▸ Hospital · MI · CCN 230227

Mclaren Macomb

1000 HARRINGTON, MT. CLEMENS, MI, 230227

Compliance grade

66/100

Procedures tracked

132

of 209 target codes

Payers

with negotiated rates

Rates published

last crawl 2026-05-24

▸ Compare with other hospitals All MI hospitals JSON Full cost report on HCRIS.io →

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

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
emergency
ED visit level 1	CPT	99281	20	—	$77.3	$42.97	$80.17	$135
ED visit level 2	CPT	99282	20	—	$120.05	$77.89	$133.47	$199.8
ED visit level 3	CPT	99283	20	—	$207.7	$135	$230.39	$345.6
ED visit level 4	CPT	99284	20	—	$368.85	$135	$401.36	$613.8
ED visit level 5	CPT	99285	20	—	$539.7	$72.62	$200	$898.2
Critical care, first hour	CPT	99291	20	—	$1,491	$135	$1,378.5	$2,481.3
imaging
CT head without contrast	CPT	70450	20	—	$719.25	$64.5	$665	$1,197
CT head with contrast	CPT	70460	20	—	$870.7	$105.68	$805	$1,449
CT head with and without contrast	CPT	70470	20	—	$1,440.7	$105.68	$1,332	$2,397.6
CT neck with contrast	CPT	70491	20	—	$956.1	$105.68	$884	$1,591.2
MRI brain without contrast	CPT	70551	20	—	$1,781.4	$136.21	$1,921.87	$2,964.6
MRI brain with contrast	CPT	70552	20	—	$1,836	$217.89	$1,577.66	$3,055.5
MRI brain with and without contrast	CPT	70553	20	—	$1,979.85	$217.89	$1,774.64	$3,294.9
Chest X-ray single view	CPT	71045	20	—	$77.9	$31.23	$70.4	$129.6
Chest X-ray 2 views	CPT	71046	20	—	$168.15	$35.95	$79.84	$279.9
Chest X-ray 3 views	CPT	71047	20	—	$179.55	$47.89	$166	$298.8
CT chest without contrast	CPT	71250	20	—	$687.9	$64.5	$648.37	$1,144.8
CT chest with contrast	CPT	71260	20	—	$837.7	$105.68	$774.5	$1,394.1
CT chest with and without contrast	CPT	71270	20	—	$922.6	$105.68	$853	$1,535.4
MRI chest without contrast	CPT	71550	20	—	$1,440.15	$136.21	$1,148.95	$2,396.7
MRI chest with contrast	CPT	71551	20	—	$913.95	$364.55	$743.88	$1,690
MRI chest with and without contrast	CPT	71552	20	—	$959.4	$217.89	$892.9	$1,774
Lumbosacral spine X-ray	CPT	72100	20	—	$128.7	$23.96	$64.84	$214.2
CT cervical spine without contrast	CPT	72125	20	—	$1,257.35	$64.5	$1,162.5	$2,092.5
CT thoracic spine without contrast	CPT	72128	20	—	$672.8	$64.5	$622	$1,119.6
CT lumbar spine without contrast	CPT	72131	20	—	$1,034.55	$64.5	$956.5	$1,721.7
MRI cervical spine without contrast	CPT	72141	20	—	$1,602.95	$136.21	$1,728.68	$2,667.6
MRI thoracic spine without contrast	CPT	72146	20	—	$1,602.95	$136.21	$1,728.68	$2,667.6
MRI lumbar spine without contrast	CPT	72148	20	—	$1,602.95	$136.21	$1,728.68	$2,667.6
MRI lumbar spine with and without contrast	CPT	72149	20	—	$1,759.8	$217.89	$1,577.66	$2,928.6
MRI cervical spine with and without contrast	CPT	72156	20	—	$1,572.65	$217.89	$1,696.19	$2,617.2
MRI lumbar spine with contrast	CPT	72158	20	—	$1,529.95	$217.89	$1,643.02	$2,546.1
CT pelvis without contrast	CPT	72192	20	—	$634.9	$64.5	$581.88	$1,056.6
CT pelvis with contrast	CPT	72193	20	—	$683	$105.68	$743.28	$1,136.7
Shoulder X-ray	CPT	73030	20	—	$221.2	$23.96	$60.2	$368.1
Humerus X-ray	CPT	73060	20	—	$151.4	$23.96	$60.2	$252
Hand X-ray 3 views	CPT	73130	20	—	$207.1	$23.96	$60.2	$344.7
MRI upper extremity joint without contrast	CPT	73221	20	—	$1,360.1	$136.21	$1,284.45	$2,263.5
MRI upper extremity joint with and without contrast	CPT	73223	20	—	$1,759.8	$217.89	$1,662.32	$2,928.6
Hip X-ray 2 views	CPT	73510	17	—	$166.55	$23.96	$85.62	$277.2
Knee X-ray 1-2 views	CPT	73560	20	—	$114.1	$23.96	$56.1	$189.9
Ankle X-ray 3 views	CPT	73610	20	—	$214.15	$23.96	$60.2	$356.4
MRI lower extremity joint without contrast	CPT	73721	20	—	$1,360.1	$136.21	$1,363.02	$2,263.5
MRI lower extremity joint with and without contrast	CPT	73723	20	—	$1,068.6	$217.89	$908.75	$1,778.4
CT abdomen without contrast	CPT	74150	20	—	$748.5	$64.5	$603.39	$1,245.6
CT abdomen with contrast	CPT	74160	20	—	$791.75	$105.68	$861.56	$1,317.6
CT abdomen with and without contrast	CPT	74170	20	—	$1,117.85	$105.68	$1,075.12	$1,860.3
CT abdomen and pelvis without contrast	CPT	74176	20	—	$580.25	$136.21	$579.76	$965.7
CT abdomen and pelvis with contrast	CPT	74177	20	—	$815.5	$217.89	$887.46	$1,357.2
CT abdomen and pelvis with and without contrast	CPT	74178	20	—	$973.45	$217.89	$1,059.3	$1,620
MRI abdomen without contrast	CPT	74181	20	—	$1,440.15	$136.21	$1,360.11	$2,396.7
MRI abdomen with and without contrast	CPT	74183	20	—	$1,654.85	$217.89	$1,541.51	$2,754
Abdominal ultrasound complete	CPT	76700	20	—	$592.2	$64.5	$621.52	$985.5
Abdominal ultrasound limited	CPT	76705	20	—	$522.4	$64.5	$395.01	$869.4
Retroperitoneal ultrasound complete	CPT	76770	20	—	$438.55	$64.5	$355	$729.9
Obstetric ultrasound first trimester	CPT	76801	20	—	$411	$50.83	$131.4	$684
Obstetric ultrasound after first trimester	CPT	76805	20	—	$590.55	$50.83	$146	$982.8
Obstetric ultrasound with fetal anatomy	CPT	76811	20	—	$774.45	$136.21	$441.64	$1,288.8
Transvaginal ultrasound	CPT	76830	20	—	$168.75	$50.83	$126.7	$312
Pelvic ultrasound complete	CPT	76856	20	—	$256.35	$50.83	$145.2	$426.6
Scrotal ultrasound	CPT	76870	20	—	$720.9	$64.5	$757.41	$1,199.7
Diagnostic mammography unilateral	CPT	77065	20	—	$269.9	$54.36	$293.66	$480.67
Diagnostic mammography bilateral	CPT	77066	20	—	$345	$69.47	$375.46	$612.79
Screening mammography bilateral	CPT	77067	20	—	$269.3	$57.47	$273.9	$498
EKG complete	CPT	93000	17	—	$32.45	$15.23	$29.64	$54
EKG tracing only	CPT	93005	20	—	$98.95	$12.07	$45.5	$164.7
Transthoracic echocardiogram complete	CPT	93306	20	—	$625.7	$205.51	$453.86	$1,041.3
Transthoracic echocardiogram	CPT	93307	20	—	$280.7	$136.21	$291.81	$467.1
Stress echocardiogram	CPT	93350	20	—	$306.05	$121.64	$303.86	$509.4
lab
Basic metabolic panel (BMP)	CPT	80048	20	—	$15.7	$5.03	$16.51	$29
General health panel	CPT	80050	17	—	$60.6	$33.08	$69.16	$112
Electrolyte panel	CPT	80051	20	—	$13	$4.17	$13.66	$21.6
Comprehensive metabolic panel	CPT	80053	20	—	$25.95	$6.28	$27.33	$48
Lipid panel	CPT	80061	20	—	$23.25	$7.97	$23.3	$39.85
Renal function panel	CPT	80069	20	—	$18.4	$5.16	$19.36	$34
Hepatic function panel	CPT	80076	20	—	$19.45	$4.86	$20.5	$32.4
Urinalysis non-automated	CPT	81002	20	—	$13	$2.07	$5.67	$21.6
Urinalysis automated	CPT	81003	20	—	$14.6	$1.34	$4.73	$24.3
Glucose quantitative	CPT	82947	20	—	$11.9	$2.34	$10.35	$19.8
Hemoglobin A1c	CPT	83036	20	—	$30.25	$5.78	$15.57	$50.4
Thyroid stimulating hormone (TSH)	CPT	84443	20	—	$57.9	$10	$50.89	$96.3
Complete blood count with automated differential	CPT	85025	20	—	$34.05	$4.62	$14.88	$56.7
Complete blood count without differential	CPT	85027	20	—	$15.7	$3.85	$16.32	$26.1
Urine culture bacterial	CPT	87086	20	—	$41.65	$4.8	$36.62	$69.3
Urine culture identification	CPT	87088	20	—	$32.45	$4.81	$28.54	$54
Tissue exam by pathologist level IV	CPT	88305	20	—	$107.05	$29.46	$112.71	$178.2
maternity
Fetal non-stress test	CPT	59025	20	—	$262.8	$24.94	$130.28	$486
Routine obstetric care including vaginal delivery	CPT	59400	17	—	$4,149.55	$2,561.31	$4,749.77	$7,673
office
Office visit, new patient, 15-29 min	CPT	99202	15	—	$445.05	$36.31	$79.82	$740.7
Office visit, new patient, 30-44 minutes	CPT	99203	15	—	$473.2	$43.21	$95.18	$787.5
Office visit, new patient, 45-59 min	CPT	99204	15	—	$500.75	$50.47	$108.58	$833.4
Office visit, new patient, 60-74 min	CPT	99205	15	—	$531.1	$54.83	$128.32	$883.8
Office visit, established patient, 5 min	CPT	99211	15	—	$417.5	$7.99	$67.2	$694.8
Office visit, established patient, 10-19 min	CPT	99212	15	—	$445.05	$36.31	$77.69	$740.7
Office visit, established patient, 20-29 minutes	CPT	99213	17	—	$473.2	$18.16	$84.32	$787.5
Office visit, established patient, 30-39 minutes	CPT	99214	15	—	$500.75	$48.29	$98	$833.4
Office visit, established patient, 40-54 min	CPT	99215	15	—	$531.1	$51.56	$108.97	$883.8
preventive
Upper GI endoscopy diagnostic	CPT	43235	20	—	$1,142.2	$135	$1,242.91	$1,900.8
Upper GI endoscopy with biopsy	CPT	43239	20	—	$1,246	$135	$1,355.9	$2,073.6
Sigmoidoscopy diagnostic	CPT	45330	20	—	$429.95	$288.66	$490.91	$804.99
Sigmoidoscopy with biopsy	CPT	45331	20	—	$2,273.55	$469.76	$2,051.19	$4,092.38
Colonoscopy diagnostic	CPT	45378	20	—	$811.2	$469.76	$882.75	$1,500
Colonoscopy with biopsy	CPT	45380	20	—	$6,165.19	$613.77	$1,921.17	$11,097
Colonoscopy with polyp removal	CPT	45385	20	—	$1,234.98	$613.77	$1,453.57	$2,469.96
surgery
Total hip replacement	CPT	27130	20	—	$21,083	$7,289.07	$23,191	$38,606
Total knee replacement	CPT	27447	20	—	$17,590	$7,289.07	$19,349	$35,180
Knee revision arthroplasty single component	CPT	27486	20	—	$12,848	$7,289.07	$12,491	$23,126
Knee revision arthroplasty all components	CPT	27487	20	—	$35,703	$7,289.07	$32,211	$64,266
Shoulder arthroscopy with rotator cuff repair	CPT	29827	20	—	$13,836	$3,708.21	$12,483	$24,905
Knee arthroscopy with meniscectomy	CPT	29881	20	—	$8,631.93	$1,675.31	$7,787.72	$15,537
ACL reconstruction	CPT	29888	20	—	$18,385	$3,708.21	$16,587	$33,093
Open appendectomy	CPT	44950	20	—	$11,687	$1,884.26	$10,544	$21,036
Laparoscopic appendectomy	CPT	44970	20	—	$12,601	$2,995.26	$13,861	$22,682
Laparoscopic cholecystectomy	CPT	47562	20	—	$13,279	$2,995.26	$12,899	$23,902
Lap cholecystectomy with cholangiography	CPT	47563	20	—	$11,420	$2,995.26	$10,303	$20,557
Open umbilical hernia repair	CPT	49560	20	—	$7,525.41	$1,884.26	$6,789.42	$13,546
Umbilical hernia repair age 5+	CPT	49585	20	—	$8,406.6	$1,884.26	$7,584.43	$15,132
Lap inguinal hernia repair	CPT	49650	20	—	$11,452	$2,995.26	$10,332	$20,614
Lap incisional hernia repair	CPT	49652	20	—	$12,988	$2,995.26	$11,718	$23,379
Total abdominal hysterectomy	CPT	58150	17	—	$15,167	$2,496	$17,852	$27,301
Vaginal hysterectomy	CPT	58260	20	—	$11,704	$2,610	$10,560	$21,068
Lap-assisted vaginal hysterectomy	CPT	58550	20	—	$13,202	$2,995.26	$11,911	$23,764
Lap-assisted vaginal hysterectomy >250g	CPT	58552	20	—	$15,363	$5,272.42	$13,860	$27,653
Lap salpingo-oophorectomy	CPT	58661	20	—	$10,201	$2,995.26	$9,202.92	$18,361
Complex cataract surgery	CPT	66982	20	—	$5,587.57	$1,230.65	$5,041.1	$10,058
Cataract surgery with lens implant	CPT	66984	20	—	$5,105.33	$1,230.65	$4,805	$9,189.59
PCI single major coronary artery	CPT	92920	20	—	$3,679.6	$223.99	$4,035.45	$6,804
PCI with drug-eluting stent	CPT	92928	20	—	$7,179.65	$248.37	$7,874	$11,948
PCI bypass graft	CPT	92937	20	—	$7,179.65	$247.72	$7,874	$11,948
Left heart catheterization	CPT	93452	20	—	$3,467.6	$1,255.68	$3,206	$6,412
Coronary angiography with cath	CPT	93455	20	—	$3,467.6	$1,412.48	$3,206	$6,412
Coronary angiography with bypass cath	CPT	93458	20	—	$4,638.95	$135	$1,768.05	$7,720.2

Payer mix (top 20)

Payer	Codes covered	Median rate
usa mco-ppo op rate	132	$387.6
Multiplan	132	$364.8
phpmm-commercial hmo op rate	132	$193.89
priority health op rate	132	$268.36
UnitedHealthcare	132	$207.9
Aetna	132	$281.58
beech street op rate	132	$410.4
cofinity - auto op rate	132	$326.27
cofinity w/c op rate	132	$290.52
First Health	132	$250.8
gift of life op rate	132	$319.2
hap preferred op rate	132	$270.45
hap-hmo op rate	132	$205.7
hospice care in michigan op rate	132	$228
mclaren health advantage op rate	132	$165.57
bcn op rate	124	$376.11
Blue Cross Blue Shield	124	$376.11
fidelis op rate	118	$233.42
Medicaid	118	$136.21
Medicare	118	$224.44