CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: McLaren Macomb

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,626
about 1.3× the $14,044 Medicare rate · typically $11,326–$29,598
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,975
About the fair price
about $1,349 over the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $18,626 This hospital $19,975 Cash price $36,590 Hospital's list price $73,180

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $7,442 Priciest $19,975

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $18,626 (about 1.3× the $14,044 Medicare rate). McLaren Macomb charges insurers about $19,975, or about $36,590 in cash — about the fair price. Located in Mount Clemens, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $26,824 - $42,757 191%
Humanamajor $13,348 - $13,381 95%
+ 1 smaller / regional plan $19,827 - $20,122
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 1000 Harrington St, Mount Clemens, MI 48043
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals