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Hospital discharge, <30 min

CPT 99238 · negotiated-rate distribution across hospitals in MI

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Hospitals
23
Min
$70.03
Median
$75.37
Max
$1,080.00
Range multiplier
15.4×

By payer (21 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicare824$73.53$73.53$75.001.0×
UnitedHealthcare824$51.55$75.74$79.391.5×
Medicaid816$51.55$52.58$53.611.0×
priority health912$71.17$105.99$1,081.0015.2×
Blue Cross Blue Shield911$128.89$128.89$192.761.5×
midmichigan health network111$1,080.00$1,080.00$1,080.001.0×
Molina110$71.17$320.00$610.008.6×
Aetna99$79.86$82.87$82.871.0×
u of m health plan88$84.56$84.56$84.561.0×
Humana88$73.53$73.53$73.531.0×
mclaren commercial ins88$81.00$81.00$81.001.0×
evernorth behavioral health77$70.03$70.03$70.031.0×
meridian health plan16$71.17$401.00$659.009.3×
southwest michigan behavioral health15$1,081.00$1,081.00$1,081.001.0×
northern michigan regional entity13$1,081.50$1,081.50$1,156.001.1×
lenawee community mental health authority11$1,112.00$1,112.00$1,112.001.0×
st. clair county community mental health11$1,134.00$1,134.00$1,134.001.0×
lapeer county community mental health11$1,134.00$1,134.00$1,134.001.0×
First Health11$81.81$81.81$81.811.0×
genesse health system11$1,134.00$1,134.00$1,134.001.0×
livingston county community mental health11$1,134.00$1,134.00$1,134.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ascension St John HospitalDetroitMI2$79.86$80.84$81.81
Bay Regional Medical CenterBay CityMI9$342.00$171.00$51.55$75.37$128.89
Mclaren Port HuronPort HuronMI9$342.00$171.00$51.55$75.37$128.89
Mclaren Northern MichiganPetoskeyMI9$342.00$171.00$51.55$75.37$128.89
Mclaren Central MichiganMt PleasantMI9$342.00$171.00$51.55$75.37$128.89
Mclaren Thumb RegionBad AxeMI9$342.00$171.00$51.55$75.37$128.89
Mclaren FlintFlintMI9$342.00$171.00$51.55$75.37$128.89
Mclaren Lapeer RegionLapeerMI9$342.00$171.00$51.55$75.37$128.89
Mclaren Greater LansingLansingMI9$342.00$171.00$51.55$75.37$128.89
Borgess-Pipp Health CenterPlainwellMI1$70.03$70.03$70.03
Ascension Borgess HospitalKalamazooMI1$70.03$70.03$70.03
Genesys Regional Medical Ctr.Grand BlancMI1$70.03$70.03$70.03
Ascension Providence Rochester HospiRochesterMI1$70.03$70.03$70.03
Ascension Standish HospitalStandishMI1$70.03$70.03$70.03
Ascension Borgess-Lee HospitalDowagiacMI1$70.03$70.03$70.03
Ascension Allegan HospitalAlleganMI1$70.03$70.03$70.03
Tawas St. Joseph HospitalTawasMI1$130.35$130.35$192.76
Healthsource Saginaw Inc.SaginawMI11$71.17$1,080.00$1,156.00
Mackinac Straits Health System IncSt. IgnaceMI0$202.00$141.40
Sparrow Clinton HospitalSt. JohnsMI0$161.00$80.50
Sparrow EatonCharlotteMI0$161.00$80.50
Carson City HospitalCarson CityMI0$161.00$80.50
Mckenzie Health SystemSanduskyMI0$161.00$128.80

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.