Office visit, new patient, 45-59 min in Michigan
What Michigan hospitals charge for office visit, new patient, 45-59 min (CPT 99204). Rates sourced from federally-mandated machine-readable files.
Hospitals
28
Rate rows
1,198
Neg. median
$134.67
Min
$39.48
Max
$1,010.65
Cash median
$125.62
Across 28 Michigan hospitals, the negotiated rate for Office visit, new patient, 45-59 min ranges from $39.48 to $1,010.65, with a median of $134.67. The interquartile range is $99.49 to $214.14. Cash-pay patients typically pay $125.62; gross charges median $268.
By payer in Michigan
Top 30 payers for Office visit, new patient, 45-59 min in Michigan.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 13 | 65 | $137.3 |
| UnitedHealthcare | 12 | 80 | $142.86 |
| Blue Cross Blue Shield | 12 | 33 | $205.51 |
| priority health op rate | 9 | 39 | $123.12 |
| First Health | 8 | 37 | $182.75 |
| Medicare | 8 | 24 | $116.02 |
| Medicaid | 8 | 26 | $88.39 |
| u of m health plan | 8 | 12 | $133.42 |
| priority health | 8 | 25 | $147.63 |
| Humana | 8 | 8 | $116.02 |
| mclaren commercial ins | 8 | 17 | $125 |
| safe response program | 8 | 8 | $250 |
| hap - hmo | 8 | 8 | $130.19 |
| evernorth behavioral health | 7 | 7 | $134.67 |
| bcccnp | 6 | 6 | $115 |
| workers compensation | 6 | 7 | $60.03 |
| hap - hmo op rate | 5 | 25 | $101.18 |
| hp - ppo op rate | 4 | 23 | $138.71 |
| cofinity - auto op rate | 4 | 25 | $216.35 |
| hap preferred op rate | 4 | 26 | $153.08 |
| hp - hmo op rate | 4 | 23 | $104.23 |
| mclaren health op rate | 3 | 8 | $89.79 |
| cofinity - ppom op rate | 3 | 17 | $142.78 |
| hap - ppo op rate | 3 | 12 | $140.38 |
| hcap op rate | 3 | 9 | $118.5 |
| cofinity group 15892 & 15893 | 3 | 3 | $80.64 |
| mclaren health advantage op rate | 2 | 8 | $70.67 |
| health advantage - ppo op rate | 2 | 17 | $122.64 |
| health plus hmo op rate | 2 | 6 | $159.92 |
| hap hmo op rate | 2 | 6 | $139.34 |
Hospital comparison — Office visit, new patient, 45-59 min in Michigan
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Mclaren Bay Special Care | Bay City | $104.17 | $86.85 | — |
| Mclaren Macomb | Mt. Clemens | $108.58 | $84.9 | — |
| Bay Regional Medical Center | Bay City | $116.46 | $109.7 | $241 |
| Mclaren Thumb Region | Bad Axe | $119.5 | $120.7 | $241.3 |
| Mclaren Greater Lansing | Lansing | $125 | $120.7 | $249 |
| Mclaren Northern Michigan | Petoskey | $127.6 | $127.35 | $254.65 |
| Mclaren Central Michigan | Mt Pleasant | $131.81 | $120.6 | $241.15 |
| Borgess-Pipp Health Center | Plainwell | $134.67 | $282.8 | $707 |
| Ascension Borgess Hospital | Kalamazoo | $134.67 | $282.8 | $707 |
| Genesys Regional Medical Ctr. | Grand Blanc | $134.67 | $282.8 | $707 |
| Ascension Providence Rochester Hospi | Rochester | $134.67 | $282.8 | $707 |
| Ascension Standish Hospital | Standish | $134.67 | $282.8 | $707 |
| Ascension Borgess-Lee Hospital | Dowagiac | $134.67 | $282.8 | $707 |
| Ascension Allegan Hospital | Allegan | $134.67 | $282.8 | $707 |
| Mclaren Flint | Flint | $140.58 | $130.35 | $241.3 |
| Karmanos Cancer Hospital | Detroit | $143.58 | $108.7 | — |
| Mclaren Port Huron | Port Huron | $144.74 | $146.83 | $268 |
| Mclaren Oakland | Pontiac | $155.88 | $118.03 | — |
| Garden City Hospital Osteopathic | Garden City | $168.05 | — | $407 |
| Mclaren Lapeer Region | Lapeer | $203.16 | $213.7 | $241.3 |
| Ascension St John Hospital | Detroit | $205.51 | $177.37 | $479.38 |
| Tawas St. Joseph Hospital | Tawas | $290.4 | $281.16 | $852 |
| Carson City Hospital | Carson City | — | $124.5 | $287 |
| Sparrow Eaton | Charlotte | — | $99.5 | $287 |
| Mackinac Straits Health System Inc | St. Ignace | — | $238.35 | $340.5 |
| Mckenzie Health System | Sandusky | — | $200 | $250 |
| North Ottawa Community Hospital | Grand Haven | — | $286.3 | $409 |
| Sparrow Clinton Hospital | St. Johns | — | $99.5 | $287 |