ED visit level 1 in Michigan
What Michigan hospitals charge for ed visit level 1 (CPT 99281). Rates sourced from federally-mandated machine-readable files.
Hospitals
28
Rate rows
1,110
Neg. median
$88.38
Min
$7.24
Max
$968
Cash median
$79.9
Across 28 Michigan hospitals, the negotiated rate for ED visit level 1 ranges from $7.24 to $968, with a median of $88.38. The interquartile range is $48.16 to $137.4. Cash-pay patients typically pay $79.9; gross charges median $151.5.
By payer in Michigan
Top 30 payers for ED visit level 1 in Michigan.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 21 | 58 | $91.03 |
| Blue Cross Blue Shield | 21 | 89 | $289 |
| UnitedHealthcare | 20 | 96 | $89.26 |
| Humana | 18 | 38 | $85.87 |
| Medicare | 13 | 83 | $85.87 |
| Medicaid | 12 | 77 | $48.16 |
| TRICARE | 10 | 11 | $83.64 |
| priority health | 9 | 17 | $40 |
| priority health op rate | 9 | 15 | $101.06 |
| Medicare Advantage | 9 | 16 | $88.38 |
| safe response program | 8 | 8 | $175 |
| Ambetter | 8 | 16 | $145.83 |
| u of m health plan | 8 | 10 | $12.66 |
| Cigna | 8 | 8 | $336 |
| First Health | 8 | 14 | $125.8 |
| smarthealth | 8 | 16 | $123.73 |
| workers compensation | 8 | 8 | $90.28 |
| mclaren commercial ins | 8 | 9 | $26 |
| Oscar Health | 7 | 14 | $141.41 |
| blue mcr replacement | 7 | 14 | $88.38 |
| WellCare | 7 | 14 | $88.38 |
| healthspring mcr replacement | 7 | 14 | $89.71 |
| mi amish medical board | 7 | 7 | $85.87 |
| facility billing - op | 7 | 14 | $88.38 |
| occunet | 7 | 14 | $181.18 |
| cofinity auto | 5 | 5 | $163.16 |
| hap - hmo op rate | 5 | 9 | $58.93 |
| hp - hmo op rate | 4 | 8 | $63.32 |
| hp - ppo op rate | 4 | 8 | $84.26 |
| cofinity - auto op rate | 4 | 7 | $90.69 |
Hospital comparison — ED visit level 1 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 | $23.29 | $67 | $134 |
| Ascension St John Hospital | Detroit | $33 | $23.68 | $64 |
| Mclaren Flint | Flint | $55.76 | $68.9 | $134.2 |
| Bay Regional Medical Center | Bay City | $73.27 | $67.1 | $134.2 |
| Mclaren Bay Special Care | Bay City | $78.98 | $73.85 | — |
| Mclaren Central Michigan | Mt Pleasant | $79.82 | $94.65 | $134.2 |
| Mclaren Macomb | Mt. Clemens | $80.17 | $71.35 | — |
| Garden City Hospital Osteopathic | Garden City | $83.64 | $83 | $434 |
| Mclaren Northern Michigan | Petoskey | $85.87 | $160.15 | $134.2 |
| Mclaren Greater Lansing | Lansing | $85.87 | $122.2 | $134.2 |
| Mclaren Lapeer Region | Lapeer | $85.87 | $115.45 | $134.2 |
| Mclaren Port Huron | Port Huron | $85.87 | $105.05 | $189.1 |
| Tawas St. Joseph Hospital | Tawas | $96.38 | $156.09 | $473 |
| Mclaren Oakland | Pontiac | $122.83 | $106.1 | — |
| Ascension Standish Hospital | Standish | $123.73 | $244.8 | $612 |
| Genesys Regional Medical Ctr. | Grand Blanc | $123.73 | $244.8 | $612 |
| Ascension Borgess-Lee Hospital | Dowagiac | $123.73 | $244.8 | $612 |
| Ascension Providence Rochester Hospi | Rochester | $123.73 | $244.8 | $612 |
| Borgess-Pipp Health Center | Plainwell | $123.73 | $244.8 | $612 |
| Ascension Borgess Hospital | Kalamazoo | $123.73 | $244.8 | $612 |
| Ascension Allegan Hospital | Allegan | $123.73 | $244.8 | $612 |
| Carson City Hospital | Carson City | — | $43.88 | $164 |
| North Ottawa Community Hospital | Grand Haven | — | $389.2 | $556 |
| Mh - Mercy Campus | Muskegon | — | $91.25 | $190.1 |
| Southeast Michigan Surgical Hospital | Warren | — | $342.4 | $428 |
| Mckenzie Health System | Sandusky | — | $63.2 | $79 |
| Sparrow Clinton Hospital | St. Johns | — | $29.63 | $107 |
| Sparrow Eaton | Charlotte | — | $23 | $80.5 |