Office visit, established patient, 5 min in Michigan
What Michigan hospitals charge for office visit, established patient, 5 min (CPT 99211). Rates sourced from federally-mandated machine-readable files.
Hospitals
29
Rate rows
1,982
Neg. median
$70.01
Min
$4.8
Max
$694.8
Cash median
$69.7
Across 29 Michigan hospitals, the negotiated rate for Office visit, established patient, 5 min ranges from $4.8 to $694.8, with a median of $70.01. The interquartile range is $41.97 to $102. Cash-pay patients typically pay $69.7; gross charges median $145.
By payer in Michigan
Top 30 payers for Office visit, established patient, 5 min in Michigan.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 13 | 108 | $85.72 |
| UnitedHealthcare | 13 | 122 | $80.15 |
| Blue Cross Blue Shield | 12 | 36 | $44.3 |
| priority health op rate | 9 | 88 | $71.24 |
| mclaren commercial ins | 8 | 12 | $10 |
| hap - hmo | 8 | 8 | $8.5 |
| Medicaid | 8 | 29 | $5.76 |
| u of m health plan | 8 | 9 | $8.75 |
| Medicare | 8 | 24 | $7.61 |
| Humana | 8 | 8 | $7.61 |
| First Health | 8 | 85 | $107.1 |
| priority health | 8 | 17 | $63.89 |
| evernorth behavioral health | 7 | 7 | $20.73 |
| bcccnp | 6 | 6 | $21.87 |
| hap - hmo op rate | 5 | 70 | $56.73 |
| cofinity - auto op rate | 4 | 45 | $93.15 |
| hp - hmo op rate | 4 | 65 | $54.98 |
| hp - ppo op rate | 4 | 65 | $76.29 |
| hap preferred op rate | 4 | 42 | $72.7 |
| cofinity - ppom op rate | 3 | 56 | $93.17 |
| mclaren health op rate | 3 | 7 | $50.39 |
| hcap op rate | 3 | 39 | $66 |
| hap - ppo op rate | 3 | 45 | $76.47 |
| Cigna | 2 | 5 | $86.58 |
| mclaren health advantage op rate | 2 | 16 | $40.67 |
| mhp - hmo op rate | 2 | 29 | $61.07 |
| health advantage - commercial op rate | 2 | 36 | $38.38 |
| cofinity op rate | 2 | 4 | $103.67 |
| hap hmo op rate | 2 | 5 | $74.36 |
| health advantage - ppo op rate | 2 | 29 | $61.07 |
Hospital comparison — Office visit, established patient, 5 min in Michigan
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Mclaren Thumb Region | Bad Axe | $8.63 | $54.93 | $109.85 |
| Mclaren Northern Michigan | Petoskey | $8.91 | $58.75 | $117.5 |
| Ascension St John Hospital | Detroit | $14.48 | $54.21 | $146.5 |
| Garden City Hospital Osteopathic | Garden City | $20.06 | — | $134 |
| Borgess-Pipp Health Center | Plainwell | $20.73 | $172.8 | $432 |
| Ascension Standish Hospital | Standish | $20.73 | $172.8 | $432 |
| Ascension Borgess-Lee Hospital | Dowagiac | $20.73 | $172.8 | $432 |
| Ascension Borgess Hospital | Kalamazoo | $20.73 | $172.8 | $432 |
| Ascension Allegan Hospital | Allegan | $20.73 | $172.8 | $432 |
| Genesys Regional Medical Ctr. | Grand Blanc | $20.73 | $172.8 | $432 |
| Ascension Providence Rochester Hospi | Rochester | $20.73 | $172.8 | $432 |
| Mclaren Central Michigan | Mt Pleasant | $22.58 | $69.95 | $117.9 |
| Mclaren Greater Lansing | Lansing | $23.52 | $75 | $150.5 |
| Karmanos Cancer Hospital | Detroit | $33 | $61.15 | — |
| Tawas St. Joseph Hospital | Tawas | $41.25 | $82.5 | $250 |
| Bay Regional Medical Center | Bay City | $66 | $60.25 | $121.5 |
| Mclaren Macomb | Mt. Clemens | $67.2 | $59.5 | — |
| Mclaren Bay Special Care | Bay City | $67.94 | $56.95 | — |
| Mclaren Flint | Flint | $71.42 | $75.5 | $150 |
| Mclaren Oakland | Pontiac | $75.12 | $61.9 | — |
| Mclaren Port Huron | Port Huron | $78.03 | $75.5 | $150.5 |
| Mclaren Lapeer Region | Lapeer | $104.73 | $109.45 | $150 |
| Carson City Hospital | Carson City | — | $21.5 | $66 |
| North Ottawa Community Hospital | Grand Haven | — | $163.8 | $234 |
| Mh - Mercy Campus | Muskegon | — | $117.02 | $243.8 |
| Southeast Michigan Surgical Hospital | Warren | — | $114.4 | $143 |
| Mckenzie Health System | Sandusky | — | $97.6 | $122 |
| Sparrow Clinton Hospital | St. Johns | — | $20 | $40 |
| Sparrow Eaton | Charlotte | — | $14 | $40 |