TABLE 1—

Prices Paid by Private Health Plans for Hospital Care in Michigan and Indiana

			% of Medicare or Private Price per Service ($), CaseMix-Adjusted
Hospital Setting	Data Source	Year	Michigan	Indiana	Difference, Michigan vs Indiana, %
Inpatient	RAND 2.0	2017	153%	236%	−35.2
Outpatient	RAND 2.0	2017	161%	403%	−60.0
Inpatient	JHU memo to HELP	2016	171%	255%	−32.9
Inpatient	HCCI	2017	$16 516	$22 139	−25.4
Outpatient	HCCI	2017	$443	$649	−31.7
Inpatient and outpatient	RAND Hospital Data	2016	147%	223%	−34.2

Note. CaseMix = complexity and intensity of treatments provided to individual patients; HCCI = Health Care Cost Institute; HELP = Senate Committee on Health, Education, Labor and Pensions; JHU = Johns Hopkins University; Price = negotiated allowed amount per medical service, including the health plan liability plus any patient cost sharing; RAND 2.0 = RAND Corporation National Hospital Price Transparency Study.

Source. Adapted from White.⁵