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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in MI

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Hospitals
29
Min
$237.78
Median
$821.78
Max
$1,378.5
Range multiplier
5.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare2097$135$854.26$7,18653.2×
Blue Cross Blue Shield2192$279.56$2,367$3,73513.4×
Medicare1383$198.15$725.64$1,314.856.6×
Medicaid1279$135.47$460.91$3,67127.1×
Aetna2152$221.25$871.17$3,001.513.6×
Humana1838$198.15$821.78$966.194.9×
priority health918$40$358.36$2,447.4361.2×
Medicare Advantage916$683.33$845.8$845.81.2×
smarthealth816$1,184.12$1,184.12$1,229.691.0×
Ambetter816$1,395.57$1,395.57$1,422.931.0×
priority health op rate915$313.29$1,079.69$2,121.396.8×
blue mcr replacement714$845.8$845.8$845.81.0×
WellCare714$845.8$845.8$845.81.0×
Oscar Health714$1,353.28$1,353.28$1,353.281.0×
occunet714$1,564.73$1,733.89$1,903.051.2×
facility billing - op714$845.8$845.8$845.81.0×
healthspring mcr replacement714$854.26$858.49$862.721.0×
First Health813$500$1,237.6$3,6717.3×
mclaren commercial ins811$258$258$1,208.174.7×
TRICARE1011$454.82$803.41$878.351.9×
Cigna89$441.67$2,410$2,4105.5×
hap - hmo op rate59$228.35$672.67$1,262.095.5×
u of m health plan89$227.87$227.87$1,094.814.8×
hap - hmo88$204.94$204.94$204.941.0×
hp - ppo op rate48$352.97$796.12$2,114.866.0×
hp - hmo op rate48$265.24$585.23$1,587.716.0×
mi amish medical board77$821.78$821.78$821.781.0×
cofinity auto77$1,561.38$1,561.38$1,561.381.0×
hcap op rate36$566.25$798.9$1,346.252.4×
hap - ppo op rate36$763.33$853.5$2,114.862.8×
cofinity - ppom op rate36$303.8$1,138.43$1,365.634.5×
cofinity - auto op rate46$351.42$1,531.2$2,279.696.5×
workers compensation66$559.84$981.64$1,494.212.7×
mclaren health op rate35$247.04$1,064.62$1,262.635.1×
hap preferred op rate35$254.2$1,142.67$1,635.186.4×
mhp - hmo op rate24$199.21$642.57$1,079.645.4×
harbor health plan14$439.21$483.13$819.381.9×
health advantage - commercial op rate24$423.05$466.69$510.331.2×
health advantage - ppo op rate24$199.21$642.57$1,079.645.4×
total health care priority health13$439.21$806.51$819.381.9×
hap op rate23$1,932.69$2,292.15$2,336.311.2×
Multiplan23$606.42$1,441.74$2,205.63.6×
cofinity op rate23$261.73$1,386.64$2,0257.7×
bcn op rate23$321.25$1,161.86$1,169.623.6×
auto-cofinity op rate12$641.75$1,083.75$1,525.752.4×
blue care network op rate22$1,143.81$1,143.81$1,143.811.0×
hap ahl op rate12$383.54$647.7$911.862.4×
hap hmo op rate12$379.31$640.56$901.812.4×
hap ppo op rate12$477.69$806.7$1,135.72.4×
hap/ahl op rate12$228.35$627.4$1,026.454.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
TAWAS ST. JOSEPH HOSPITALTAWASMI9$5,953$1,964.49$518.1$922.27$1,422.93
MCLAREN LAPEER REGIONLAPEERMI27$4,445$2,222.5$135.47$821.78$3,671
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI20$4,500$819$30$819.38$1,482.15
MCLAREN GREATER LANSINGLANSING MI 489100MI21$2,686$1,343$135.47$803.04$1,880.2
MCLAREN BAY SPECIAL CAREBAY CITYMI17$757.1$351.6$784.83$1,244.88
MCLAREN NORTHERN MICHIGANPETOSKEYMI17$4,038$2,019$135.47$782.4$3,028.5
BAY REGIONAL MEDICAL CENTERBAY CITYMI26$1,798$899$135.47$679.91$1,561.38
MCLAREN CENTRAL MICHIGANMT PLEASANTMI19$3,285$1,642.5$135.47$658.43$2,463.75
MCLAREN PORT HURONPORT HURONMI31$2,433.5$1,216.75$135.47$576.79$1,795
MCLAREN FLINTFLINTMI27$3,375$1,687.5$135.47$460.91$2,368.95
ASCENSION ST JOHN HOSPITALDETROITMI3$3,275.5$1,211.94$248.97$351.97$500
MCLAREN THUMB REGIONBAD AXEMI12$1,280$640$135.47$237.78$1,087.36
MCLAREN MACOMBMT. CLEMENSMI20$1,491$135$1,378.5$2,481.3
MCLAREN OAKLANDPONTIACMI14$993.2$422.53$1,203.3$1,910
ASCENSION STANDISH HOSPITALSTANDISHMI14$11,833$4,733.2$845.8$1,184.12$7,186
ASCENSION ALLEGAN HOSPITALALLEGANMI14$11,833$4,733.2$845.8$1,184.12$7,186
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI14$11,833$4,733.2$845.8$1,184.12$7,186
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI14$11,833$4,733.2$845.8$1,184.12$7,186
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI14$11,833$4,733.2$845.8$1,184.12$7,186
ASCENSION BORGESS HOSPITALKALAMAZOOMI14$11,833$4,733.2$845.8$1,184.12$7,186
BORGESS-PIPP HEALTH CENTERPLAINWELLMI14$11,833$4,733.2$845.8$1,184.12$7,186
CARSON CITY HOSPITALCARSON CITYMI0$3,066$766.5
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$6,672$4,670.4
MH - MERCY CAMPUSMUSKEGONMI0$3,215.6$1,543.49
SOUTHEAST MICHIGAN SURGICAL HOSPITALWARRENMI0$4,281$3,424.8
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$843$590.1
MCKENZIE HEALTH SYSTEMSANDUSYMI0$1,060$848
SPARROW CLINTON HOSPITALST. JOHNSMI0$2,347$586.75
SPARROW EATONCHARLOTTEMI0$1,282$320.5

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.