CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: McLaren Lapeer Region

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$78
about 0.7× the $118 Medicare rate · typically $59–$124
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
About the fair price
about $7 over the fair price · 0.7× Medicare
Medicare pays $118 Fair price $78 This hospital $85 Cash price $89 Hospital's list price $178

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $47 Priciest $85

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $78 (about 0.7× the $118 Medicare rate). McLaren Lapeer Region charges insurers about $85, or about $89 in cash — about the fair price. Located in Lapeer, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $85 - $301 72%
Blue Cross Blue Shieldmajor $117 - $262 100%
Aetnamajor $85 - $93 72%
Humanamajor $71 60%
Priority Health $76 - $91 65%
+ 4 smaller / regional plans $41 - $225
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1375 N Main St, Lapeer, MI 48446
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals