▸ Compare · PriceTransparency
Office visit, established patient, 40-54 min
CPT 99215 · negotiated-rate distribution across hospitals in MI
Hospitals
29
Min
$88.21
Median
$124.89
Max
$254.10
Range multiplier
2.9×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 13 | 84 | $35.00 | $128.04 | $1,313.20 | 37.5× |
| Aetna | 13 | 69 | $40.83 | $147.16 | $896.25 | 22.0× |
| priority health op rate | 9 | 46 | $27.77 | $127.61 | $947.94 | 34.1× |
| First Health | 8 | 43 | $42.50 | $164.80 | $1,594.60 | 37.5× |
| hap - hmo op rate | 5 | 33 | $23.10 | $98.14 | $690.93 | 29.9× |
| hp - hmo op rate | 4 | 29 | $20.52 | $111.63 | $802.55 | 39.1× |
| cofinity - auto op rate | 4 | 29 | $80.49 | $205.75 | $1,063.32 | 13.2× |
| hp - ppo op rate | 4 | 29 | $28.46 | $148.55 | $1,068.01 | 37.5× |
| Blue Cross Blue Shield | 12 | 27 | $130.63 | $173.67 | $656.00 | 5.0× |
| hap preferred op rate | 4 | 27 | $58.22 | $149.65 | $769.16 | 13.2× |
| Medicaid | 8 | 26 | $91.38 | $95.04 | $656.00 | 7.2× |
| Medicare | 8 | 24 | $124.31 | $124.31 | $126.80 | 1.0× |
| cofinity - ppom op rate | 3 | 23 | $42.75 | $127.86 | $919.24 | 21.5× |
| priority health | 8 | 20 | $73.25 | $159.53 | $653.91 | 8.9× |
| health advantage - ppo op rate | 2 | 19 | $45.62 | $117.27 | $602.76 | 13.2× |
| mhp - hmo op rate | 2 | 19 | $45.62 | $117.27 | $602.76 | 13.2× |
| hap - ppo op rate | 3 | 16 | $32.05 | $100.00 | $377.92 | 11.8× |
| mclaren commercial ins | 8 | 14 | $48.11 | $107.00 | $142.28 | 3.0× |
| hap/ahl op rate | 1 | 13 | $52.30 | $133.69 | $690.93 | 13.2× |
| hcap op rate | 3 | 13 | $30.00 | $93.60 | $239.25 | 8.0× |
| cofinity wc op rate | 1 | 13 | $69.58 | $177.87 | $919.24 | 13.2× |
| cofinity - wc/auto op rate | 1 | 13 | $80.49 | $205.75 | $1,063.32 | 13.2× |
| hurley medical center op rate | 1 | 13 | $39.76 | $101.64 | $525.28 | 13.2× |
| health advantage - commercial op rate | 2 | 10 | $17.52 | $51.17 | $105.85 | 6.0× |
| u of m health plan | 8 | 10 | $84.37 | $142.96 | $465.89 | 5.5× |
| great lakes research op rate | 2 | 10 | $30.00 | $87.60 | $181.20 | 6.0× |
| mclaren health advantage op rate | 2 | 10 | $51.56 | $80.43 | $356.56 | 6.9× |
| Multiplan | 2 | 9 | $113.60 | $136.54 | $785.60 | 6.9× |
| Humana | 8 | 8 | $124.31 | $124.31 | $124.31 | 1.0× |
| hap - hmo | 8 | 8 | $140.31 | $140.31 | $140.31 | 1.0× |
| mclaren health op rate | 3 | 7 | $53.76 | $100.45 | $433.06 | 8.1× |
| evernorth behavioral health | 7 | 7 | $117.66 | $117.66 | $117.66 | 1.0× |
| phpmm-commercial hmo op rate | 1 | 6 | $60.38 | $66.97 | $417.55 | 6.9× |
| beech street op rate | 1 | 6 | $127.80 | $141.75 | $883.80 | 6.9× |
| cofinity - wc op rate | 1 | 6 | $88.57 | $237.17 | $356.47 | 4.0× |
| cofinity w/c op rate | 1 | 6 | $90.47 | $100.34 | $625.63 | 6.9× |
| cofinity-ppom op rate | 1 | 6 | $88.72 | $237.56 | $357.06 | 4.0× |
| gift of life op rate | 1 | 6 | $99.40 | $110.25 | $687.40 | 6.9× |
| hap-hmo op rate | 1 | 6 | $64.06 | $71.05 | $442.98 | 6.9× |
| hospice care in michigan op rate | 1 | 6 | $71.00 | $78.75 | $491.00 | 6.9× |
| usa mco-ppo op rate | 1 | 6 | $120.70 | $133.88 | $834.70 | 6.9× |
| hap ahl op rate | 2 | 5 | $86.36 | $155.96 | $302.56 | 3.5× |
| Cigna | 2 | 5 | $85.20 | $179.59 | $280.80 | 3.3× |
| health plus hmo op rate | 2 | 5 | $94.35 | $170.39 | $334.62 | 3.5× |
| hap hmo op rate | 2 | 5 | $84.55 | $154.24 | $278.65 | 3.3× |
| cofinity op rate | 2 | 5 | $127.50 | $133.80 | $736.50 | 5.8× |
| oc inmates correct care solutions llc op rate | 1 | 4 | $89.46 | $142.70 | $189.63 | 2.1× |
| com php op rate | 1 | 4 | $65.22 | $76.63 | $384.77 | 5.9× |
| com mclaren commercial ins op rate | 1 | 4 | $63.95 | $75.15 | $377.32 | 5.9× |
| com cofinity auto op rate | 1 | 4 | $116.43 | $136.81 | $686.95 | 5.9× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Bay Regional Medical Center | Bay City | MI | 20 | $409.00 | $204.50 | $17.52 | $99.70 | $258.21 |
| Mclaren Bay Special Care | Bay City | MI | 12 | — | $157.05 | $17.52 | $88.21 | $258.21 |
| Tawas St. Joseph Hospital | Tawas | MI | 1 | $1,106.00 | $364.98 | $254.10 | $254.10 | $375.76 |
| Mclaren Lapeer Region | Lapeer | MI | 23 | $207.00 | $341.10 | $47.94 | $192.93 | $656.00 |
| Ascension St John Hospital | Detroit | MI | 3 | $714.75 | $264.46 | $122.03 | $173.67 | $186.07 |
| Mclaren Oakland | Pontiac | MI | 10 | — | $156.50 | $74.89 | $155.85 | $301.00 |
| Garden City Hospital Osteopathic | Garden City | MI | 3 | $398.00 | — | $67.00 | $147.72 | $398.00 |
| Mclaren Port Huron | Port Huron | MI | 26 | $207.00 | $165.90 | $55.62 | $147.16 | $319.00 |
| Mclaren Central Michigan | Mt Pleasant | MI | 15 | $1,195.00 | $597.50 | $74.97 | $142.96 | $896.25 |
| Karmanos Cancer Hospital | Detroit | MI | 13 | — | $243.40 | $52.40 | $142.12 | $468.00 |
| Mclaren Flint | Flint | MI | 26 | $207.00 | $975.50 | $39.76 | $138.66 | $1,594.60 |
| Mclaren Greater Lansing | Lansing | MI | 16 | $1,143.00 | $571.50 | $63.95 | $126.80 | $800.10 |
| Mclaren Northern Michigan | Petoskey | MI | 10 | $1,038.00 | $519.00 | $61.93 | $124.89 | $629.13 |
| Mclaren Thumb Region | Bad Axe | MI | 11 | $272.00 | $136.00 | $91.38 | $124.31 | $168.70 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 1 | $1,067.00 | $426.80 | $117.66 | $117.66 | $117.66 |
| Borgess-Pipp Health Center | Plainwell | MI | 1 | $1,067.00 | $426.80 | $117.66 | $117.66 | $117.66 |
| Ascension Borgess Hospital | Kalamazoo | MI | 1 | $1,067.00 | $426.80 | $117.66 | $117.66 | $117.66 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 1 | $1,067.00 | $426.80 | $117.66 | $117.66 | $117.66 |
| Ascension Providence Rochester Hospi | Rochester | MI | 1 | $1,067.00 | $426.80 | $117.66 | $117.66 | $117.66 |
| Ascension Allegan Hospital | Allegan | MI | 1 | $1,067.00 | $426.80 | $117.66 | $117.66 | $117.66 |
| Ascension Standish Hospital | Standish | MI | 1 | $1,067.00 | $426.80 | $117.66 | $117.66 | $117.66 |
| Mclaren Macomb | Mt. Clemens | MI | 15 | — | $531.10 | $51.56 | $108.97 | $883.80 |
| Carson City Hospital | Carson City | MI | 0 | $573.00 | $143.25 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | $423.00 | $296.10 | — | — | — |
| Mh - Mercy Campus | Muskegon | MI | 0 | $485.40 | $232.99 | — | — | — |
| Mackinac Straits Health System Inc | St. Ignace | MI | 0 | $361.00 | $252.70 | — | — | — |
| Mckenzie Health System | Sandusky | MI | 0 | $240.00 | $192.00 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $359.00 | $135.00 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $359.00 | $135.00 | — | — | — |
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.