▸ Payer

bc metro detroit hmo

Negotiated rates published by hospitals for bc metro detroit hmo across 0 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

183

States

Rate rows

408

Median neg. rate

$643.28

Top procedures for bc metro detroit hmo

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Knee arthroscopy with meniscectomy	CPT	29881	2	$2,594.8
Shoulder arthroscopy with decompression	CPT	29826	2	$3,086.09
Total hip replacement	CPT	27130	2	$20,276
Total knee replacement	CPT	27447	2	$19,772
CABG single arterial graft	CPT	33533	2	$7,325.04
CABG 2 arterial grafts	CPT	33534	2	$8,619.3
Total shoulder arthroplasty	CPT	23472	2	$19,823
Hip hemiarthroplasty	CPT	27125	2	$20,276
Knee revision arthroplasty single component	CPT	27486	2	$5,480.94
Knee revision arthroplasty all components	CPT	27487	2	$6,854.88
Shoulder arthroscopy with rotator cuff repair	CPT	29827	2	$4,794.31
ACL reconstruction	CPT	29888	2	$5,858.13
Heart failure & shock w MCC	MS-DRG	291	2	$25,767
Heart failure & shock w CC	MS-DRG	292	2	$17,874
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	$11,699
Cardiac arrhythmia w MCC	MS-DRG	308	2	$19,916
Cardiac arrhythmia w CC	MS-DRG	309	2	$13,655
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$9,936.03
AMI discharged alive w MCC	MS-DRG	280	2	$37,442
AMI discharged alive w CC	MS-DRG	281	2	$22,962
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$19,925
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$14,230
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	$9,554.47
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$31,810
COPD w MCC	MS-DRG	190	2	$18,175
COPD w CC	MS-DRG	191	2	$16,616
COPD w/o CC/MCC	MS-DRG	192	2	$11,581
Major small/large bowel procedures w MCC	MS-DRG	329	2	$71,771
Major small/large bowel procedures w CC	MS-DRG	330	2	$38,507
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	$29,819

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Henry Ford Providence Novi Hospital	—	—	$5,930.48
Henry Ford Providence Southfield Hospital	—	—	$7,939.18

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