▸ Compare · PriceTransparency
ED visit level 5
CPT 99285 · negotiated-rate distribution across hospitals in MI
Hospitals
29
Min
$200.00
Median
$597.94
Max
$861.59
Range multiplier
4.3×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 20 | 102 | $35.00 | $621.57 | $4,977.00 | 142.2× |
| Blue Cross Blue Shield | 21 | 97 | $26.75 | $2,367.00 | $3,735.00 | 139.6× |
| Medicare | 13 | 83 | $171.53 | $546.96 | $956.71 | 5.6× |
| Medicaid | 12 | 78 | $111.19 | $335.37 | $2,098.00 | 18.9× |
| Aetna | 21 | 66 | $40.83 | $633.88 | $5,318.00 | 130.2× |
| Humana | 18 | 38 | $171.53 | $597.94 | $703.02 | 4.1× |
| priority health op rate | 9 | 20 | $27.77 | $552.25 | $975.78 | 35.1× |
| priority health | 9 | 18 | $40.00 | $279.60 | $1,228.30 | 30.7× |
| First Health | 8 | 18 | $42.50 | $529.45 | $2,098.00 | 49.4× |
| mclaren commercial ins | 8 | 16 | $218.00 | $275.06 | $678.24 | 3.1× |
| Ambetter | 8 | 16 | $1,015.44 | $1,015.44 | $1,035.36 | 1.0× |
| smarthealth | 8 | 16 | $861.59 | $861.59 | $894.75 | 1.0× |
| Medicare Advantage | 9 | 16 | $515.07 | $615.42 | $615.42 | 1.2× |
| facility billing - op | 7 | 14 | $615.42 | $615.42 | $615.42 | 1.0× |
| healthspring mcr replacement | 7 | 14 | $621.57 | $624.65 | $627.73 | 1.0× |
| Oscar Health | 7 | 14 | $984.67 | $984.67 | $984.67 | 1.0× |
| occunet | 7 | 14 | $1,138.53 | $1,261.61 | $1,384.69 | 1.2× |
| WellCare | 7 | 14 | $615.42 | $615.42 | $615.42 | 1.0× |
| blue mcr replacement | 7 | 14 | $615.42 | $615.42 | $615.42 | 1.0× |
| hap - hmo op rate | 5 | 13 | $23.10 | $456.46 | $755.64 | 32.7× |
| hp - ppo op rate | 4 | 11 | $28.46 | $562.47 | $1,208.66 | 42.5× |
| hp - hmo op rate | 4 | 11 | $20.52 | $405.38 | $907.38 | 44.2× |
| cofinity - ppom op rate | 3 | 11 | $42.75 | $294.00 | $919.24 | 21.5× |
| TRICARE | 10 | 11 | $540.63 | $590.73 | $1,493.77 | 2.8× |
| u of m health plan | 8 | 10 | $197.26 | $197.26 | $875.12 | 4.4× |
| hap - ppo op rate | 3 | 9 | $32.05 | $633.31 | $1,208.66 | 37.7× |
| hcap op rate | 3 | 9 | $30.00 | $592.80 | $1,086.00 | 36.2× |
| cofinity - auto op rate | 4 | 8 | $143.10 | $527.08 | $1,302.86 | 9.1× |
| safe response program | 8 | 8 | $375.00 | $375.00 | $375.00 | 1.0× |
| Cigna | 8 | 8 | $847.08 | $1,399.00 | $1,399.00 | 1.7× |
| health advantage - commercial op rate | 2 | 8 | $17.52 | $208.22 | $350.85 | 20.0× |
| mi amish medical board | 7 | 7 | $597.94 | $597.94 | $597.94 | 1.0× |
| hap preferred op rate | 3 | 7 | $118.62 | $246.00 | $839.62 | 7.1× |
| cofinity auto | 7 | 7 | $1,136.09 | $1,136.09 | $1,136.09 | 1.0× |
| workers compensation | 7 | 7 | $373.33 | $617.83 | $693.31 | 1.9× |
| blue care network op rate | 2 | 6 | $26.75 | $200.10 | $682.13 | 25.5× |
| harbor health plan | 1 | 4 | $316.65 | $348.31 | $590.73 | 1.9× |
| bcn op rate | 2 | 4 | $200.00 | $471.45 | $697.53 | 3.5× |
| mclaren health advantage op rate | 2 | 4 | $72.62 | $226.58 | $661.89 | 9.1× |
| mclaren health op rate | 3 | 4 | $465.70 | $514.41 | $580.77 | 1.2× |
| Multiplan | 2 | 4 | $160.00 | $499.20 | $1,163.03 | 7.3× |
| hap/ahl op rate | 1 | 3 | $184.15 | $220.98 | $690.93 | 3.8× |
| hap op rate | 2 | 3 | $913.76 | $1,007.58 | $1,054.32 | 1.2× |
| hurley medical center op rate | 1 | 3 | $140.00 | $168.00 | $525.28 | 3.8× |
| gift of life op rate | 1 | 3 | $140.00 | $175.00 | $698.60 | 5.0× |
| hap-hmo op rate | 1 | 3 | $90.22 | $112.78 | $450.20 | 5.0× |
| cofinity wc op rate | 1 | 3 | $245.00 | $294.00 | $919.24 | 3.8× |
| cofinity - wc/auto op rate | 1 | 3 | $283.40 | $340.08 | $1,063.32 | 3.8× |
| phpmm-commercial hmo op rate | 1 | 3 | $85.04 | $106.30 | $424.35 | 5.0× |
| hospice care in michigan op rate | 1 | 3 | $100.00 | $125.00 | $499.00 | 5.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 14 | $11,795 | $4,718.00 | $615.42 | $861.59 | $5,318.00 |
| Ascension Borgess Hospital | Kalamazoo | MI | 14 | $11,795 | $4,718.00 | $615.42 | $861.59 | $5,318.00 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 14 | $11,795 | $4,718.00 | $615.42 | $861.59 | $5,318.00 |
| Ascension Standish Hospital | Standish | MI | 14 | $11,795 | $4,718.00 | $615.42 | $861.59 | $5,318.00 |
| Ascension Allegan Hospital | Allegan | MI | 14 | $11,795 | $4,718.00 | $615.42 | $861.59 | $5,318.00 |
| Ascension Providence Rochester Hospi | Rochester | MI | 14 | $11,795 | $4,718.00 | $615.42 | $861.59 | $5,318.00 |
| Borgess-Pipp Health Center | Plainwell | MI | 14 | $11,795 | $4,718.00 | $615.42 | $861.59 | $5,318.00 |
| Mclaren Oakland | Pontiac | MI | 14 | — | $652.60 | $318.49 | $781.67 | $1,255.00 |
| Tawas St. Joseph Hospital | Tawas | MI | 9 | $4,023.00 | $1,327.59 | $376.20 | $671.07 | $1,035.36 |
| Mclaren Greater Lansing | Lansing | MI | 22 | $2,147.00 | $1,073.50 | $111.19 | $597.94 | $1,502.90 |
| Mclaren Lapeer Region | Lapeer | MI | 27 | $2,540.00 | $1,270.00 | $111.19 | $597.94 | $2,098.00 |
| Garden City Hospital Osteopathic | Garden City | MI | 21 | $3,627.39 | $590.00 | $21.05 | $586.09 | $915.63 |
| Mclaren Port Huron | Port Huron | MI | 31 | $1,753.00 | $876.50 | $111.19 | $548.08 | $1,448.00 |
| Mclaren Northern Michigan | Petoskey | MI | 18 | $1,775.00 | $887.50 | $111.19 | $540.63 | $1,380.60 |
| Mclaren Central Michigan | Mt Pleasant | MI | 19 | $1,285.00 | $642.50 | $111.19 | $496.31 | $1,136.09 |
| Bay Regional Medical Center | Bay City | MI | 27 | $1,199.00 | $599.50 | $17.52 | $335.37 | $1,136.09 |
| Mclaren Flint | Flint | MI | 28 | $2,271.00 | $1,135.50 | $111.19 | $335.37 | $1,594.60 |
| Mclaren Bay Special Care | Bay City | MI | 18 | — | $520.50 | $17.52 | $318.49 | $855.86 |
| Ascension St John Hospital | Detroit | MI | 3 | $3,114.75 | $1,152.46 | $194.56 | $283.61 | $3,183.00 |
| Mclaren Thumb Region | Bad Axe | MI | 11 | $7,497.83 | $3,748.92 | $111.19 | $242.54 | $1,493.77 |
| Mclaren Macomb | Mt. Clemens | MI | 20 | — | $539.70 | $72.62 | $200.00 | $898.20 |
| Carson City Hospital | Carson City | MI | 0 | $2,429.00 | $607.25 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 0 | $38,336 | $26,835 | — | — | — |
| Mh - Mercy Campus | Muskegon | MI | 0 | $1,902.60 | $913.25 | — | — | — |
| Southeast Michigan Surgical Hospital | Warren | MI | 0 | $3,099.00 | $2,479.20 | — | — | — |
| Mackinac Straits Health System Inc | St. Ignace | MI | 0 | $655.00 | $458.50 | — | — | — |
| Mckenzie Health System | Sandusky | MI | 0 | $953.00 | $762.40 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $1,867.00 | $466.75 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $1,004.00 | $251.00 | — | — | — |
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.