▸ Payer

u of m health plan

Negotiated rates published by hospitals for u of m health plan across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

163

States

Rate rows

2,120

Median neg. rate

$112.35

Top procedures for u of m health plan

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	20	$186.92
Colonoscopy with biopsy	CPT	45380	20	$201.65
Colonoscopy with polyp removal	CPT	45385	20	$253.75
Knee arthroscopy with meniscectomy	CPT	29881	20	$576.32
Shoulder arthroscopy with decompression	CPT	29826	20	$169.61
Total hip replacement	CPT	27130	20	$1,317.1
Total knee replacement	CPT	27447	20	$1,314.82
Upper GI endoscopy diagnostic	CPT	43235	20	$124.89
Upper GI endoscopy with biopsy	CPT	43239	20	$139.78
Sigmoidoscopy diagnostic	CPT	45330	20	$60.2
Sigmoidoscopy with biopsy	CPT	45331	20	$75.01
CABG single arterial graft	CPT	33533	20	$2,022.69
CABG 2 arterial grafts	CPT	33534	20	$2,373.78
CABG 3 arterial grafts	CPT	33535	20	$2,634.54
CABG 4+ arterial grafts	CPT	33536	20	$2,837.58
Total shoulder arthroplasty	CPT	23472	20	$1,473.54
Hip hemiarthroplasty	CPT	27125	20	$1,169.72
Knee revision arthroplasty single component	CPT	27486	20	$1,443.49
Knee revision arthroplasty all components	CPT	27487	20	$1,788.03
Shoulder arthroscopy with rotator cuff repair	CPT	29827	20	$1,101.17
ACL reconstruction	CPT	29888	20	$1,003.21
Open appendectomy	CPT	44950	20	$692.01
Laparoscopic appendectomy	CPT	44970	20	$657.57
Laparoscopic cholecystectomy	CPT	47562	20	$719.35
Lap cholecystectomy with cholangiography	CPT	47563	20	$780.32
Lap inguinal hernia repair	CPT	49650	20	$479.62
Total abdominal hysterectomy	CPT	58150	20	$1,064.53
Vaginal hysterectomy	CPT	58260	20	$844.92
Lap-assisted vaginal hysterectomy	CPT	58550	20	$896.8
Lap-assisted vaginal hysterectomy >250g	CPT	58552	20	$1,001.43

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
McLaren Lapeer Region	—	—	$380.04
McLaren Northern Michigan	—	—	$380.04
Mclaren Flint	Flint	MI	$380.04
Mclaren Lapeer Region	Lapeer	MI	$380.04
McLaren Flint	—	—	$380.04
Mclaren Port Huron	Port Huron	MI	$380.04
McLaren Macomb	—	—	$380.04
St. Lukes Hospital	Maumee	OH	$380.04
McLaren Bay Region	—	—	$380.04
Bay Regional Medical Center	Bay City	MI	$380.04
McLaren Port Huron	—	—	$380.04
Mclaren Northern Michigan	Petoskey	MI	$380.04
McLaren Oakland	—	—	$380.04
McLaren Thumb Region	—	—	$382.51
Mclaren Thumb Region	Bad Axe	MI	$382.51
McLaren Caro Region	—	—	$382.51
Mclaren Central Michigan	Mt Pleasant	MI	$544.48
McLaren Central Region	—	—	$544.48
Mclaren Greater Lansing	Lansing	MI	$1,697.97
McLaren Greater Lansing	—	—	$1,697.97

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States with hospitals publishing rates for u of m health plan.

State	Hospitals	Avg rate
MI	8	$666.97
OH	1	$380.04

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