Michigan / Oaklawn Hospital
CMS certification 230217 · Marshall, MI · 3 entries in CMS's price-transparency list
Oaklawn Hospital: charges and Medicare payments
Oaklawn Hospital reported 263 Medicare inpatient stays across 11 DRGs in 2024. Across them it charged 3.47 times what it was paid — among the higher ratios in Michigan, number 23 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: 87 stays at an average charge of $37,355, 59% below the national average. It also billed 960 outpatient services, charging 7.98 times what Medicare paid.
- 1Medicare inpatient stays 263
- 2Charge ÷ paid, inpatient 3.47×
- 3Rank in MI (highest ratio = 1) 23 of 76
- 4CMS price-transparency actions 3
Inpatient stays
For the 11 DRGs that can be compared with the national average, Oaklawn Hospital 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 | 87 | $37,355 | -59% | $13,176 |
| 193 Simple Pneumonia and Pleurisy with MCC | 27 | $33,438 | -44% | $9,494 |
| 291 Heart Failure and Shock with MCC | 27 | $36,641 | -35% | $9,161 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $32,660 | -33% | $7,587 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $35,689 | -49% | $11,751 |
| 460 Spinal Fusion except Cervical without MCC | 16 | $89,300 | -48% | $25,646 |
| 473 Cervical Spinal Fusion without CC/MCC | 16 | $90,735 | -21% | $18,074 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $32,062 | -38% | $8,386 |
| 885 Psychoses | 15 | $32,420 | -26% | $10,003 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $23,272 | -38% | $5,741 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $29,813 | -41% | $7,848 |
Outpatient services
Against the Michigan average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Oaklawn Hospital charged $37,355 on average, 31% less than the Michigan average of $54,260, and was paid $13,176 against a state average of $17,096. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Oaklawn Hospital charged $33,438 on average, 7% less than the Michigan average of $35,850, and was paid $9,494 against a state average of $11,562. For Heart Failure and Shock with MCC (DRG 291), Oaklawn Hospital charged $36,641 on average, 2% more than the Michigan average of $35,827, and was paid $9,161 against a state average of $11,565. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Oaklawn Hospital charged $32,660 on average, 11% more than the Michigan average of $29,364, and was paid $7,587 against a state average of $9,354. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,810 was 24% above the state average of $8,683. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,092 was 37% above the state average of $15,355. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $50,812 was 5% above the state average of $48,446. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,621 was 3% below the state average of $11,973.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Oaklawn Hospital in Marshall, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2024-09-23 (CMS case 2686)
- Closure Notice — 2025-01-02 (CMS case 2686)
- Warning Notice — 2026-06-10 (CMS case 8031)
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.