▸ Hospital · MI · CCN 230080
Mclaren Central Michigan
1221 SOUTH DRIVE, MT PLEASANT, MI, 230080
Compliance grade
A
100/100
Procedures tracked
181
of 209 target codes
Payers
22
with negotiated rates
Rates published
50,020
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychiatric diagnostic evaluation | CPT | 90791 | 10 | $301.1 | $150.6 | $118.15 | $139.37 | $185.64 |
| Psychiatric eval with medical services | CPT | 90792 | 10 | $311 | $155.5 | $129.36 | $160.04 | $212.52 |
| Psychotherapy 30 minutes | CPT | 90832 | 10 | $125.9 | $63 | $45.87 | $69.14 | $89.46 |
| Psychotherapy 45 minutes | CPT | 90834 | 10 | $160.2 | $80.1 | $60.5 | $91.44 | $118.02 |
| Psychotherapy 60 minutes | CPT | 90837 | 10 | $221.7 | $110.9 | $89.59 | $134.63 | $174.72 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 10 | $221.7 | $110.9 | $86.77 | $128.94 | $169.26 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 19 | $286 | $143 | $7.24 | $79.82 | $214.5 |
| ED visit level 2 | CPT | 99282 | 18 | $331 | $165.5 | $26.63 | $125.08 | $248.25 |
| ED visit level 3 | CPT | 99283 | 19 | $509 | $254.5 | $44.94 | $220.15 | $458.1 |
| ED visit level 4 | CPT | 99284 | 19 | $864 | $432 | $76.68 | $345.76 | $777.6 |
| ED visit level 5 | CPT | 99285 | 19 | $1,285 | $642.5 | $111.19 | $496.31 | $1,136.09 |
| Critical care, first hour | CPT | 99291 | 19 | $3,285 | $1,642.5 | $135.47 | $658.43 | $2,463.75 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 18 | $1,943.1 | $971.55 | $25.56 | $103.65 | $1,457.32 |
| CT head with contrast | CPT | 70460 | 17 | $1,946.3 | $973.15 | $33.87 | $163.35 | $1,459.73 |
| CT head with and without contrast | CPT | 70470 | 17 | $2,621 | $1,310.5 | $38.13 | $156.98 | $1,965.75 |
| CT neck with contrast | CPT | 70491 | 16 | $2,238.2 | $1,119.1 | $41.32 | $163.35 | $1,678.65 |
| MRI brain without contrast | CPT | 70551 | 18 | $3,251.5 | $1,625.75 | $44.3 | $218.75 | $2,438.63 |
| MRI brain with contrast | CPT | 70552 | 16 | $3,291.4 | $1,645.7 | $53.46 | $314.92 | $2,468.55 |
| MRI brain with and without contrast | CPT | 70553 | 17 | $3,291.4 | $1,645.7 | $69.01 | $348.3 | $2,468.55 |
| Chest X-ray single view | CPT | 71045 | 18 | $357 | $178.5 | $5.54 | $76.9 | $267.75 |
| Chest X-ray 2 views | CPT | 71046 | 19 | $382.2 | $191.1 | $6.6 | $76.9 | $286.65 |
| Chest X-ray 3 views | CPT | 71047 | 16 | $391.2 | $195.6 | $8.31 | $61.08 | $289.35 |
| CT chest without contrast | CPT | 71250 | 18 | $2,312.3 | $1,156.15 | $32.38 | $103.58 | $1,734.23 |
| CT chest with contrast | CPT | 71260 | 18 | $2,621 | $1,310.5 | $34.93 | $169.72 | $1,965.75 |
| CT chest with and without contrast | CPT | 71270 | 16 | $3,025.2 | $1,512.6 | $37.49 | $132.95 | $2,237.76 |
| MRI chest without contrast | CPT | 71550 | 16 | $2,843.7 | $1,421.85 | $43.88 | $140.38 | $2,103.57 |
| MRI chest with contrast | CPT | 71551 | 16 | $3,153 | $1,576.5 | $51.76 | $445.13 | $2,332.35 |
| MRI chest with and without contrast | CPT | 71552 | 16 | $4,400.6 | $2,200.3 | $68.16 | $224.55 | $3,255.21 |
| Lumbosacral spine X-ray | CPT | 72100 | 18 | $517.6 | $258.8 | $6.82 | $93.77 | $388.2 |
| CT cervical spine without contrast | CPT | 72125 | 18 | $2,312.3 | $1,156.15 | $29.82 | $103.58 | $1,734.23 |
| CT thoracic spine without contrast | CPT | 72128 | 18 | $2,312.3 | $1,156.15 | $29.82 | $103.58 | $1,734.23 |
| CT lumbar spine without contrast | CPT | 72131 | 18 | $2,312.3 | $1,156.15 | $29.82 | $103.58 | $1,734.23 |
| MRI cervical spine without contrast | CPT | 72141 | 18 | $3,177.1 | $1,588.55 | $44.52 | $218.75 | $2,382.83 |
| MRI thoracic spine without contrast | CPT | 72146 | 18 | $3,177.1 | $1,588.55 | $44.52 | $218.75 | $2,382.83 |
| MRI lumbar spine without contrast | CPT | 72148 | 18 | $3,177.1 | $1,588.55 | $44.52 | $227.25 | $2,382.83 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 16 | $3,191.1 | $1,595.55 | $53.89 | $224.55 | $2,360.61 |
| MRI cervical spine with and without contrast | CPT | 72156 | 17 | $4,987.4 | $2,493.7 | $69.23 | $331.61 | $3,740.55 |
| MRI lumbar spine with contrast | CPT | 72158 | 18 | $4,999.3 | $2,499.65 | $69.23 | $348.3 | $3,749.48 |
| CT pelvis without contrast | CPT | 72192 | 17 | $2,312.3 | $1,156.15 | $32.59 | $93.77 | $1,710.54 |
| CT pelvis with contrast | CPT | 72193 | 16 | $2,456.5 | $1,228.25 | $34.72 | $108.92 | $1,817.1 |
| Shoulder X-ray | CPT | 73030 | 18 | $340.5 | $170.25 | $5.75 | $76.9 | $255.38 |
| Humerus X-ray | CPT | 73060 | 18 | $326.7 | $163.35 | $4.9 | $60.87 | $245.02 |
| Hand X-ray 3 views | CPT | 73130 | 18 | $357 | $178.5 | $5.33 | $76.9 | $267.75 |
| MRI upper extremity joint without contrast | CPT | 73221 | 18 | $3,261.3 | $1,630.65 | $40.68 | $218.75 | $2,445.98 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 16 | $4,805.7 | $2,402.85 | $64.97 | $224.55 | $3,555 |
| Knee X-ray 1-2 views | CPT | 73560 | 18 | $248.5 | $124.25 | $5.11 | $71.7 | $186.38 |
| Ankle X-ray 3 views | CPT | 73610 | 18 | $310.5 | $155.25 | $5.33 | $76.9 | $232.88 |
| MRI lower extremity joint without contrast | CPT | 73721 | 18 | $3,261.3 | $1,630.65 | $40.68 | $227.25 | $2,445.98 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 16 | $4,796.6 | $2,398.3 | $64.97 | $224.55 | $3,548.16 |
| CT abdomen without contrast | CPT | 74150 | 16 | $2,238.2 | $1,119.1 | $35.57 | $88.94 | $1,655.64 |
| CT abdomen with contrast | CPT | 74160 | 16 | $2,568.1 | $1,284.05 | $38.13 | $163.35 | $1,926.07 |
| CT abdomen with and without contrast | CPT | 74170 | 16 | $2,949.4 | $1,474.7 | $41.75 | $156.98 | $2,212.05 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 18 | $2,312.3 | $1,156.15 | $52.19 | $218.75 | $1,734.23 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 18 | $2,568.1 | $1,284.05 | $54.95 | $348.3 | $1,926.07 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 16 | $2,949.4 | $1,474.7 | $60.28 | $348.3 | $2,212.05 |
| MRI abdomen without contrast | CPT | 74181 | 16 | $2,644.5 | $1,322.25 | $43.67 | $213.15 | $1,983.38 |
| MRI abdomen with and without contrast | CPT | 74183 | 17 | $5,089.2 | $2,544.6 | $66.24 | $348.3 | $3,816.9 |
| Abdominal ultrasound complete | CPT | 76700 | 16 | $889.8 | $444.9 | $24.28 | $103.58 | $667.35 |
| Abdominal ultrasound limited | CPT | 76705 | 17 | $805.1 | $402.55 | $17.68 | $103.58 | $603.83 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 17 | $889.8 | $444.9 | $22.15 | $103.58 | $667.35 |
| Obstetric ultrasound first trimester | CPT | 76801 | 16 | $432.8 | $216.4 | $29.82 | $98.68 | $324.6 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 16 | $806.6 | $403.3 | $30.03 | $103.58 | $604.95 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 16 | $344.3 | $172.15 | $56.87 | $156.28 | $377.19 |
| Transvaginal ultrasound | CPT | 76830 | 16 | $805.1 | $402.55 | $20.87 | $103.58 | $603.83 |
| Pelvic ultrasound complete | CPT | 76856 | 16 | $805.1 | $402.55 | $20.66 | $103.58 | $603.83 |
| Scrotal ultrasound | CPT | 76870 | 17 | $805.1 | $402.55 | $19.17 | $103.58 | $603.83 |
| Diagnostic mammography unilateral | CPT | 77065 | 15 | $558.6 | $279.3 | $24.28 | $82.16 | $418.95 |
| Diagnostic mammography bilateral | CPT | 77066 | 15 | $662.9 | $331.45 | $29.82 | $103.11 | $497.17 |
| Screening mammography bilateral | CPT | 77067 | 15 | $634 | $317 | $23 | $88.08 | $475.5 |
| EKG complete | CPT | 93000 | 13 | $34.2 | $109.45 | $14.67 | $19.38 | $189.45 |
| EKG tracing only | CPT | 93005 | 18 | $256.2 | $128.1 | $9.58 | $57.93 | $192.15 |
| EKG interpretation only | CPT | 93010 | 9 | $34.2 | $17.1 | $5.11 | $8.4 | $11.3 |
| Transthoracic echocardiogram complete | CPT | 93306 | 16 | $3,062.2 | $1,531.1 | $43.03 | $459.02 | $2,265.21 |
| Transthoracic echocardiogram | CPT | 93307 | 13 | $1,966.2 | $983.1 | $132.22 | $235.74 | $1,454.58 |
| Stress echocardiogram | CPT | 93350 | 9 | $653.8 | $326.9 | $43.03 | $67.74 | $107.59 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $32,313 | $16,156 | $10,263 | $12,580 | $29,922 |
| COPD w MCC | MS-DRG | 190 | 6 | $29,544 | $14,772 | $7,275.07 | $9,318.88 | $22,377 |
| COPD w CC | MS-DRG | 191 | 6 | $20,724 | $10,362 | $5,825.29 | $7,421.9 | $19,913 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $19,979 | $9,989.58 | $5,568.92 | $7,156.02 | $14,713 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $12,705 | $6,352.5 | $4,343.05 | $5,884.68 | $9,981.92 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $11,681 | $5,840.25 | $11,085 | $12,876 | $34,034 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | $19,193 | $9,596.5 | $4,996.76 | $6,661.08 | $20,538 |
| Heart failure & shock w MCC | MS-DRG | 291 | 7 | $30,228 | $15,114 | $8,693.02 | $10,581 | $27,033 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $30,223 | $15,112 | $5,866.75 | $7,464.9 | $18,181 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $31,257 | $15,628 | $7,727.04 | $10,009 | $25,449 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 7 | $14,246 | $7,123.19 | $4,277.22 | $6,752.73 | $16,709 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 7 | $12,132 | $6,066.06 | $3,633.5 | $5,437.49 | $12,846 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | $21,014 | $10,507 | $6,776.82 | $8,408.73 | $23,892 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | $8,233 | $4,116.5 | $4,356.18 | $5,898.3 | $17,616 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 7 | $16,966 | $8,483.13 | $5,195.67 | $7,072.06 | $15,816 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | $15,956 | $7,978 | $8,017.9 | $9,695.84 | $21,930 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | $16,052 | $8,026.08 | $5,065.96 | $7,181.82 | $13,883 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 8 | $42,226 | $21,113 | $13,193 | $15,761 | $39,835 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | $21,250 | $10,625 | $6,061.75 | $8,714.03 | $18,419 |
| Initial hospital care, low complexity | CPT | 99221 | 9 | $358 | $179 | $52.4 | $75.96 | $113.01 |
| Initial hospital care, moderate complexity | CPT | 99222 | 10 | $520 | $260 | $82.64 | $119.43 | $170.65 |
| Initial hospital care, high complexity | CPT | 99223 | 9 | $675 | $337.5 | $110.12 | $158.79 | $226.05 |
| Hospital discharge, <30 min | CPT | 99238 | 9 | $342 | $171 | $51.55 | $75.37 | $128.89 |
| Hospital discharge, >30 min | CPT | 99239 | 9 | $368 | $184 | $72.85 | $107.3 | $182.15 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 19 | $115.3 | $57.65 | $4.63 | $10.83 | $86.48 |
| Electrolyte panel | CPT | 80051 | 14 | $59.4 | $29.7 | $3.83 | $6.84 | $50 |
| Comprehensive metabolic panel | CPT | 80053 | 18 | $201.6 | $100.8 | $5.78 | $10.56 | $151.2 |
| Lipid panel | CPT | 80061 | 18 | $102.4 | $51.2 | $7.32 | $13.39 | $76.8 |
| Renal function panel | CPT | 80069 | 15 | $143.3 | $71.65 | $4.75 | $8.58 | $107.48 |
| Hepatic function panel | CPT | 80076 | 15 | $101.8 | $50.9 | $4.47 | $8.07 | $76.35 |
| Urinalysis non-automated | CPT | 81002 | 16 | $30.5 | $15.25 | $1.9 | $3.48 | $25 |
| Urinalysis automated | CPT | 81003 | 19 | $45.9 | $22.95 | $1.23 | $2.45 | $34.43 |
| Glucose quantitative | CPT | 82947 | 17 | $50.6 | $25.3 | $2.15 | $17.91 | $37.95 |
| Hemoglobin A1c | CPT | 83036 | 17 | $140.7 | $70.35 | $5.31 | $25.54 | $105.52 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 17 | $167 | $83.5 | $9.19 | $16.8 | $125.25 |
| Complete blood count with automated differential | CPT | 85025 | 19 | $86.4 | $43.2 | $4.25 | $14.4 | $64.8 |
| Complete blood count without differential | CPT | 85027 | 18 | $41.2 | $20.6 | $3.54 | $6.47 | $45 |
| Urine culture bacterial | CPT | 87086 | 19 | $93.9 | $46.95 | $4.41 | $8.77 | $70.43 |
| Tissue exam by pathologist level IV | CPT | 88305 | 16 | $968.4 | $484.2 | $29.23 | $66.84 | $716.49 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 17 | $472.2 | $236.1 | $18.53 | $161.9 | $372.77 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 9 | $7,617.5 | $3,808.8 | $2,043 | $2,260.13 | $3,504.67 |
| Vaginal delivery only | CPT | 59409 | 16 | $6,242.6 | $3,121.3 | $729.76 | $1,749.73 | $4,961.49 |
| Vaginal delivery with postpartum | CPT | 59410 | 9 | $5,081.4 | $2,540.7 | $984.03 | $1,014.27 | $1,980.33 |
| Routine obstetric care with C-section | CPT | 59510 | 9 | $8,039.1 | $4,019.6 | $2,309 | $2,533.33 | $3,780.59 |
| C-section delivery only | CPT | 59514 | 10 | $5,092.4 | $2,546.2 | $834.27 | $877.84 | $1,706.1 |
| C-section with postpartum | CPT | 59515 | 9 | $5,821.9 | $2,911 | $1,221.92 | $1,267.79 | $1,980.33 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 17 | $1,002 | $501 | $29.82 | $64.08 | $740.7 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 17 | $1,064 | $532 | $52.19 | $99.4 | $798 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 17 | $1,127 | $563.5 | $69.68 | $131.81 | $845.25 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 18 | $1,194 | $597 | $74.97 | $159.14 | $883.8 |
| Office visit, established patient, 5 min | CPT | 99211 | 16 | $939 | $469.5 | $5.54 | $22.58 | $694.8 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 16 | $1,002 | $501 | $21.87 | $65.63 | $751.5 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 16 | $1,064 | $532 | $41.96 | $99.8 | $798 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 16 | $1,127 | $563.5 | $61.77 | $119.25 | $845.25 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 15 | $1,195 | $597.5 | $74.97 | $142.96 | $896.25 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 17 | $5,872.08 | $2,936.04 | $77.75 | $520.54 | $1,549.62 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 17 | $6,469.76 | $3,234.88 | $87.33 | $520.54 | $1,549.62 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 17 | $7,889.28 | $3,944.64 | $36.42 | $498.71 | $2,899.13 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 17 | $12,211 | $6,105.46 | $46.22 | $501.76 | $2,261.9 |
| Colonoscopy diagnostic | CPT | 45378 | 17 | $6,169.84 | $3,084.92 | $116.72 | $506.19 | $2,492.86 |
| Colonoscopy with biopsy | CPT | 45380 | 17 | $6,570.01 | $3,285.01 | $126.95 | $654.64 | $3,544.07 |
| Colonoscopy with polyp removal | CPT | 45385 | 17 | $6,493.92 | $3,246.96 | $159.96 | $654.64 | $3,437.48 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 11 | $60,887 | $30,444 | $931.66 | $10,059 | $28,697 |
| Hip hemiarthroplasty | CPT | 27125 | 9 | $3,689.7 | $1,844.9 | $732.93 | $1,042.58 | $1,832.68 |
| Total hip replacement | CPT | 27130 | 11 | $55,186 | $27,593 | $829.21 | $7,038.15 | $20,531 |
| Total knee replacement | CPT | 27447 | 16 | $50,570 | $25,285 | $828.14 | $7,512 | $25,424 |
| Knee revision arthroplasty single component | CPT | 27486 | 9 | $10,055 | $5,027.5 | $907.38 | $1,286.59 | $2,268.88 |
| Knee revision arthroplasty all components | CPT | 27487 | 9 | $169,485 | $84,742 | $1,128.9 | $1,601.45 | $15,546 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 9 | $889.5 | $444.8 | $109.7 | $151.18 | $247.15 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 9 | $3,937.2 | $1,968.6 | $691.61 | $981.48 | $1,729.35 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 16 | $11,948 | $5,974.2 | $354.43 | $1,828.05 | $8,308.79 |
| ACL reconstruction | CPT | 29888 | 14 | $8,601.5 | $10,348 | $630.48 | $1,425.7 | $18,627 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | $143,114 | $71,557 | $31,446 | $34,321 | $86,113 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $56,968 | $28,484 | $16,565 | $18,615 | $52,203 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | $52,004 | $26,002 | $11,629 | $13,844 | $38,260 |
| CABG single arterial graft | CPT | 33533 | 9 | $7,204.2 | $3,602.1 | $1,178.1 | $1,802.84 | $2,945.81 |
| CABG 2 arterial grafts | CPT | 33534 | 9 | $8,297.6 | $4,148.8 | $1,383.86 | $2,115.76 | $3,460.3 |
| CABG 3 arterial grafts | CPT | 33535 | 9 | $9,146.1 | $4,573.1 | $1,537.22 | $2,348.18 | $3,857.27 |
| CABG 4+ arterial grafts | CPT | 33536 | 9 | $9,785.4 | $4,892.7 | $1,655.86 | $2,529.15 | $4,146.09 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | $38,578 | $19,289 | $11,689 | $13,706 | $40,550 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | $44,019 | $22,010 | $9,437.94 | $11,336 | $36,159 |
| Open appendectomy | CPT | 44950 | 9 | $2,952 | $1,476 | $413.65 | $616.8 | $1,034.31 |
| Laparoscopic appendectomy | CPT | 44970 | 16 | $24,690 | $12,345 | $389.58 | $3,287.14 | $16,256 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | $75,884 | $37,942 | $13,329 | $15,432 | $44,902 |
| Laparoscopic cholecystectomy | CPT | 47562 | 16 | $19,543 | $9,771.55 | $427.28 | $3,287.14 | $14,812 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 16 | $24,104 | $12,052 | $464.55 | $3,287.14 | $14,535 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | $68,653 | $34,327 | $20,125 | $22,585 | $76,612 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | $51,955 | $25,977 | $14,473 | $16,637 | $48,891 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | $46,989 | $23,494 | $11,271 | $13,265 | $37,475 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 11 | — | $5,254.23 | $1,941.88 | $5,582.09 | $9,457.61 |
| Lap inguinal hernia repair | CPT | 49650 | 16 | $22,194 | $11,097 | $281.59 | $3,287.14 | $15,766 |
| Lap incisional hernia repair | CPT | 49652 | 11 | — | $8,847.6 | $3,086.87 | $9,399.68 | $15,926 |
| Total abdominal hysterectomy | CPT | 58150 | 14 | $5,253.9 | $14,229 | $653.91 | $1,338.38 | $25,612 |
| Vaginal hysterectomy | CPT | 58260 | 9 | $4,733.9 | $2,367 | $538.04 | $753.08 | $1,345.35 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 11 | $26,578 | $13,289 | $566.58 | $3,191.39 | $9,104.22 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 16 | $30,862 | $15,431 | $629.84 | $5,694.94 | $18,432 |
| Lap salpingo-oophorectomy | CPT | 58661 | 16 | $15,725 | $7,862.41 | $418.55 | $3,287.14 | $11,291 |
| Complex cataract surgery | CPT | 66982 | 16 | $7,180.31 | $3,590.16 | $470.52 | $1,284.99 | $6,294.59 |
| Cataract surgery with lens implant | CPT | 66984 | 16 | $7,115.08 | $3,557.54 | $343.57 | $1,284.99 | $5,071.27 |
| Vitrectomy mechanical | CPT | 67042 | 9 | $2,797.4 | $1,398.7 | $719.51 | $950.47 | $1,937.43 |
| PCI single major coronary artery | CPT | 92920 | 11 | $7,592.8 | $3,796.4 | $329.94 | $3,118.73 | $8,896.93 |
| PCI with drug-eluting stent | CPT | 92928 | 11 | $14,866 | $7,433.05 | $366.57 | $6,203.29 | $17,696 |
| PCI bypass graft | CPT | 92937 | 11 | $29,193 | $14,597 | $256.59 | $3,559.68 | $17,696 |
| Left heart catheterization | CPT | 93452 | 11 | $13,882 | $6,940.85 | $146.76 | $1,513.4 | $5,019.04 |
| Coronary angiography with cath | CPT | 93455 | 11 | $11,100 | $5,549.9 | $173.17 | $1,579.23 | $5,019.04 |
| Coronary angiography with bypass cath | CPT | 93458 | 11 | $9,434.9 | $4,717.45 | $182.75 | $1,595.1 | $5,019.04 |
Payer mix (top 22)
| Payer | Codes covered | Median rate |
|---|---|---|
| Humana | 181 | $169.72 |
| Blue Cross Blue Shield | 181 | $261.81 |
| Medicare | 181 | $218.75 |
| UnitedHealthcare | 181 | $173.62 |
| Aetna | 154 | $267.75 |
| priority health | 153 | $165.24 |
| Medicaid | 152 | $97.38 |
| u of m health plan | 148 | $136.21 |
| mclaren commercial ins | 135 | $125.09 |
| TRICARE | 134 | $314.92 |
| mi amish medical board | 134 | $348.3 |
| mclaren health op rate | 114 | $433.06 |
| cofinity auto op rate | 114 | $883.8 |
| cofinity op rate | 114 | $736.5 |
| hap op rate | 114 | $849.72 |
| priority health op rate | 114 | $521.64 |
| cofinity auto | 46 | $197.05 |
| workers compensation | 40 | $379.61 |
| hap - hmo | 25 | $127.95 |
| safe response program | 17 | $175 |
| cofinity group 15892 & 15893 | 12 | $54.27 |
| bcccnp | 12 | $86.42 |