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Hospital discharge, >30 min

CPT 99239 · negotiated-rate distribution across hospitals in MI

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Hospitals
24
Min
$100.00
Median
$107.30
Max
$1,080.00
Range multiplier
10.8×

By payer (44 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare927$72.85$107.82$194.402.7×
Medicare824$104.68$104.68$106.771.0×
Medicaid817$72.85$75.76$270.003.7×
Blue Cross Blue Shield1014$114.88$182.15$278.162.4×
Aetna1012$89.25$117.69$203.822.3×
priority health912$101.62$149.53$1,081.0010.6×
midmichigan health network111$1,080.00$1,080.00$1,080.001.0×
Molina110$101.62$320.00$610.006.0×
mclaren commercial ins88$117.00$117.00$117.001.0×
u of m health plan88$120.38$120.38$120.381.0×
Humana88$104.68$104.68$104.681.0×
evernorth behavioral health77$100.00$100.00$100.001.0×
meridian health plan16$101.62$401.00$659.006.5×
southwest michigan behavioral health15$1,081.00$1,081.00$1,081.001.0×
First Health44$119.04$211.38$212.161.8×
hcap op rate33$149.76$149.76$202.501.4×
northern michigan regional entity13$1,081.50$1,081.50$1,156.001.1×
priority health op rate33$138.60$138.60$162.411.2×
hap - ppo op rate22$159.99$159.99$159.991.0×
hap - hmo op rate22$115.32$115.32$115.321.0×
cofinity - ppom op rate22$213.41$213.41$213.411.0×
blue care network op rate22$133.51$133.51$133.511.0×
hp - ppo op rate22$142.10$142.10$142.101.0×
great lakes research op rate22$149.76$149.76$149.761.0×
health advantage - commercial op rate22$87.48$87.48$87.481.0×
hp - hmo op rate22$102.41$102.41$102.411.0×
Cigna11$157.95$157.95$157.951.0×
Multiplan11$216.86$216.86$216.861.0×
CHAMPVA11$90.03$90.03$90.031.0×
st. clair county community mental health11$1,134.00$1,134.00$1,134.001.0×
theramatrix physical therapy op rate11$270.00$270.00$270.001.0×
bcn op rate11$114.88$114.88$114.881.0×
hap ahl op rate11$137.16$137.16$137.161.0×
auto-cofinity op rate11$229.50$229.50$229.501.0×
hap hmo op rate11$135.65$135.65$135.651.0×
hap ppo op rate11$170.83$170.83$170.831.0×
health plus hmo op rate11$149.85$149.85$149.851.0×
health plus ppo op rate11$162.00$162.00$162.001.0×
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×
mclaren health op rate11$88.34$88.34$88.341.0×
genesse health system11$1,134.00$1,134.00$1,134.001.0×
cofinity op rate11$96.77$96.77$96.771.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Tawas St. Joseph HospitalTawasMI1$188.10$188.10$278.16
Mclaren Bay Special CareBay CityMI14$129.80$87.48$145.93$213.41
Bay Regional Medical CenterBay CityMI20$368.00$184.00$72.85$119.04$213.41
Mclaren Port HuronPort HuronMI25$368.00$184.00$72.85$119.04$270.00
Ascension St John HospitalDetroitMI2$118.44$118.74$119.04
Healthsource Saginaw Inc.SaginawMI11$101.62$1,080.00$1,156.00
Mclaren FlintFlintMI9$368.00$184.00$72.85$107.30$182.15
Mclaren Greater LansingLansingMI9$368.00$184.00$72.85$107.30$182.15
Mclaren Lapeer RegionLapeerMI9$368.00$184.00$72.85$107.30$182.15
Mclaren Northern MichiganPetoskeyMI9$368.00$184.00$72.85$107.30$182.15
Mclaren Thumb RegionBad AxeMI9$368.00$184.00$72.85$107.30$182.15
Mclaren Central MichiganMt PleasantMI9$368.00$184.00$72.85$107.30$182.15
Borgess-Pipp Health CenterPlainwellMI1$100.00$100.00$100.00
Ascension Providence Rochester HospiRochesterMI1$100.00$100.00$100.00
Genesys Regional Medical Ctr.Grand BlancMI1$100.00$100.00$100.00
Ascension Standish HospitalStandishMI1$100.00$100.00$100.00
Ascension Borgess-Lee HospitalDowagiacMI1$100.00$100.00$100.00
Ascension Allegan HospitalAlleganMI1$100.00$100.00$100.00
Ascension Borgess HospitalKalamazooMI1$100.00$100.00$100.00
Sparrow Clinton HospitalSt. JohnsMI0$228.00$114.00
Sparrow EatonCharlotteMI0$228.00$114.00
Mackinac Straits Health System IncSt. IgnaceMI0$213.00$149.10
Mckenzie Health SystemSanduskyMI0$227.00$181.60
Carson City HospitalCarson CityMI0$228.00$114.00

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.