Office visit, new patient, 60-74 min in Michigan
What Michigan hospitals charge for office visit, new patient, 60-74 min (CPT 99205). Rates sourced from federally-mandated machine-readable files.
Hospitals
28
Rate rows
1,137
Neg. median
$164.3
Min
$42.28
Max
$1,594.6
Cash median
$150
Across 28 Michigan hospitals, the negotiated rate for Office visit, new patient, 60-74 min ranges from $42.28 to $1,594.6, with a median of $164.3. The interquartile range is $115.66 to $251.72. Cash-pay patients typically pay $150; gross charges median $339.
By payer in Michigan
Top 30 payers for Office visit, new patient, 60-74 min in Michigan.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 13 | 56 | $181.96 |
| Blue Cross Blue Shield | 12 | 33 | $264.56 |
| UnitedHealthcare | 12 | 73 | $163.91 |
| priority health op rate | 9 | 38 | $162.51 |
| Humana | 8 | 8 | $159.14 |
| Medicare | 8 | 24 | $159.14 |
| mclaren commercial ins | 8 | 12 | $168 |
| Medicaid | 8 | 26 | $120.29 |
| priority health | 8 | 17 | $200.8 |
| hap - hmo | 8 | 8 | $177 |
| u of m health plan | 8 | 9 | $183.01 |
| First Health | 8 | 37 | $216.75 |
| safe response program | 8 | 8 | $275 |
| evernorth behavioral health | 7 | 7 | $171.42 |
| bcccnp | 6 | 6 | $115 |
| workers compensation | 5 | 6 | $64.59 |
| hap - hmo op rate | 5 | 25 | $133.69 |
| hp - ppo op rate | 4 | 23 | $206.66 |
| cofinity - auto op rate | 4 | 27 | $206.88 |
| hp - hmo op rate | 4 | 23 | $155.29 |
| hap preferred op rate | 4 | 27 | $149.65 |
| mclaren health op rate | 3 | 7 | $127.61 |
| cofinity - ppom op rate | 3 | 17 | $186.39 |
| hap - ppo op rate | 3 | 10 | $236.7 |
| hcap op rate | 3 | 7 | $153 |
| mclaren health advantage op rate | 2 | 8 | $82.57 |
| health advantage - ppo op rate | 2 | 19 | $122.64 |
| health plus hmo op rate | 2 | 5 | $216.45 |
| hap hmo op rate | 2 | 5 | $195.94 |
| Cigna | 2 | 5 | $228.15 |
Hospital comparison — Office visit, new patient, 60-74 min in Michigan
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Mclaren Macomb | Mt. Clemens | $128.32 | $101.68 | — |
| Mclaren Bay Special Care | Bay City | $143.39 | $122.98 | — |
| Mclaren Greater Lansing | Lansing | $147.72 | $127.9 | $299.5 |
| Mclaren Flint | Flint | $153.3 | $150 | $299.75 |
| Mclaren Central Michigan | Mt Pleasant | $159.14 | $150 | $300 |
| Bay Regional Medical Center | Bay City | $159.14 | $137.9 | $299.5 |
| Mclaren Northern Michigan | Petoskey | $160.73 | $150 | $300 |
| Mclaren Thumb Region | Bad Axe | $165.96 | $149.8 | $299.5 |
| Borgess-Pipp Health Center | Plainwell | $171.42 | $433.2 | $1,083 |
| Ascension Borgess Hospital | Kalamazoo | $171.42 | $433.2 | $1,083 |
| Genesys Regional Medical Ctr. | Grand Blanc | $171.42 | $433.2 | $1,083 |
| Ascension Providence Rochester Hospi | Rochester | $171.42 | $433.2 | $1,083 |
| Ascension Standish Hospital | Standish | $171.42 | $433.2 | $1,083 |
| Ascension Borgess-Lee Hospital | Dowagiac | $171.42 | $433.2 | $1,083 |
| Ascension Allegan Hospital | Allegan | $171.42 | $433.2 | $1,083 |
| Karmanos Cancer Hospital | Detroit | $177.97 | $172.15 | — |
| Mclaren Port Huron | Port Huron | $184.28 | $159.75 | $300 |
| Mclaren Oakland | Pontiac | $185.4 | $144.83 | — |
| Garden City Hospital Osteopathic | Garden City | $211.34 | — | $488 |
| Ascension St John Hospital | Detroit | $264.56 | $217.47 | $587.75 |
| Mclaren Lapeer Region | Lapeer | $274.69 | $279.8 | $300 |
| Tawas St. Joseph Hospital | Tawas | $366.3 | $364.98 | $1,106 |
| Mckenzie Health System | Sandusky | — | $256 | $320 |
| Sparrow Eaton | Charlotte | — | $114.75 | $363 |
| Mackinac Straits Health System Inc | St. Ignace | — | $298.2 | $426 |
| North Ottawa Community Hospital | Grand Haven | — | $333.9 | $477 |
| Sparrow Clinton Hospital | St. Johns | — | $114.5 | $363 |
| Carson City Hospital | Carson City | — | $143.25 | $363 |