Michigan / Mclaren Northern Michigan
CMS certification 230105 · Petoskey, MI · 3 entries in CMS's price-transparency list
Mclaren Northern Michigan: charges and Medicare payments
Mclaren Northern Michigan reported 1,102 Medicare inpatient stays across 39 DRGs in 2024. Across them it charged 2.34 times what it was paid — among the lower ratios in Michigan, number 60 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: 153 stays at an average charge of $37,946, 58% below the national average. It also billed 1,621 outpatient services, charging 3.95 times what Medicare paid.
- 1Medicare inpatient stays 1,102
- 2Charge ÷ paid, inpatient 2.34×
- 3Rank in MI (highest ratio = 1) 60 of 76
- 4CMS price-transparency actions 3
Inpatient stays
For the 39 DRGs that can be compared with the national average, Mclaren Northern 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 153 | $37,946 | -58% | $16,439 |
| 291 Heart Failure and Shock with MCC | 89 | $24,794 | -56% | $10,700 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 55 | $29,305 | -61% | $13,392 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 43 | $23,539 | -63% | $8,949 |
| 177 Respiratory Infections and Inflammations with MCC | 42 | $29,366 | -58% | $13,857 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 38 | $48,805 | -57% | $15,426 |
| 193 Simple Pneumonia and Pleurisy with MCC | 37 | $25,773 | -57% | $10,809 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 31 | $20,747 | -63% | $8,454 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $25,098 | -56% | $10,350 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 30 | $19,488 | -46% | $6,536 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 29 | $34,716 | -69% | $17,862 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 28 | $64,270 | -61% | $24,812 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 28 | $20,375 | -58% | $8,249 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $62,551 | -73% | $41,133 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 26 | $29,563 | -70% | $16,626 |
| 378 Gastrointestinal Hemorrhage with CC | 25 | $22,441 | -54% | $8,123 |
| 481 Hip and Femur Procedures except Major Joint with CC | 25 | $36,359 | -64% | $17,728 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 24 | $20,524 | -59% | $7,819 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 24 | $42,491 | -58% | $17,459 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 23 | $26,971 | -52% | $10,272 |
| 377 Gastrointestinal Hemorrhage with MCC | 22 | $42,869 | -50% | $15,482 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $23,918 | -67% | $13,568 |
| 683 Renal Failure with CC | 20 | $16,795 | -59% | $7,499 |
| 039 Extracranial Procedures without CC/MCC | 18 | $28,455 | -55% | $9,978 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 18 | $68,090 | -57% | $26,515 |
| 552 Medical Back Problems without MCC | 18 | $28,305 | -42% | $7,974 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $16,223 | -56% | $6,488 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $19,237 | -52% | $6,489 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 15 | $14,092 | -51% | $4,629 |
| 603 Cellulitis without MCC | 15 | $21,247 | -43% | $7,336 |
| 638 Diabetes with CC | 14 | $19,390 | -53% | $7,466 |
| 682 Renal Failure with MCC | 14 | $32,170 | -51% | $12,383 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $20,159 | -47% | $6,662 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $22,086 | -57% | $9,706 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 12 | $74,737 | -68% | $36,340 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 12 | $39,017 | -58% | $15,586 |
| 087 Traumatic Stupor and Coma <1 Hour without CC/MCC | 11 | $16,775 | -68% | $7,354 |
| 270 Other Major Cardiovascular Procedures with MCC | 11 | $102,490 | -60% | $42,543 |
| 389 Gastrointestinal Obstruction with CC | 11 | $16,365 | -58% | $6,645 |
Outpatient services
Against the Michigan average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mclaren Northern Michigan charged $37,946 on average, 30% less than the Michigan average of $54,260, and was paid $16,439 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Mclaren Northern Michigan charged $24,794 on average, 31% less than the Michigan average of $35,827, and was paid $10,700 against a state average of $11,565. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Mclaren Northern Michigan charged $29,305 on average, 39% less than the Michigan average of $47,816, and was paid $13,392 against a state average of $13,931. For Circulatory Disorders except AMI, with Cardiac Catheterization without MCC (DRG 287), Mclaren Northern Michigan charged $23,539 on average, 42% less than the Michigan average of $40,752, and was paid $8,949 against a state average of $10,209. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $6,696 was 61% below the state average of $17,272. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,685 was 36% below the state average of $7,344. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,422 was 46% below the state average of $11,973. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,647 was 31% below the state average of $15,355.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mclaren Northern Michigan in Petoskey, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-11-07 (CMS case 2901)
- Met Requirements — 2025-05-30 (CMS case 4772)
- Met Requirements — 2025-06-16 (CMS case 5183)
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.