▸ 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
$1,080.00
Range multiplier
15.9×
By payer (45 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 9 | 27 | $52.40 | $76.33 | $263.55 | 5.0× |
| Medicare | 8 | 24 | $74.11 | $74.11 | $75.59 | 1.0× |
| Medicaid | 8 | 18 | $52.40 | $54.50 | $376.50 | 7.2× |
| Blue Cross Blue Shield | 10 | 16 | $84.08 | $95.57 | $376.50 | 4.5× |
| Aetna | 10 | 13 | $85.96 | $85.96 | $210.45 | 2.4× |
| priority health | 9 | 13 | $69.52 | $108.19 | $1,081.00 | 15.5× |
| midmichigan health network | 1 | 11 | $1,080.00 | $1,080.00 | $1,080.00 | 1.0× |
| Molina | 1 | 10 | $69.52 | $320.00 | $610.00 | 8.8× |
| mclaren commercial ins | 8 | 8 | $97.00 | $97.00 | $97.00 | 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 | $401.00 | $659.00 | 9.5× |
| southwest michigan behavioral health | 1 | 5 | $1,081.00 | $1,081.00 | $1,081.00 | 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 | $1,081.50 | $1,081.50 | $1,156.00 | 1.1× |
| hap - hmo op rate | 2 | 3 | $102.76 | $129.44 | $164.70 | 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 | $216.90 | $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 | $164.70 | 1.6× |
| hurley medical center op rate | 1 | 2 | $78.12 | $101.67 | $125.22 | 1.6× |
| livingston county community mental health | 1 | 1 | $1,134.00 | $1,134.00 | $1,134.00 | 1.0× |
| lenawee community mental health authority | 1 | 1 | $1,112.00 | $1,112.00 | $1,112.00 | 1.0× |
| mclaren health op rate | 1 | 1 | $48.46 | $48.46 | $48.46 | 1.0× |
| lapeer county community mental health | 1 | 1 | $1,134.00 | $1,134.00 | $1,134.00 | 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 | $216.90 | $216.90 | $216.90 | 1.0× |
| genesse health system | 1 | 1 | $1,134.00 | $1,134.00 | $1,134.00 | 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 | $1,134.00 | $1,134.00 | $1,134.00 | 1.0× |
| Cigna | 1 | 1 | $76.80 | $76.80 | $76.80 | 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 | — | $66.60 | $47.23 | $82.75 | $100.74 |
| Mclaren Greater Lansing | Lansing | MI | 9 | $358.00 | $179.00 | $52.40 | $75.96 | $113.01 |
| Bay Regional Medical Center | Bay City | MI | 9 | $358.00 | $179.00 | $52.40 | $75.96 | $113.01 |
| Mclaren Port Huron | Port Huron | MI | 9 | $358.00 | $179.00 | $52.40 | $75.96 | $113.01 |
| Mclaren Central Michigan | Mt Pleasant | MI | 9 | $358.00 | $179.00 | $52.40 | $75.96 | $113.01 |
| Mclaren Thumb Region | Bad Axe | MI | 9 | $358.00 | $179.00 | $52.40 | $75.96 | $113.01 |
| Mclaren Northern Michigan | Petoskey | MI | 9 | $358.00 | $179.00 | $52.40 | $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 | — | — | $174.90 | $174.90 | $258.64 |
| Mclaren Flint | Flint | MI | 23 | $358.00 | $232.55 | $52.40 | $134.01 | $380.12 |
| Mclaren Lapeer Region | Lapeer | MI | 21 | $358.00 | $195.80 | $52.40 | $113.01 | $376.50 |
| Ascension St John Hospital | Detroit | MI | 2 | — | — | $111.73 | $112.11 | $112.48 |
| Healthsource Saginaw Inc. | Saginaw | MI | 11 | — | — | $69.52 | $1,080.00 | $1,156.00 |
| Carson City Hospital | Carson City | MI | 0 | $119.00 | $59.50 | — | — | — |
| Mckenzie Health System | Sandusky | MI | 0 | $140.00 | $112.00 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $119.00 | $59.50 | — | — | — |
| Mackinac Straits Health System Inc | St. Ignace | MI | 0 | $215.00 | $150.50 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $119.00 | $59.50 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | $7,600.00 | $5,320.00 | — | — | — |
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.