Payer comparison · OTHER 461 · LANSING, MI

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

What each payer pays Sparrow Specialty Hospital (CCN 232037) 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.

$115,329 All-payer median here

$106,235 Cash / self-pay here

28 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

Asr	$339,953	194.8%	1
Cigna Healthcare	$336,554	191.8%	1
Great-West Healthcare	$322,956	180.0%	1
COFINITY	$318,706	176.3%	1
UnitedHealthcare	$276,212	139.5%	1
HAP (Health Alliance Plan)	$227,641	97.4%	2
Blue Care Network HMO	$180,451	56.5%	2
Physicians Health Plan	$140,358	21.7%	1
Senior Community Care	$129,012	11.9%	1
Medicare (Generic)	$129,012	11.9%	1
VA / CHAMPVA	$129,012	11.9%	1
Workers Compensation	$126,208	9.4%	1
Blue Cross Blue Shield	$122,298	6.0%	1
Humana	$120,981	4.9%	2
Aetna	$115,329	0.0%	3
BCBS of Michigan	$115,329	0.0%	1
Covenant Medicare Advantage	$115,329	0.0%	1
MCLAREN ADVANTAGE SNP	$115,329	0.0%	1
PARAMOUNT HEALTH CARE	$115,329	0.0%	1
Php Medicare Advantage	$115,329	0.0%	1
Sparrow Advantage	$115,329	0.0%	1
U-M Health Medicare Advantage	$115,329	0.0%	1
Priority Health	$101,306	-12.2%	2
INGHAM HEALTH PLAN	$87,283	-24.3%	1
Blue Cross Complete Medicaid	$87,283	-24.3%	1
MCLAREN HEALTH PLAN (MHP) COMMERCIAL	$87,283	-24.3%	1
Molina Healthcare	$87,283	-24.3%	1
Medicaid (Generic)	$70,030	-39.3%	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.