Michigan / Mymichigan Medical Center Clare
CMS certification 230180 · Clare, MI · 3 entries in CMS's price-transparency list
Mymichigan Medical Center Clare: charges and Medicare payments
Mymichigan Medical Center Clare reported 100 Medicare inpatient stays across 6 DRGs in 2024. Across them it charged 1.8 times what it was paid — among the lower ratios in Michigan, number 71 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: 28 stays at an average charge of $18,476, 67% below the national average. It also billed 298 outpatient services, charging 6.35 times what Medicare paid.
- 1Medicare inpatient stays 100
- 2Charge ÷ paid, inpatient 1.8×
- 3Rank in MI (highest ratio = 1) 71 of 76
- 4CMS price-transparency actions 3
Inpatient stays
For the 6 DRGs that can be compared with the national average, Mymichigan Medical Center Clare 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 | 28 | $18,476 | -67% | $10,742 |
| 193 Simple Pneumonia and Pleurisy with MCC | 21 | $21,385 | -64% | $10,884 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 15 | $23,369 | -74% | $16,186 |
| 177 Respiratory Infections and Inflammations with MCC | 12 | $23,325 | -67% | $13,833 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $14,805 | -61% | $6,617 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $17,902 | -53% | $7,310 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 118 | $6,772 | $2,030 |
| Comprehensive Observation Services | 87 | $16,685 | $2,276 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 44 | $8,105 | $1,412 |
| Level 2 Vascular Procedures | 14 | $7,148 | $1,395 |
| Level 3 Vascular Procedures | 12 | $14,965 | $2,777 |
| Level 2 Upper GI Procedures | 12 | $3,017 | $1,658 |
| Level 1 Laparoscopy and Related Services | 11 | $21,843 | $5,027 |
Against the Michigan average
For Heart Failure and Shock with MCC (DRG 291), Mymichigan Medical Center Clare charged $18,476 on average, 48% less than the Michigan average of $35,827, and was paid $10,742 against a state average of $11,565. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mymichigan Medical Center Clare charged $21,385 on average, 40% less than the Michigan average of $35,850, and was paid $10,884 against a state average of $11,562. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mymichigan Medical Center Clare charged $23,369 on average, 57% less than the Michigan average of $54,260, and was paid $16,186 against a state average of $17,096. For Respiratory Infections and Inflammations with MCC (DRG 177), Mymichigan Medical Center Clare charged $23,325 on average, 47% less than the Michigan average of $44,001, and was paid $13,833 against a state average of $14,283. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,772 was 43% below the state average of $11,973. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,685 was 9% above the state average of $15,355. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,105 was 10% above the state average of $7,344. For Level 2 Vascular Procedures (outpatient APC 5182), its average charge of $7,148 was 4% below the state average of $7,465.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mymichigan Medical Center Clare in Clare, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-04-25 (CMS case 4135)
- Closure Notice — 2025-05-02 (CMS case 4135)
- Met Requirements — 2026-06-05 (CMS case 7976)
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.