▸ Compare · PriceTransparency
ED visit level 5
CPT 99285 · negotiated-rate distribution across hospitals in MI
Hospitals
29
Min
$200
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 | $621.57 | $4,977 | 142.2× |
| Blue Cross Blue Shield | 21 | 97 | $26.75 | $2,367 | $3,735 | 139.6× |
| Medicare | 13 | 83 | $171.53 | $546.96 | $956.71 | 5.6× |
| Medicaid | 12 | 78 | $111.19 | $335.37 | $2,098 | 18.9× |
| Aetna | 21 | 66 | $40.83 | $633.88 | $5,318 | 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 | $279.6 | $1,228.3 | 30.7× |
| First Health | 8 | 18 | $42.5 | $529.45 | $2,098 | 49.4× |
| mclaren commercial ins | 8 | 16 | $218 | $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 | $23.1 | $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 | $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 | $592.8 | $1,086 | 36.2× |
| cofinity - auto op rate | 4 | 8 | $143.1 | $527.08 | $1,302.86 | 9.1× |
| safe response program | 8 | 8 | $375 | $375 | $375 | 1.0× |
| Cigna | 8 | 8 | $847.08 | $1,399 | $1,399 | 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 | $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 | $200.1 | $682.13 | 25.5× |
| harbor health plan | 1 | 4 | $316.65 | $348.31 | $590.73 | 1.9× |
| bcn op rate | 2 | 4 | $200 | $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 | $465.7 | $514.41 | $580.77 | 1.2× |
| Multiplan | 2 | 4 | $160 | $499.2 | $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 | $168 | $525.28 | 3.8× |
| gift of life op rate | 1 | 3 | $140 | $175 | $698.6 | 5.0× |
| hap-hmo op rate | 1 | 3 | $90.22 | $112.78 | $450.2 | 5.0× |
| cofinity wc op rate | 1 | 3 | $245 | $294 | $919.24 | 3.8× |
| cofinity - wc/auto op rate | 1 | 3 | $283.4 | $340.08 | $1,063.32 | 3.8× |
| phpmm-commercial hmo op rate | 1 | 3 | $85.04 | $106.3 | $424.35 | 5.0× |
| hospice care in michigan op rate | 1 | 3 | $100 | $125 | $499 | 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 | $615.42 | $861.59 | $5,318 |
| ASCENSION BORGESS HOSPITAL | KALAMAZOO | MI | 14 | $11,795 | $4,718 | $615.42 | $861.59 | $5,318 |
| ASCENSION BORGESS-LEE HOSPITAL | DOWAGIAC | MI | 14 | $11,795 | $4,718 | $615.42 | $861.59 | $5,318 |
| ASCENSION STANDISH HOSPITAL | STANDISH | MI | 14 | $11,795 | $4,718 | $615.42 | $861.59 | $5,318 |
| ASCENSION ALLEGAN HOSPITAL | ALLEGAN | MI | 14 | $11,795 | $4,718 | $615.42 | $861.59 | $5,318 |
| ASCENSION PROVIDENCE ROCHESTER HOSPI | ROCHESTER | MI | 14 | $11,795 | $4,718 | $615.42 | $861.59 | $5,318 |
| BORGESS-PIPP HEALTH CENTER | PLAINWELL | MI | 14 | $11,795 | $4,718 | $615.42 | $861.59 | $5,318 |
| MCLAREN OAKLAND | PONTIAC | MI | 14 | — | $652.6 | $318.49 | $781.67 | $1,255 |
| TAWAS ST. JOSEPH HOSPITAL | TAWAS | MI | 9 | $4,023 | $1,327.59 | $376.2 | $671.07 | $1,035.36 |
| MCLAREN GREATER LANSING | LANSING MI 489100 | MI | 22 | $2,147 | $1,073.5 | $111.19 | $597.94 | $1,502.9 |
| MCLAREN LAPEER REGION | LAPEER | MI | 27 | $2,540 | $1,270 | $111.19 | $597.94 | $2,098 |
| GARDEN CITY HOSPITAL OSTEOPATHIC | GARDEN CITY | MI | 21 | $3,627.39 | $590 | $21.05 | $586.09 | $915.63 |
| MCLAREN PORT HURON | PORT HURON | MI | 31 | $1,753 | $876.5 | $111.19 | $548.08 | $1,448 |
| MCLAREN NORTHERN MICHIGAN | PETOSKEY | MI | 18 | $1,775 | $887.5 | $111.19 | $540.63 | $1,380.6 |
| MCLAREN CENTRAL MICHIGAN | MT PLEASANT | MI | 19 | $1,285 | $642.5 | $111.19 | $496.31 | $1,136.09 |
| BAY REGIONAL MEDICAL CENTER | BAY CITY | MI | 27 | $1,199 | $599.5 | $17.52 | $335.37 | $1,136.09 |
| MCLAREN FLINT | FLINT | MI | 28 | $2,271 | $1,135.5 | $111.19 | $335.37 | $1,594.6 |
| MCLAREN BAY SPECIAL CARE | BAY CITY | MI | 18 | — | $520.5 | $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 |
| 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 | — | $539.7 | $72.62 | $200 | $898.2 |
| CARSON CITY HOSPITAL | CARSON CITY | MI | 0 | $2,429 | $607.25 | — | — | — |
| NORTH OTTAWA COMMUNITY HOSPITAL | GRAND HAVEN | MI | 0 | $38,336 | $26,835 | — | — | — |
| MH - MERCY CAMPUS | MUSKEGON | MI | 0 | $1,902.6 | $913.25 | — | — | — |
| SOUTHEAST MICHIGAN SURGICAL HOSPITAL | WARREN | MI | 0 | $3,099 | $2,479.2 | — | — | — |
| MACKINAC STRAITS HEALTH SYSTEM INC | ST. IGNACE | MI | 0 | $655 | $458.5 | — | — | — |
| MCKENZIE HEALTH SYSTEM | SANDUSY | MI | 0 | $953 | $762.4 | — | — | — |
| SPARROW CLINTON HOSPITAL | ST. JOHNS | MI | 0 | $1,867 | $466.75 | — | — | — |
| SPARROW EATON | CHARLOTTE | MI | 0 | $1,004 | $251 | — | — | — |
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.