▸ Hospital · MI · CCN 232020
Mclaren Bay Special Care
3250 EAST MIDLAND ROAD SUITE 1, BAY CITY, MI, 232020
Compliance grade
D
66/100
Procedures tracked
133
of 209 target codes
Payers
18
with negotiated rates
Rates published
0
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 | 18 | — | $86.4 | $58.25 | $97.17 | $153.56 |
| Psychiatric eval with medical services | CPT | 90792 | 18 | — | $88 | $59.3 | $98.93 | $153.56 |
| Psychotherapy 30 minutes | CPT | 90832 | 18 | — | $86.4 | $58.25 | $97.17 | $153.56 |
| Psychotherapy 45 minutes | CPT | 90834 | 18 | — | $86.4 | $58.25 | $97.17 | $153.56 |
| Psychotherapy 60 minutes | CPT | 90837 | 18 | — | $86.4 | $58.25 | $97.17 | $153.56 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 17 | — | $94.65 | $35.75 | $78.98 | $155.61 |
| ED visit level 2 | CPT | 99282 | 17 | — | $135.2 | $61.69 | $132.81 | $222.3 |
| ED visit level 3 | CPT | 99283 | 17 | — | $202.8 | $117.56 | $230.45 | $333.45 |
| ED visit level 4 | CPT | 99284 | 17 | — | $398.3 | $184.64 | $430.72 | $654.93 |
| ED visit level 5 | CPT | 99285 | 18 | — | $520.5 | $17.52 | $318.49 | $855.86 |
| Critical care, first hour | CPT | 99291 | 17 | — | $757.1 | $351.6 | $784.83 | $1,244.88 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 18 | — | $806.9 | $55.31 | $739.78 | $1,326.7 |
| CT head with contrast | CPT | 70460 | 18 | — | $828.5 | $90.63 | $781.32 | $1,362.27 |
| CT head with and without contrast | CPT | 70470 | 18 | — | $937.65 | $90.63 | $884.28 | $1,541.74 |
| CT neck with contrast | CPT | 70491 | 18 | — | $920.55 | $90.63 | $882.65 | $1,513.61 |
| MRI brain without contrast | CPT | 70551 | 18 | — | $688.5 | $116.81 | $577.47 | $1,132.02 |
| MRI brain with contrast | CPT | 70552 | 18 | — | $1,010.4 | $186.86 | $847.48 | $1,661.35 |
| MRI brain with and without contrast | CPT | 70553 | 18 | — | $1,105.35 | $186.86 | $927.12 | $1,817.47 |
| Chest X-ray single view | CPT | 71045 | 18 | — | $96.4 | $36.1 | $75.03 | $158.52 |
| Chest X-ray 2 views | CPT | 71046 | 18 | — | $113.65 | $41.07 | $112.01 | $186.9 |
| Chest X-ray 3 views | CPT | 71047 | 18 | — | $113.15 | $35.72 | $90.63 | $186.05 |
| CT chest without contrast | CPT | 71250 | 18 | — | $864.5 | $55.31 | $829.29 | $1,421.44 |
| CT chest with contrast | CPT | 71260 | 18 | — | $875.8 | $90.63 | $825.9 | $1,439.99 |
| CT chest with and without contrast | CPT | 71270 | 18 | — | $937.65 | $90.63 | $884.28 | $1,541.74 |
| MRI chest without contrast | CPT | 71550 | 18 | — | $688.5 | $116.81 | $501.73 | $1,132.02 |
| MRI chest with contrast | CPT | 71551 | 18 | — | $1,010.4 | $363.02 | $1,092.61 | $1,661.35 |
| MRI chest with and without contrast | CPT | 71552 | 18 | — | $1,105.35 | $186.86 | $1,195.28 | $1,817.47 |
| Lumbosacral spine X-ray | CPT | 72100 | 18 | — | $184.05 | $41.29 | $150.58 | $302.58 |
| CT cervical spine without contrast | CPT | 72125 | 18 | — | $936.4 | $55.31 | $930.92 | $1,539.68 |
| CT thoracic spine without contrast | CPT | 72128 | 18 | — | $936.4 | $55.31 | $902.3 | $1,539.68 |
| CT lumbar spine without contrast | CPT | 72131 | 18 | — | $936.4 | $55.31 | $903.41 | $1,539.68 |
| MRI cervical spine without contrast | CPT | 72141 | 18 | — | $688.5 | $116.81 | $577.47 | $1,132.02 |
| MRI thoracic spine without contrast | CPT | 72146 | 18 | — | $688.5 | $116.81 | $577.47 | $1,132.02 |
| MRI lumbar spine without contrast | CPT | 72148 | 18 | — | $688.5 | $116.81 | $577.47 | $1,132.02 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 18 | — | $1,010.4 | $186.86 | $847.48 | $1,661.35 |
| MRI cervical spine with and without contrast | CPT | 72156 | 18 | — | $1,105.35 | $186.86 | $927.12 | $1,817.47 |
| MRI lumbar spine with contrast | CPT | 72158 | 18 | — | $1,105.35 | $186.86 | $927.12 | $1,817.47 |
| CT pelvis without contrast | CPT | 72192 | 18 | — | $834.2 | $55.31 | $786.66 | $1,371.59 |
| CT pelvis with contrast | CPT | 72193 | 18 | — | $875.8 | $90.63 | $825.9 | $1,439.99 |
| Shoulder X-ray | CPT | 73030 | 18 | — | $208 | $30.04 | $142.91 | $342 |
| Humerus X-ray | CPT | 73060 | 18 | — | $134.6 | $30.04 | $113.07 | $221.27 |
| Hand X-ray 3 views | CPT | 73130 | 18 | — | $138.1 | $30.04 | $119.54 | $227.09 |
| MRI upper extremity joint without contrast | CPT | 73221 | 18 | — | $931.5 | $116.81 | $781.28 | $1,531.56 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 18 | — | $1,495.5 | $186.86 | $1,254.37 | $2,458.98 |
| Hip X-ray 2 views | CPT | 73510 | 14 | — | $148.25 | $87.98 | $155.41 | $243.76 |
| Knee X-ray 1-2 views | CPT | 73560 | 18 | — | $103.65 | $27.34 | $66.87 | $170.4 |
| Ankle X-ray 3 views | CPT | 73610 | 18 | — | $149.5 | $24.82 | $136.1 | $245.81 |
| MRI lower extremity joint without contrast | CPT | 73721 | 18 | — | $931.5 | $116.81 | $781.28 | $1,531.56 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 18 | — | $1,495.5 | $186.86 | $1,254.37 | $2,458.98 |
| CT abdomen without contrast | CPT | 74150 | 18 | — | $1,067.5 | $55.31 | $697.96 | $1,755.23 |
| CT abdomen with contrast | CPT | 74160 | 18 | — | $1,119.3 | $90.63 | $1,129.95 | $1,840.39 |
| CT abdomen with and without contrast | CPT | 74170 | 18 | — | $1,258.1 | $90.63 | $1,308.08 | $2,068.59 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 18 | — | $2,035.85 | $116.81 | $1,990.74 | $3,347.41 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 18 | — | $2,126.25 | $186.86 | $2,079.13 | $3,496.01 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 18 | — | $2,336.2 | $186.86 | $2,222.74 | $3,841.26 |
| MRI abdomen without contrast | CPT | 74181 | 18 | — | $931.25 | $116.81 | $781.11 | $1,531.22 |
| MRI abdomen with and without contrast | CPT | 74183 | 18 | — | $1,495.25 | $186.86 | $1,254.15 | $2,458.55 |
| Abdominal ultrasound complete | CPT | 76700 | 18 | — | $545.1 | $55.31 | $578.15 | $896.3 |
| Abdominal ultrasound limited | CPT | 76705 | 18 | — | $430.45 | $55.31 | $460.58 | $707.77 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 18 | — | $537.7 | $55.31 | $526.58 | $884.07 |
| Obstetric ultrasound first trimester | CPT | 76801 | 18 | — | $125.25 | $55.13 | $118.26 | $240.9 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 18 | — | $519.4 | $55.31 | $528.12 | $853.97 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 18 | — | $215.9 | $116.81 | $236.84 | $355 |
| Transvaginal ultrasound | CPT | 76830 | 18 | — | $367.3 | $55.31 | $373.42 | $603.89 |
| Pelvic ultrasound complete | CPT | 76856 | 18 | — | $573.85 | $55.31 | $609.97 | $943.58 |
| Scrotal ultrasound | CPT | 76870 | 18 | — | $576.7 | $55.31 | $533.75 | $948.19 |
| Diagnostic mammography unilateral | CPT | 77065 | 18 | — | $160.25 | $42.29 | $126.39 | $308.2 |
| Diagnostic mammography bilateral | CPT | 77066 | 18 | — | $205.1 | $54.06 | $155.5 | $394.4 |
| Screening mammography bilateral | CPT | 77067 | 18 | — | $169.45 | $44.71 | $173.21 | $325.9 |
| EKG complete | CPT | 93000 | 14 | — | $32.4 | $21.84 | $38.66 | $60.22 |
| EKG tracing only | CPT | 93005 | 18 | — | $93.7 | $18.19 | $63.56 | $154.07 |
| Transthoracic echocardiogram complete | CPT | 93306 | 18 | — | $1,313.35 | $245.12 | $961.05 | $2,159.47 |
| Transthoracic echocardiogram | CPT | 93307 | 18 | — | $861.65 | $116.81 | $876.1 | $1,416.73 |
| Stress echocardiogram | CPT | 93350 | 18 | — | $989.8 | $245.12 | $1,049.5 | $1,627.49 |
| inpatient | ||||||||
| Hospital discharge, >30 min | CPT | 99239 | 14 | — | $129.8 | $87.48 | $145.93 | $213.41 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 11 | — | $36.4 | $4.29 | $35.61 | $59.85 |
| Electrolyte panel | CPT | 80051 | 11 | — | $23.55 | $3.56 | $23.05 | $38.73 |
| Comprehensive metabolic panel | CPT | 80053 | 11 | — | $45.1 | $5.36 | $44.1 | $74.13 |
| Lipid panel | CPT | 80061 | 11 | — | $44 | $6.79 | $43.04 | $72.33 |
| Renal function panel | CPT | 80069 | 11 | — | $37.5 | $4.41 | $36.68 | $61.65 |
| Hepatic function panel | CPT | 80076 | 11 | — | $36.4 | $4.15 | $35.61 | $59.85 |
| Urinalysis non-automated | CPT | 81002 | 11 | — | $10.85 | $1.76 | $5.85 | $17.87 |
| Urinalysis automated | CPT | 81003 | 11 | — | $12.9 | $1.14 | $5.83 | $21.2 |
| Glucose quantitative | CPT | 82947 | 11 | — | $13 | $2 | $12.72 | $21.38 |
| Hemoglobin A1c | CPT | 83036 | 11 | — | $33.65 | $4.93 | $17.5 | $55.32 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 11 | — | $58.15 | $8.53 | $56.87 | $95.59 |
| Complete blood count with automated differential | CPT | 85025 | 11 | — | $26.6 | $3.94 | $26.04 | $43.78 |
| Complete blood count without differential | CPT | 85027 | 11 | — | $20.1 | $3.29 | $19.69 | $33.09 |
| Urine culture bacterial | CPT | 87086 | 11 | — | $33.75 | $4.09 | $33.01 | $55.49 |
| Urine culture identification | CPT | 87088 | 11 | — | $34.75 | $4.1 | $33.98 | $57.11 |
| Tissue exam by pathologist level IV | CPT | 88305 | 11 | — | $74.4 | $25.25 | $81.77 | $122.35 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 18 | — | $201.15 | $86.45 | $187.21 | $330.71 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 12 | — | $75.9 | $38.91 | $79.39 | $124.83 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 12 | — | $95.15 | $41.71 | $83.93 | $156.47 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 12 | — | $113.9 | $55.38 | $104.17 | $187.25 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 12 | — | $132.6 | $76.41 | $143.39 | $218.03 |
| Office visit, established patient, 5 min | CPT | 99211 | 12 | — | $264.15 | $22.08 | $67.94 | $434.34 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 12 | — | $260 | $31.54 | $68.45 | $427.5 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 12 | — | $64.5 | $17.52 | $54.52 | $106.02 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 14 | — | $82.7 | $17.52 | $76.2 | $135.94 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 12 | — | $157.05 | $17.52 | $88.21 | $258.21 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 17 | — | $1,920.88 | $410.95 | $1,576.27 | $3,284.7 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 17 | — | $2,258.07 | $410.95 | $1,852.97 | $3,861.29 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 18 | — | $406.85 | $186.79 | $476.79 | $911.98 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 17 | — | $1,503.66 | $402.86 | $1,233.9 | $2,571.26 |
| Colonoscopy diagnostic | CPT | 45378 | 17 | — | $780 | $262.88 | $639.38 | $1,282.5 |
| Colonoscopy with biopsy | CPT | 45380 | 17 | — | $717.35 | $483.51 | $839.72 | $1,191.57 |
| Colonoscopy with polyp removal | CPT | 45385 | 17 | — | $2,224.66 | $526.37 | $1,825.55 | $3,804.16 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 17 | — | $18,406 | $6,250.97 | $19,291 | $31,475 |
| Total hip replacement | CPT | 27130 | 17 | — | $19,843 | $6,250.97 | $20,102 | $33,932 |
| Total knee replacement | CPT | 27447 | 17 | — | $17,386 | $6,250.97 | $19,309 | $29,730 |
| Knee revision arthroplasty single component | CPT | 27486 | 17 | — | $7,774.25 | $5,333.88 | $8,851.76 | $14,151 |
| Knee revision arthroplasty all components | CPT | 27487 | 17 | — | $20,198 | $6,250.97 | $16,574 | $34,539 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 17 | — | $2,959.28 | $1,436.71 | $2,884.75 | $5,060.36 |
| ACL reconstruction | CPT | 29888 | 17 | — | $10,521 | $3,180.09 | $8,633.18 | $17,990 |
| Laparoscopic appendectomy | CPT | 44970 | 17 | — | $9,022.34 | $2,568.68 | $7,403.73 | $15,428 |
| Laparoscopic cholecystectomy | CPT | 47562 | 17 | — | $6,307.2 | $2,568.68 | $5,814.96 | $10,785 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 17 | — | $7,997.56 | $2,568.68 | $6,562.79 | $13,676 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 17 | — | $6,392.39 | $1,615.9 | $5,245.59 | $10,931 |
| Lap inguinal hernia repair | CPT | 49650 | 17 | — | $6,673.91 | $2,568.68 | $5,814.96 | $11,412 |
| Lap incisional hernia repair | CPT | 49652 | 17 | — | $7,091.48 | $2,568.68 | $5,819.26 | $12,126 |
| Vaginal hysterectomy | CPT | 58260 | 17 | — | $6,969.05 | $2,238.28 | $5,718.8 | $11,917 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 17 | — | $9,777.17 | $2,568.68 | $8,023.14 | $16,719 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 17 | — | $10,225 | $3,968.89 | $9,447.91 | $17,485 |
| Lap salpingo-oophorectomy | CPT | 58661 | 13 | — | $97.3 | $65.58 | $119.93 | $187.1 |
| Complex cataract surgery | CPT | 66982 | 17 | — | $2,574.32 | $1,055.39 | $2,400.55 | $4,402.08 |
| Cataract surgery with lens implant | CPT | 66984 | 17 | — | $2,385.59 | $1,055.39 | $2,400.55 | $4,079.36 |
| PCI single major coronary artery | CPT | 92920 | 18 | — | $4,028.15 | $885.9 | $4,528.94 | $6,623.17 |
| PCI with drug-eluting stent | CPT | 92928 | 18 | — | $7,903.15 | $982.33 | $8,885.75 | $12,995 |
| PCI bypass graft | CPT | 92937 | 18 | — | $7,903.15 | $979.74 | $8,885.75 | $12,995 |
| Left heart catheterization | CPT | 93452 | 18 | — | $5,045.45 | $1,471.55 | $4,966.34 | $8,295.89 |
| Coronary angiography with cath | CPT | 93455 | 18 | — | $4,115.95 | $1,471.55 | $4,450.78 | $6,767.58 |
| Coronary angiography with bypass cath | CPT | 93458 | 18 | — | $5,828.9 | $1,471.55 | $5,693.29 | $9,584.04 |
Payer mix (top 18)
| Payer | Codes covered | Median rate |
|---|---|---|
| hap - hmo op rate | 133 | $234.7 |
| cofinity - ppom op rate | 133 | $434.34 |
| priority health op rate | 133 | $282.09 |
| hcap op rate | 133 | $304.8 |
| First Health | 133 | $431.8 |
| hap - ppo op rate | 133 | $325.63 |
| Blue Cross Blue Shield | 125 | $343.42 |
| mi amish medical board op rate | 120 | $234.81 |
| Medicaid | 120 | $125.74 |
| mclaren health plan op rate | 120 | $103.72 |
| UnitedHealthcare | 117 | $541.94 |
| health advantage - commercial op rate | 117 | $271.36 |
| hp - hmo op rate | 117 | $317.66 |
| hp - ppo op rate | 117 | $440.75 |
| Aetna | 117 | $632.22 |
| blue care network op rate | 109 | $447.35 |
| Medicare | 104 | $234.55 |
| great lakes research op rate | 103 | $183.06 |