Michigan / Lake Huron Medical Center
CMS certification 230031 · Port Huron, MI · 3 entries in CMS's price-transparency list
Lake Huron Medical Center: charges and Medicare payments
Lake Huron Medical Center reported 417 Medicare inpatient stays across 11 DRGs in 2024. Across them it charged 3.26 times what it was paid — mid-range in Michigan, number 31 of 76 hospitals with at least 100 stays (state median 3.09×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 196 stays at an average charge of $44,494, 51% below the national average. It also billed 139 outpatient services, charging 11.01 times what Medicare paid.
- 1Medicare inpatient stays 417
- 2Charge ÷ paid, inpatient 3.26×
- 3Rank in MI (highest ratio = 1) 31 of 76
- 4CMS price-transparency actions 3
Inpatient stays
For the 11 DRGs that can be compared with the national average, Lake Huron Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 196 | $44,494 | -51% | $13,244 |
| 291 Heart Failure and Shock with MCC | 39 | $28,129 | -50% | $8,876 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $22,855 | -62% | $9,354 |
| 189 Pulmonary Edema and Respiratory Failure | 28 | $33,406 | -42% | $8,604 |
| 073 Cranial and Peripheral Nerve Disorders with MCC | 26 | $34,015 | -57% | $10,470 |
| 682 Renal Failure with MCC | 25 | $28,622 | -57% | $10,125 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 20 | $23,961 | -51% | $7,224 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $99,863 | -56% | $32,332 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $19,010 | -53% | $5,577 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $41,877 | -41% | $11,365 |
| 637 Diabetes with MCC | 11 | $34,286 | -48% | $10,245 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 3 Vascular Procedures | 25 | $21,332 | $2,807 |
| Level 5 Musculoskeletal Procedures | 21 | $120,010 | $11,577 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 20 | $9,007 | $1,428 |
| Level 3 Urology and Related Services | 20 | $20,782 | $1,794 |
| Level 4 Urology and Related Services | 15 | $22,605 | $3,070 |
| Level 5 Urology and Related Services | 15 | $33,476 | $4,557 |
| Level 1 Laparoscopy and Related Services | 12 | $46,288 | $4,796 |
| Level 3 Musculoskeletal Procedures | 11 | $18,824 | $2,851 |
Against the Michigan average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lake Huron Medical Center charged $44,494 on average, 18% less than the Michigan average of $54,260, and was paid $13,244 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Lake Huron Medical Center charged $28,129 on average, 21% less than the Michigan average of $35,827, and was paid $8,876 against a state average of $11,565. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Lake Huron Medical Center charged $22,855 on average, 37% less than the Michigan average of $36,452, and was paid $9,354 against a state average of $11,706. For Pulmonary Edema and Respiratory Failure (DRG 189), Lake Huron Medical Center charged $33,406 on average, 11% less than the Michigan average of $37,617, and was paid $8,604 against a state average of $11,581. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $21,332 was 36% above the state average of $15,679. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $120,010 was 148% above the state average of $48,446. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,007 was 23% above the state average of $7,344. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $20,782 was 105% above the state average of $10,114.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Lake Huron Medical Center in Port Huron, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-05-18 (CMS case 86)
- Closure Notice — 2021-07-20 (CMS case 86)
- Met Requirements — 2025-04-08 (CMS case 3679)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.