▸ Hospital · MI · CCN 230207

Mclaren Oakland

50 N. PERRY STREET, PONTIAC, MI, 230207

Compliance grade
D
66/100
Procedures tracked
121
of 209 target codes
Payers
14
with negotiated rates
Rates published
0
last crawl 2026-05-24

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
emergency
ED visit level 1CPT9928114$106.1$44.29$122.83$204
ED visit level 2CPT9928214$127.4$80.27$154.35$245
ED visit level 3CPT9928314$267.3$141.28$315.74$514
ED visit level 4CPT9928414$409.75$221.88$496.44$788
ED visit level 5CPT9928514$652.6$318.49$781.67$1,255
Critical care, first hourCPT9929114$993.2$422.53$1,203.3$1,910
imaging
CT head without contrastCPT7045014$844.75$66.47$978.11$1,624.5
CT head with contrastCPT7046014$878.35$108.92$1,017.01$1,689.1
CT head with and without contrastCPT7047014$929.45$108.92$1,076.19$1,787.4
CT neck with contrastCPT7049114$878.35$108.92$1,017.01$1,689.1
MRI brain without contrastCPT7055114$1,283.2$140.38$1,485.8$2,467.7
MRI brain with contrastCPT7055214$1,368.05$224.55$1,584.06$2,630.9
MRI brain with and without contrastCPT7055314$2,382.8$224.55$2,759$4,582.3
Chest X-ray single viewCPT7104514$91.85$49.35$106.89$176.6
Chest X-ray 2 viewsCPT7104614$98.3$43.62$79.69$189
Chest X-ray 3 viewsCPT7104714$100.55$49.35$121.84$193.4
CT chest without contrastCPT7125014$842.75$66.47$975.82$1,620.7
CT chest with contrastCPT7126014$878.35$108.92$1,017.01$1,689.1
CT chest with and without contrastCPT7127014$929.45$108.92$1,076.19$1,787.4
MRI chest without contrastCPT7155014$872$140.38$1,056.45$1,676.9
MRI chest with contrastCPT7155114$1,041.8$436.26$1,262.2$2,003.5
MRI chest with and without contrastCPT7155214$1,113.3$224.55$1,348.83$2,141
Lumbosacral spine X-rayCPT7210014$91.85$37.66$96.95$176.6
CT cervical spine without contrastCPT7212514$842.75$66.47$975.82$1,620.7
CT thoracic spine without contrastCPT7212814$732.85$66.47$848.54$1,409.3
CT lumbar spine without contrastCPT7213114$842.75$66.47$975.82$1,620.7
MRI cervical spine without contrastCPT7214114$1,253.5$140.38$1,451.42$2,410.6
MRI thoracic spine without contrastCPT7214614$1,253.5$140.38$1,451.42$2,410.6
MRI lumbar spine without contrastCPT7214814$1,311.1$140.38$1,518.07$2,521.3
MRI lumbar spine with and without contrastCPT7214914$1,311.1$224.55$1,518.07$2,521.3
MRI cervical spine with and without contrastCPT7215614$2,374.35$224.55$2,749.25$4,566.1
MRI lumbar spine with contrastCPT7215814$2,374.35$224.55$2,749.25$4,566.1
CT pelvis without contrastCPT7219214$842.75$66.47$975.82$1,620.7
CT pelvis with contrastCPT7219314$878.35$108.92$1,017.01$1,689.1
Shoulder X-rayCPT7303014$182.4$37.66$111.26$350.8
Humerus X-rayCPT7306014$182.4$37.66$111.26$350.8
Hand X-ray 3 viewsCPT7313014$182.4$37.66$116.85$350.8
MRI upper extremity joint without contrastCPT7322114$1,219.85$140.38$1,412.47$2,345.9
MRI upper extremity joint with and without contrastCPT7322314$2,023.05$224.55$2,342.47$3,890.5
Hip X-ray 2 viewsCPT7351011$79.85$74.89$101.12$153.59
Knee X-ray 1-2 viewsCPT7356014$151.3$37.66$112.05$291
Ankle X-ray 3 viewsCPT7361014$182.4$37.66$116.85$350.8
MRI lower extremity joint without contrastCPT7372114$1,219.85$140.38$1,412.47$2,345.9
MRI lower extremity joint with and without contrastCPT7372314$2,342.7$224.55$2,712.58$4,505.2
CT abdomen without contrastCPT7415014$842.75$66.47$975.82$1,620.7
CT abdomen with contrastCPT7416014$878.35$108.92$1,017.01$1,689.1
CT abdomen with and without contrastCPT7417014$929.45$108.92$1,076.19$1,787.4
CT abdomen and pelvis without contrastCPT7417614$926.2$140.38$1,072.46$1,781.2
CT abdomen and pelvis with contrastCPT7417714$1,157.8$224.55$1,340.58$2,226.5
CT abdomen and pelvis with and without contrastCPT7417814$1,157.8$224.55$1,401.19$2,226.5
MRI abdomen without contrastCPT7418114$1,311.1$140.38$1,518.07$2,521.3
MRI abdomen with and without contrastCPT7418314$2,382.8$224.55$2,759$4,582.3
Abdominal ultrasound completeCPT7670014$232.2$66.47$116.37$446.5
Abdominal ultrasound limitedCPT7670514$172.1$66.47$196.36$331
Retroperitoneal ultrasound completeCPT7677014$227.9$66.47$276.13$438.3
Obstetric ultrasound first trimesterCPT7680114$211.75$66.47$245.18$407.2
Obstetric ultrasound after first trimesterCPT7680514$223.45$66.47$270.71$429.7
Transvaginal ultrasoundCPT7683014$209.45$66.47$253.76$402.8
Pelvic ultrasound completeCPT7685614$215.3$66.47$260.82$414
Scrotal ultrasoundCPT7687014$176.55$66.47$213.88$339.5
Diagnostic mammography unilateralCPT7706514$226.35$55.73$274.24$435.3
Diagnostic mammography bilateralCPT7706614$279.7$71.22$338.88$537.9
Screening mammography bilateralCPT7706714$245.65$58.91$291.02$472.4
EKG tracing onlyCPT9300514$52.05$20.89$54.28$100.1
Transthoracic echocardiogram completeCPT9330614$662.1$294.56$766.65$1,273.3
Transthoracic echocardiogramCPT9330714$412.85$140.38$478.01$793.9
Stress echocardiogramCPT9335014$480.5$294.56$556.34$924
lab
Basic metabolic panel (BMP)CPT8004814$124.4$5.16$141.25$239.2
Electrolyte panelCPT8005114$62.75$4.28$71.26$120.64
Comprehensive metabolic panelCPT8005314$220.65$6.44$250.57$424.32
Lipid panelCPT8006114$44.1$8.17$51.06$84.8
Renal function panelCPT8006914$155.75$5.29$176.88$299.52
Hepatic function panelCPT8007614$108.7$4.98$123.44$209.04
Urinalysis non-automatedCPT8100214$6.6$2.12$5.9$12.7
Urinalysis automatedCPT8100314$21.65$1.37$15.18$41.6
Glucose quantitativeCPT8294714$16.2$2.4$15.65$31.2
Hemoglobin A1cCPT8303614$21.6$5.92$17.45$41.5
Thyroid stimulating hormone (TSH)CPT8444314$64.8$10.25$75.02$124.6
Complete blood count with automated differentialCPT8502514$21.1$4.74$23.94$40.56
Complete blood count without differentialCPT8502714$12.25$3.95$15.1$23.6
Urine culture bacterialCPT8708614$16.55$4.92$19.15$31.8
Tissue exam by pathologist level IVCPT8830514$113.3$30.35$131.2$217.9
maternity
Fetal non-stress testCPT5902514$113.35$40.96$137.51$218
Vaginal delivery onlyCPT5940914$3,377.4$1,600.16$3,864.56$6,495
C-section delivery onlyCPT5951411$4,636.7$3,997.27$5,735.94$8,916.7
office
Office visit, new patient, 15-29 minCPT9920210$92.05$68.56$110.32$177
Office visit, new patient, 30-44 minutesCPT9920310$121.15$73.84$142.12$233
Office visit, new patient, 45-59 minCPT9920410$156.5$80.69$155.88$301
Office visit, new patient, 60-74 minCPT9920510$204.9$85.97$185.4$394
Office visit, established patient, 5 minCPT9921110$66.55$15.29$75.12$128
Office visit, established patient, 10-19 minCPT9921210$94.1$16.35$90.74$181
Office visit, established patient, 20-29 minutesCPT9921310$105.55$17.93$106.8$203
Office visit, established patient, 30-39 minutesCPT9921410$121.15$58.54$109.05$233
Office visit, established patient, 40-54 minCPT9921510$156.5$74.89$155.85$301
preventive
Upper GI endoscopy diagnosticCPT4323514$772.95$493.86$835.45$1,486.4
Upper GI endoscopy with biopsyCPT4323914$1,417.53$481.71$1,847.84$2,835.06
Sigmoidoscopy diagnosticCPT4533014$353.75$295.5$449.69$789.51
Sigmoidoscopy with biopsyCPT4533114$681.7$484.13$825.93$1,311
Colonoscopy diagnosticCPT4537814$574.65$484.13$773.57$1,105.1
Colonoscopy with biopsyCPT4538014$725.25$632.55$976.29$1,394.7
Colonoscopy with polyp removalCPT4538514$1,289.99$616.99$1,553.4$2,579.97
surgery
Total shoulder arthroplastyCPT2347214$16,670$7,327.28$21,004$33,340
Total hip replacementCPT2713014$14,346$7,327.28$18,076$28,691
Total knee replacementCPT2744714$14,134$7,327.28$17,808$28,267
Knee revision arthroplasty single componentCPT2748614$8,290.55$7,327.28$11,539$16,581
Knee revision arthroplasty all componentsCPT2748714$19,985$7,327.28$24,066$39,971
Shoulder arthroscopy with rotator cuff repairCPT2982714$14,880$3,727.65$17,918$29,759
Knee arthroscopy with meniscectomyCPT2988114$4,475.38$1,684.09$5,389.25$8,950.75
ACL reconstructionCPT2988814$10,144$3,727.65$12,215$20,288
Open appendectomyCPT4495014$12,768$1,894.13$15,375$25,536
Laparoscopic appendectomyCPT4497014$9,123.87$3,010.96$10,987$18,248
Laparoscopic cholecystectomyCPT4756214$6,208.68$3,010.96$7,476.49$12,417
Lap cholecystectomy with cholangiographyCPT4756314$10,601$3,010.96$12,766$21,203
Open umbilical hernia repairCPT4956014$4,319.42$1,894.13$5,201.44$8,638.83
Umbilical hernia repair age 5+CPT4958514$5,227.39$1,894.13$6,294.82$10,455
Lap inguinal hernia repairCPT4965014$7,786.76$3,010.96$9,376.82$15,574
Lap incisional hernia repairCPT4965214$9,824.24$3,010.96$11,830$19,648
Lap salpingo-oophorectomyCPT5866114$5,921.41$3,010.96$7,130.56$11,843
Left heart catheterizationCPT9345214$3,362.8$1,768.4$3,893.72$6,466.9
Coronary angiography with cathCPT9345514$3,304.85$1,768.4$3,826.65$6,355.5
Coronary angiography with bypass cathCPT9345814$3,304.85$1,768.4$3,826.65$6,355.5

Payer mix (top 14)

PayerCodes coveredMedian rate
UnitedHealthcare121$224.55
oakland county community mental health op rate121$301
oc inmates correct care solutions llc op rate121$189.63
priority health op rate121$227.8
Aetna121$201.52
cofinity - auto op rate121$233.67
cofinity and wc op rate121$209.47
hap - hmo op rate121$181.23
hap - preferred op rate121$229.03
mclaren health advantage op rate121$158.75
Blue Cross Blue Shield112$460.17
Medicaid110$140.38
Humana110$224.44
Medicare110$224.44