Office visit, established patient, 40-54 min in Michigan
What Michigan hospitals charge for office visit, established patient, 40-54 min (CPT 99215). Rates sourced from federally-mandated machine-readable files.
Hospitals
29
Rate rows
1,238
Neg. median
$128.04
Min
$17.52
Max
$1,594.6
Cash median
$135
Across 29 Michigan hospitals, the negotiated rate for Office visit, established patient, 40-54 min ranges from $17.52 to $1,594.6, with a median of $128.04. The interquartile range is $93.81 to $200.21. Cash-pay patients typically pay $135; gross charges median $285.
By payer in Michigan
Top 30 payers for Office visit, established patient, 40-54 min in Michigan.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 13 | 69 | $147.16 |
| UnitedHealthcare | 13 | 84 | $128.04 |
| Blue Cross Blue Shield | 12 | 27 | $173.67 |
| priority health op rate | 9 | 46 | $127.61 |
| Humana | 8 | 8 | $124.31 |
| First Health | 8 | 43 | $164.8 |
| u of m health plan | 8 | 10 | $142.96 |
| Medicaid | 8 | 26 | $95.04 |
| hap - hmo | 8 | 8 | $140.31 |
| Medicare | 8 | 24 | $124.31 |
| priority health | 8 | 20 | $159.53 |
| mclaren commercial ins | 8 | 14 | $107 |
| evernorth behavioral health | 7 | 7 | $117.66 |
| hap - hmo op rate | 5 | 33 | $98.14 |
| hp - hmo op rate | 4 | 29 | $111.63 |
| hp - ppo op rate | 4 | 29 | $148.55 |
| hap preferred op rate | 4 | 27 | $149.65 |
| cofinity - auto op rate | 4 | 29 | $205.75 |
| mclaren health op rate | 3 | 7 | $100.45 |
| hcap op rate | 3 | 13 | $93.6 |
| cofinity - ppom op rate | 3 | 23 | $127.86 |
| workers compensation | 3 | 3 | $59 |
| hap - ppo op rate | 3 | 16 | $100 |
| great lakes research op rate | 2 | 10 | $87.6 |
| mhp - hmo op rate | 2 | 19 | $117.27 |
| mclaren health advantage op rate | 2 | 10 | $80.43 |
| Multiplan | 2 | 9 | $136.54 |
| health advantage - commercial op rate | 2 | 10 | $51.17 |
| hap hmo op rate | 2 | 5 | $154.24 |
| health advantage - ppo op rate | 2 | 19 | $117.27 |
Hospital comparison — Office visit, established patient, 40-54 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 | $88.21 | $75.9 | — |
| Bay Regional Medical Center | Bay City | $99.7 | $97 | $200.75 |
| Mclaren Macomb | Mt. Clemens | $108.97 | $85.18 | — |
| Ascension Allegan Hospital | Allegan | $117.66 | $377.8 | $944.5 |
| Borgess-Pipp Health Center | Plainwell | $117.66 | $377.8 | $944.5 |
| Ascension Standish Hospital | Standish | $117.66 | $377.8 | $944.5 |
| Ascension Borgess-Lee Hospital | Dowagiac | $117.66 | $377.8 | $944.5 |
| Ascension Borgess Hospital | Kalamazoo | $117.66 | $377.8 | $944.5 |
| Genesys Regional Medical Ctr. | Grand Blanc | $117.66 | $377.8 | $944.5 |
| Ascension Providence Rochester Hospi | Rochester | $117.66 | $377.8 | $944.5 |
| Mclaren Thumb Region | Bad Axe | $124.31 | $97.3 | $194.5 |
| Mclaren Northern Michigan | Petoskey | $124.89 | $100.4 | $200.75 |
| Mclaren Greater Lansing | Lansing | $126.8 | $103.5 | $207 |
| Mclaren Flint | Flint | $138.66 | $127.9 | $194.5 |
| Karmanos Cancer Hospital | Detroit | $142.12 | $158.65 | — |
| Mclaren Central Michigan | Mt Pleasant | $142.96 | $100.4 | $200.75 |
| Mclaren Port Huron | Port Huron | $147.16 | $100.4 | $194.5 |
| Garden City Hospital Osteopathic | Garden City | $147.72 | — | $398 |
| Mclaren Oakland | Pontiac | $155.85 | $117.78 | — |
| Ascension St John Hospital | Detroit | $173.67 | $187.36 | $506.38 |
| Mclaren Lapeer Region | Lapeer | $192.93 | $150.55 | $194.25 |
| Tawas St. Joseph Hospital | Tawas | $254.1 | $364.98 | $1,106 |
| Carson City Hospital | Carson City | — | $135 | $270 |
| North Ottawa Community Hospital | Grand Haven | — | $296.1 | $423 |
| Mh - Mercy Campus | Muskegon | — | $230.16 | $479.5 |
| Mackinac Straits Health System Inc | St. Ignace | — | $233.8 | $334 |
| Mckenzie Health System | Sandusky | — | $192 | $240 |
| Sparrow Clinton Hospital | St. Johns | — | $89.75 | $270 |
| Sparrow Eaton | Charlotte | — | $89.75 | $270 |