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 · CPT 99345 · GRAND RAPIDS, MI

99345 — Home/res Vst New High Mdm 75

What each payer pays PINE REST CHRISTIAN MENTAL HEALTH SERVICES (CCN 234006) 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.

$346 All-payer median here
$254 Cash / self-pay here
147 payer/plan-name variants
← This hospital National rates for 99345 →
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
   
Meritain Health $355 2.9% 2
AETNA MEDICARE [2100] $355 2.9% 2
GEHA [1129] $355 2.9% 2
Aetna $355 2.9% 2
COFINITY [1120] $355 2.9% 2
ASR PHYSICIANS CARE HEALTH PLAN [1160] $346 0.0% 1
BARRY COUNTY CMH [3502] $346 0.0% 1
BAY ARENAC CARE LINK WAYNE CMH [3503] $346 0.0% 1
BEHAVIORAL HEALTH SYSTEMS [1115] $346 0.0% 1
BENSINGER DUPONT [1179] $346 0.0% 1
BERRIEN COUNTY CMH (RIVERWOOD) [3504] $346 0.0% 1
COPPER COUNTRY CMH [3510] $346 0.0% 1
ALLEGAN COUNTY CMH [3500] $346 0.0% 1
Amerigroup $346 0.0% 1
ANTHEM [1178] $346 0.0% 1
APWU [1110] $346 0.0% 1
SAGINAW COUNTY CMH [3543] $346 0.0% 1
SANILAC COUNTY CMH [3544] $346 0.0% 1
Senior Care Partners PACE $346 0.0% 1
SHIAWASSEE COUNTY CMH [3545] $346 0.0% 1
ST CLAIR COUNTY CMH [3546] $346 0.0% 1
ST JOSEPH COUNTY CMH [3547] $346 0.0% 1
SYNCHRONY SERVICES [1194] $346 0.0% 1
TRIWEST [1208] $346 0.0% 1
TUSCOLA COUNTY CMH [3548] $346 0.0% 1
UHC [1168] $346 0.0% 1
UHC MEDICARE [2108] $346 0.0% 1
ULLIANCE [1195] $346 0.0% 1
UMR (UnitedHealthcare TPA) $346 0.0% 1
United Behavioral Health (Optum) $346 0.0% 1
UNITY POINT ACCOUNTABLE CARE [1206] $346 0.0% 1
UNIVERSITY OF MICHIGAN HEALTH PLAN [1205] $346 0.0% 1
UNIVERSITY OF MICHIGAN HEALTH PLAN COMM [1159] $346 0.0% 1
US DEPT OF LABOR - DFEC [1213] $346 0.0% 1
VA CCN OPTUM [1210] $346 0.0% 1
VANBUREN COUNTY CMH [3549] $346 0.0% 1
WASHTENAW COUNTY CMH [3550] $346 0.0% 1
WAYNE COUNTY CMH [3551] $346 0.0% 1
WebTPA Employer Services LLC $346 0.0% 1
WELLVANCE CMH [3501] $346 0.0% 1
WEST MICHIGAN CMH [3552] $346 0.0% 1
BRANCH COUNTY CMH (PINES) [3505] $346 0.0% 1
CALHOUN COUNTY CMH [3506] $346 0.0% 1
CAPROCK HEALTHPLANS [1116] $346 0.0% 1
CAREBRIDGE [1180] $346 0.0% 1
Carelon Behavioral Health $346 0.0% 1
CASS COUNTY CMH [3507] $346 0.0% 1
CENTENE SUPERIOR HEALTH [1212] $346 0.0% 1
CENTRAL MICHIGAN CMH [3508] $346 0.0% 1
CHARLES NECHTEM ASSOCIATES INC [1199] $346 0.0% 1
CLAIMSBRIDGE INNOVATIVE HEALTHWARE SERVICE [1200] $346 0.0% 1
CLINTON EATON INGHAM CMH [3509] $346 0.0% 1
ComPsych Corporation $346 0.0% 1
CONCERN COUNSELING SERVICES [1182] $346 0.0% 1
CONNECTIONS EAP [1201] $346 0.0% 1
CSI CENTRAL STATES INDEMNITY [1125] $346 0.0% 1
EMPATHIA INC [1183] $346 0.0% 1
ESI EMPLOYEE ASSISTANCE GROUP [1185] $346 0.0% 1
FCPC [1128] $346 0.0% 1
First Health Network $346 0.0% 1
GATEWAY COMMUNITY HEALTH [3512] $346 0.0% 1
GENESEE COUNTY CMH [3513] $346 0.0% 1
GLOBAL CARE/ZELIS HEALTHCARE [1130] $346 0.0% 1
GOGEBIC COUNTY CMH [3514] $346 0.0% 1
GOLDEN RULE INSURANCE $346 0.0% 1
GRAND VALLEY HEALTH PLAN $346 0.0% 1
GRATIOT COUNTY CMH [3515] $346 0.0% 1
GUIDING LIGHT [1214] $346 0.0% 1
HAP (Health Alliance Plan) $346 0.0% 1
HEALTH ADVOCATE [1186] $346 0.0% 1
HEALTH CARE SOLUTIONS [1136] $346 0.0% 1
HEALTH PARTNERS [1138] $346 0.0% 1
HEALTHGRAM INC [1139] $346 0.0% 1
HEALTHSCOPE BENEFITS [1140] $346 0.0% 1
HELPNET [1187] $346 0.0% 1
HIAWATHA CMH [3516] $346 0.0% 1
HILLSDALE COUNTY CMH [3523] $346 0.0% 1
HMSA HEALTH MANAGEMENT SYSTEMS OF AMERICA [1188] $346 0.0% 1
HUMAN MGMT/HEALTH ADVOCATE [1189] $346 0.0% 1
HUMANA [1141] $346 0.0% 1
HURON COUNTY CMH [3517] $346 0.0% 1
IA MEDICAID IOWA TOTAL CARE [3110] $346 0.0% 1
IONIA COUNTY CMH [3518] $346 0.0% 1
JACKSON COUNTY CMH [3519] $346 0.0% 1
KALAMAZOO COUNTY CMH [3520] $346 0.0% 1
KALAMAZOO PSYCH HOSPITAL [1143] $346 0.0% 2
LAPEER COUNTY CMH [3521] $346 0.0% 1
LENAWEE COUNTY CMH [3522] $346 0.0% 1
LifeCircles $346 0.0% 1
LINECO [1145] $346 0.0% 1
LISTENING EAR CRISIS CENTER INC [1190] $346 0.0% 1
LITTLE RIVER BAND OF OTTAWA INDIANS [1146] $346 0.0% 1
LIVINGSTON CMH [3524] $346 0.0% 1
MACOMB COUNTY CMH [3525] $346 0.0% 1
Magellan Health $346 0.0% 1
MANISTEE BENZIE COUNTY CMH [3526] $346 0.0% 1
MCLAREN HEALTH PLAN [1149] $346 0.0% 1
MEDICA HEALTH PLAN [1150] $346 0.0% 1
MEDICO LIFE INSURANCE COMPANY [1152] $346 0.0% 1
Meridian Health Plan $346 0.0% 3
MHNET HMO [1154] $346 0.0% 1
Midlands Choice $346 0.0% 1
MONROE COUNTY CMH [3527] $346 0.0% 1
MONTCALM COUNTY CMH [3528] $346 0.0% 1
MUSKEGON COUNTY CMH [3529] $346 0.0% 1
MUTUAL OF OMAHA [1157] $346 0.0% 1
NETWORK 180 [3530] $346 0.0% 1
NEWAYGO COUNTY CMH [3531] $346 0.0% 1
NORTH COUNTRY CMH [3532] $346 0.0% 1
NORTH POINTE CMH [3533] $346 0.0% 1
NORTHEAST MICHIGAN CMH [3534] $346 0.0% 1
NORTHERN AFFILIATION CMH [3535] $346 0.0% 1
NORTHERN LAKES CMH [3536] $346 0.0% 1
OAKLAND COUNTY CMH [3537] $346 0.0% 1
OTTAWA COUNTY CMH [3538] $346 0.0% 1
PACE (Program of All-Inclusive Care for the Elderly) $346 0.0% 1
PATHWAYS CMH [3539] $346 0.0% 1
PERSPECTIVES [1191] $346 0.0% 1
PROFILE CENTURA HEALTH [1192] $346 0.0% 1
RESOLUTIONS EAP [1211] $346 0.0% 1
RURAL CARRIER [1162] $346 0.0% 1
SAGINAW CHIPPEWA INDIAN TRIBE OF MI RES [3542] $346 0.0% 1
Blue Care Network HMO $310 -10.4% 2
BLUE CROSS BLUE SHIELD [1001] $302 -12.6% 2
CIGNA/EVERNORTH BEHAVIORAL HEALTH [1118] $279 -19.2% 1
Priority Health $256 -25.9% 1
UHC MEDICAID [3108] $237 -31.5% 2
BLUE CROSS COMPLETE [3111] $237 -31.5% 2
MCLAREN HEALTH MEDICAID [3103] $237 -31.5% 2
AETNA BETTER HEALTH MEDICAID [3112] $237 -31.5% 2
PRIORITY HEALTH MEDICAID [3107] $237 -31.5% 2
PRIORITY HEALTH MEDICARE [2107] $196 -43.3% 1
HAP MEDICARE [2115] $181 -47.5% 2
BLUE CARE NETWORK MEDICARE [2101] $181 -47.5% 2
COVENTRY ADVANTRA MEDICARE [2103] $181 -47.5% 2
MCLAREN MEDICARE [2117] $181 -47.5% 2
BLUE CROSS BLUE SHIELD MEDICARE [2102] $181 -47.5% 2
TRICARE [1166] $181 -47.5% 2
WellCare Health Plans $181 -47.5% 2
MERIDIAN MEDICARE [2105] $181 -47.5% 2
Care Resources $181 -47.5% 2
VA / CHAMPVA $181 -47.5% 2
UNIVERSITY OF MICHIGAN HEALTH MEDICARE [2111] $181 -47.5% 2
MOLINA [1156] $181 -47.5% 2
Molina Healthcare $181 -47.5% 4
CHAMPVA [1117] $181 -47.5% 2
HUMANA MEDICARE [2104] $181 -47.5% 4

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.