan | 2 | 9 | $80.00 | $105.60 | $658.40 | 8.2× |
| Humana | 8 | 8 | $30.83 | $30.83 | $30.83 | 1.0× |
| hap - hmo | 8 | 8 | $34.44 | $34.44 | $34.44 | 1.0× |
| mclaren health op rate | 3 | 7 | $23.47 | $59.54 | $362.94 | 15.5× |
| evernorth behavioral health | 7 | 7 | $37.61 | $37.61 | $37.61 | 1.0× |
| workers compensation | 4 | 6 | $44.76 | $59.19 | $88.17 | 2.0× |
| bcccnp | 6 | 6 | $21.87 | $21.87 | $21.87 | 1.0× |
| beech street op rate | 1 | 6 | $90.00 | $110.25 | $740.70 | 8.2× |
| cofinity - wc op rate | 1 | 6 | $70.64 | $147.81 | $205.41 | 2.9× |
| cofinity w/c op rate | 1 | 6 | $63.71 | $78.05 | $524.33 | 8.2× |
| cofinity-ppom op rate | 1 | 6 | $70.76 | $148.05 | $205.75 | 2.9× |
| gift of life op rate | 1 | 6 | $70.00 | $85.75 | $576.10 | 8.2× |
| hap-hmo op rate | 1 | 6 | $45.11 | $55.26 | $371.26 | 8.2× |
| hospice care in michigan op rate | 1 | 6 | $50.00 | $61.25 | $411.50 | 8.2× |
| phpmm-commercial hmo op rate | 1 | 6 | $42.52 | $52.09 | $349.94 | 8.2× |
| usa mco-ppo op rate | 1 | 6 | $85.00 | $104.13 | $699.55 | 8.2× |
| hap hmo op rate | 2 | 5 | $36.91 | $89.43 | $124.44 | 3.4× |
| health plus hmo op rate | 2 | 5 | $44.33 | $98.79 | $149.44 | 3.4× |
| hap - preferred op rate | 1 | 5 | $23.59 | $98.92 | $137.72 | 5.8× |
| cofinity and wc op rate | 1 | 5 | $21.57 | $90.47 | $125.96 | 5.8× |
| Cigna | 2 | 5 | $37.20 | $104.13 | $125.40 | 3.4× |
| oakland county community mental health op rate | 1 | 5 | $31.00 | $130.00 | $181.00 | 5.8× |
| oc inmates correct care solutions llc op rate | 1 | 5 | $19.53 | $81.90 | $114.03 | 5.8× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Mclaren Port Huron | Port Huron | MI | 27 | $215.30 | $107.65 | $21.87 | $93.98 | $185.00 |
| Mclaren Oakland | Pontiac | MI | 10 | — | $94.10 | $16.35 | $90.74 | $181.00 |
| Tawas St. Joseph Hospital | Tawas | MI | 1 | $509.00 | $167.97 | $79.20 | $79.20 | $117.12 |
| Mclaren Macomb | Mt. Clemens | MI | 15 | — | $445.05 | $36.31 | $77.69 | $740.70 |
| Mclaren Flint | Flint | MI | 26 | $414.00 | $207.00 | $12.04 | $76.37 | $290.70 |
| Mclaren Greater Lansing | Lansing | MI | 16 | $958.00 | $479.00 | $13.99 | $75.59 | $670.60 |
| Mclaren Bay Special Care | Bay City | MI | 12 | — | $260.00 | $31.54 | $68.45 | $427.50 |
| Mclaren Central Michigan | Mt Pleasant | MI | 16 | $1,002.00 | $501.00 | $21.87 | $65.63 | $751.50 |
| Bay Regional Medical Center | Bay City | MI | 22 | $272.00 | $270.40 | $21.87 | $63.19 | $427.50 |
| Karmanos Cancer Hospital | Detroit | MI | 13 | — | $108.70 | $22.88 | $59.81 | $164.48 |
| Garden City Hospital Osteopathic | Garden City | MI | 4 | $207.00 | — | $21.87 | $40.37 | $207.00 |
| Ascension St John Hospital | Detroit | MI | 3 | $354.25 | $131.07 | $28.20 | $39.37 | $42.18 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 1 | $395.00 | $158.00 | $37.61 | $37.61 | $37.61 |
| Borgess-Pipp Health Center | Plainwell | MI | 1 | $395.00 | $158.00 | $37.61 | $37.61 | $37.61 |
| Ascension Allegan Hospital | Allegan | MI | 1 | $395.00 | $158.00 | $37.61 | $37.61 | $37.61 |
| Ascension Borgess Hospital | Kalamazoo | MI | 1 | $395.00 | $158.00 | $37.61 | $37.61 | $37.61 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 1 | $395.00 | $158.00 | $37.61 | $37.61 | $37.61 |
| Ascension Providence Rochester Hospi | Rochester | MI | 1 | $395.00 | $158.00 | $37.61 | $37.61 | $37.61 |
| Ascension Standish Hospital | Standish | MI | 1 | $395.00 | $158.00 | $37.61 | $37.61 | $37.61 |
| Mclaren Northern Michigan | Petoskey | MI | 11 | $779.00 | $389.50 | $21.87 | $33.10 | $584.25 |
| Mclaren Thumb Region | Bad Axe | MI | 11 | $368.47 | $184.24 | $22.37 | $31.60 | $138.47 |
| Mclaren Lapeer Region | Lapeer | MI | 23 | $337.40 | $196.60 | $22.37 | $129.96 | $378.00 |
| Carson City Hospital | Carson City | MI | 0 | $376.00 | $94.00 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | $286.00 | $200.20 | — | — | — |
| Mh - Mercy Campus | Muskegon | MI | 0 | $289.20 | $138.82 | — | — | — |
| Mackinac Straits Health System Inc | St. Ignace | MI | 0 | $132.00 | $92.40 | — | — | — |
| Mckenzie Health System | Sandusky | MI | 0 | $80.00 | $64.00 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $154.00 | $43.50 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $154.00 | $43.50 | — | — | — |
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.