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CPT 99282 · negotiated-rate distribution across hospitals in MI

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Hospitals
28
Min
$60.43
Median
$154.45
Max
$222.54
Range multiplier
3.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2097$26.63$160.55$1,52057.1×
Blue Cross Blue Shield2188$65.42$574$93314.3×
Medicare1383$40.4$154.45$45011.1×
Medicaid1277$26.63$86.62$63323.8×
Aetna2158$43.73$163.88$84919.4×
Humana1838$40.4$154.45$181.594.5×
priority health918$40$71.04$370.159.3×
Ambetter816$262.28$262.28$267.431.0×
smarthealth816$222.54$222.54$231.111.0×
Medicare Advantage916$129.82$158.96$158.961.2×
facility billing - op714$158.96$158.96$158.961.0×
WellCare714$158.96$158.96$158.961.0×
blue mcr replacement714$158.96$158.96$158.961.0×
Oscar Health714$254.34$254.34$254.341.0×
occunet714$294.08$325.87$357.661.2×
mclaren commercial ins814$49$49$204.394.2×
healthspring mcr replacement714$160.55$161.35$162.141.0×
priority health op rate913$97.73$172.81$282.952.9×
First Health812$49.21$255.85$63312.9×
TRICARE1011$73.55$150.99$165.082.2×
u of m health plan810$46.46$46.46$263.725.7×
workers compensation88$96.84$146.41$208.812.2×
hap - hmo op rate58$81.31$123.04$217.632.7×
safe response program88$225$225$2251.0×
Cigna88$219.96$698$6983.2×
mi amish medical board77$154.45$154.45$154.451.0×
hp - hmo op rate47$72.21$106.68$273.773.8×
hp - ppo op rate47$100.2$148.02$364.673.6×
cofinity - ppom op rate36$150.48$182.53$222.31.5×
cofinity auto55$234.66$293.45$293.451.3×
cofinity - auto op rate45$158.84$193.85$393.092.5×
hap - ppo op rate35$112.82$166.66$364.673.2×
hcap op rate35$105.6$156$2822.7×
hap preferred op rate34$131.67$152.73$253.331.9×
health advantage - commercial op rate24$61.69$76.41$91.131.5×
mclaren health op rate34$119.95$141.78$160.911.3×
harbor health plan14$81.64$89.8$152.31.9×
mhp - hmo op rate23$109.88$129.48$186.171.7×
hap op rate23$235.36$291.42$292.11.2×
beacon health strategies13$42.25$42.25$81.641.9×
health advantage - ppo op rate23$109.88$129.48$186.171.7×
total health care priority health13$81.64$149.91$152.31.9×
mclaren health plan op rate22$66.8$66.8$66.81.0×
cofinity - wc/auto op rate12$193.85$211.14$228.421.2×
mi amish medical board op rate22$151.21$151.21$151.211.0×
Multiplan22$177.6$239.8$3021.7×
cofinity wc op rate12$167.58$182.53$197.471.2×
cofinity op rate22$204$247.23$290.461.4×
hap/ahl op rate12$125.96$137.19$148.421.2×
Bright Health12$206.35$206.35$206.351.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ASCENSION ST JOHN HOSPITALDETROITMI3$851.25$314.96$46.32$65.42$849
MCLAREN THUMB REGIONBAD AXEMI12$207$103.5$26.63$60.43$225
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI14$802$320.8$158.96$222.54$1,520
ASCENSION ALLEGAN HOSPITALALLEGANMI14$802$320.8$158.96$222.54$1,520
ASCENSION STANDISH HOSPITALSTANDISHMI14$802$320.8$158.96$222.54$1,520
BORGESS-PIPP HEALTH CENTERPLAINWELLMI14$802$320.8$158.96$222.54$1,520
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI14$802$320.8$158.96$222.54$1,520
ASCENSION BORGESS HOSPITALKALAMAZOOMI14$802$320.8$158.96$222.54$1,520
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI14$802$320.8$158.96$222.54$1,520
TAWAS ST. JOSEPH HOSPITALTAWASMI9$923$304.59$85.8$173.33$267.43
MCLAREN PORT HURONPORT HURONMI30$472.82$236.41$26.63$154.45$450
MCLAREN GREATER LANSINGLANSING MI 489100MI22$647$323.5$26.63$154.45$452.9
MCLAREN LAPEER REGIONLAPEERMI26$765$382.5$26.63$154.45$633
MCLAREN OAKLANDPONTIACMI14$127.4$80.27$154.35$245
MCLAREN NORTHERN MICHIGANPETOSKEYMI17$513$256.5$26.63$153.97$384.75
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI20$781$152$30$152.3$236.07
MCLAREN FLINTFLINTMI28$414$209.55$26.63$150.99$450
MCLAREN MACOMBMT. CLEMENSMI20$120.05$77.89$133.47$199.8
MCLAREN BAY SPECIAL CAREBAY CITYMI17$135.2$61.69$132.81$222.3
MCLAREN CENTRAL MICHIGANMT PLEASANTMI18$331$165.5$26.63$125.08$248.25
BAY REGIONAL MEDICAL CENTERBAY CITYMI27$311$155.5$26.63$121.66$450
CARSON CITY HOSPITALCARSON CITYMI0$586$146.5
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$964$674.8
MH - MERCY CAMPUSMUSKEGONMI0$360.2$172.9
SOUTHEAST MICHIGAN SURGICAL HOSPITALWARRENMI0$789$631.2
MCKENZIE HEALTH SYSTEMSANDUSYMI0$275$220
SPARROW CLINTON HOSPITALST. JOHNSMI0$305$76.25
SPARROW EATONCHARLOTTEMI0$181$45.25

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.