▸ Hospital · MI · CCN 230167
Mclaren Greater Lansing
2900 COLLINS RD., LANSING MI 489100, MI, 230167
Compliance grade
A
100/100
Procedures tracked
188
of 209 target codes
Payers
24
with negotiated rates
Rates published
52,990
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 7 | $43,687 | $21,843 | $4,524.2 | $13,176 | $21,081 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 12 | $301.1 | $150.6 | $87.89 | $143.67 | $250.72 |
| Psychiatric eval with medical services | CPT | 90792 | 21 | $311 | $155.5 | $63.67 | $137.81 | $250.72 |
| Psychotherapy 30 minutes | CPT | 90832 | 12 | $201.2 | $100.6 | $45.87 | $87.89 | $250.72 |
| Psychotherapy 45 minutes | CPT | 90834 | 12 | $201.2 | $100.6 | $60.5 | $93.73 | $250.72 |
| Psychotherapy 60 minutes | CPT | 90837 | 12 | $221.7 | $110.9 | $87.89 | $138 | $250.72 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 12 | $221.7 | $110.9 | $86.77 | $132.17 | $250.72 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 22 | $413 | $206.5 | $7.24 | $85.87 | $289.1 |
| ED visit level 2 | CPT | 99282 | 22 | $647 | $323.5 | $26.63 | $154.45 | $452.9 |
| ED visit level 3 | CPT | 99283 | 22 | $1,061 | $530.5 | $44.94 | $270.05 | $742.7 |
| ED visit level 4 | CPT | 99284 | 22 | $1,430 | $715 | $76.68 | $415.29 | $1,001 |
| ED visit level 5 | CPT | 99285 | 22 | $2,147 | $1,073.5 | $111.19 | $597.94 | $1,502.9 |
| Critical care, first hour | CPT | 99291 | 21 | $2,686 | $1,343 | $135.47 | $803.04 | $1,880.2 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 21 | $2,505.8 | $1,252.9 | $25.56 | $103.71 | $1,754.06 |
| CT head with contrast | CPT | 70460 | 19 | $2,505 | $1,252.5 | $33.87 | $169.59 | $1,655.04 |
| CT head with and without contrast | CPT | 70470 | 20 | $3,529.8 | $1,764.9 | $38.13 | $173.47 | $2,332.16 |
| CT neck with contrast | CPT | 70491 | 20 | $3,243.1 | $1,621.55 | $41.32 | $173.62 | $2,270.17 |
| MRI brain without contrast | CPT | 70551 | 21 | $3,598.3 | $1,799.15 | $44.3 | $235.74 | $2,518.81 |
| MRI brain with contrast | CPT | 70552 | 19 | $4,798.2 | $2,399.1 | $53.46 | $340.36 | $3,170.24 |
| MRI brain with and without contrast | CPT | 70553 | 21 | $6,757.6 | $3,378.8 | $69.01 | $348.3 | $4,730.32 |
| Chest X-ray single view | CPT | 71045 | 21 | $529.5 | $264.75 | $5.54 | $85.87 | $370.65 |
| Chest X-ray 2 views | CPT | 71046 | 21 | $387.9 | $193.95 | $6.6 | $84.37 | $271.53 |
| Chest X-ray 3 views | CPT | 71047 | 19 | $407.9 | $203.95 | $8.31 | $78.6 | $269.44 |
| CT chest without contrast | CPT | 71250 | 21 | $3,187.3 | $1,593.65 | $32.38 | $103.71 | $2,231.11 |
| CT chest with contrast | CPT | 71260 | 21 | $2,576.9 | $1,288.45 | $34.93 | $173.62 | $1,803.83 |
| CT chest with and without contrast | CPT | 71270 | 19 | $3,110.5 | $1,555.25 | $37.49 | $169.59 | $2,055.12 |
| MRI chest without contrast | CPT | 71550 | 20 | $4,089.1 | $2,044.55 | $43.88 | $224.29 | $2,701.68 |
| MRI chest with contrast | CPT | 71551 | 19 | $3,555.9 | $1,777.95 | $51.76 | $694.84 | $2,349.44 |
| MRI chest with and without contrast | CPT | 71552 | 19 | $4,353.4 | $2,176.7 | $68.16 | $348.3 | $3,047.38 |
| Lumbosacral spine X-ray | CPT | 72100 | 21 | $484.9 | $242.45 | $6.82 | $103.71 | $339.43 |
| CT cervical spine without contrast | CPT | 72125 | 21 | $2,241.6 | $1,120.8 | $29.82 | $103.71 | $1,569.12 |
| CT thoracic spine without contrast | CPT | 72128 | 21 | $3,057.3 | $1,528.65 | $29.82 | $103.71 | $2,140.11 |
| CT lumbar spine without contrast | CPT | 72131 | 21 | $3,057.3 | $1,528.65 | $29.82 | $103.71 | $2,140.11 |
| MRI cervical spine without contrast | CPT | 72141 | 21 | $4,429.5 | $2,214.75 | $44.52 | $235.74 | $3,100.65 |
| MRI thoracic spine without contrast | CPT | 72146 | 21 | $5,315.4 | $2,657.7 | $44.52 | $235.74 | $3,720.78 |
| MRI lumbar spine without contrast | CPT | 72148 | 21 | $4,089.1 | $2,044.55 | $44.52 | $235.74 | $2,862.37 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 19 | $6,541 | $3,270.5 | $53.89 | $348.3 | $4,321.76 |
| MRI cervical spine with and without contrast | CPT | 72156 | 21 | $5,940.2 | $2,970.1 | $69.23 | $348.3 | $4,158.14 |
| MRI lumbar spine with contrast | CPT | 72158 | 21 | $6,757.6 | $3,378.8 | $69.23 | $348.3 | $4,730.32 |
| CT pelvis without contrast | CPT | 72192 | 20 | $2,425.7 | $1,212.85 | $32.59 | $103.71 | $1,602.8 |
| CT pelvis with contrast | CPT | 72193 | 21 | $2,972 | $1,486 | $34.72 | $173.62 | $2,080.4 |
| Shoulder X-ray | CPT | 73030 | 21 | $635.4 | $317.7 | $5.75 | $85.87 | $444.78 |
| Humerus X-ray | CPT | 73060 | 21 | $585.5 | $292.75 | $4.9 | $85.87 | $409.85 |
| Hand X-ray 3 views | CPT | 73130 | 21 | $607.4 | $303.7 | $5.33 | $85.87 | $425.18 |
| MRI upper extremity joint without contrast | CPT | 73221 | 21 | $4,089.1 | $2,044.55 | $40.68 | $235.74 | $2,862.37 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 20 | $4,407 | $2,203.5 | $64.97 | $348.3 | $2,911.76 |
| Knee X-ray 1-2 views | CPT | 73560 | 21 | $461.9 | $230.95 | $5.11 | $85.87 | $323.33 |
| Ankle X-ray 3 views | CPT | 73610 | 21 | $521.6 | $260.8 | $5.33 | $85.87 | $365.12 |
| MRI lower extremity joint without contrast | CPT | 73721 | 21 | $4,906.3 | $2,453.15 | $40.68 | $235.74 | $3,434.41 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 21 | $5,224.7 | $2,612.35 | $64.97 | $348.3 | $3,452 |
| CT abdomen without contrast | CPT | 74150 | 19 | $2,618.7 | $1,309.35 | $35.57 | $103.71 | $1,833.09 |
| CT abdomen with contrast | CPT | 74160 | 19 | $3,202.8 | $1,601.4 | $38.13 | $173.47 | $2,116.24 |
| CT abdomen with and without contrast | CPT | 74170 | 20 | $4,715.7 | $2,357.85 | $41.75 | $173.62 | $3,300.99 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 21 | $5,044.1 | $2,522.05 | $52.19 | $306.47 | $3,530.87 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 21 | $6,175 | $3,087.5 | $54.95 | $609.53 | $4,322.5 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 20 | $7,687.8 | $3,843.9 | $60.28 | $357.65 | $5,381.46 |
| MRI abdomen without contrast | CPT | 74181 | 19 | $4,089.1 | $2,044.55 | $43.67 | $230.37 | $2,701.68 |
| MRI abdomen with and without contrast | CPT | 74183 | 19 | $4,353.4 | $2,176.7 | $66.24 | $348.3 | $3,047.38 |
| Abdominal ultrasound complete | CPT | 76700 | 20 | $1,581.7 | $790.85 | $24.28 | $103.71 | $1,107.19 |
| Abdominal ultrasound limited | CPT | 76705 | 21 | $7,997.98 | $3,998.99 | $17.68 | $105.87 | $815.64 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 20 | $1,581.7 | $790.85 | $22.15 | $103.71 | $1,107.19 |
| Obstetric ultrasound first trimester | CPT | 76801 | 19 | $700.4 | $350.2 | $29.82 | $103.71 | $490.28 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 19 | $700.4 | $350.2 | $30.03 | $103.71 | $490.28 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 19 | $463.7 | $231.85 | $56.87 | $223.59 | $430.48 |
| Transvaginal ultrasound | CPT | 76830 | 19 | $534.6 | $267.3 | $20.87 | $105.87 | $414.22 |
| Pelvic ultrasound complete | CPT | 76856 | 19 | $1,588.1 | $794.05 | $20.66 | $103.71 | $1,111.67 |
| Scrotal ultrasound | CPT | 76870 | 21 | $1,565 | $782.5 | $19.17 | $103.71 | $1,095.5 |
| Diagnostic mammography unilateral | CPT | 77065 | 18 | $499.9 | $249.95 | $24.28 | $150.37 | $427.21 |
| Diagnostic mammography bilateral | CPT | 77066 | 19 | $553.1 | $276.55 | $29.82 | $174.36 | $544.18 |
| Screening mammography bilateral | CPT | 77067 | 18 | $526.5 | $263.25 | $23 | $166.32 | $449.97 |
| EKG complete | CPT | 93000 | 16 | $34.2 | $87.7 | $14.67 | $31.16 | $134.96 |
| EKG tracing only | CPT | 93005 | 21 | $225.8 | $112.9 | $27.19 | $68.1 | $158.06 |
| EKG interpretation only | CPT | 93010 | 9 | $34.2 | $17.1 | $5.11 | $8.4 | $11.3 |
| Transthoracic echocardiogram complete | CPT | 93306 | 19 | $1,931.8 | $965.9 | $43.03 | $534.75 | $1,276.4 |
| Transthoracic echocardiogram | CPT | 93307 | 19 | $1,931.8 | $965.9 | $27.26 | $235.74 | $1,276.4 |
| Stress echocardiogram | CPT | 93350 | 9 | $653.8 | $326.9 | $43.03 | $67.74 | $107.59 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 8 | $44,192 | $22,096 | $10,080 | $14,658 | $33,005 |
| COPD w MCC | MS-DRG | 190 | 7 | $29,977 | $14,989 | $7,667.28 | $10,593 | $16,948 |
| COPD w CC | MS-DRG | 191 | 6 | $26,685 | $13,343 | $5,835.08 | $8,227.27 | $13,164 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $18,119 | $9,059.33 | $4,258.02 | $6,431.22 | $10,290 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 7 | $30,951 | $15,475 | $5,578.28 | $7,895.76 | $12,633 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 7 | $29,421 | $14,711 | $4,350.35 | $6,310.59 | $16,531 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $39,235 | $19,617 | $11,103 | $15,028 | $24,045 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $25,328 | $12,664 | $6,361.82 | $8,907.27 | $14,893 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | $19,097 | $9,548.25 | $5,005.15 | $7,263.23 | $12,923 |
| Heart failure & shock w MCC | MS-DRG | 291 | 7 | $36,468 | $18,234 | $8,132.22 | $12,166 | $19,466 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $23,466 | $11,733 | $5,876.61 | $8,280.89 | $13,249 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $17,766 | $8,883 | $3,917.74 | $5,752.11 | $9,203.38 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 8 | $29,539 | $14,769 | $8,156.32 | $11,453 | $18,325 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 7 | $22,235 | $11,117 | $4,514.85 | $7,377.51 | $21,440 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 7 | $17,053 | $8,526.4 | $3,835.36 | $5,753.01 | $11,203 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | $34,331 | $17,165 | $6,788.21 | $9,457.7 | $27,000 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | $26,452 | $13,226 | $4,363.5 | $6,327.57 | $11,084 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 8 | $24,825 | $12,413 | $5,396.23 | $7,890.58 | $22,669 |
| Kidney/UTI w MCC | MS-DRG | 689 | 7 | $32,994 | $16,497 | $8,031.36 | $11,063 | $17,700 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 7 | $28,794 | $14,397 | $5,347.4 | $7,927.93 | $12,685 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 11 | $53,034 | $26,517 | $13,286 | $18,052 | $39,235 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 9 | $30,853 | $15,427 | $6,398.51 | $9,985.94 | $15,741 |
| 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 | 20 | $85 | $42.5 | $4.63 | $13.2 | $56.16 |
| Electrolyte panel | CPT | 80051 | 18 | $68.9 | $34.45 | $3.83 | $6.93 | $50 |
| Comprehensive metabolic panel | CPT | 80053 | 19 | $105.2 | $52.6 | $5.78 | $13.52 | $69.44 |
| Lipid panel | CPT | 80061 | 20 | $101.9 | $50.95 | $7.32 | $20.89 | $67.36 |
| Renal function panel | CPT | 80069 | 17 | $94.9 | $47.45 | $4.75 | $8.58 | $62.72 |
| Hepatic function panel | CPT | 80076 | 18 | $68.9 | $34.45 | $4.47 | $8.17 | $45.44 |
| Urinalysis non-automated | CPT | 81002 | 18 | $9.1 | $22.1 | $1.9 | $4.14 | $34 |
| Urinalysis automated | CPT | 81003 | 20 | $21.2 | $10.6 | $1.23 | $4.38 | $25 |
| Glucose quantitative | CPT | 82947 | 18 | $50.4 | $25.2 | $2.15 | $12.66 | $33.28 |
| Hemoglobin A1c | CPT | 83036 | 19 | $94.4 | $47.2 | $5.31 | $13.68 | $62.4 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 19 | $166.2 | $83.1 | $9.19 | $21.51 | $109.84 |
| Complete blood count with automated differential | CPT | 85025 | 20 | $86 | $43 | $4.25 | $15.13 | $56.8 |
| Complete blood count without differential | CPT | 85027 | 20 | $41 | $20.5 | $3.54 | $10.1 | $45 |
| Urine culture bacterial | CPT | 87086 | 20 | $33.9 | $16.95 | $4.41 | $10.66 | $22.4 |
| Tissue exam by pathologist level IV | CPT | 88305 | 20 | $831.6 | $415.8 | $29.23 | $83.37 | $549.44 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 19 | $623.2 | $311.6 | $18.53 | $139.06 | $436.24 |
| 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 | 19 | $4,672.3 | $2,336.2 | $729.76 | $1,765.29 | $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 | 18 | $958 | $479 | $29.18 | $68.69 | $632.8 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 18 | $1,018 | $509 | $45.17 | $90.57 | $712.6 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 18 | $1,078 | $539 | $60.4 | $125 | $712 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 17 | $1,143 | $571.5 | $65.39 | $147.72 | $334.28 |
| Office visit, established patient, 5 min | CPT | 99211 | 19 | $898 | $449 | $4.8 | $23.52 | $593.6 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 16 | $958 | $479 | $13.99 | $75.59 | $670.6 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 17 | $1,018 | $509 | $29.98 | $86.16 | $712.6 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 17 | $1,078 | $539 | $45.17 | $101.49 | $754.6 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 16 | $1,143 | $571.5 | $63.95 | $126.8 | $800.1 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 20 | $6,631.05 | $3,315.53 | $77.75 | $512.85 | $1,463.01 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 20 | $6,639.51 | $3,319.76 | $87.33 | $512.85 | $1,463.01 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 20 | $5,603.34 | $2,801.67 | $36.42 | $498.71 | $3,486.44 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 20 | $5,945.55 | $2,972.78 | $46.22 | $703.38 | $3,553.74 |
| Colonoscopy diagnostic | CPT | 45378 | 20 | $6,649.63 | $3,324.82 | $46.34 | $498.71 | $3,491.82 |
| Colonoscopy with biopsy | CPT | 45380 | 20 | $6,256.83 | $14,325 | $126.95 | $1,053.78 | $22,921 |
| Colonoscopy with polyp removal | CPT | 45385 | 20 | $6,595.42 | $3,297.71 | $159.96 | $1,007.47 | $3,883.69 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 11 | $72,818 | $36,409 | $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 | 19 | $59,648 | $29,824 | $829.21 | $11,965 | $35,952 |
| Total knee replacement | CPT | 27447 | 19 | $49,575 | $24,788 | $828.14 | $11,965 | $29,482 |
| Knee revision arthroplasty single component | CPT | 27486 | 17 | $10,055 | $5,027.5 | $907.38 | $2,157.92 | $11,965 |
| Knee revision arthroplasty all components | CPT | 27487 | 9 | $13,281 | $6,640.3 | $1,128.9 | $1,593.68 | $3,101.03 |
| 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 | 19 | $31,266 | $15,633 | $691.61 | $5,612.18 | $12,030 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 19 | $10,782 | $5,391.15 | $354.43 | $2,749.9 | $5,759.54 |
| ACL reconstruction | CPT | 29888 | 19 | $57,267 | $28,634 | $630.48 | $3,907.62 | $15,458 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 7 | $125,446 | $62,723 | $31,816 | $41,767 | $163,634 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 7 | $57,055 | $28,528 | $16,593 | $22,115 | $42,018 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | $48,564 | $24,282 | $11,649 | $15,968 | $25,172 |
| 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 | 8 | $52,512 | $26,256 | $11,709 | $16,047 | $25,514 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 7 | $37,483 | $18,742 | $9,244.15 | $13,092 | $22,751 |
| Open appendectomy | CPT | 44950 | 17 | $2,952 | $7,244.76 | $413.65 | $1,007.1 | $11,592 |
| Laparoscopic appendectomy | CPT | 44970 | 19 | $26,285 | $13,142 | $389.58 | $4,916.52 | $14,709 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | $94,896 | $47,448 | $20,995 | $28,215 | $53,251 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 7 | $72,993 | $36,497 | $13,351 | $18,448 | $34,068 |
| Laparoscopic cholecystectomy | CPT | 47562 | 19 | $13,538 | $6,768.99 | $427.28 | $4,916.52 | $9,104.22 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 19 | $14,005 | $7,002.37 | $464.55 | $4,637.3 | $11,033 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | $92,010 | $46,005 | $20,158 | $27,118 | $48,205 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 7 | $65,735 | $32,867 | $14,498 | $19,992 | $45,329 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 7 | $47,729 | $23,865 | $11,289 | $15,727 | $26,033 |
| Open umbilical hernia repair | CPT | 49560 | 12 | — | $2,702.17 | $2,160.11 | $3,307.02 | $4,323.47 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 12 | — | $3,772.12 | $1,237.72 | $3,094.75 | $6,035.39 |
| Lap inguinal hernia repair | CPT | 49650 | 19 | $18,416 | $9,207.98 | $281.59 | $4,831.28 | $9,976.68 |
| Lap incisional hernia repair | CPT | 49652 | 12 | — | $6,655.93 | $4,916.52 | $5,373.33 | $10,649 |
| Total abdominal hysterectomy | CPT | 58150 | 9 | $5,253.9 | $2,627 | $653.91 | $948.82 | $1,635.08 |
| Vaginal hysterectomy | CPT | 58260 | 17 | $4,733.9 | $7,212.8 | $538.04 | $1,300.43 | $11,540 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 19 | $25,646 | $12,823 | $566.58 | $4,916.52 | $14,941 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 19 | $30,568 | $15,284 | $629.84 | $5,694.94 | $16,681 |
| Lap salpingo-oophorectomy | CPT | 58661 | 19 | $15,558 | $7,778.99 | $418.55 | $4,643.06 | $9,420.85 |
| Complex cataract surgery | CPT | 66982 | 19 | $7,758.68 | $3,879.34 | $470.52 | $2,020.03 | $5,982.49 |
| Cataract surgery with lens implant | CPT | 66984 | 19 | $7,470.49 | $3,735.25 | $343.57 | $2,020.03 | $4,616.18 |
| Vitrectomy mechanical | CPT | 67042 | 19 | $13,212 | $6,606.11 | $719.51 | $3,775.38 | $8,664.65 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 8 | $33,341 | $16,671 | $8,587.88 | $11,958 | $22,797 |
| PCI single major coronary artery | CPT | 92920 | 11 | $15,784 | $7,892.2 | $329.94 | $3,118.73 | $8,896.93 |
| PCI with drug-eluting stent | CPT | 92928 | 11 | $31,345 | $15,672 | $366.57 | $6,203.29 | $17,696 |
| PCI bypass graft | CPT | 92937 | 11 | $10,313 | $5,156.45 | $366.36 | $3,559.68 | $17,696 |
| Left heart catheterization | CPT | 93452 | 11 | $12,142 | $6,071.05 | $146.76 | $1,759.38 | $5,019.04 |
| Coronary angiography with cath | CPT | 93455 | 11 | $4,365.8 | $2,182.9 | $173.17 | $1,759.38 | $5,019.04 |
| Coronary angiography with bypass cath | CPT | 93458 | 11 | $7,714.11 | $3,857.06 | $182.75 | $1,759.38 | $5,019.04 |
Payer mix (top 24)
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 188 | $177.7 |
| Medicare | 188 | $235.74 |
| Humana | 188 | $173.62 |
| Blue Cross Blue Shield | 184 | $413.41 |
| u of m health plan | 163 | $155.98 |
| priority health | 160 | $199.46 |
| Aetna | 160 | $266.79 |
| Medicaid | 150 | $97.38 |
| TRICARE | 149 | $332.41 |
| mi amish medical board | 149 | $348.3 |
| mclaren commercial ins | 139 | $155.55 |
| com cofinity auto op rate | 122 | $590.24 |
| com php op rate | 122 | $330.61 |
| com priority health op rate | 122 | $487.07 |
| First Health | 122 | $648.88 |
| bc bcn op rate | 114 | $506.23 |
| bc bcbsm trust op rate | 114 | $506.23 |
| bc bcbsm traditional op rate | 114 | $506.23 |
| com mclaren commercial ins op rate | 107 | $522.13 |
| workers compensation | 57 | $203.53 |
| cofinity auto | 57 | $197.05 |
| hap - hmo | 25 | $127.95 |
| safe response program | 17 | $175 |
| bcccnp | 12 | $86.42 |