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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in MI

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Hospitals
30
Min
$180
Median
$415.29
Max
$598.4
Range multiplier
3.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2096$76.68$431.7$3,31643.2×
Blue Cross Blue Shield2289$186.98$2,367$3,73520.0×
Medicare1383$118.44$415.29$664.475.6×
Medicaid1379$76.68$232.92$1,71422.4×
Aetna2259$126.31$466.07$4,14632.8×
Humana1939$118.44$415.29$488.274.1×
priority health918$40$194.33$99424.9×
mclaren commercial ins816$146$197.51$490.693.4×
smarthealth816$598.4$598.4$621.431.0×
Ambetter816$705.26$705.26$719.091.0×
Medicare Advantage916$358.83$427.43$427.431.2×
WellCare714$427.43$427.43$427.431.0×
healthspring mcr replacement714$431.7$433.84$435.981.0×
blue mcr replacement714$427.43$427.43$427.431.0×
facility billing - op714$427.43$427.43$427.431.0×
occunet714$790.75$876.24$961.721.2×
Oscar Health714$683.89$683.89$683.891.0×
priority health op rate1013$333.29$425.36$861.922.6×
First Health811$142.88$651.1$1,71412.0×
TRICARE1011$219.95$406.01$443.882.0×
u of m health plan810$136.21$136.21$582.874.3×
Cigna99$328.8$1,215$1,2153.7×
workers compensation88$279.92$407.06$570.842.0×
safe response program88$325$325$3251.0×
cofinity auto77$777.6$789.06$789.061.0×
hap - hmo op rate57$336.34$353.89$589.271.8×
mi amish medical board77$415.29$415.29$415.291.0×
hp - ppo op rate46$414.45$436.08$987.442.4×
hp - hmo op rate46$298.7$314.29$741.32.5×
hap - ppo op rate35$466.65$491.01$987.442.1×
hcap op rate35$436.8$459.6$799.51.8×
cofinity - ppom op rate35$582.61$622.44$654.931.1×
mclaren health op rate45$207.47$348.8$5132.5×
health advantage - commercial op rate24$255.16$261.82$268.481.1×
cofinity - auto op rate44$487.97$642.83$1,064.392.2×
harbor health plan14$221.86$244.05$413.91.9×
hap preferred op rate44$354.28$445.99$685.941.9×
hap op rate23$614.36$890.74$931.291.5×
mclaren health plan13$45$221.86$413.99.2×
total health care priority health13$221.86$407.4$413.91.9×
beacon health strategies13$121.76$121.76$221.861.8×
cofinity op rate22$532.5$678$823.491.5×
bcn op rate22$480.17$481.78$483.381.0×
blue care network op rate22$472.71$472.71$472.711.0×
Bright Health12$554.85$554.85$554.851.0×
cofinity group 15892 & 1589322$850.75$909.18$967.61.1×
hap ahl op rate22$354.28$447.91$541.531.5×
hap hmo op rate22$326.28$430.92$535.561.6×
health advantage - ppo op rate22$382.03$443.06$504.091.3×
health plus hmo op rate22$391.82$491.73$591.631.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI14$3,406$1,362.4$427.43$598.4$4,146
ASCENSION ALLEGAN HOSPITALALLEGANMI14$3,406$1,362.4$427.43$598.4$4,146
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI14$3,406$1,362.4$427.43$598.4$4,146
ASCENSION STANDISH HOSPITALSTANDISHMI14$3,406$1,362.4$427.43$598.4$4,146
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI14$3,406$1,362.4$427.43$598.4$4,146
BORGESS-PIPP HEALTH CENTERPLAINWELLMI14$3,406$1,362.4$427.43$598.4$4,146
ASCENSION BORGESS HOSPITALKALAMAZOOMI14$3,406$1,362.4$427.43$598.4$4,146
MCLAREN OAKLANDPONTIACMI14$409.75$221.88$496.44$788
TAWAS ST. JOSEPH HOSPITALTAWASMI9$2,598$857.34$252.45$466.07$719.09
MCLAREN BAY SPECIAL CAREBAY CITYMI17$398.3$184.64$430.72$654.93
MCLAREN PORT HURONPORT HURONMI31$1,291$645.5$76.68$415.29$1,066
MCLAREN NORTHERN MICHIGANPETOSKEYMI18$1,640$820$76.68$415.29$1,230
MCLAREN GREATER LANSINGLANSING MI 489100MI22$1,430$715$76.68$415.29$1,001
MCLAREN LAPEER REGIONLAPEERMI27$2,075$1,037.5$76.68$415.29$1,714
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI21$2,519.36$413$21.05$410.65$641.55
MCLAREN MACOMBMT. CLEMENSMI20$368.85$135$401.36$613.8
MCLAREN FLINTFLINTMI28$1,440$720$76.68$388.67$1,010.65
BAY REGIONAL MEDICAL CENTERBAY CITYMI26$899$449.5$76.68$370.73$789.06
MCLAREN CENTRAL MICHIGANMT PLEASANTMI19$864$432$76.68$345.76$777.6
KARMANOS CANCER HOSPITALDETROITMI14$285$202.21$344.95$431.28
ASCENSION ST JOHN HOSPITALDETROITMI3$2,048.5$757.95$131.75$186.98$1,591
MCLAREN THUMB REGIONBAD AXEMI12$619$309.5$76.68$180$534.82
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$486$340.2
MH - MERCY CAMPUSMUSKEGONMI0$1,284.8$616.7
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$6,236$4,365.2
SOUTHEAST MICHIGAN SURGICAL HOSPITALWARRENMI0$2,137$1,709.6
CARSON CITY HOSPITALCARSON CITYMI0$1,684$421
MCKENZIE HEALTH SYSTEMSANDUSYMI0$742$593.6
SPARROW CLINTON HOSPITALST. JOHNSMI0$1,317$329.25
SPARROW EATONCHARLOTTEMI0$859$214.75

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.