U of M Health Plan: disclosed hospital rates

iDirect answer

Based on the published hospital price files, U of M Health Plan appears in disclosed negotiated rates across 2 hospitals and 93 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

93 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION Inpatient	McLaren Greater Lansing	880 MS-DRG	$23,733	$11,866	$4,778 – $18,986	$4,778
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC Inpatient	McLaren Central Region	897 MS-DRG	$20,848	$10,424	$6,100 – $14,743	$13,027
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC Inpatient	McLaren Greater Lansing	897 MS-DRG	$18,842	$9,421	$6,111 – $15,073	$6,798
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC Inpatient	McLaren Greater Lansing	617 MS-DRG	$48,157	$24,079	$12,186 – $45,158	$12,186
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC Inpatient	McLaren Greater Lansing	616 MS-DRG	$66,762	$33,381	$15,318 – $53,410	$15,318
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC Inpatient	McLaren Greater Lansing	269 MS-DRG	$197,846	$98,923	$5,833 – $158,277	$76,167
APPENDIX PROCEDURES WITHOUT CC/MCC Inpatient	McLaren Greater Lansing	399 MS-DRG	$29,837	$14,918	$7,923 – $23,869	$13,984
BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC Inpatient	McLaren Greater Lansing	519 MS-DRG	$41,518	$20,759	$13,845 – $33,214	$15,205
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC Inpatient	McLaren Greater Lansing	308 MS-DRG	$29,539	$14,769	$8,156 – $23,631	$10,218
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC Inpatient	McLaren Central Region	310 MS-DRG	$12,132	$6,066	$3,634 – $12,846	$6,557
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC Inpatient	McLaren Greater Lansing	310 MS-DRG	$17,053	$8,526	$3,835 – $13,642	$11,203
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC Inpatient	McLaren Greater Lansing	219 MS-DRG	$266,105	$133,052	$53,148 – $212,884	$94,026
CELLULITIS WITHOUT MCC Inpatient	McLaren Greater Lansing	603 MS-DRG	$25,980	$12,990	$4,858 – $20,784	$7,750
CERVICAL SPINAL FUSION WITH CC Inpatient	McLaren Greater Lansing	472 MS-DRG	$82,402	$41,201	$20,392 – $65,922	$45,773
CESAREAN SECTION WITH STERILIZATION WITH CC Inpatient	McLaren Greater Lansing	784 MS-DRG	$24,072	$12,036	$6,881 – $19,257	$6,881
CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC Inpatient	McLaren Greater Lansing	785 MS-DRG	$25,646	$12,823	$6,480 – $20,517	$8,767
CESAREAN SECTION WITHOUT STERILIZATION WITH CC Inpatient	McLaren Central Region	787 MS-DRG	$24,272	$12,136	$7,717 – $19,089	$17,830
CESAREAN SECTION WITHOUT STERILIZATION WITH CC Inpatient	McLaren Greater Lansing	787 MS-DRG	$26,186	$13,093	$7,730 – $20,949	$8,956
CESAREAN SECTION WITHOUT STERILIZATION WITH MCC Inpatient	McLaren Greater Lansing	786 MS-DRG	$26,021	$13,011	$6,383 – $24,694	$18,848
CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC Inpatient	McLaren Greater Lansing	788 MS-DRG	$22,963	$11,482	$6,637 – $18,371	$10,610
CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC Inpatient	McLaren Greater Lansing	847 MS-DRG	$26,067	$13,033	$7,685 – $20,853	$11,303
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC Inpatient	McLaren Greater Lansing	190 MS-DRG	$29,977	$14,989	$7,667 – $23,982	$7,668
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC Inpatient	McLaren Greater Lansing	286 MS-DRG	$42,611	$21,306	$15,317 – $47,955	$15,811
COMPLICATIONS OF TREATMENT WITHOUT CC/MCC Inpatient	McLaren Greater Lansing	921 MS-DRG	$15,488	$7,744	$3,588 – $12,391	$3,588
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC Inpatient	McLaren Greater Lansing	236 MS-DRG	$170,352	$85,176	$28,994 – $136,282	$50,067