Mclaren Lapeer Region
MCLAREN LAPEER REGION in Lapeer, MI charges 3.2x the Medicare reimbursement rate across 29 analyzed procedures, reflecting typical pricing patterns for nonprofit private hospitals.
Lapeer, MI 48446 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
C
Average
Avg markup vs Medicare
3.25x
Charge / Medicare rate
Max markup
5.36x
Worst procedure
Procedures analyzed
29
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $18,305 | $9,152 | — | 5.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $30,733 | $15,366 | — | 4.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $30,911 | $15,455 | — | 4.2x |
| DIABETES WITH CC | 638 | $25,403 | $12,701 | — | 4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $20,326 | $10,163 | — | 4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $33,520 | $16,760 | — | 4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $24,999 | $12,499 | — | 3.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $50,768 | $25,384 | — | 3.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $58,330 | $29,165 | — | 3.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $54,407 | $27,203 | — | 3.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $25,325 | $12,663 | — | 3.5x |
| RENAL FAILURE WITH CC | 683 | $22,576 | $11,288 | — | 3.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $18,049 | $9,025 | — | 3.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $32,382 | $16,191 | — | 3.3x |
| CELLULITIS WITHOUT MCC | 603 | $19,001 | $9,501 | — | 3.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $29,273 | $14,636 | — | 3x |
| COAGULATION DISORDERS | 813 | $36,116 | $18,058 | — | 3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $45,835 | $22,917 | — | 3x |
| RENAL FAILURE WITH MCC | 682 | $32,729 | $16,365 | — | 3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $18,628 | $9,314 | — | 2.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $34,992 | $17,496 | — | 2.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $36,408 | $18,204 | — | 2.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $39,124 | $19,562 | — | 2.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $41,454 | $20,727 | — | 2.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $20,881 | $10,441 | — | 2.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $34,851 | $17,426 | — | 2.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $22,070 | $11,035 | — | 2.2x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $23,782 | $11,891 | — | 1.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $65,936 | $32,968 | — | 1.7x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use