How many shoppable procedure prices are published for McLaren Flint?

McLaren Flint in Flint, MI currently has 122 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do McLaren Flint's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, McLaren Flint's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is McLaren Flint's CMS Care Compare overall star rating?

CMS Care Compare assigns McLaren Flint an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 283 Beds · rural Updated: 2025-12-31

McLaren Flint

401 S Ballenger Highway, Flint, MI 48532 · 122 Priced Procedures · 55% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Good Deal · Below Fair Market

0.79×vs. Fair Market Price

Typical commercial prices here are 21% below the fair benchmark (0.79×) after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 28% of the Time

File Completeness51

Price Logic75

Peer Alignment65

Clean Billing88

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 0.79× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

McLaren Flint maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.85× Fair BaseRate) and emergency/ancillary services (1.2× Medicare, p75 0.96× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#18 of 91 in MI · 18th State Percentile#255 of 3,385 in U.S. · 7th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 21% below peer Fair BaseRate (0.79×)
Self-pay cash beats commercial insurance on 28% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 55% patient recommendation (56/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (25.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.79× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (0.7×) & laboratory (1.7×) services average 1.71× higher multiples than routine shoppable care (0.7×)
Even at low-cost facilities (0.79× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 3,350) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.7× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.71× Divergence

1.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+13% Upper Tail

Q25 0.34× · Q50 0.85× · Q75 0.96×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

28% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 56/100Elevated

Procedure Prices at McLaren Flint

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$74,949	$32,238	$30,775	1.0×
Total hip replacement CPT Code: `27130`	$22,602	$22,602	$13,413	1.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$27,807	$19,572	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$45,167	$19,439	$19,432	1.0×
Total knee replacement CPT Code: `27447`	$19,347	$19,347	$13,523	1.4×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$45,791	$17,807	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$10,565	$8,136	$8,223	1.0×
Blood transfusion CPT Code: `36430`	$4,019	$4,019	$498	8.1×
C-section delivery (full package) CPT Code: `59510`	$4,020	$2,842	$2,975	1.0×
Vaginal delivery (full package) CPT Code: `59400`	$3,809	$2,648	$2,680	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,384	$1,384	$583	2.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,350	$1,350	$1,021	1.3×
Trauma team activation HCPCS Code: `G0390`	$2,726	$1,290	$1,453	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,728	$1,001	$6,109	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$2,468	$800	$2,540	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,794	$820	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$4,179	$792	$3,629	0.2×
Injection procedure for pain management HCPCS Code: `G0260`	$1,285	$675	$855	0.8×
Bunion correction surgery CPT Code: `28296`	$1,951	$596	$3,446	0.2×
Breast lump removal CPT Code: `19120`	$3,175	$521	$3,875	0.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$295	$295	$272	1.1×
Rabies immune globulin HCPCS Code: `90375`	$557	$273	$322	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,571	$292	$981	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$1,595	$317	$1,256	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$1,777	$218	$987	0.2×
Speech therapy (language evaluation) CPT Code: `92507`	$301	$179	$86	2.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$151	$157	$185	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$894	$165	$511	0.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$287	$131	$151	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$106	$153	$181	0.8×
Prosthetic fitting and training CPT Code: `97761`	$78	$97	$45	2.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$86	$95	$123	0.8×
Family therapy session CPT Code: `90847`	$117	$119	$173	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$757	$113	$303	0.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$825	$118	$448	0.3×
X-ray, hip CPT Code: `73502`	$85	$85	$93	0.9×
X-ray, foot CPT Code: `73630`	$83	$83	$92	0.9×
X-ray, lower back CPT Code: `72110`	$89	$89	$112	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$89	$85	$110	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$90	$104	$166	0.6×
Neurobehavioral status check CPT Code: `96116`	$118	$105	$231	0.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$713	$83	$258	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$538	$107	$338	0.3×
MRI, brain (no contrast) CPT Code: `70551`	$537	$96	$343	0.3×
MRI, knee or other leg joint CPT Code: `73721`	$533	$97	$369	0.3×
Typhoid vaccine HCPCS Code: `90675`	$576	$306	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$266	$266	$203	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$174	$174	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$144	$144	$111	unverified
Drug screening test HCPCS Code: `G0480`	$173	$112	$116	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$78	$53	$38	1.4×
X-ray, ankle CPT Code: `73610`	$74	$74	$93	0.8×
Physical therapy (gait training) CPT Code: `97116`	$65	$46	$33	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$68	$55	$40	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$79	$51	$38	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	$57	$51	$38	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$78	$44	$34	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$53	$58	$64	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$70	$65	$87	0.7×
X-ray, chest (two views) CPT Code: `71046`	$64	$64	$93	0.7×
X-ray, shoulder CPT Code: `73030`	$63	$63	$92	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$63	$63	$93	0.7×
X-ray, hand CPT Code: `73130`	$53	$53	$93	0.6×
X-ray, chest (single view) CPT Code: `71045`	$49	$49	$92	0.5×
CT scan, pelvis CPT Code: `72192`	$751	$71	$163	0.4×
X-ray, pelvis CPT Code: `72170`	$47	$47	$110	0.4×
CT scan, chest (no contrast) CPT Code: `71250`	$429	$70	$167	0.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$580	$68	$168	0.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$589	$68	$169	0.4×
CT scan, sinuses CPT Code: `70486`	$513	$65	$166	0.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$203	$51	$134	0.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$208	$56	$148	0.4×
CT scan, head (no contrast) CPT Code: `70450`	$658	$55	$160	0.3×
CT scan, head (with contrast) CPT Code: `70460`	$732	$73	$242	0.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$69	$69	$56	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$51	$22	$14	1.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$41	$41	$39	1.1×
Blood test, vitamin D CPT Code: `82306`	$126	$29	$31	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$52	$30	$35	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$43	$43	$86	0.5×
Mental health services (assessment) HCPCS Code: `H0031`	$59	$62	$140	0.4×
Screening mammogram (both breasts) CPT Code: `77067`	$177	$43	$123	0.3×
Ultrasound, pelvis CPT Code: `76856`	$183	$43	$130	0.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$346	$37	$126	0.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$165	$36	$132	0.3×
Blood test, calcium CPT Code: `82310`	$28	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$17	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$19	$4	$4	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$78	$15	$16	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$78	$13	$14	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$97	$10	$11	0.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$47	$9	$10	0.9×
Blood test, liver function panel CPT Code: `80076`	$47	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$24	$6	$7	0.9×
Psychological testing evaluation CPT Code: `96136`	$23	$28	$128	0.2×
Psychological testing by technician CPT Code: `96138`	$31	$44	$395	0.1×
Blood test, basic metabolic panel CPT Code: `80048`	$60	$22	$9	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$41	$41	$37	unverified
Culture, blood CPT Code: `87040`	$51	$15	$11	1.4×
Culture, bacterial CPT Code: `87070`	$50	$12	$9	1.3×
Hepatitis C antibody test CPT Code: `86803`	$64	$19	$15	1.3×
Blood test, lipase CPT Code: `83690`	$31	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$40	$7	$7	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$114	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$71	$19	$20	0.9×
Mental health services (therapy) HCPCS Code: `H0032`	$46	$27	$65	0.4×
Group therapy session CPT Code: `90853`	$58	$32	$100	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$35	$35	$201	0.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$31	$31	$25	unverified
Orthotic fitting and training CPT Code: `97760`	$54	$54	$51	unverified
Blood test, potassium CPT Code: `84132`	$17	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$21	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$28	$4	$4	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$35	$6	$6	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$91	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$83	$16	$18	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$29	$4	$5	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$17	$19	$25	0.8×
Blood test, hemoglobin CPT Code: `85018`	$21	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$44	$10	$46	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$12	$6	$3	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$43	$16	$8	unverified

Showing top 25 high-impact procedures of 122 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 25.9%

Audit a Bill or Quote at McLaren Flint (Zero PHI Required)

CMS CCN: 230141

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $74,949

Insurer Median $32,238

1. Amount on Your Bill or Quote ($) Pre-filled with McLaren Flint’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $38,764 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $38,764

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (25.9% of gross = $38,764).

Step 2 · Cash vs. Insurance Arbitrage Save $74,949 Paying Cash

Self-Pay Cash Rate ($74,949) Beats Your Bill

McLaren Flint's published 45 CFR § 180 self-pay cash rate is $74,949 (vs. $32,238 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$119,123 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($149,898) is $119,123 above the denoised Fair BaseRate ($30,775) and 6.4× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 382383119

Filing Period: 198203

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (25.9% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite56/100

Would Recommend55%

Rated 9 or 10 (HCAHPS)59%

Median ER Wait186 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate3.4%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at McLaren Flint. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-16·administrative_or_closure
Met Requirements
Recorded
2025-05-20·administrative_or_closure
Met Requirements
Recorded
2025-04-09·administrative_or_closure
Met Requirements
Recorded
2023-07-17·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (549 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for McLaren Flint.

Price Index: 1.20× regional baseline

Quality: 42/100 CMS composite

Median Household Income$60,673U.S. Census ACS

Local Uninsured Share4.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 75/100 · Corroborated CMS CCN 230141 EIN 382383119

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 230141) ↗ Verify IRS Form 990 (EIN 382383119) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-12-31

Validated Rate Rows2,140 (CMS v3.0.0)

File Integrity DigestVerified · CCN 230141

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy