Michigan / Mclaren Lapeer Region
CMS certification 230193 · Lapeer, MI · 2 entries in CMS's price-transparency list
Mclaren Lapeer Region: charges and Medicare payments
Mclaren Lapeer Region reported 821 Medicare inpatient stays across 33 DRGs in 2024. Across them it charged 2.78 times what it was paid — among the lower ratios in Michigan, number 52 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: 167 stays at an average charge of $48,817, 46% below the national average. It also billed 522 outpatient services, charging 6.12 times what Medicare paid.
- 1Medicare inpatient stays 821
- 2Charge ÷ paid, inpatient 2.78×
- 3Rank in MI (highest ratio = 1) 52 of 76
- 4CMS price-transparency actions 2
Inpatient stays
For the 33 DRGs that can be compared with the national average, Mclaren Lapeer Region 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 | 167 | $48,817 | -46% | $16,975 |
| 291 Heart Failure and Shock with MCC | 90 | $31,078 | -45% | $11,216 |
| 193 Simple Pneumonia and Pleurisy with MCC | 41 | $31,981 | -46% | $11,503 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 35 | $36,981 | -51% | $13,561 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 28 | $30,453 | -45% | $8,835 |
| 813 Coagulation Disorders | 27 | $51,999 | -35% | $13,503 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $32,168 | -54% | $14,333 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 23 | $88,338 | -61% | $42,069 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $28,573 | -50% | $10,728 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $41,671 | -51% | $15,600 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 20 | $19,319 | -47% | $6,512 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $16,257 | -60% | $6,845 |
| 683 Renal Failure with CC | 19 | $18,294 | -55% | $7,743 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $29,320 | -51% | $11,248 |
| 682 Renal Failure with MCC | 18 | $30,766 | -53% | $13,010 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $22,690 | -56% | $10,124 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $20,008 | -47% | $7,011 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 16 | $22,160 | -56% | $7,998 |
| 312 Syncope and Collapse | 16 | $17,976 | -61% | $7,503 |
| 637 Diabetes with MCC | 16 | $30,275 | -54% | $12,512 |
| 378 Gastrointestinal Hemorrhage with CC | 15 | $25,110 | -48% | $8,589 |
| 552 Medical Back Problems without MCC | 15 | $24,071 | -51% | $8,575 |
| 603 Cellulitis without MCC | 15 | $24,479 | -34% | $7,701 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $25,849 | -47% | $8,903 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $60,947 | -40% | $18,252 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $15,819 | -57% | $6,795 |
| 811 Red Blood Cell Disorders with MCC | 13 | $34,285 | -50% | $12,383 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $22,954 | -55% | $9,874 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $33,154 | -41% | $10,390 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $64,428 | -36% | $18,023 |
| 638 Diabetes with CC | 12 | $29,500 | -29% | $7,796 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $48,807 | -51% | $17,692 |
| 149 Dysequilibrium | 11 | $23,434 | -47% | $6,524 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 124 | $20,420 | $2,440 |
| Level 1 Intraocular Procedures | 71 | $5,507 | $2,030 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 59 | $6,775 | $1,445 |
| Level 3 Vascular Procedures | 41 | $14,079 | $2,841 |
| Level 5 Musculoskeletal Procedures | 37 | $52,190 | $11,715 |
| Level 4 Urology and Related Services | 37 | $13,631 | $2,975 |
| Level 5 Urology and Related Services | 30 | $20,740 | $4,612 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 25 | $9,163 | $2,532 |
| Level 4 Musculoskeletal Procedures | 22 | $22,829 | $6,376 |
| Level 1 Nerve Procedures | 21 | $10,718 | $1,721 |
| Level 1 Laparoscopy and Related Services | 19 | $23,512 | $5,143 |
| Level 3 Airway Endoscopy | 14 | $6,054 | $1,513 |
| Level 3 Musculoskeletal Procedures | 11 | $7,933 | $2,885 |
| Level 3 Urology and Related Services | 11 | $9,393 | $1,684 |
Against the Michigan average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mclaren Lapeer Region charged $48,817 on average, 10% less than the Michigan average of $54,260, and was paid $16,975 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Mclaren Lapeer Region charged $31,078 on average, 13% less than the Michigan average of $35,827, and was paid $11,216 against a state average of $11,565. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mclaren Lapeer Region charged $31,981 on average, 11% less than the Michigan average of $35,850, and was paid $11,503 against a state average of $11,562. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Mclaren Lapeer Region charged $36,981 on average, 23% less than the Michigan average of $47,816, and was paid $13,561 against a state average of $13,931. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,420 was 33% above the state average of $15,355. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,507 was 54% below the state average of $11,973. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,775 was 8% below the state average of $7,344. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $14,079 was 10% below the state average of $15,679.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mclaren Lapeer Region in Lapeer, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-05-22 (CMS case 4678)
- Met Requirements — 2025-06-16 (CMS case 5181)
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.