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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$2,21349.2×
Blue Cross Blue Shield2188$97.83$574$1,18412.1×
Medicare1383$69.52$270.05$4506.5×
Medicaid1277$44.94$151.46$1,18426.3×
Aetna2159$69.41$292.34$2,34533.8×
Humana1838$69.52$270.42$317.54.6×
priority health918$40$117.71$609.8915.2×
Ambetter816$458.6$458.6$467.61.0×
smarthealth816$389.12$389.12$404.11.0×
mclaren commercial ins816$79$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$283.51.0×
blue mcr replacement714$277.94$277.94$277.941.0×
Oscar Health714$444.7$444.7$444.71.0×
priority health op rate913$198.8$326.42$529.252.7×
First Health812$76.23$384.93$1,18415.5×
TRICARE1011$132.89$264.01$288.642.2×
u of m health plan810$79.95$79.95$432.465.4×
safe response program88$275$275$2751.0×
hap - hmo op rate58$165.4$209.05$407.062.5×
Cigna88$328.77$1,020$1,0203.1×
workers compensation88$168.14$227.22$390.872.3×
hp - ppo op rate47$203.81$222.03$682.13.3×
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$372.41.2×
hcap op rate35$214.8$234$421.52.0×
cofinity - auto op rate45$274.75$399.02$735.262.7×
hap - ppo op rate35$229.48$249.99$682.13.0×
harbor health plan14$145.14$159.66$270.781.9×
cofinity group 15892 & 1589344$259.2$430.9$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$145.14$270.786.0×
hap op rate23$361.7$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$360.8$360.8$360.81.0×
hap/ahl op rate12$237.92$258.92$279.911.2×
cofinity wc op rate12$316.54$344.47$372.41.2×
hurley medical center op rate12$180.88$196.84$212.81.2×
cofinity op rate22$313.5$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$529.47$69.41$97.83$1,061
ASCENSION STANDISH HOSPITALSTANDISHMI14$2,032$812.8$277.94$389.12$2,345
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI14$2,032$812.8$277.94$389.12$2,345
ASCENSION BORGESS HOSPITALKALAMAZOOMI14$2,032$812.8$277.94$389.12$2,345
ASCENSION ALLEGAN HOSPITALALLEGANMI14$2,032$812.8$277.94$389.12$2,345
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI14$2,032$812.8$277.94$389.12$2,345
BORGESS-PIPP HEALTH CENTERPLAINWELLMI14$2,032$812.8$277.94$389.12$2,345
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI14$2,032$812.8$277.94$389.12$2,345
MCLAREN OAKLANDPONTIACMI14$267.3$141.28$315.74$514
TAWAS ST. JOSEPH HOSPITALTAWASMI9$1,381$455.73$136.95$303.07$467.6
MCLAREN NORTHERN MICHIGANPETOSKEYMI18$904$452$44.94$270.05$678
MCLAREN FLINTFLINTMI29$782$395.2$44.94$270.05$646
MCLAREN GREATER LANSINGLANSING MI 489100MI22$1,061$530.5$44.94$270.05$742.7
MCLAREN LAPEER REGIONLAPEERMI27$1,432$716$44.94$270.05$1,184
MCLAREN PORT HURONPORT HURONMI31$682.82$341.41$44.94$270.05$562
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI21$1,638.21$270$21.05$268.66$419.71
MCLAREN BAY SPECIAL CAREBAY CITYMI17$202.8$117.56$230.45$333.45
MCLAREN MACOMBMT. CLEMENSMI20$207.7$135$230.39$345.6
MCLAREN CENTRAL MICHIGANMT PLEASANTMI19$509$254.5$44.94$220.15$458.1
BAY REGIONAL MEDICAL CENTERBAY CITYMI27$540$270$44.94$215.69$513.09
MCLAREN THUMB REGIONBAD AXEMI12$374$187$44.94$112.38$323.14
CARSON CITY HOSPITALCARSON CITYMI0$982$245.5
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$2,139$1,497.3
MH - MERCY CAMPUSMUSKEGONMI0$690.9$331.63
SOUTHEAST MICHIGAN SURGICAL HOSPITALWARRENMI0$1,376$1,100.8
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$362$253.4
MCKENZIE HEALTH SYSTEMSANDUSYMI0$460$368
SPARROW CLINTON HOSPITALST. JOHNSMI0$606$151.5
SPARROW EATONCHARLOTTEMI0$423$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.