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 461 · SAINT JOHNS, MI

461 — Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc

What each payer pays SPARROW CLINTON HOSPITAL (CCN 231326) 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.

$211,606 All-payer median here
$105,867 Cash / self-pay here
12 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
   
HAP (Health Alliance Plan) $281,346 33.0% 2
Asr $281,346 33.0% 2
Physicians Health Plan $258,399 22.1% 1
MCLAREN HEALTH PLAN (MHP) COMMERCIAL $249,511 17.9% 2
Cigna Healthcare $242,203 14.5% 2
Great West Health $242,203 14.5% 2
UnitedHealthcare $239,427 13.1% 2
Humana $238,533 12.7% 2
COFINITY $235,003 11.1% 2
Aetna $229,358 8.4% 2
Priority Health $225,359 6.5% 2
Blue Cross Blue Shield $152,767 -27.8% 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.