Michigan / Mclaren Central Michigan
CMS certification 230080 · Mount Pleasant, MI · 4 entries in CMS's price-transparency list
Mclaren Central Michigan: charges and Medicare payments
Mclaren Central Michigan reported 113 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 2.41 times what it was paid — among the lower ratios in Michigan, number 59 of 76 hospitals with at least 100 stays (state median 3.09×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 38 stays at an average charge of $22,223, 61% below the national average. It also billed 397 outpatient services, charging 5.26 times what Medicare paid.
- 1Medicare inpatient stays 113
- 2Charge ÷ paid, inpatient 2.41×
- 3Rank in MI (highest ratio = 1) 59 of 76
- 4CMS price-transparency actions 4
Inpatient stays
For the 5 DRGs that can be compared with the national average, Mclaren Central Michigan 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 38 | $22,223 | -61% | $10,129 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 35 | $40,665 | -55% | $15,776 |
| 189 Pulmonary Edema and Respiratory Failure | 16 | $28,675 | -50% | $10,386 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $17,805 | -64% | $8,695 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $31,137 | -56% | $13,802 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 72 | $50,410 | $11,387 |
| Level 1 Nerve Procedures | 31 | $6,366 | $1,649 |
| Level 3 Urology and Related Services | 27 | $10,829 | $1,786 |
| Level 3 Vascular Procedures | 26 | $15,004 | $2,795 |
| Level 2 Urology and Related Services | 25 | $4,930 | $599 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 24 | $6,677 | $1,421 |
| Level 3 Musculoskeletal Procedures | 24 | $12,963 | $2,838 |
| Level 6 Musculoskeletal Procedures | 24 | $65,470 | $16,305 |
| Level 4 Musculoskeletal Procedures | 21 | $30,621 | $6,272 |
| Level 1 Laparoscopy and Related Services | 21 | $20,689 | $5,059 |
| Comprehensive Observation Services | 21 | $8,692 | $2,218 |
| Level 1 Intraocular Procedures | 19 | $6,933 | $2,043 |
| Level 2 Musculoskeletal Procedures | 17 | $5,866 | $1,409 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 16 | $9,756 | $2,491 |
| Level 1 Endovascular Procedures | 15 | $11,853 | $2,725 |
| Level 3 Pacemaker and Similar Procedures | 14 | $41,838 | $9,357 |
Against the Michigan average
For Heart Failure and Shock with MCC (DRG 291), Mclaren Central Michigan charged $22,223 on average, 38% less than the Michigan average of $35,827, and was paid $10,129 against a state average of $11,565. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mclaren Central Michigan charged $40,665 on average, 25% less than the Michigan average of $54,260, and was paid $15,776 against a state average of $17,096. For Pulmonary Edema and Respiratory Failure (DRG 189), Mclaren Central Michigan charged $28,675 on average, 24% less than the Michigan average of $37,617, and was paid $10,386 against a state average of $11,581. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Mclaren Central Michigan charged $17,805 on average, 39% less than the Michigan average of $29,364, and was paid $8,695 against a state average of $9,354. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $50,410 was 4% above the state average of $48,446. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $6,366 was 38% below the state average of $10,315. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $10,829 was 7% above the state average of $10,114. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $15,004 was 4% below the state average of $15,679.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mclaren Central Michigan in Mount Pleasant, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-10-03 (CMS case 2753)
- Closure Notice — 2024-10-16 (CMS case 2753)
- Met Requirements — 2025-05-19 (CMS case 4604)
- Met Requirements — 2025-06-16 (CMS case 5178)
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.