Emergency Department Visit with High Level of Medical Decision Making Cost in Michigan
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 82 Michigan hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Michigan
Sorted by cash price (lowest first). Showing top 60 of 82 hospitals.
| Hospital | Cash | BCBS | Aetna | UHC | Humana | Medicare | Molina | Centene | Medicaid |
|---|---|---|---|---|---|---|---|---|---|
| UM HEALTH-SPARROW LANSING LANSING |
$87.00 | $278 | — | — | — | $169 | — | — | $111 |
| UM HEALTH-SPARROW - ST LAWRENCE LANSING |
$87.00 | $278 | — | — | — | $169 | — | — | $111 |
| UM HEALTH-SPARROW CARSON CARSON CITY |
$87.00 | $278 | — | — | — | $169 | — | — | $111 |
| UM HEALTH-SPARROW IONIA HOSPITAL IONIA |
$87.00 | $278 | — | — | — | $169 | — | — | $111 |
| SPARROW EATON HOSPITAL CHARLOTTE |
$87.00 | $278 | — | — | — | $169 | — | — | $111 |
| SPARROW CLINTON HOSPITAL ST. JOHNS |
$87.00 | $278 | — | — | — | $169 | — | — | $111 |
| MYMICHIGAN MEDICAL CENTER CLARE CLARE |
$235 | $122 | $257 | $172 | $172 | — | $111 | $122 | — |
| MYMICHIGAN MEDICAL CENTER ALPENA ALPENA |
$235 | $122 | $257 | $172 | $172 | — | $111 | $122 | — |
| MYMICHIGAN MEDICAL CENTER SAULT SAULT SAINTE MARIE |
$235 | $122 | — | — | — | — | $111 | $122 | — |
| MYMICHIGAN MEDICAL CENTER SAGINAW SAGINAW |
$235 | $122 | $257 | $172 | $172 | — | $111 | $122 | — |
| MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND |
$235 | $122 | $257 | $172 | $172 | — | $111 | $122 | — |
| MYMICHIGAN MEDICAL CENTER GLADWIN GLADWIN |
$235 | $122 | $257 | $172 | $172 | — | $111 | $122 | — |
| MYMICHIGAN MEDICAL CENTER STANDISH STANDISH |
$235 | $122 | $257 | $172 | $172 | — | $111 | $122 | — |
| MYMICHIGAN MEDICAL CENTER TAWAS TAWAS CITY |
$235 | $122 | $257 | $172 | $172 | — | $111 | $122 | — |
| MYMICHIGAN MEDICAL CENTER WEST BRANCH WEST BRANCH |
$235 | $122 | $257 | $172 | $172 | — | $111 | $122 | — |
| MYMICHIGAN MEDICAL CENTER ALMA ALMA |
$235 | $122 | $257 | $172 | $172 | — | $111 | $122 | — |
| MCKENZIE MEMORIAL HOSPITAL SANDUSKY |
$261 | $181 | $181 | $181 | $181 | $181 | — | — | — |
| MEMORIAL HEALTHCARE HOSPITAL OWOSSO |
$273 | — | $593 | — | — | — | — | — | — |
| HARBOR BEACH COMMUNITY HOSPITAL HARBOR BEACH |
$274 | — | — | — | — | — | — | — | — |
| MARLETTE REGIONAL HOSPITAL MARLETTE |
$280 | — | — | — | — | — | — | — | — |
| DECKERVILLE COMMUNITY HOSPITAL PINE STREET DECKERVILLE |
$284 | — | — | — | — | — | — | — | — |
| HILLS & DALES GENERAL HOSPITAL CASS CITY |
$292 | — | — | — | — | — | — | — | — |
| BRONSON SOUTH HAVEN HOSPITAL SOUTH HAVEN |
$297 | $81.10 | $180 | $77.24 | — | — | — | — | — |
| BRONSON BATTLE CREEK HOSPITAL BATTLE CREEK |
$297 | $81.10 | $176 | $77.24 | — | — | — | — | — |
| BRONSON LAKEVIEW HOSPITAL PAW PAW |
$306 | $115 | $180 | $109 | — | — | — | — | — |
| BRONSON METHODIST HOSPITAL KALAMAZOO |
$306 | $115 | $178 | $109 | — | $172 | $189 | — | — |
| MUNISING MEMORIAL HOSPITAL MUNISING |
$341 | — | — | — | — | — | — | — | — |
| KALKASKA MEMORIAL HEALTH CENTER KALKASKA |
$344 | $78.78 | $172 | $77.24 | $172 | $172 | $77.24 | — | — |
| COVENANT HEALTHCARE MICHIGAN SAGINAW |
$350 | $172 | $172 | — | $172 | — | $172 | — | — |
| COVENANT MEDICAL CENTER COOPER COOPER SAGINAW |
$350 | $172 | $172 | — | $172 | — | $172 | — | — |
| MUNSON HEALTHCARE CADILLAC CADILLAC |
$388 | $78.78 | $202 | $77.24 | $172 | $172 | $77.24 | $172 | — |
| HURLEY MEDICAL CENTER MAIN CAMPUS HURLEY PLAZA FLINT |
$390 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH OAKLAND HOSPITAL PONTIAC |
$426 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH LIVINGSTON HOSPITAL HOWELL |
$426 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH ANN ARBOR HOSPITAL YPSILANTI |
$426 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH LIVONIA HOSPITAL LIVONIA |
$426 | — | — | — | — | — | — | — | — |
| CHELSEA HOSPITAL CHELSEA |
$426 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH MUSKEGON HOSPITAL MUSKEGON |
$431 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH GRAND RAPIDS HOSPITAL GRAND RAPIDS |
$431 | — | — | — | — | — | — | — | — |
| BARAGA COUNTY MEMORIAL HOSPITAL LANSE |
$443 | — | $194 | — | $194 | — | — | — | — |
| LAKE HURON MEDICAL CENTER PORT HURON |
$590 | $590 | $323 | — | — | $590 | — | — | $317 |
| GARDEN CITY HOSPITAL GARDEN CITY |
$590 | $591 | $317 | $591 | $591 | $591 | — | — | $317 |
| ASPIRUS IRON RIVER HOSPITAL IRON RIVER |
$617 | $169 | $409 | $59.56 | — | — | — | — | — |
| ASPIRUS KEWEENAW HOSPITAL LAURIUM |
$617 | $277 | $949 | $169 | — | — | — | — | — |
| ASPIRUS IRONWOOD HOSPITAL IRONWOOD |
$617 | $256 | $705 | $66.18 | — | — | — | — | — |
| MUNSON HEALTHCARE CHARLEVOIX HOSPITAL CHARLEVOIX |
$623 | $78.78 | $172 | $77.24 | — | $172 | $172 | — | — |
| UP HEALTH SYSTEM - BELL ISHPEMING |
$656 | $35.00 | $35.35 | $35.00 | $35.00 | $35.00 | — | — | — |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM SPC 5474 |
$662 | — | — | — | — | — | — | — | — |
| HENRY FORD ROCHESTER HOSPITAL W. UNIVERSITY DR ROCHESTER |
$672 | $601 | — | — | $601 | $601 | — | — | $324 |
| BEACON ALLEGAN LINN ST ALLEGAN |
$771 | — | $254 | $254 | $195 | $194 | — | — | $254 |
| THREE RIVERS HEALTH HOSPITAL THREE RIVERS |
$798 | $606 | $344 | $344 | $606 | — | $344 | — | — |
| SCHEURER HOSPITAL PIGEON |
$862 | — | — | — | — | — | — | — | — |
| UM HEALTH-WEST HOSPITAL WYOMING |
$936 | — | — | — | — | — | — | — | — |
| HENRY FORD ST. JOHN CHILDREN'S HOSPITAL MOROSS RD DETROIT |
$1,001 | — | $601 | — | $607 | $571 | $631 | $631 | — |
| SHERIDAN COMMUNITY HOSPITAL SHERIDAN |
$1,014 | $193 | — | — | $193 | $168 | $179 | — | $429 |
| HENRY FORD GENESYS HOSPITAL GENESYS PKWY GRAND BLANC TWP |
$1,047 | $943 | — | — | — | $615 | — | — | $357 |
| OAKLAWN HOSPITAL MARSHALL |
$1,131 | — | — | — | — | — | — | — | — |
| INSIGHT HOSPITAL & MEDICAL CENTER COLDWATER COLDWATER |
$1,286 | $1,126 | $1,126 | $1,126 | $1,126 | $1,126 | — | — | $1,126 |
| TRINITY HEALTH SHELBY HOSPITAL SHELBY |
$1,403 | — | — | — | — | — | — | — | — |
| SCHOOLCRAFT MEMORIAL HOSPITAL MANISTIQUE |
$1,404 | $1,330 | $1,334 | $1,362 | — | — | — | — | — |
That is the median of what the 82 Michigan hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99285 in Michigan, Medicare reimburses about $177 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Michigan range from $87.00 to $3,926 — that means hospital cash prices are typically 3.3x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with high level of medical decision making cost in Michigan?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Michigan range from $87.00 to $3,926, with a median of $590. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in Michigan?
- The cheapest Michigan hospital published cash price for this procedure is $87.00. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.