Michigan / Mclaren Macomb
CMS certification 230227 · Mount Clemens, MI · 2 entries in CMS's price-transparency list
Mclaren Macomb: charges and Medicare payments
Mclaren Macomb reported 1,689 Medicare inpatient stays across 60 DRGs in 2024. Across them it charged 3.01 times what it was paid — mid-range in Michigan, number 43 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: 194 stays at an average charge of $42,432, 53% below the national average. It also billed 1,838 outpatient services, charging 6.53 times what Medicare paid.
- 1Medicare inpatient stays 1,689
- 2Charge ÷ paid, inpatient 3.01×
- 3Rank in MI (highest ratio = 1) 43 of 76
- 4CMS price-transparency actions 2
Inpatient stays
For the 60 DRGs that can be compared with the national average, Mclaren Macomb 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 | 194 | $42,432 | -53% | $16,246 |
| 291 Heart Failure and Shock with MCC | 105 | $28,257 | -50% | $10,772 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 79 | $39,279 | -48% | $13,639 |
| 177 Respiratory Infections and Inflammations with MCC | 72 | $34,115 | -52% | $13,956 |
| 193 Simple Pneumonia and Pleurisy with MCC | 67 | $27,712 | -54% | $11,224 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 45 | $95,494 | -58% | $37,916 |
| 689 Kidney and Urinary Tract Infections with MCC | 44 | $22,430 | -56% | $9,847 |
| 189 Pulmonary Edema and Respiratory Failure | 42 | $27,309 | -53% | $10,424 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 37 | $19,465 | -52% | $7,041 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 36 | $108,245 | -31% | $25,674 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 32 | $63,917 | -36% | $16,712 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 32 | $35,782 | -36% | $8,893 |
| 481 Hip and Femur Procedures except Major Joint with CC | 31 | $77,984 | -23% | $16,480 |
| 683 Renal Failure with CC | 31 | $18,920 | -54% | $8,234 |
| 682 Renal Failure with MCC | 30 | $31,628 | -52% | $12,695 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $25,969 | -57% | $11,118 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 28 | $41,554 | -43% | $13,787 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $20,107 | -46% | $7,043 |
| 100 Seizures with MCC | 26 | $55,820 | -41% | $15,369 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 25 | $24,180 | -52% | $9,684 |
| 101 Seizures without MCC | 24 | $26,459 | -46% | $8,301 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 24 | $87,382 | -24% | $17,008 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 23 | $19,677 | -46% | $6,706 |
| 377 Gastrointestinal Hemorrhage with MCC | 23 | $44,079 | -48% | $14,774 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 23 | $21,121 | -57% | $9,184 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 22 | $21,101 | -58% | $7,868 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 22 | $11,820 | -59% | $5,310 |
| 552 Medical Back Problems without MCC | 22 | $24,260 | -50% | $8,495 |
| 884 Organic Disturbances and Intellectual Disability | 22 | $23,340 | -63% | $12,885 |
| 378 Gastrointestinal Hemorrhage with CC | 21 | $22,961 | -53% | $8,207 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $77,744 | -24% | $18,932 |
| 637 Diabetes with MCC | 21 | $31,413 | -53% | $11,747 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 19 | $55,441 | -59% | $22,604 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 19 | $28,544 | -50% | $10,914 |
| 394 Other Digestive System Diagnoses with CC | 19 | $19,837 | -58% | $8,653 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 18 | $34,908 | -45% | $10,054 |
| 638 Diabetes with CC | 18 | $20,284 | -51% | $7,957 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $20,249 | -47% | $7,330 |
| 312 Syncope and Collapse | 17 | $22,238 | -51% | $7,976 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $109,950 | -33% | $24,071 |
| 069 Transient Ischemia without Thrombolytic | 16 | $23,679 | -53% | $7,136 |
| 314 Other Circulatory System Diagnoses with MCC | 16 | $37,052 | -61% | $16,862 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 15 | $33,101 | -52% | $10,418 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $32,437 | -47% | $11,248 |
| 812 Red Blood Cell Disorders without MCC | 15 | $21,060 | -53% | $8,038 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $20,631 | -45% | $7,202 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 13 | $138,961 | -40% | $36,379 |
| 180 Respiratory Neoplasms with MCC | 13 | $31,439 | -64% | $14,698 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 13 | $191,716 | -13% | $38,991 |
| 389 Gastrointestinal Obstruction with CC | 13 | $19,003 | -51% | $7,655 |
| 445 Disorders of The Biliary Tract with CC | 13 | $27,192 | -53% | $9,665 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 13 | $96,260 | -31% | $23,698 |
| 603 Cellulitis without MCC | 13 | $15,719 | -58% | $7,830 |
| 885 Psychoses | 13 | $32,009 | -27% | $11,092 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 12 | $28,088 | -57% | $11,936 |
| 252 Other Vascular Procedures with MCC | 12 | $98,058 | -43% | $27,408 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 12 | $28,096 | -34% | $8,279 |
| 811 Red Blood Cell Disorders with MCC | 12 | $29,647 | -57% | $11,991 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $31,359 | -45% | $10,407 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 11 | $79,569 | -31% | $21,373 |
Outpatient services
Against the Michigan average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mclaren Macomb charged $42,432 on average, 22% less than the Michigan average of $54,260, and was paid $16,246 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Mclaren Macomb charged $28,257 on average, 21% less than the Michigan average of $35,827, and was paid $10,772 against a state average of $11,565. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Mclaren Macomb charged $39,279 on average, 18% less than the Michigan average of $47,816, and was paid $13,639 against a state average of $13,931. For Respiratory Infections and Inflammations with MCC (DRG 177), Mclaren Macomb charged $34,115 on average, 22% less than the Michigan average of $44,001, and was paid $13,956 against a state average of $14,283. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $8,492 was 45% below the state average of $15,355. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $62,205 was 28% above the state average of $48,446. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $20,516 was 19% above the state average of $17,272. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,444 was 21% below the state average of $11,973.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mclaren Macomb in Mount Clemens, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-05-15 (CMS case 4558)
- Met Requirements — 2025-06-16 (CMS case 5182)
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.