▸ Compare · PriceTransparency
Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in MI
Hospitals
25
Min
$67.81
Median
$75.96
Max
$1,080
Range multiplier
15.9×
By payer (45 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 9 | 27 | $52.4 | $76.33 | $263.55 | 5.0× |
| Medicare | 8 | 24 | $74.11 | $74.11 | $75.59 | 1.0× |
| Medicaid | 8 | 18 | $52.4 | $54.5 | $376.5 | 7.2× |
| Blue Cross Blue Shield | 10 | 16 | $84.08 | $95.57 | $376.5 | 4.5× |
| Aetna | 10 | 13 | $85.96 | $85.96 | $210.45 | 2.4× |
| priority health | 9 | 13 | $69.52 | $108.19 | $1,081 | 15.5× |
| midmichigan health network | 1 | 11 | $1,080 | $1,080 | $1,080 | 1.0× |
| Molina | 1 | 10 | $69.52 | $320 | $610 | 8.8× |
| mclaren commercial ins | 8 | 8 | $97 | $97 | $97 | 1.0× |
| u of m health plan | 8 | 8 | $85.23 | $85.23 | $85.23 | 1.0× |
| Humana | 8 | 8 | $74.11 | $74.11 | $74.11 | 1.0× |
| evernorth behavioral health | 7 | 7 | $67.81 | $67.81 | $67.81 | 1.0× |
| meridian health plan | 1 | 6 | $69.52 | $401 | $659 | 9.5× |
| southwest michigan behavioral health | 1 | 5 | $1,081 | $1,081 | $1,081 | 1.0× |
| First Health | 3 | 4 | $111.73 | $306.83 | $380.12 | 3.4× |
| hap preferred op rate | 3 | 4 | $82.75 | $132.54 | $183.35 | 2.2× |
| priority health op rate | 3 | 4 | $77.85 | $154.64 | $225.97 | 2.9× |
| hp - hmo op rate | 2 | 3 | $119.36 | $162.84 | $191.31 | 1.6× |
| cofinity - auto op rate | 2 | 3 | $158.14 | $233.81 | $253.47 | 1.6× |
| northern michigan regional entity | 1 | 3 | $1,081.5 | $1,081.5 | $1,156 | 1.1× |
| hap - hmo op rate | 2 | 3 | $102.76 | $129.44 | $164.7 | 1.6× |
| mhp - hmo op rate | 2 | 3 | $89.64 | $110.73 | $143.69 | 1.6× |
| health advantage - ppo op rate | 2 | 3 | $89.64 | $110.73 | $143.69 | 1.6× |
| hp - ppo op rate | 2 | 3 | $158.83 | $216.9 | $254.59 | 1.6× |
| cofinity - ppom op rate | 1 | 2 | $136.71 | $177.92 | $219.13 | 1.6× |
| cofinity - wc/auto op rate | 1 | 2 | $158.14 | $205.81 | $253.47 | 1.6× |
| cofinity wc op rate | 1 | 2 | $136.71 | $177.92 | $219.13 | 1.6× |
| hap/ahl op rate | 1 | 2 | $102.76 | $133.73 | $164.7 | 1.6× |
| hurley medical center op rate | 1 | 2 | $78.12 | $101.67 | $125.22 | 1.6× |
| livingston county community mental health | 1 | 1 | $1,134 | $1,134 | $1,134 | 1.0× |
| lenawee community mental health authority | 1 | 1 | $1,112 | $1,112 | $1,112 | 1.0× |
| mclaren health op rate | 1 | 1 | $48.46 | $48.46 | $48.46 | 1.0× |
| lapeer county community mental health | 1 | 1 | $1,134 | $1,134 | $1,134 | 1.0× |
| health plus hmo op rate | 1 | 1 | $91.52 | $91.52 | $91.52 | 1.0× |
| hap hmo op rate | 1 | 1 | $76.21 | $76.21 | $76.21 | 1.0× |
| hap ahl op rate | 1 | 1 | $82.75 | $82.75 | $82.75 | 1.0× |
| hap - ppo op rate | 1 | 1 | $216.9 | $216.9 | $216.9 | 1.0× |
| genesse health system | 1 | 1 | $1,134 | $1,134 | $1,134 | 1.0× |
| detroit medical center op rate | 1 | 1 | $47.23 | $47.23 | $47.23 | 1.0× |
| cofinity-ppom op rate | 1 | 1 | $204.93 | $204.93 | $204.93 | 1.0× |
| cofinity ppom op rate | 1 | 1 | $100.74 | $100.74 | $100.74 | 1.0× |
| cofinity - wc op rate | 1 | 1 | $204.59 | $204.59 | $204.59 | 1.0× |
| st. clair county community mental health | 1 | 1 | $1,134 | $1,134 | $1,134 | 1.0× |
| Cigna | 1 | 1 | $76.8 | $76.8 | $76.8 | 1.0× |
| bsbs bcn op rate | 1 | 1 | $84.08 | $84.08 | $84.08 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| KARMANOS CANCER HOSPITAL | DETROIT | MI | 13 | — | $66.6 | $47.23 | $82.75 | $100.74 |
| MCLAREN GREATER LANSING | LANSING MI 489100 | MI | 9 | $358 | $179 | $52.4 | $75.96 | $113.01 |
| BAY REGIONAL MEDICAL CENTER | BAY CITY | MI | 9 | $358 | $179 | $52.4 | $75.96 | $113.01 |
| MCLAREN PORT HURON | PORT HURON | MI | 9 | $358 | $179 | $52.4 | $75.96 | $113.01 |
| MCLAREN CENTRAL MICHIGAN | MT PLEASANT | MI | 9 | $358 | $179 | $52.4 | $75.96 | $113.01 |
| MCLAREN THUMB REGION | BAD AXE | MI | 9 | $358 | $179 | $52.4 | $75.96 | $113.01 |
| MCLAREN NORTHERN MICHIGAN | PETOSKEY | MI | 9 | $358 | $179 | $52.4 | $75.96 | $113.01 |
| BORGESS-PIPP HEALTH CENTER | PLAINWELL | MI | 1 | — | — | $67.81 | $67.81 | $67.81 |
| ASCENSION BORGESS HOSPITAL | KALAMAZOO | MI | 1 | — | — | $67.81 | $67.81 | $67.81 |
| GENESYS REGIONAL MEDICAL CTR. | GRAND BLANC | MI | 1 | — | — | $67.81 | $67.81 | $67.81 |
| ASCENSION PROVIDENCE ROCHESTER HOSPI | ROCHESTER | MI | 1 | — | — | $67.81 | $67.81 | $67.81 |
| ASCENSION STANDISH HOSPITAL | STANDISH | MI | 1 | — | — | $67.81 | $67.81 | $67.81 |
| ASCENSION BORGESS-LEE HOSPITAL | DOWAGIAC | MI | 1 | — | — | $67.81 | $67.81 | $67.81 |
| ASCENSION ALLEGAN HOSPITAL | ALLEGAN | MI | 1 | — | — | $67.81 | $67.81 | $67.81 |
| TAWAS ST. JOSEPH HOSPITAL | TAWAS | MI | 1 | — | — | $174.9 | $174.9 | $258.64 |
| MCLAREN FLINT | FLINT | MI | 23 | $358 | $232.55 | $52.4 | $134.01 | $380.12 |
| MCLAREN LAPEER REGION | LAPEER | MI | 21 | $358 | $195.8 | $52.4 | $113.01 | $376.5 |
| ASCENSION ST JOHN HOSPITAL | DETROIT | MI | 2 | — | — | $111.73 | $112.11 | $112.48 |
| HEALTHSOURCE SAGINAW INC. | SAGINAW | MI | 11 | — | — | $69.52 | $1,080 | $1,156 |
| CARSON CITY HOSPITAL | CARSON CITY | MI | 0 | $119 | $59.5 | — | — | — |
| MCKENZIE HEALTH SYSTEM | SANDUSY | MI | 0 | $140 | $112 | — | — | — |
| SPARROW EATON | CHARLOTTE | MI | 0 | $119 | $59.5 | — | — | — |
| MACKINAC STRAITS HEALTH SYSTEM INC | ST. IGNACE | MI | 0 | $215 | $150.5 | — | — | — |
| SPARROW CLINTON HOSPITAL | ST. JOHNS | MI | 0 | $119 | $59.5 | — | — | — |
| NORTH OTTAWA COMMUNITY HOSPITAL | GRAND HAVEN | MI | 0 | $7,600 | $5,320 | — | — | — |
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.