▸ Compare · PriceTransparency
Initial hospital care, high complexity
CPT 99223 · negotiated-rate distribution across hospitals in MI
Hospitals
23
Min
$156.04
Median
$158.79
Max
$1,080.00
Range multiplier
6.9×
By payer (48 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 8 | 26 | $110.12 | $159.56 | $402.50 | 3.7× |
| Medicare | 8 | 24 | $154.91 | $154.91 | $158.01 | 1.0× |
| Medicaid | 8 | 18 | $110.12 | $114.52 | $297.00 | 2.7× |
| Blue Cross Blue Shield | 9 | 14 | $126.37 | $200.85 | $519.72 | 4.1× |
| priority health | 9 | 13 | $90.00 | $226.05 | $1,081.00 | 12.0× |
| Aetna | 9 | 12 | $174.99 | $178.90 | $418.79 | 2.4× |
| midmichigan health network | 1 | 11 | $1,080.00 | $1,080.00 | $1,080.00 | 1.0× |
| Molina | 1 | 10 | $148.58 | $320.00 | $610.00 | 4.1× |
| mclaren commercial ins | 8 | 8 | $181.00 | $181.00 | $181.00 | 1.0× |
| u of m health plan | 8 | 8 | $178.15 | $178.15 | $178.15 | 1.0× |
| Humana | 8 | 8 | $154.91 | $154.91 | $154.91 | 1.0× |
| evernorth behavioral health | 7 | 7 | $156.04 | $156.04 | $156.04 | 1.0× |
| meridian health plan | 1 | 7 | $148.58 | $373.00 | $659.00 | 4.4× |
| southwest michigan behavioral health | 1 | 5 | $1,081.00 | $1,081.00 | $1,081.00 | 1.0× |
| First Health | 3 | 4 | $224.49 | $360.21 | $756.42 | 3.4× |
| priority health op rate | 2 | 3 | $178.65 | $290.55 | $449.67 | 2.5× |
| northern michigan regional entity | 1 | 3 | $1,081.50 | $1,081.50 | $1,156.00 | 1.1× |
| mhp - hmo op rate | 1 | 2 | $184.75 | $235.34 | $285.92 | 1.5× |
| cofinity - ppom op rate | 1 | 2 | $281.75 | $358.90 | $436.05 | 1.5× |
| cofinity - auto op rate | 1 | 2 | $325.91 | $415.16 | $504.40 | 1.5× |
| hurley medical center op rate | 1 | 2 | $161.00 | $205.09 | $249.17 | 1.5× |
| health advantage - ppo op rate | 1 | 2 | $184.75 | $235.34 | $285.92 | 1.5× |
| hap/ahl op rate | 1 | 2 | $211.77 | $269.76 | $327.75 | 1.5× |
| hap preferred op rate | 1 | 2 | $235.75 | $300.31 | $364.86 | 1.5× |
| hp - hmo op rate | 1 | 2 | $245.99 | $313.35 | $380.70 | 1.5× |
| hp - ppo op rate | 1 | 2 | $327.35 | $416.99 | $506.62 | 1.5× |
| hap - hmo op rate | 1 | 2 | $211.77 | $269.76 | $327.75 | 1.5× |
| cofinity wc op rate | 1 | 2 | $281.75 | $358.90 | $436.05 | 1.5× |
| cofinity - wc/auto op rate | 1 | 2 | $325.91 | $415.16 | $504.40 | 1.5× |
| CHAMPVA | 1 | 1 | $171.06 | $171.06 | $171.06 | 1.0× |
| st. clair county community mental health | 1 | 1 | $1,134.00 | $1,134.00 | $1,134.00 | 1.0× |
| theramatrix physical therapy op rate | 1 | 1 | $297.00 | $297.00 | $297.00 | 1.0× |
| bcn op rate | 1 | 1 | $126.37 | $126.37 | $126.37 | 1.0× |
| hap ahl op rate | 1 | 1 | $150.88 | $150.88 | $150.88 | 1.0× |
| auto-cofinity op rate | 1 | 1 | $252.45 | $252.45 | $252.45 | 1.0× |
| hap hmo op rate | 1 | 1 | $149.21 | $149.21 | $149.21 | 1.0× |
| hap ppo op rate | 1 | 1 | $187.91 | $187.91 | $187.91 | 1.0× |
| hcap op rate | 1 | 1 | $222.75 | $222.75 | $222.75 | 1.0× |
| health plus hmo op rate | 1 | 1 | $164.84 | $164.84 | $164.84 | 1.0× |
| health plus ppo op rate | 1 | 1 | $178.20 | $178.20 | $178.20 | 1.0× |
| lapeer 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× |
| livingston county community mental health | 1 | 1 | $1,134.00 | $1,134.00 | $1,134.00 | 1.0× |
| genesse health system | 1 | 1 | $1,134.00 | $1,134.00 | $1,134.00 | 1.0× |
| mclaren health op rate | 1 | 1 | $97.18 | $97.18 | $97.18 | 1.0× |
| cofinity op rate | 1 | 1 | $189.73 | $189.73 | $189.73 | 1.0× |
| Multiplan | 1 | 1 | $238.55 | $238.55 | $238.55 | 1.0× |
| Cigna | 1 | 1 | $173.74 | $173.74 | $173.74 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Tawas St. Joseph Hospital | Tawas | MI | 1 | — | — | $351.45 | $351.45 | $519.72 |
| Mclaren Flint | Flint | MI | 23 | $675.00 | $462.75 | $110.12 | $272.80 | $756.42 |
| Ascension St John Hospital | Detroit | MI | 2 | — | — | $224.49 | $224.56 | $224.63 |
| Mclaren Port Huron | Port Huron | MI | 25 | $675.00 | $337.50 | $97.18 | $176.57 | $297.00 |
| Mclaren Thumb Region | Bad Axe | MI | 9 | $675.00 | $337.50 | $110.12 | $158.79 | $226.05 |
| Mclaren Greater Lansing | Lansing | MI | 9 | $675.00 | $337.50 | $110.12 | $158.79 | $226.05 |
| Mclaren Lapeer Region | Lapeer | MI | 9 | $675.00 | $337.50 | $110.12 | $158.79 | $226.05 |
| Bay Regional Medical Center | Bay City | MI | 9 | $675.00 | $337.50 | $110.12 | $158.79 | $226.05 |
| Mclaren Northern Michigan | Petoskey | MI | 9 | $675.00 | $337.50 | $110.12 | $158.79 | $226.05 |
| Mclaren Central Michigan | Mt Pleasant | MI | 9 | $675.00 | $337.50 | $110.12 | $158.79 | $226.05 |
| Borgess-Pipp Health Center | Plainwell | MI | 1 | — | — | $156.04 | $156.04 | $156.04 |
| Ascension Borgess Hospital | Kalamazoo | MI | 1 | — | — | $156.04 | $156.04 | $156.04 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 1 | — | — | $156.04 | $156.04 | $156.04 |
| Ascension Providence Rochester Hospi | Rochester | MI | 1 | — | — | $156.04 | $156.04 | $156.04 |
| Ascension Standish Hospital | Standish | MI | 1 | — | — | $156.04 | $156.04 | $156.04 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 1 | — | — | $156.04 | $156.04 | $156.04 |
| Ascension Allegan Hospital | Allegan | MI | 1 | — | — | $156.04 | $156.04 | $156.04 |
| Healthsource Saginaw Inc. | Saginaw | MI | 11 | — | — | $90.00 | $1,080.00 | $1,156.00 |
| Mckenzie Health System | Sandusky | MI | 0 | $289.00 | $231.20 | — | — | — |
| Carson City Hospital | Carson City | MI | 0 | $251.00 | $125.50 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $251.00 | $125.50 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $251.00 | $125.50 | — | — | — |
| Mackinac Straits Health System Inc | St. Ignace | MI | 0 | $373.00 | $261.10 | — | — | — |
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.