Payer comparison · OTHER 461 · LANSING, MI

461 — Bilateral Or Multiple Major Joint Procedures Of Lower Extremity 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.

$75,827 All-payer median here

$105,867 Cash / self-pay here

22 payer/plan-name variants

← This hospital National rates for 461 →

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	$241,355	218.3%	2
Great-West Healthcare	$232,417	206.5%	2
Cigna Healthcare	$232,417	206.5%	2
Asr	$201,224	165.4%	2
Physicians Health Plan	$185,053	144.0%	1
UnitedHealthcare	$166,785	120.0%	2
MCLAREN HEALTH PLAN (MHP) COMMERCIAL	$123,242	62.5%	2
Humana	$96,104	26.7%	4
Blue Shield Blue Cross	$93,787	23.7%	2
HAP (Health Alliance Plan)	$90,315	19.1%	5
Aetna	$75,784	-0.1%	4
Priority Health	$72,115	-4.9%	4
Blue Care Network HMO	$66,186	-12.7%	4
U-M Health Advantage	$39,803	-47.5%	1
Sparrow Advantage	$39,803	-47.5%	1
Php Medicare Advantage	$39,803	-47.5%	1
MCLAREN ADVANTAGE SNP	$38,981	-48.6%	2
PARAMOUNT HEALTH CARE	$38,072	-49.8%	2
Senior Community Care	$38,072	-49.8%	2
Medicare (Generic)	$38,072	-49.8%	2
Covenant Advantage	$38,072	-49.8%	2
BCBS of Michigan	$38,072	-49.8%	2

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.