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▸ Hospital · MI · CCN 230227

Mclaren Macomb

Mt. Clemens, MI, 48043

270 bedsAcute Care Hospitals1
Compliance grade
D
66/100
Rates published
0
last crawl 2026-05-24
Procedures tracked
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Payers
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▸ Compare with other hospitalsAll MI hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.mclaren.org/Uploads/Public/Documents/corporate/ChargeMasterFile/2026/38-1218516_McLarenMacomb_standardcharges.csv · CSV

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Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

ProcedureTypeCodePayersGrossCashNeg minNeg medianvs nat'lNeg max
emergency
ED visit level 1CPT9928120—$77.3$42.97$80.170.57×$135
ED visit level 2CPT9928220—$120.05$77.89$133.470.56×$199.8
ED visit level 3CPT9928320—$207.7$135$230.390.57×$345.6
ED visit level 4CPT9928420—$368.85$135$401.360.60×$613.8
ED visit level 5CPT9928520—$539.7$72.62$2000.19×$898.2
Critical care, first hourCPT9929120—$1,491$135$1,378.51.3×$2,481.3
imaging
CT head without contrastCPT7045020—$719.25$64.5$6653.2×$1,197
CT head with contrastCPT7046020—$870.7$105.68$8053.4×$1,449
CT head with and without contrastCPT7047020—$1,440.7$105.68$1,3325.0×$2,397.6
CT neck with contrastCPT7049120—$956.1$105.68$8843.2×$1,591.2
MRI brain without contrastCPT7055120—$1,781.4$136.21$1,921.874.8×$2,964.6
MRI brain with contrastCPT7055220—$1,836$217.89$1,577.663.3×$3,055.5
MRI brain with and without contrastCPT7055320—$1,979.85$217.89$1,774.643.0×$3,294.9
Chest X-ray single viewCPT7104520—$77.9$31.23$70.40.74×$129.6
Chest X-ray 2 viewsCPT7104620—$168.15$35.95$79.840.81×$279.9
Chest X-ray 3 viewsCPT7104720—$179.55$47.89$1661.7×$298.8
CT chest without contrastCPT7125020—$687.9$64.5$648.373.0×$1,144.8
CT chest with contrastCPT7126020—$837.7$105.68$774.52.8×$1,394.1
CT chest with and without contrastCPT7127020—$922.6$105.68$8532.9×$1,535.4
MRI chest without contrastCPT7155020—$1,440.15$136.21$1,148.952.7×$2,396.7
MRI chest with contrastCPT7155120—$913.95$364.55$743.880.91×$1,690
MRI chest with and without contrastCPT7155220—$959.4$217.89$892.91.5×$1,774
Lumbosacral spine X-rayCPT7210020—$128.7$23.96$64.840.63×$214.2
CT cervical spine without contrastCPT7212520—$1,257.35$64.5$1,162.55.8×$2,092.5
CT thoracic spine without contrastCPT7212820—$672.8$64.5$6223.1×$1,119.6
CT lumbar spine without contrastCPT7213120—$1,034.55$64.5$956.54.7×$1,721.7
MRI cervical spine without contrastCPT7214120—$1,602.95$136.21$1,728.684.4×$2,667.6
MRI thoracic spine without contrastCPT7214620—$1,602.95$136.21$1,728.684.6×$2,667.6
MRI lumbar spine without contrastCPT7214820—$1,602.95$136.21$1,728.684.6×$2,667.6
MRI lumbar spine with and without contrastCPT7214920—$1,759.8$217.89$1,577.663.5×$2,928.6
MRI cervical spine with and without contrastCPT7215620—$1,572.65$217.89$1,696.193.1×$2,617.2
MRI lumbar spine with contrastCPT7215820—$1,529.95$217.89$1,643.023.0×$2,546.1
CT pelvis without contrastCPT7219220—$634.9$64.5$581.882.9×$1,056.6
CT pelvis with contrastCPT7219320—$683$105.68$743.282.6×$1,136.7
Shoulder X-rayCPT7303020—$221.2$23.96$60.20.65×$368.1
Humerus X-rayCPT7306020—$151.4$23.96$60.20.67×$252
Hand X-ray 3 viewsCPT7313020—$207.1$23.96$60.20.65×$344.7
MRI upper extremity joint without contrastCPT7322120—$1,360.1$136.21$1,284.453.1×$2,263.5
MRI upper extremity joint with and without contrastCPT7322320—$1,759.8$217.89$1,662.322.7×$2,928.6
Hip X-ray 2 viewsCPT7351017—$166.55$23.96$85.621.1×$277.2
Knee X-ray 1-2 viewsCPT7356020—$114.1$23.96$56.10.60×$189.9
Ankle X-ray 3 viewsCPT7361020—$214.15$23.96$60.20.65×$356.4
MRI lower extremity joint without contrastCPT7372120—$1,360.1$136.21$1,363.022.9×$2,263.5
MRI lower extremity joint with and without contrastCPT7372320—$1,068.6$217.89$908.751.4×$1,778.4
CT abdomen without contrastCPT7415020—$748.5$64.5$603.393.2×$1,245.6
CT abdomen with contrastCPT7416020—$791.75$105.68$861.563.0×$1,317.6
CT abdomen with and without contrastCPT7417020—$1,117.85$105.68$1,075.123.2×$1,860.3
CT abdomen and pelvis without contrastCPT7417620—$580.25$136.21$579.761.6×$965.7
CT abdomen and pelvis with contrastCPT7417720—$815.5$217.89$887.461.6×$1,357.2
CT abdomen and pelvis with and without contrastCPT7417820—$973.45$217.89$1,059.31.8×$1,620
MRI abdomen without contrastCPT7418120—$1,440.15$136.21$1,360.113.5×$2,396.7
MRI abdomen with and without contrastCPT7418320—$1,654.85$217.89$1,541.512.7×$2,754
Abdominal ultrasound completeCPT7670020—$592.2$64.5$621.524.2×$985.5
Abdominal ultrasound limitedCPT7670520—$522.4$64.5$395.012.7×$869.4
Retroperitoneal ultrasound completeCPT7677020—$438.55$64.5$3552.5×$729.9
Obstetric ultrasound first trimesterCPT7680120—$411$50.83$131.40.93×$684
Obstetric ultrasound after first trimesterCPT7680520—$590.55$50.83$1460.96×$982.8
Obstetric ultrasound with fetal anatomyCPT7681120—$774.45$136.21$441.641.9×$1,288.8
Transvaginal ultrasoundCPT7683020—$168.75$50.83$126.70.86×$312
Pelvic ultrasound completeCPT7685620—$256.35$50.83$145.21.0×$426.6
Scrotal ultrasoundCPT7687020—$720.9$64.5$757.415.8×$1,199.7
Diagnostic mammography unilateralCPT7706520—$269.9$54.36$293.662.0×$480.67
Diagnostic mammography bilateralCPT7706620—$345$69.47$375.462.0×$612.79
Screening mammography bilateralCPT7706720—$269.3$57.47$273.91.7×$498
EKG completeCPT9300017—$32.45$15.23$29.641.2×$54
EKG tracing onlyCPT9300520—$98.95$12.07$45.50.39×$164.7
Transthoracic echocardiogram completeCPT9330620—$625.7$205.51$453.860.76×$1,041.3
Transthoracic echocardiogramCPT9330720—$280.7$136.21$291.811.2×$467.1
Stress echocardiogramCPT9335020—$306.05$121.64$303.860.60×$509.4
lab
Basic metabolic panel (BMP)CPT8004820—$15.7$5.03$16.510.51×$29
General health panelCPT8005017—$60.6$33.08$69.160.64×$112
Electrolyte panelCPT8005120—$13$4.17$13.660.57×$21.6
Comprehensive metabolic panelCPT8005320—$25.95$6.28$27.330.62×$48
Lipid panelCPT8006120—$23.25$7.97$23.30.61×$39.85
Renal function panelCPT8006920—$18.4$5.16$19.360.71×$34
Hepatic function panelCPT8007620—$19.45$4.86$20.50.77×$32.4
Urinalysis non-automatedCPT8100220—$13$2.07$5.670.81×$21.6
Urinalysis automatedCPT8100320—$14.6$1.34$4.730.34×$24.3
Glucose quantitativeCPT8294720—$11.9$2.34$10.350.59×$19.8
Hemoglobin A1cCPT8303620—$30.25$5.78$15.570.58×$50.4
Thyroid stimulating hormone (TSH)CPT8444320—$57.9$10$50.891.1×$96.3
Complete blood count with automated differentialCPT8502520—$34.05$4.62$14.880.56×$56.7
Complete blood count without differentialCPT8502720—$15.7$3.85$16.320.75×$26.1
Urine culture bacterialCPT8708620—$41.65$4.8$36.621.6×$69.3
Urine culture identificationCPT8708820—$32.45$4.81$28.541.3×$54
Tissue exam by pathologist level IVCPT8830520—$107.05$29.46$112.711.1×$178.2
maternity
Fetal non-stress testCPT5902520—$262.8$24.94$130.280.69×$486
Routine obstetric care including vaginal deliveryCPT5940017—$4,149.55$2,561.31$4,749.772.1×$7,673
office
Office visit, new patient, 15-29 minCPT9920215—$445.05$36.31$79.820.93×$740.7
Office visit, new patient, 30-44 minutesCPT9920315—$473.2$43.21$95.180.78×$787.5
Office visit, new patient, 45-59 minCPT9920415—$500.75$50.47$108.580.62×$833.4
Office visit, new patient, 60-74 minCPT9920515—$531.1$54.83$128.320.58×$883.8
Office visit, established patient, 5 minCPT9921115—$417.5$7.99$67.21.0×$694.8
Office visit, established patient, 10-19 minCPT9921215—$445.05$36.31$77.690.97×$740.7
Office visit, established patient, 20-29 minutesCPT9921317—$473.2$18.16$84.320.74×$787.5
Office visit, established patient, 30-39 minutesCPT9921415—$500.75$48.29$980.64×$833.4
Office visit, established patient, 40-54 minCPT9921515—$531.1$51.56$108.970.58×$883.8
preventive
Upper GI endoscopy diagnosticCPT4323520—$1,142.2$135$1,242.911.4×$1,900.8
Upper GI endoscopy with biopsyCPT4323920—$1,246$135$1,355.91.4×$2,073.6
Sigmoidoscopy diagnosticCPT4533020—$429.95$288.66$490.910.58×$804.99
Sigmoidoscopy with biopsyCPT4533120—$2,273.55$469.76$2,051.192.3×$4,092.38
Colonoscopy diagnosticCPT4537820—$811.2$469.76$882.751.0×$1,500
Colonoscopy with biopsyCPT4538020—$6,165.19$613.77$1,921.171.6×$11,097
Colonoscopy with polyp removalCPT4538520—$1,234.98$613.77$1,453.571.2×$2,469.96
surgery
Total hip replacementCPT2713020—$21,083$7,289.07$23,1915.3×$38,606
Total knee replacementCPT2744720—$17,590$7,289.07$19,3494.6×$35,180
Knee revision arthroplasty single componentCPT2748620—$12,848$7,289.07$12,4917.5×$23,126
Knee revision arthroplasty all componentsCPT2748720—$35,703$7,289.07$32,21116.1×$64,266
Shoulder arthroscopy with rotator cuff repairCPT2982720—$13,836$3,708.21$12,4833.8×$24,905
Knee arthroscopy with meniscectomyCPT2988120—$8,631.93$1,675.31$7,787.723.8×$15,537
ACL reconstructionCPT2988820—$18,385$3,708.21$16,5875.0×$33,093
Open appendectomyCPT4495020—$11,687$1,884.26$10,5449.3×$21,036
Laparoscopic appendectomyCPT4497020—$12,601$2,995.26$13,8618.9×$22,682
Laparoscopic cholecystectomyCPT4756220—$13,279$2,995.26$12,8997.3×$23,902
Lap cholecystectomy with cholangiographyCPT4756320—$11,420$2,995.26$10,3035.5×$20,557
Open umbilical hernia repairCPT4956020—$7,525.41$1,884.26$6,789.423.6×$13,546
Umbilical hernia repair age 5+CPT4958520—$8,406.6$1,884.26$7,584.435.8×$15,132
Lap inguinal hernia repairCPT4965020—$11,452$2,995.26$10,3329.2×$20,614
Lap incisional hernia repairCPT4965220—$12,988$2,995.26$11,7184.3×$23,379
Total abdominal hysterectomyCPT5815017—$15,167$2,496$17,85218.3×$27,301
Vaginal hysterectomyCPT5826020—$11,704$2,610$10,5605.8×$21,068
Lap-assisted vaginal hysterectomyCPT5855020—$13,202$2,995.26$11,9118.1×$23,764
Lap-assisted vaginal hysterectomy >250gCPT5855220—$15,363$5,272.42$13,8606.2×$27,653
Lap salpingo-oophorectomyCPT5866120—$10,201$2,995.26$9,202.924.5×$18,361
Complex cataract surgeryCPT6698220—$5,587.57$1,230.65$5,041.12.3×$10,058
Cataract surgery with lens implantCPT6698420—$5,105.33$1,230.65$4,8052.2×$9,189.59
PCI single major coronary arteryCPT9292020—$3,679.6$223.99$4,035.450.71×$6,804
PCI with drug-eluting stentCPT9292820—$7,179.65$248.37$7,8740.79×$11,948
PCI bypass graftCPT9293720—$7,179.65$247.72$7,8740.72×$11,948
Left heart catheterizationCPT9345220—$3,467.6$1,255.68$3,2061.0×$6,412
Coronary angiography with cathCPT9345520—$3,467.6$1,412.48$3,2061.0×$6,412
Coronary angiography with bypass cathCPT9345820—$4,638.95$135$1,768.050.57×$7,720.2
Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 20)

PayerCodes coveredMedian rate
usa mco-ppo op rate132$387.6
Multiplan132$364.8
phpmm-commercial hmo op rate132$193.89
priority health op rate132$268.36
UnitedHealthcare132$207.9
Aetna132$281.58
beech street op rate132$410.4
cofinity - auto op rate132$326.27
cofinity w/c op rate132$290.52
First Health132$250.8
gift of life op rate132$319.2
hap preferred op rate132$270.45
hap-hmo op rate132$205.7
hospice care in michigan op rate132$228
mclaren health advantage op rate132$165.57
bcn op rate124$376.11
Blue Cross Blue Shield124$376.11
fidelis op rate118$233.42
Medicaid118$136.21
Medicare118$224.44
Procedures tracked
132
of 209 target codes
Payers
20
with negotiated rates