▸ 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
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 | $402.5 | 3.7× |
| Medicare | 8 | 24 | $154.91 | $154.91 | $158.01 | 1.0× |
| Medicaid | 8 | 18 | $110.12 | $114.52 | $297 | 2.7× |
| Blue Cross Blue Shield | 9 | 14 | $126.37 | $200.85 | $519.72 | 4.1× |
| priority health | 9 | 13 | $90 | $226.05 | $1,081 | 12.0× |
| Aetna | 9 | 12 | $174.99 | $178.9 | $418.79 | 2.4× |
| midmichigan health network | 1 | 11 | $1,080 | $1,080 | $1,080 | 1.0× |
| Molina | 1 | 10 | $148.58 | $320 | $610 | 4.1× |
| mclaren commercial ins | 8 | 8 | $181 | $181 | $181 | 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 | $659 | 4.4× |
| southwest michigan behavioral health | 1 | 5 | $1,081 | $1,081 | $1,081 | 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 | $1,081.5 | $1,081.5 | $1,156 | 1.1× |
| mhp - hmo op rate | 1 | 2 | $184.75 | $235.34 | $285.92 | 1.5× |
| cofinity - ppom op rate | 1 | 2 | $281.75 | $358.9 | $436.05 | 1.5× |
| cofinity - auto op rate | 1 | 2 | $325.91 | $415.16 | $504.4 | 1.5× |
| hurley medical center op rate | 1 | 2 | $161 | $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 | $380.7 | 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 | $358.9 | $436.05 | 1.5× |
| cofinity - wc/auto op rate | 1 | 2 | $325.91 | $415.16 | $504.4 | 1.5× |
| CHAMPVA | 1 | 1 | $171.06 | $171.06 | $171.06 | 1.0× |
| st. clair county community mental health | 1 | 1 | $1,134 | $1,134 | $1,134 | 1.0× |
| theramatrix physical therapy op rate | 1 | 1 | $297 | $297 | $297 | 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 | $178.2 | $178.2 | $178.2 | 1.0× |
| lapeer 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× |
| livingston county community mental health | 1 | 1 | $1,134 | $1,134 | $1,134 | 1.0× |
| genesse health system | 1 | 1 | $1,134 | $1,134 | $1,134 | 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 | $462.75 | $110.12 | $272.8 | $756.42 |
| ASCENSION ST JOHN HOSPITAL | DETROIT | MI | 2 | — | — | $224.49 | $224.56 | $224.63 |
| MCLAREN PORT HURON | PORT HURON | MI | 25 | $675 | $337.5 | $97.18 | $176.57 | $297 |
| MCLAREN THUMB REGION | BAD AXE | MI | 9 | $675 | $337.5 | $110.12 | $158.79 | $226.05 |
| MCLAREN GREATER LANSING | LANSING MI 489100 | MI | 9 | $675 | $337.5 | $110.12 | $158.79 | $226.05 |
| MCLAREN LAPEER REGION | LAPEER | MI | 9 | $675 | $337.5 | $110.12 | $158.79 | $226.05 |
| BAY REGIONAL MEDICAL CENTER | BAY CITY | MI | 9 | $675 | $337.5 | $110.12 | $158.79 | $226.05 |
| MCLAREN NORTHERN MICHIGAN | PETOSKEY | MI | 9 | $675 | $337.5 | $110.12 | $158.79 | $226.05 |
| MCLAREN CENTRAL MICHIGAN | MT PLEASANT | MI | 9 | $675 | $337.5 | $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 | $1,080 | $1,156 |
| MCKENZIE HEALTH SYSTEM | SANDUSY | MI | 0 | $289 | $231.2 | — | — | — |
| CARSON CITY HOSPITAL | CARSON CITY | MI | 0 | $251 | $125.5 | — | — | — |
| SPARROW CLINTON HOSPITAL | ST. JOHNS | MI | 0 | $251 | $125.5 | — | — | — |
| SPARROW EATON | CHARLOTTE | MI | 0 | $251 | $125.5 | — | — | — |
| MACKINAC STRAITS HEALTH SYSTEM INC | ST. IGNACE | MI | 0 | $373 | $261.1 | — | — | — |
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.