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Initial hospital care, moderate complexity

CPT 99222 · negotiated-rate distribution across hospitals in MI

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Hospitals
23
Min
$112.11
Median
$119.43
Max
$1,080.00
Range multiplier
9.6×

By payer (49 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare826$82.64$119.43$289.103.5×
Medicare824$115.95$115.95$118.271.0×
Medicaid818$82.64$85.95$275.003.3×
Blue Cross Blue Shield914$116.16$150.74$353.803.0×
priority health913$90.00$170.65$1,081.0012.0×
Aetna912$124.86$134.32$285.142.3×
midmichigan health network111$1,080.00$1,080.00$1,080.001.0×
Molina110$110.65$320.00$610.005.5×
hap - hmo88$127.37$127.37$127.371.0×
u of m health plan88$133.34$133.34$133.341.0×
mclaren commercial ins88$128.00$128.00$128.001.0×
Humana88$115.95$115.95$115.951.0×
evernorth behavioral health77$112.11$112.11$112.111.0×
meridian health plan16$110.65$401.00$659.006.0×
southwest michigan behavioral health15$1,081.00$1,081.00$1,081.001.0×
First Health34$152.46$282.00$515.023.4×
priority health op rate23$164.21$208.69$306.161.9×
northern michigan regional entity13$1,081.50$1,081.50$1,156.001.1×
mhp - hmo op rate12$132.70$163.69$194.681.5×
cofinity - ppom op rate12$202.37$249.63$296.891.5×
cofinity - auto op rate12$234.09$288.76$343.421.5×
hurley medical center op rate12$115.64$142.65$169.651.5×
health advantage - ppo op rate12$132.70$163.69$194.681.5×
hap/ahl op rate12$152.11$187.63$223.151.5×
hap preferred op rate12$169.33$208.88$248.421.5×
hp - hmo op rate12$176.68$217.94$259.201.5×
hp - ppo op rate12$235.12$290.03$344.941.5×
hap - hmo op rate12$152.11$187.63$223.151.5×
cofinity wc op rate12$202.37$249.63$296.891.5×
cofinity - wc/auto op rate12$234.09$288.76$343.421.5×
CHAMPVA11$116.56$116.56$116.561.0×
st. clair county community mental health11$1,134.00$1,134.00$1,134.001.0×
theramatrix physical therapy op rate11$273.00$273.00$273.001.0×
bcn op rate11$116.16$116.16$116.161.0×
hap ahl op rate11$138.68$138.68$138.681.0×
auto-cofinity op rate11$232.05$232.05$232.051.0×
hap hmo op rate11$137.16$137.16$137.161.0×
hap ppo op rate11$172.73$172.73$172.731.0×
hcap op rate11$204.75$204.75$204.751.0×
health plus hmo op rate11$151.52$151.52$151.521.0×
health plus ppo op rate11$163.80$163.80$163.801.0×
lapeer county community mental health11$1,134.00$1,134.00$1,134.001.0×
lenawee community mental health authority11$1,112.00$1,112.00$1,112.001.0×
livingston county community mental health11$1,134.00$1,134.00$1,134.001.0×
genesse health system11$1,134.00$1,134.00$1,134.001.0×
mclaren health op rate11$89.33$89.33$89.331.0×
cofinity op rate11$135.37$135.37$135.371.0×
Multiplan11$219.27$219.27$219.271.0×
Cigna11$159.70$159.70$159.701.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Tawas St. Joseph HospitalTawasMI1$239.25$239.25$353.80
Mclaren FlintFlintMI24$520.00$315.05$82.64$194.36$515.02
Ascension St John HospitalDetroitMI2$151.74$152.10$152.46
Mclaren Port HuronPort HuronMI26$520.00$260.00$82.64$135.37$273.00
Mclaren Thumb RegionBad AxeMI10$520.00$260.00$82.64$119.43$170.65
Mclaren Greater LansingLansingMI10$520.00$260.00$82.64$119.43$170.65
Mclaren Lapeer RegionLapeerMI10$520.00$260.00$82.64$119.43$170.65
Bay Regional Medical CenterBay CityMI10$520.00$260.00$82.64$119.43$170.65
Mclaren Northern MichiganPetoskeyMI10$520.00$260.00$82.64$119.43$170.65
Mclaren Central MichiganMt PleasantMI10$520.00$260.00$82.64$119.43$170.65
Borgess-Pipp Health CenterPlainwellMI1$112.11$112.11$112.11
Ascension Borgess HospitalKalamazooMI1$112.11$112.11$112.11
Genesys Regional Medical Ctr.Grand BlancMI1$112.11$112.11$112.11
Ascension Providence Rochester HospiRochesterMI1$112.11$112.11$112.11
Ascension Standish HospitalStandishMI1$112.11$112.11$112.11
Ascension Borgess-Lee HospitalDowagiacMI1$112.11$112.11$112.11
Ascension Allegan HospitalAlleganMI1$112.11$112.11$112.11
Healthsource Saginaw Inc.SaginawMI11$90.00$1,080.00$1,156.00
Mckenzie Health SystemSanduskyMI0$198.00$158.40
Carson City HospitalCarson CityMI0$188.00$94.00
Sparrow Clinton HospitalSt. JohnsMI0$188.00$94.00
Sparrow EatonCharlotteMI0$188.00$94.00
Mackinac Straits Health System IncSt. IgnaceMI0$285.00$199.50

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.