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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Mclaren Oakland

McLaren Health Care Corporation · Pontiac, MI

50 North Perry Street, Pontiac, MI 48342(248) 338-5000

2 of 5

CMS star rating

169

Beds

4,522

Inpatient discharges a year

$272.4M

Net patient revenue a year

23

In-network payers

About this hospital

Mclaren Oakland is a 169-bed voluntary non-profit - private hospital in Pontiac, MI, affiliated with McLaren Health Care Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 23 in-network payers and 281 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
CCN
230207
NPI
1376564088
Health system
McLaren Health Care Corporation
Teaching
Major teaching hospital
County
Oakland County
Metro area
Detroit-Warren-Dearborn, MI MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2012

Prices for common services

The 24 services Mclaren Oakland 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.

Medicine & Surgery · Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$21,540 - $79,152

from 4 insurers · median $37,361

Blue Cross$28,160
Insurer A*$21,540
Insurer B*est.$46,561
Insurer C*est.$79,152
Medicare $16,162Nearby hospitals $33,20213% above nearby hospitals

Hospital reports neurosurgical services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$17,147 - $52,884

from 4 insurers · median $28,723

Blue Cross$26,337
Insurer A*$17,147
Insurer B*est.$31,109
Insurer C*est.$52,884
Medicare $12,855Nearby hospitals $26,2339% above nearby hospitals

Hospital reports orthopedic surgery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$277 - $1,172

from 4 insurers · median $439

Aetna$511
Insurer A*$277
Insurer B*$367
Insurer C*est.$1,172
Medicare $324Nearby hospitals $62229% below nearby hospitals

Common here, based on CMS Medicare volume

Mammography

Screening mammography, bilateral

CPT 77067

$83 - $506

from 4 insurers · median $205

UnitedHealthcare$83
Insurer A*$146
Insurer B*est.$265
Insurer C*$506
Medicare $84Nearby hospitals $17021% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Mclaren Oakland

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*23
207%
00
Insurer B*24
121%
166
Insurer C*12
113%
38
Insurer D*22
78%
022

How we chose these services: 1 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 11 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 Oakland, 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 HealthEMI HealthGroup Health Cooperative of South Central WisconsinHarvard Pilgrim Health Care (Point32Health)

More about this hospital

  • Quality

    2 of 5 stars

    • 103 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.06%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 36 services, including trauma care
    • 428 affiliated clinicians
    See doctors and services
  • Finances

    $272.4M net patient revenue

    • Operating margin on patient care 1.1%
    • $11.6M unreimbursed and uncompensated care
    • $44.2M net income
    See finances
  • Ownership and leadership

    Owned by McLaren Health Care Corporation

    • Private (not for profit)
    • Lorenzo Suter, 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 Oakland in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
38-1428164Mclaren Oakland42Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 37 more1376564088 Mclaren Oakland1245817881 Mclaren Oakland1528468220 Mclaren Oaklandand 11 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

50 North Perry Street, Pontiac, MI 48342

(248) 338-5000

Get directions

Frequently asked questions

About Mclaren Oakland's rates and hospital price transparency.

How much does an MRI cost at Mclaren Oakland?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mclaren Oakland range from $277 to $2,337 across 4 insurers. UnitedHealthcare's rate is $277. The median at nearby comparable hospitals is $473. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Mclaren Oakland?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mclaren Oakland range from $277 to $1,172 across 4 insurers. Aetna's rate is $511. The median at nearby comparable hospitals is $622. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Mclaren Oakland?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mclaren Oakland range from $949 to $2,552 across 3 insurers. Blue Cross Blue Shield's rate is $1,354. The median at nearby comparable hospitals is $2,017. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mclaren Oakland?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mclaren Oakland range from $83 to $506 across 4 insurers. UnitedHealthcare's rate is $83. The median at nearby comparable hospitals is $170. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Mclaren Oakland?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mclaren Oakland range from $17,147 to $52,884 across 4 insurers. Blue Cross Blue Shield's rate is $26,337. The median at nearby comparable hospitals is $26,233. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mclaren Oakland's CMS star rating?

Mclaren Oakland has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Mclaren Oakland a teaching hospital?

Yes. CMS counts 0.70 Medicare-funded residents per bed at Mclaren Oakland for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Mclaren Oakland for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mclaren Oakland's base inpatient payments by an estimated 0.06% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Mclaren Oakland?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (130 discharges), acute myocardial infarction, discharged alive with mcc (29 discharges), infectious and parasitic diseases with o.r. procedures with mcc (23 discharges).

What is Mclaren Oakland's case mix index?

Mclaren Oakland's Medicare case mix index is 1.78 for fiscal year 2027, higher than 61% 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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