Michigan / Mclaren Oakland
CMS certification 230207 · Pontiac, MI · 3 entries in CMS's price-transparency list
Mclaren Oakland: charges and Medicare payments
Mclaren Oakland reported 297 Medicare inpatient stays across 11 DRGs in 2024. Across them it charged 2.15 times what it was paid — among the lower ratios in Michigan, number 64 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: 130 stays at an average charge of $43,403, 52% below the national average. It also billed 530 outpatient services, charging 5.63 times what Medicare paid.
- 1Medicare inpatient stays 297
- 2Charge ÷ paid, inpatient 2.15×
- 3Rank in MI (highest ratio = 1) 64 of 76
- 4CMS price-transparency actions 3
Inpatient stays
For the 11 DRGs that can be compared with the national average, Mclaren Oakland 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 | 130 | $43,403 | -52% | $20,500 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 29 | $31,719 | -58% | $16,445 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 23 | $105,873 | -54% | $44,751 |
| 291 Heart Failure and Shock with MCC | 22 | $17,572 | -69% | $13,183 |
| 193 Simple Pneumonia and Pleurisy with MCC | 18 | $22,435 | -62% | $14,124 |
| 189 Pulmonary Edema and Respiratory Failure | 14 | $25,687 | -55% | $12,462 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 14 | $125,762 | -61% | $56,606 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $61,310 | -39% | $22,781 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $65,830 | -23% | $18,542 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $17,467 | -69% | $14,389 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $36,373 | -50% | $16,475 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 100 | $12,544 | $2,296 |
| Level 5 Urology and Related Services | 73 | $19,364 | $4,508 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 54 | $5,165 | $1,410 |
| Level 4 Urology and Related Services | 42 | $12,982 | $3,012 |
| Level 2 Upper GI Procedures | 36 | $8,768 | $1,676 |
| Level 5 Musculoskeletal Procedures | 28 | $50,123 | $11,222 |
| Level 1 Nerve Procedures | 28 | $6,926 | $1,701 |
| Level 4 Musculoskeletal Procedures | 23 | $31,783 | $5,873 |
| Level 3 Urology and Related Services | 23 | $8,220 | $1,794 |
| Level 1 Endovascular Procedures | 22 | $10,843 | $2,874 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 19 | $8,711 | $2,503 |
| Level 3 Vascular Procedures | 19 | $12,773 | $2,807 |
| Level 3 Musculoskeletal Procedures | 18 | $16,304 | $2,725 |
| Level 2 Musculoskeletal Procedures | 16 | $7,474 | $1,345 |
| Level 6 Urology and Related Services | 15 | $35,431 | $8,113 |
| Level 6 Musculoskeletal Procedures | 14 | $69,100 | $16,379 |
Against the Michigan average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mclaren Oakland charged $43,403 on average, 20% less than the Michigan average of $54,260, and was paid $20,500 against a state average of $17,096. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Mclaren Oakland charged $31,719 on average, 34% less than the Michigan average of $47,816, and was paid $16,445 against a state average of $13,931. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Mclaren Oakland charged $105,873 on average, 22% less than the Michigan average of $135,217, and was paid $44,751 against a state average of $42,176. For Heart Failure and Shock with MCC (DRG 291), Mclaren Oakland charged $17,572 on average, 51% less than the Michigan average of $35,827, and was paid $13,183 against a state average of $11,565. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,544 was 18% below the state average of $15,355. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $19,364 was 15% below the state average of $22,685. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,165 was 30% below the state average of $7,344. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $12,982 was 23% below the state average of $16,877.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mclaren Oakland in Pontiac, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-10-09 (CMS case 2805)
- Met Requirements — 2025-05-21 (CMS case 4657)
- Met Requirements — 2025-06-16 (CMS case 5184)
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.