ED visit level 5 in Michigan
What Michigan hospitals charge for ed visit level 5 (CPT 99285). Rates sourced from federally-mandated machine-readable files.
Hospitals
29
Rate rows
1,247
Neg. median
$597.94
Min
$17.52
Max
$5,318
Cash median
$540.5
Across 29 Michigan hospitals, the negotiated rate for ED visit level 5 ranges from $17.52 to $5,318, with a median of $597.94. The interquartile range is $278.02 to $861.59. Cash-pay patients typically pay $540.5; gross charges median $1,285.
By payer in Michigan
Top 30 payers for ED visit level 5 in Michigan.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 21 | 66 | $633.88 |
| Blue Cross Blue Shield | 21 | 97 | $2,367 |
| UnitedHealthcare | 20 | 102 | $621.57 |
| Humana | 18 | 38 | $597.94 |
| Medicare | 13 | 83 | $546.96 |
| Medicaid | 12 | 78 | $335.37 |
| TRICARE | 10 | 11 | $590.73 |
| Medicare Advantage | 9 | 16 | $615.42 |
| priority health | 9 | 18 | $279.6 |
| priority health op rate | 9 | 20 | $552.25 |
| Cigna | 8 | 8 | $1,399 |
| Ambetter | 8 | 16 | $1,015.44 |
| u of m health plan | 8 | 10 | $197.26 |
| mclaren commercial ins | 8 | 16 | $275.06 |
| First Health | 8 | 18 | $529.45 |
| safe response program | 8 | 8 | $375 |
| smarthealth | 8 | 16 | $861.59 |
| occunet | 7 | 14 | $1,261.61 |
| Oscar Health | 7 | 14 | $984.67 |
| WellCare | 7 | 14 | $615.42 |
| cofinity auto | 7 | 7 | $1,136.09 |
| facility billing - op | 7 | 14 | $615.42 |
| mi amish medical board | 7 | 7 | $597.94 |
| workers compensation | 7 | 7 | $617.83 |
| blue mcr replacement | 7 | 14 | $615.42 |
| healthspring mcr replacement | 7 | 14 | $624.65 |
| hap - hmo op rate | 5 | 13 | $456.46 |
| hp - ppo op rate | 4 | 11 | $562.47 |
| hp - hmo op rate | 4 | 11 | $405.38 |
| cofinity - auto op rate | 4 | 8 | $527.08 |
Hospital comparison — ED visit level 5 in Michigan
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Mclaren Macomb | Mt. Clemens | $200 | $135.2 | — |
| Mclaren Thumb Region | Bad Axe | $242.54 | $405.35 | $810.7 |
| Ascension St John Hospital | Detroit | $283.61 | $200.82 | $542.75 |
| Mclaren Bay Special Care | Bay City | $318.49 | $308.9 | — |
| Mclaren Flint | Flint | $335.37 | $355.6 | $711.4 |
| Bay Regional Medical Center | Bay City | $335.37 | $355.7 | $711.4 |
| Mclaren Central Michigan | Mt Pleasant | $496.31 | $452.4 | $711.4 |
| Mclaren Northern Michigan | Petoskey | $540.63 | $762.3 | $711.4 |
| Mclaren Port Huron | Port Huron | $548.08 | $752.95 | $1,212.91 |
| Garden City Hospital Osteopathic | Garden City | $586.09 | $590 | $3,627.39 |
| Mclaren Greater Lansing | Lansing | $597.94 | $638.58 | $711.4 |
| Mclaren Lapeer Region | Lapeer | $597.94 | $723.35 | $711.4 |
| Tawas St. Joseph Hospital | Tawas | $671.07 | $1,327.59 | $4,023 |
| Mclaren Oakland | Pontiac | $781.67 | $652.6 | — |
| Borgess-Pipp Health Center | Plainwell | $861.59 | $3,245.4 | $8,113.5 |
| Ascension Standish Hospital | Standish | $861.59 | $3,245.4 | $8,113.5 |
| Ascension Allegan Hospital | Allegan | $861.59 | $3,245.4 | $8,113.5 |
| Genesys Regional Medical Ctr. | Grand Blanc | $861.59 | $3,245.4 | $8,113.5 |
| Ascension Borgess-Lee Hospital | Dowagiac | $861.59 | $3,245.4 | $8,113.5 |
| Ascension Borgess Hospital | Kalamazoo | $861.59 | $3,245.4 | $8,113.5 |
| Ascension Providence Rochester Hospi | Rochester | $861.59 | $3,245.4 | $8,113.5 |
| Carson City Hospital | Carson City | — | $174 | $348 |
| North Ottawa Community Hospital | Grand Haven | — | $14,702 | $21,003 |
| Mh - Mercy Campus | Muskegon | — | $913.25 | $1,902.6 |
| Southeast Michigan Surgical Hospital | Warren | — | $2,479.2 | $3,099 |
| Mackinac Straits Health System Inc | St. Ignace | — | $458.5 | $655 |
| Mckenzie Health System | Sandusky | — | $359.2 | $449 |
| Sparrow Clinton Hospital | St. Johns | — | $174 | $348 |
| Sparrow Eaton | Charlotte | — | $174 | $348 |