Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · OTHER 216 · LANSING, MI

216 — Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc

What each payer pays EDWARD W SPARROW HOSPITAL (CCN 230230) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$129,027 All-payer median here
$80,042 Cash / self-pay here
22 payer/plan-name variants
← This hospital National rates for 216 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
COFINITY $289,034 124.0% 2
Cigna Healthcare $275,699 113.7% 2
Great-West Healthcare $275,699 113.7% 2
Asr $238,697 85.0% 2
UnitedHealthcare $196,479 52.3% 2
HAP (Health Alliance Plan) $194,571 50.8% 5
Blue Shield Blue Cross $173,547 34.5% 2
Humana $158,660 23.0% 4
Physicians Health Plan $156,161 21.0% 1
MCLAREN HEALTH PLAN (MHP) COMMERCIAL $146,193 13.3% 2
Aetna $130,477 1.1% 4
Priority Health $119,200 -7.6% 4
Blue Care Network HMO $117,833 -8.7% 4
MCLAREN ADVANTAGE SNP $65,092 -49.6% 2
BCBS of Michigan $63,482 -50.8% 2
Covenant Advantage $63,482 -50.8% 2
Senior Community Care $63,482 -50.8% 2
PARAMOUNT HEALTH CARE $63,482 -50.8% 2
Medicare (Generic) $63,482 -50.8% 2
Php Medicare Advantage $62,593 -51.5% 1
U-M Health Advantage $62,593 -51.5% 1
Sparrow Advantage $62,593 -51.5% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.