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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Mclaren Northern Michigan

McLaren Health Care Corporation · Petoskey, MI

416 Connable Avenue, Petoskey, MI 49770(231) 487-4000

3 of 5

CMS star rating

187

Beds

7,960

Inpatient discharges a year

$288.4M

Net patient revenue a year

30

In-network payers

About this hospital

Mclaren Northern Michigan is a 187-bed voluntary non-profit - other hospital in Petoskey, MI, affiliated with McLaren Health Care Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 265 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • ACO participant
CCN
230105
NPI
1992812580
Health system
McLaren Health Care Corporation
Teaching
Teaching hospital
County
Emmet County
Metro area
Petoskey, MI MicroSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1977
Last CMS survey
2015

Prices for common services

The 24 services Mclaren Northern 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

$7,296 - $9,995

from 3 insurers · median $7,658

UnitedHealthcare$7,296
Insurer A*$7,658
Insurer B*$9,995

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

$7,856 - $12,729

from 3 insurers · median $11,733

UnitedHealthcare$7,856
Insurer A*$11,733
Insurer B*$12,729

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

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$153,871 - $184,645

from 3 insurers · median $178,639

Blue Cross$178,639
Insurer A*est.$153,871
Insurer B*est.$184,645
Medicare $90,833Nearby hospitals $190,7046% below nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$334 - $3,216

from 3 insurers · median $883

Aetna$334
Insurer A*$883
Insurer B*$3,216
Medicare $348Nearby hospitals $1,91754% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Mclaren Northern 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*19
423%
12
Insurer B*24
185%
117
Insurer C*21
94%
015

How we chose these services: 4 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 5 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 Northern 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)
Aspirus Health PlanAvera Health PlansBanner HealthDean Health PlanEMI HealthEmblemHealth

More about this hospital

  • Quality

    3 of 5 stars

    • 157 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.11%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 26 services
    • 428 affiliated clinicians
    See doctors and services
  • Finances

    $288.4M net patient revenue

    • Operating margin on patient care -0.7%
    • $8.2M unreimbursed and uncompensated care
    • $15.9M net income
    See finances
  • Ownership and leadership

    Owned by McLaren Health Care Corporation

    • Other
    • Garfield H Atchison, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Mclaren Northern 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
38-2146751Mclaren Northern Michigan54Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 49 more1992812580 Mclaren Northern Michigan1336897735 Mclaren Northern Michigan1760736094 Mclaren Northern Michiganand 7 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

416 Connable Avenue, Petoskey, MI 49770

(231) 487-4000

Get directions

Frequently asked questions

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

How much does an MRI cost at Mclaren Northern Michigan?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mclaren Northern Michigan range from $355 to $3,219 across 3 insurers. UnitedHealthcare's rate is $3,219. The median at nearby comparable hospitals is $1,283. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mclaren Northern Michigan range from $334 to $3,216 across 3 insurers. Aetna's rate is $334. The median at nearby comparable hospitals is $1,917. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mclaren Northern Michigan?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mclaren Northern Michigan range from $7,296 to $9,995 across 3 insurers. UnitedHealthcare's rate is $7,296. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mclaren Northern Michigan?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mclaren Northern Michigan range from $43 to $238 across 3 insurers. Aetna's rate is $124. The median at nearby comparable hospitals is $207. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mclaren Northern Michigan range from $32,128 to $38,950 across 3 insurers. Blue Cross Blue Shield's rate is $32,128. The median at nearby comparable hospitals is $30,506. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mclaren Northern Michigan's CMS star rating?

Mclaren Northern 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 Northern Michigan a teaching hospital?

Yes. CMS counts 0.03 Medicare-funded residents per bed at Mclaren Northern Michigan for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Mclaren Northern Michigan for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mclaren Northern Michigan's base inpatient payments by an estimated 0.11% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (153 discharges), heart failure and shock with mcc (89 discharges), acute myocardial infarction, discharged alive with mcc (55 discharges).

What is Mclaren Northern Michigan's case mix index?

Mclaren Northern Michigan's Medicare case mix index is 1.98 for fiscal year 2027, higher than 77% 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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • 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
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