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ED visit level 3

CPT 99283 · negotiated-rate distribution across hospitals in MI

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Hospitals
29
Min
$97.83
Median
$270.05
Max
$389.12
Range multiplier
4.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2097$44.94$280.72$2,213.0049.2×
Blue Cross Blue Shield2188$97.83$574.00$1,184.0012.1×
Medicare1383$69.52$270.05$450.006.5×
Medicaid1277$44.94$151.46$1,184.0026.3×
Aetna2159$69.41$292.34$2,345.0033.8×
Humana1838$69.52$270.42$317.504.6×
priority health918$40.00$117.71$609.8915.2×
Ambetter816$458.60$458.60$467.601.0×
smarthealth816$389.12$389.12$404.101.0×
mclaren commercial ins816$79.00$114.29$335.174.2×
Medicare Advantage916$228.47$277.94$277.941.2×
occunet714$514.19$569.78$625.371.2×
facility billing - op714$277.94$277.94$277.941.0×
WellCare714$277.94$277.94$277.941.0×
healthspring mcr replacement714$280.72$282.11$283.501.0×
blue mcr replacement714$277.94$277.94$277.941.0×
Oscar Health714$444.70$444.70$444.701.0×
priority health op rate913$198.80$326.42$529.252.7×
First Health812$76.23$384.93$1,184.0015.5×
TRICARE1011$132.89$264.01$288.642.2×
u of m health plan810$79.95$79.95$432.465.4×
safe response program88$275.00$275.00$275.001.0×
hap - hmo op rate58$165.40$209.05$407.062.5×
Cigna88$328.77$1,020.00$1,020.003.1×
workers compensation88$168.14$227.22$390.872.3×
hp - ppo op rate47$203.81$222.03$682.103.3×
hp - hmo op rate47$146.89$160.02$512.083.5×
cofinity auto77$443.24$513.09$513.091.2×
mi amish medical board77$270.05$270.05$270.051.0×
cofinity - ppom op rate36$306.09$325.00$372.401.2×
hcap op rate35$214.80$234.00$421.502.0×
cofinity - auto op rate45$274.75$399.02$735.262.7×
hap - ppo op rate35$229.48$249.99$682.103.0×
harbor health plan14$145.14$159.66$270.781.9×
cofinity group 15892 & 1589344$259.20$430.90$587.122.3×
mclaren health op rate34$183.89$233.39$283.951.5×
health advantage - commercial op rate24$125.48$131.09$136.691.1×
hap preferred op rate34$227.75$288.23$473.842.1×
mclaren health plan13$45.00$145.14$270.786.0×
hap op rate23$361.70$512.73$515.481.4×
total health care priority health13$145.14$266.53$270.781.9×
beacon health strategies13$63.92$63.92$145.142.3×
mhp - hmo op rate23$207.56$244.19$348.211.7×
health advantage - ppo op rate23$207.56$244.19$348.211.7×
Bright Health12$360.80$360.80$360.801.0×
hap/ahl op rate12$237.92$258.92$279.911.2×
cofinity wc op rate12$316.54$344.47$372.401.2×
hurley medical center op rate12$180.88$196.84$212.801.2×
cofinity op rate22$313.50$373.83$434.151.4×
mclaren health advantage op rate22$139.43$205.26$271.081.9×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ascension St John HospitalDetroitMI3$1,431.00$529.47$69.41$97.83$1,061.00
Ascension Standish HospitalStandishMI14$2,032.00$812.80$277.94$389.12$2,345.00
Genesys Regional Medical Ctr.Grand BlancMI14$2,032.00$812.80$277.94$389.12$2,345.00
Ascension Borgess HospitalKalamazooMI14$2,032.00$812.80$277.94$389.12$2,345.00
Ascension Allegan HospitalAlleganMI14$2,032.00$812.80$277.94$389.12$2,345.00
Ascension Borgess-Lee HospitalDowagiacMI14$2,032.00$812.80$277.94$389.12$2,345.00
Borgess-Pipp Health CenterPlainwellMI14$2,032.00$812.80$277.94$389.12$2,345.00
Ascension Providence Rochester HospiRochesterMI14$2,032.00$812.80$277.94$389.12$2,345.00
Mclaren OaklandPontiacMI14$267.30$141.28$315.74$514.00
Tawas St. Joseph HospitalTawasMI9$1,381.00$455.73$136.95$303.07$467.60
Mclaren Northern MichiganPetoskeyMI18$904.00$452.00$44.94$270.05$678.00
Mclaren FlintFlintMI29$782.00$395.20$44.94$270.05$646.00
Mclaren Greater LansingLansingMI22$1,061.00$530.50$44.94$270.05$742.70
Mclaren Lapeer RegionLapeerMI27$1,432.00$716.00$44.94$270.05$1,184.00
Mclaren Port HuronPort HuronMI31$682.82$341.41$44.94$270.05$562.00
Garden City Hospital OsteopathicGarden CityMI21$1,638.21$270.00$21.05$268.66$419.71
Mclaren Bay Special CareBay CityMI17$202.80$117.56$230.45$333.45
Mclaren MacombMt. ClemensMI20$207.70$135.00$230.39$345.60
Mclaren Central MichiganMt PleasantMI19$509.00$254.50$44.94$220.15$458.10
Bay Regional Medical CenterBay CityMI27$540.00$270.00$44.94$215.69$513.09
Mclaren Thumb RegionBad AxeMI12$374.00$187.00$44.94$112.38$323.14
Carson City HospitalCarson CityMI0$982.00$245.50
North Ottawa Community HospitalGrand HavenMI0$2,139.00$1,497.30
Mh - Mercy CampusMuskegonMI0$690.90$331.63
Southeast Michigan Surgical HospitalWarrenMI0$1,376.00$1,100.80
Mackinac Straits Health System IncSt. IgnaceMI0$362.00$253.40
Mckenzie Health SystemSanduskyMI0$460.00$368.00
Sparrow Clinton HospitalSt. JohnsMI0$606.00$151.50
Sparrow EatonCharlotteMI0$423.00$105.75

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.