▸ Compare · PriceTransparency
ED visit level 1
CPT 99281 · negotiated-rate distribution across hospitals in MI
Hospitals
28
Min
$23.29
Median
$85.87
Max
$123.73
Range multiplier
5.3×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 20 | 96 | $7.24 | $89.26 | $968 | 133.7× |
| Blue Cross Blue Shield | 21 | 89 | $18.11 | $289 | $492 | 27.2× |
| Medicare | 13 | 83 | $11.01 | $85.87 | $450 | 40.9× |
| Medicaid | 12 | 77 | $7.24 | $48.16 | $315 | 43.5× |
| Aetna | 21 | 58 | $12.37 | $91.03 | $710 | 57.4× |
| Humana | 18 | 38 | $11.01 | $85.87 | $100.97 | 9.2× |
| priority health | 9 | 17 | $31.55 | $40 | $236.28 | 7.5× |
| Ambetter | 8 | 16 | $145.83 | $145.83 | $148.7 | 1.0× |
| smarthealth | 8 | 16 | $123.73 | $123.73 | $128.51 | 1.0× |
| Medicare Advantage | 9 | 16 | $71.62 | $88.38 | $88.38 | 1.2× |
| priority health op rate | 9 | 15 | $37.54 | $101.06 | $197.19 | 5.3× |
| healthspring mcr replacement | 7 | 14 | $89.26 | $89.71 | $90.15 | 1.0× |
| First Health | 8 | 14 | $25.27 | $125.8 | $500 | 19.8× |
| facility billing - op | 7 | 14 | $88.38 | $88.38 | $88.38 | 1.0× |
| WellCare | 7 | 14 | $88.38 | $88.38 | $88.38 | 1.0× |
| blue mcr replacement | 7 | 14 | $88.38 | $88.38 | $88.38 | 1.0× |
| Oscar Health | 7 | 14 | $141.41 | $141.41 | $141.41 | 1.0× |
| occunet | 7 | 14 | $163.5 | $181.18 | $198.85 | 1.2× |
| TRICARE | 10 | 11 | $40.51 | $83.64 | $91.79 | 2.3× |
| u of m health plan | 8 | 10 | $12.66 | $12.66 | $185.9 | 14.7× |
| hap - hmo op rate | 5 | 9 | $27.36 | $58.93 | $122.83 | 4.5× |
| mclaren commercial ins | 8 | 9 | $26 | $26 | $111.6 | 4.3× |
| workers compensation | 8 | 8 | $47.03 | $90.28 | $130.09 | 2.8× |
| Cigna | 8 | 8 | $118.17 | $336 | $336 | 2.8× |
| hp - ppo op rate | 4 | 8 | $42.3 | $84.26 | $181.47 | 4.3× |
| hp - hmo op rate | 4 | 8 | $31.79 | $63.32 | $136.24 | 4.3× |
| safe response program | 8 | 8 | $175 | $175 | $175 | 1.0× |
| mi amish medical board | 7 | 7 | $85.87 | $85.87 | $85.87 | 1.0× |
| cofinity - auto op rate | 4 | 7 | $42.11 | $90.69 | $195.62 | 4.6× |
| cofinity - ppom op rate | 3 | 7 | $36.41 | $87.21 | $155.61 | 4.3× |
| hap preferred op rate | 3 | 6 | $30.46 | $68.69 | $126.06 | 4.1× |
| hap - ppo op rate | 3 | 5 | $65.38 | $116.66 | $181.47 | 2.8× |
| hcap op rate | 3 | 5 | $61.2 | $109.2 | $151.5 | 2.5× |
| cofinity auto | 5 | 5 | $93.52 | $163.16 | $163.16 | 1.7× |
| health advantage - commercial op rate | 2 | 4 | $35.75 | $49.77 | $63.79 | 1.8× |
| mhp - hmo op rate | 2 | 4 | $23.87 | $47.56 | $92.64 | 3.9× |
| mclaren health op rate | 3 | 4 | $66.09 | $110.13 | $117.37 | 1.8× |
| harbor health plan | 1 | 4 | $44.83 | $49.32 | $83.64 | 1.9× |
| health advantage - ppo op rate | 2 | 4 | $23.87 | $47.56 | $92.64 | 3.9× |
| hurley medical center op rate | 1 | 3 | $20.8 | $38.08 | $44.8 | 2.2× |
| hap op rate | 2 | 3 | $203.35 | $211.69 | $213.06 | 1.0× |
| mclaren health advantage op rate | 2 | 3 | $43.94 | $51.92 | $107.59 | 2.4× |
| cofinity wc op rate | 1 | 3 | $36.41 | $66.64 | $78.4 | 2.2× |
| beacon health strategies | 1 | 3 | $21.42 | $21.42 | $44.83 | 2.1× |
| cofinity - wc/auto op rate | 1 | 3 | $42.11 | $77.08 | $90.69 | 2.2× |
| total health care priority health | 1 | 3 | $44.83 | $82.33 | $83.64 | 1.9× |
| hap/ahl op rate | 1 | 3 | $27.36 | $50.09 | $58.93 | 2.2× |
| Multiplan | 2 | 3 | $96.8 | $114.4 | $162.25 | 1.7× |
| phpmm-commercial hmo op rate | 1 | 2 | $51.45 | $56.13 | $60.8 | 1.2× |
| gift of life op rate | 1 | 2 | $84.7 | $92.4 | $100.1 | 1.2× |
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 | 9 | $473 | $156.09 | $44.55 | $96.38 | $148.7 |
| MCLAREN NORTHERN MICHIGAN | PETOSKEY | MI | 17 | $373 | $186.5 | $7.24 | $85.87 | $279.75 |
| MCLAREN PORT HURON | PORT HURON | MI | 30 | $245.1 | $122.55 | $7.24 | $85.87 | $450 |
| MCLAREN LAPEER REGION | LAPEER | MI | 25 | $382 | $191 | $7.24 | $85.87 | $315 |
| MCLAREN GREATER LANSING | LANSING MI 489100 | MI | 22 | $413 | $206.5 | $7.24 | $85.87 | $289.1 |
| GARDEN CITY HOSPITAL OSTEOPATHIC | GARDEN CITY | MI | 20 | $434 | $83 | $21.42 | $83.64 | $129.64 |
| MCLAREN MACOMB | MT. CLEMENS | MI | 20 | — | $77.3 | $42.97 | $80.17 | $135 |
| MCLAREN CENTRAL MICHIGAN | MT PLEASANT | MI | 19 | $286 | $143 | $7.24 | $79.82 | $214.5 |
| MCLAREN BAY SPECIAL CARE | BAY CITY | MI | 17 | — | $94.65 | $35.75 | $78.98 | $155.61 |
| BAY REGIONAL MEDICAL CENTER | BAY CITY | MI | 26 | $228 | $114 | $7.24 | $73.27 | $450 |
| MCLAREN FLINT | FLINT | MI | 28 | $165 | $83.2 | $7.24 | $55.76 | $450 |
| ASCENSION ST JOHN HOSPITAL | DETROIT | MI | 3 | $382.75 | $141.62 | $23.74 | $33 | $637 |
| MCLAREN THUMB REGION | BAD AXE | MI | 12 | $134.2 | $67.1 | $7.24 | $23.29 | $180 |
| ASCENSION ALLEGAN HOSPITAL | ALLEGAN | MI | 14 | $612 | $244.8 | $88.38 | $123.73 | $968 |
| ASCENSION BORGESS HOSPITAL | KALAMAZOO | MI | 14 | $612 | $244.8 | $88.38 | $123.73 | $968 |
| ASCENSION PROVIDENCE ROCHESTER HOSPI | ROCHESTER | MI | 14 | $612 | $244.8 | $88.38 | $123.73 | $968 |
| ASCENSION BORGESS-LEE HOSPITAL | DOWAGIAC | MI | 14 | $612 | $244.8 | $88.38 | $123.73 | $968 |
| ASCENSION STANDISH HOSPITAL | STANDISH | MI | 14 | $612 | $244.8 | $88.38 | $123.73 | $968 |
| GENESYS REGIONAL MEDICAL CTR. | GRAND BLANC | MI | 14 | $612 | $244.8 | $88.38 | $123.73 | $968 |
| BORGESS-PIPP HEALTH CENTER | PLAINWELL | MI | 14 | $612 | $244.8 | $88.38 | $123.73 | $968 |
| MCLAREN OAKLAND | PONTIAC | MI | 14 | — | $106.1 | $44.29 | $122.83 | $204 |
| CARSON CITY HOSPITAL | CARSON CITY | MI | 0 | $305 | $76.25 | — | — | — |
| NORTH OTTAWA COMMUNITY HOSPITAL | GRAND HAVEN | MI | 0 | $556 | $389.2 | — | — | — |
| MH - MERCY CAMPUS | MUSKEGON | MI | 0 | $190.1 | $91.25 | — | — | — |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL | WARREN | MI | 0 | $428 | $342.4 | — | — | — |
| MCKENZIE HEALTH SYSTEM | SANDUSY | MI | 0 | $193 | $154.4 | — | — | — |
| SPARROW CLINTON HOSPITAL | ST. JOHNS | MI | 0 | $191 | $47.75 | — | — | — |
| SPARROW EATON | CHARLOTTE | MI | 0 | $138 | $34.5 | — | — | — |
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.