Mclaren Macomb
MCLAREN MACOMB in Mount Clemens, MI charges 3.7x the Medicare reimbursement rate across 60 analyzed procedures, reflecting typical pricing patterns for nonprofit-private hospitals in Michigan.
Mount Clemens, MI 48043 · Acute Care Hospitals · CMS Rating: 1/5
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
3.71x
Charge / Medicare rate
Max markup
6.44x
Worst procedure
Procedures analyzed
60
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $82,541 | $41,271 | — | 6.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $82,583 | $41,291 | — | 5.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $75,435 | $37,718 | — | 5.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $16,758 | $8,379 | — | 5.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $72,168 | $36,084 | — | 5.1x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $198,908 | $99,454 | — | 5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $103,974 | $51,987 | — | 4.9x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $125,513 | $62,757 | — | 4.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $100,830 | $50,415 | — | 4.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $32,992 | $16,496 | — | 4.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $23,030 | $11,515 | — | 4.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $28,370 | $14,185 | — | 4.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $25,598 | $12,799 | — | 4.4x |
| DIABETES WITH MCC | 637 | $37,619 | $18,810 | — | 4.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $18,825 | $9,412 | — | 4.2x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $100,175 | $50,087 | — | 4.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $27,277 | $13,639 | — | 4.1x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $20,850 | $10,425 | — | 4.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $20,775 | $10,388 | — | 4.1x |
| SEIZURES WITHOUT MCC | 101 | $22,160 | $11,080 | — | 3.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $23,824 | $11,912 | — | 3.9x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $26,754 | $13,377 | — | 3.7x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $37,565 | $18,783 | — | 3.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $50,002 | $25,001 | — | 3.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $25,492 | $12,746 | — | 3.6x |
| RENAL FAILURE WITH MCC | 682 | $36,705 | $18,353 | — | 3.6x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | 896 | $41,770 | $20,885 | — | 3.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $21,015 | $10,508 | — | 3.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $16,927 | $8,464 | — | 3.6x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $20,160 | $10,080 | — | 3.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $25,262 | $12,631 | — | 3.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $48,775 | $24,387 | — | 3.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $29,365 | $14,683 | — | 3.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $23,538 | $11,769 | — | 3.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $29,980 | $14,990 | — | 3.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $29,761 | $14,880 | — | 3.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $16,133 | $8,066 | — | 3.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $76,169 | $38,085 | — | 3.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $25,162 | $12,581 | — | 3.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $91,570 | $45,785 | — | 3.2x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $31,942 | $15,971 | — | 3.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $43,595 | $21,797 | — | 3.1x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $33,285 | $16,643 | — | 3.1x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $121,581 | $60,791 | — | 3.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $37,771 | $18,886 | — | 3.1x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $18,843 | $9,421 | — | 3.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $32,694 | $16,347 | — | 3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $33,803 | $16,901 | — | 3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $20,804 | $10,402 | — | 3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $100,549 | $50,274 | — | 2.9x |
Showing 50 of 60 procedures
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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