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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Mclaren Central Michigan

McLaren Health Care Corporation · Mount Pleasant, MI

1221 South Drive, Mount Pleasant, MI 48858(989) 772-6700

3 of 5

CMS star rating

49

Beds

1,993

Inpatient discharges a year

$143.5M

Net patient revenue a year

29

In-network payers

About this hospital

Mclaren Central Michigan is a 49-bed voluntary non-profit - private hospital in Mount Pleasant, MI, affiliated with McLaren Health Care Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 236 disclosed rate categories.

  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
CCN
230080
NPI
1619941317
Health system
McLaren Health Care Corporation
Teaching
No Medicare-funded residents
County
Isabella County
Metro area
Mount Pleasant, MI MicroSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2017

Prices for common services

The 24 services Mclaren Central Michigan most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$7,308 - $11,803

from 3 insurers · median $10,151

Blue Cross$10,151
Insurer A*$7,308
Insurer B*$11,803

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$9,708 - $17,731

from 3 insurers · median $17,653

Blue Cross$17,653
Insurer A*$9,708
Insurer B*est.$17,731

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$7,308 - $11,803

from 3 insurers · median $10,151

Blue Cross$10,151
Insurer A*$7,308
Insurer B*$11,803

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$22,209 - $47,959

from 3 insurers · median $45,059

Blue Cross$47,959
Insurer A*$22,209
Insurer B*est.$45,059
Medicare $16,162Nearby hospitals $35,11028% above nearby hospitals

Hospital reports orthopedic surgery services to CMS

How the insurers pay at Mclaren Central Michigan

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*18
257%
112
Insurer B*24
103%
410
Insurer C*22
78%
011

How we chose these services: 4 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 9 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Mclaren Central Michigan, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthEMI HealthGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    3 of 5 stars

    • 126 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.58%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 37 services
    • 309 affiliated clinicians
    See doctors and services
  • Finances

    $143.5M net patient revenue

    • Operating margin on patient care -25.6%
    • $10.2M unreimbursed and uncompensated care
    • -$4.7M net income
    See finances
  • Ownership and leadership

    Owned by McLaren Health Care Corporation

    • Private (not for profit)
    • Robert David, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Mclaren Central Michigan in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
38-1420304Mclaren Central Michigan44Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 39 more1619941317 Mclaren Central Michigan1710235775 Mclaren Central Michigan1154357028 Mclaren Central Michiganand 20 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1221 South Drive, Mount Pleasant, MI 48858

(989) 772-6700

Get directions

Frequently asked questions

About Mclaren Central Michigan's rates and hospital price transparency.

How much does a CT scan cost at Mclaren Central Michigan?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mclaren Central Michigan range from $277 to $1,853 across 3 insurers. Aetna's rate is $1,853. The median at nearby comparable hospitals is $901. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Mclaren Central Michigan?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mclaren Central Michigan range from $949 to $3,140 across 3 insurers. UnitedHealthcare's rate is $949. The median at nearby comparable hospitals is $1,010. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mclaren Central Michigan?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mclaren Central Michigan range from $7,308 to $11,803 across 3 insurers. Blue Cross Blue Shield's rate is $10,151. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mclaren Central Michigan?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mclaren Central Michigan range from $83 to $462 across 3 insurers. Aetna's rate is $462. The median at nearby comparable hospitals is $237. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Mclaren Central Michigan?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mclaren Central Michigan range from $17,888 to $56,913 across 3 insurers. Blue Cross Blue Shield's rate is $43,102. The median at nearby comparable hospitals is $28,052. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mclaren Central Michigan's CMS star rating?

Mclaren Central Michigan has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Mclaren Central Michigan a teaching hospital?

CMS reports no Medicare-funded interns or residents at Mclaren Central Michigan for fiscal year 2027.

Does Medicare penalize Mclaren Central Michigan for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mclaren Central Michigan's base inpatient payments by an estimated 0.58% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Mclaren Central Michigan?

In 2024, the most common were heart failure and shock with mcc (38 discharges), septicemia or severe sepsis without mv >96 hours with mcc (35 discharges), pulmonary edema and respiratory failure (16 discharges).

What is Mclaren Central Michigan's case mix index?

Mclaren Central Michigan's Medicare case mix index is 1.66 for fiscal year 2027, higher than 48% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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