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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in MI

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Hospitals
30
Min
$180.00
Median
$415.29
Max
$598.40
Range multiplier
3.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2096$76.68$431.70$3,316.0043.2×
Blue Cross Blue Shield2289$186.98$2,367.00$3,735.0020.0×
Medicare1383$118.44$415.29$664.475.6×
Medicaid1379$76.68$232.92$1,714.0022.4×
Aetna2259$126.31$466.07$4,146.0032.8×
Humana1939$118.44$415.29$488.274.1×
priority health918$40.00$194.33$994.0024.9×
mclaren commercial ins816$146.00$197.51$490.693.4×
smarthealth816$598.40$598.40$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$431.70$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$651.10$1,714.0012.0×
TRICARE1011$219.95$406.01$443.882.0×
u of m health plan810$136.21$136.21$582.874.3×
Cigna99$328.80$1,215.00$1,215.003.7×
workers compensation88$279.92$407.06$570.842.0×
safe response program88$325.00$325.00$325.001.0×
cofinity auto77$777.60$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$298.70$314.29$741.302.5×
hap - ppo op rate35$466.65$491.01$987.442.1×
hcap op rate35$436.80$459.60$799.501.8×
cofinity - ppom op rate35$582.61$622.44$654.931.1×
mclaren health op rate45$207.47$348.80$513.002.5×
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$413.901.9×
hap preferred op rate44$354.28$445.99$685.941.9×
hap op rate23$614.36$890.74$931.291.5×
mclaren health plan13$45.00$221.86$413.909.2×
total health care priority health13$221.86$407.40$413.901.9×
beacon health strategies13$121.76$121.76$221.861.8×
cofinity op rate22$532.50$678.00$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$967.601.1×
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$3,406.00$1,362.40$427.43$598.40$4,146.00
Ascension Allegan HospitalAlleganMI14$3,406.00$1,362.40$427.43$598.40$4,146.00
Ascension Borgess-Lee HospitalDowagiacMI14$3,406.00$1,362.40$427.43$598.40$4,146.00
Ascension Standish HospitalStandishMI14$3,406.00$1,362.40$427.43$598.40$4,146.00
Genesys Regional Medical Ctr.Grand BlancMI14$3,406.00$1,362.40$427.43$598.40$4,146.00
Borgess-Pipp Health CenterPlainwellMI14$3,406.00$1,362.40$427.43$598.40$4,146.00
Ascension Borgess HospitalKalamazooMI14$3,406.00$1,362.40$427.43$598.40$4,146.00
Mclaren OaklandPontiacMI14$409.75$221.88$496.44$788.00
Tawas St. Joseph HospitalTawasMI9$2,598.00$857.34$252.45$466.07$719.09
Mclaren Bay Special CareBay CityMI17$398.30$184.64$430.72$654.93
Mclaren Port HuronPort HuronMI31$1,291.00$645.50$76.68$415.29$1,066.00
Mclaren Northern MichiganPetoskeyMI18$1,640.00$820.00$76.68$415.29$1,230.00
Mclaren Greater LansingLansingMI22$1,430.00$715.00$76.68$415.29$1,001.00
Mclaren Lapeer RegionLapeerMI27$2,075.00$1,037.50$76.68$415.29$1,714.00
Garden City Hospital OsteopathicGarden CityMI21$2,519.36$413.00$21.05$410.65$641.55
Mclaren MacombMt. ClemensMI20$368.85$135.00$401.36$613.80
Mclaren FlintFlintMI28$1,440.00$720.00$76.68$388.67$1,010.65
Bay Regional Medical CenterBay CityMI26$899.00$449.50$76.68$370.73$789.06
Mclaren Central MichiganMt PleasantMI19$864.00$432.00$76.68$345.76$777.60
Karmanos Cancer HospitalDetroitMI14$285.00$202.21$344.95$431.28
Ascension St John HospitalDetroitMI3$2,048.50$757.95$131.75$186.98$1,591.00
Mclaren Thumb RegionBad AxeMI12$619.00$309.50$76.68$180.00$534.82
Mackinac Straits Health System IncSt. IgnaceMI0$486.00$340.20
Mh - Mercy CampusMuskegonMI0$1,284.80$616.70
North Ottawa Community HospitalGrand HavenMI0$6,236.00$4,365.20
Southeast Michigan Surgical HospitalWarrenMI0$2,137.00$1,709.60
Carson City HospitalCarson CityMI0$1,684.00$421.00
Mckenzie Health SystemSanduskyMI0$742.00$593.60
Sparrow Clinton HospitalSt. JohnsMI0$1,317.00$329.25
Sparrow EatonCharlotteMI0$859.00$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.