CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Trinity Health Muskegon Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $11
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Trinity Health Muskegon Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.13x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)
Cash / Self-Pay: $24 (247%)
Insurance Median: $11 (113%)
Cash: $24 (247% of Medicare)
Ins. Median: $11 (113% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $9.71 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Acs Benefit Services $2 - $42 21%
Aetna $2 - $34 21%
Allied Benefit Systems $2 - $42 21%
Claimchoice Adminstrators $2 - $42 21%
Consociate $2 - $42 21%
Cypress Benefit Administrators $2 - $42 21%
Forest County Potawatomi $2 - $42 21%
Health Smart $2 - $42 21%
Healthgram $2 - $42 21%
Healthscope $2 - $42 21%
Preferred One $2 - $42 21%
Secureone Preferred United Plans $2 - $42 21%
Sisco Benefits $2 - $42 21%
The Health Plan $2 - $42 21%
Trustmark Small Business Benefits $2 - $42 21%
Unified Group Services $2 - $42 21%
Webtpa $2 - $42 21%
Asr Health Benefits $3 - $42 31%
Caresource $3 - $50 31%
Cigna $3 - $50 31%
Hap $3 - $63 31%
Hospice Of Michigan $3 - $44 31%
Nomi Health $3 - $45 31%
Varipro $3 - $46 31%
Wc Accident Fund $3 - $43 31%
Wc Advantage $3 - $43 31%
Wc Aig $3 - $43 31%
Wc Allied $3 - $43 31%
Wc Amerisure $3 - $43 31%
Wc Amtrust $3 - $43 31%
Wc Asu Risk Mgt $3 - $43 31%
Wc Berkley Admin $3 - $43 31%
Wc Broadspire $3 - $43 31%
Wc Bunch & Associates $3 - $43 31%
Wc Ccmsi $3 - $43 31%
Wc Emc Insurance Company $3 - $43 31%
Wc Esis $3 - $43 31%
Wc Fcci $3 - $43 31%
Wc Federated $3 - $43 31%
Wc Gallagher Bassett $3 - $43 31%
Wc Genex Care For Ohio $3 - $43 31%
Wc Guard Insurance Company $3 - $43 31%
Wc Hartford $3 - $43 31%
Wc Liberty Mutual $3 - $43 31%
Wc Meijers $3 - $43 31%
Wc Michigan $3 - $43 31%
Wc Mitchell Frankenmuth $3 - $43 31%
Wc Pma $3 - $43 31%
Wc Sedgwick $3 - $43 31%
Wc Sentry $3 - $43 31%
Wc Travelers $3 - $43 31%
Wc Tristar $3 - $43 31%
Wc Walmart $3 - $43 31%
Wc Zurich $3 - $43 31%
1199 National Benefit Fund $4 - $60 41%
Acclaim $4 - $63 41%
Administrative Concepts $4 - $63 41%
Allegeant $4 - $63 41%
Allied National Global Care $4 - $60 41%
Ameriben $4 - $63 41%
American Family $4 - $63 41%
American Healthcare Alliance $4 - $63 41%
American Republic $4 - $63 41%
Amerihealth $4 - $63 41%
Asrm - Reliance Standard Life Insurance $4 - $60 41%
Aultcare $4 - $63 41%
Automated Benefit Services $4 - $63 41%
Auxiant $4 - $63 41%
Benefit Administrative Systems,Llc $4 - $63 41%
Boon Chapman $4 - $63 41%
Cam Administrative Services $4 - $63 41%
Christian Brother Services $4 - $63 41%
Christian Brothers Holy Cross $4 - $63 41%
Christian Care Ministry $4 - $60 41%
Comprehensive Benefits $4 - $63 41%
Continental Life Insurance $4 - $63 41%
Custom Benefit Administrators $4 - $63 41%
Dean Health $4 - $60 41%
Employee Benefit Concepts $4 - $63 41%
Employee Benefit Management $4 - $63 41%
Enterprise Group Planning $4 - $63 41%
Fallon Health $4 - $60 41%
Family Life Insurance Company $4 - $60 41%
First Health $4 - $66 41%
Freedom Life Insurance Company $4 - $63 41%
Geha $4 - $70 41%
Ghc Scw $4 - $60 41%
Group Administrators $4 - $63 41%
Group Marketing Services $4 - $63 41%
Group Pension Administrators $4 - $60 41%
Guardian $4 - $63 41%
Health America $4 - $63 41%
Health Choices $4 - $63 41%
Healthez $4 - $63 41%
Humana $4 - $63 41%
Insight $4 - $63 41%
Intercare $4 - $63 41%
International Benefit Administrators $4 - $60 41%
Jfp Benefit Management $4 - $63 41%
Jp Farley Corporation $4 - $63 41%
Key Benefit Administrator $4 - $63 41%
Liberty Union Life Assurance Co $4 - $63 41%
Lifetime Benefit Solutions $4 - $60 41%
Lucent Health $4 - $63 41%
Luminare Health $4 - $63 41%
Luminare Health (Detroit) $4 - $63 41%
Manhattan Life $4 - $60 41%
Medben $4 - $63 41%
Medcost $4 - $63 41%
Medi Share $4 - $60 41%
Medical Mutual $4 - $63 41%
Multiplan $4 - $60 41%
Mutual Health Services $4 - $63 41%
Mutual Of Omaha $4 - $63 41%
Mvp $4 - $60 41%
Ncas $4 - $63 41%
Nippon Life Ins $4 - $63 41%
Nova $4 - $63 41%
Pai $4 - $60 41%
Painters Union Insurance Fund $4 - $63 41%
Pan-American Life $4 - $60 41%
Paramount Hmo $4 - $60 41%
Phcs $4 - $60 41%
Physicians Mutual $4 - $63 41%
Plumbers Local 98 Insurance Fund $4 - $63 41%
Prairie States $4 - $63 41%
Primary Physician Care $4 - $63 41%
Professional Benefit Administrators $4 - $63 41%
The Loomis Company $4 - $63 41%
Trinity Health Share $4 - $60 41%
U Of M Health Plan $4 - $63 41%
Unicare $4 - $63 41%
UnitedHealthcare $4 - $70 41%
Us Health And Life $4 - $63 41%
Valenz $4 - $63 41%
Western & Southern Financial Group $4 - $63 41%
Wps $4 - $63 41%
Barinet $5 - $80 51%
Blue Cross Blue Shield $5 - $15 51%
Cmh Allegan County $5 - $80 51%
Cmh Barry County $5 - $80 51%
Cmh Berrien County $5 - $80 51%
Cmh Cass County $5 - $80 51%
Cmh Kalamazoo $5 - $80 51%
Cmh Kent County $5 - $80 51%
Cmh Misc $5 - $80 51%
Cmh Muskegon County $5 - $80 51%
Cmh North Country $5 - $80 51%
Cmh Northern Lakes County $5 - $80 51%
Cmh Ottawa County $5 - $80 51%
Cmh Van Buren County $5 - $80 51%
Cmh West Mi County $5 - $80 51%
Medicaid / KanCare $5 - $25 51%
Access Health $7 - $11 72%
Albany County Correctional Facility $8 82%
Ambetter / Centene $8 82%
American Postal Workers Secondary $8 - $10 82%
Amish Mennonite $8 82%
Ascension St. Vincent Public Safety Medical $8 82%
Bccp $8 82%
Bmc Healthnet $8 82%
Breast Grant-Connecticut $8 82%
Broward County Dept Of Health $8 82%
California Health And Wellness $8 82%
Can Community Health Inc $8 82%
Cardinal Innovations Lme $8 82%
Care Connections Of Northern Iowa $8 82%
Care Oregon Ohp $8 82%
Cencal Health Plan $8 82%
Cenpatico $8 82%
Champva $8 82%
Chhuny $8 82%
Childrens Comm Health Plan $8 82%
Childrens Medical Services Title 19 $8 82%
City Of Philadelphia $8 82%
Cmh Ausable Valley $8 82%
Cmh Bay-Arenac County $8 82%
Cmh Central Mi County $8 82%
Cmh Clinton-Eaton-Ingham County $8 82%
Cmh Detroit Wayne Integrated Health Network $8 82%
Cmh Genesee County $8 82%
Cmh Ionia County $8 82%
Cmh Jackson County/Lifeways $8 82%
Cmh Lenawee County $8 82%
Cmh Livingston County $8 82%
Cmh Macomb $8 82%
Cmh Monroe County $8 82%
Cmh Montcalm County $8 82%
Cmh Newaygo County $8 82%
Cmh Oakland County $8 82%
Cmh Washtenaw County $8 82%
Cmh Wayne County/Carelink $8 82%
Cmh Wayne Cty/Com Liv Svcs $8 82%
Community Benefit Health $8 82%
Community Care Behavorial Health $8 82%
Community Care Partners $8 82%
Community Health Choice $8 82%
Connections Csp $8 82%
County Coroner $8 82%
County Funding Generic $8 82%
Covid19 Hrsa Uninsured Testing And Treatment Fund $8 82%
Dean Wi Badgercare $8 82%
Delaware County Department Of Health $8 82%
Delaware First Health $8 82%
Delta Dental Nj $8 82%
Dph Tb Program $8 82%
Dscc $8 82%
Eastpointe Lme $8 82%
Family Health Network $8 82%
Freedom First Healthcare $8 82%
Fresno County Ccs $8 82%
Ghc Scw Wi Badgercare $8 82%
Harbor Health $8 82%
Health Safety Net $8 82%
Healthy Blue Ne $8 82%
Hennepin Health $8 82%
Id County Ada $8 82%
Id County Canyon $8 82%
Id County Cat Fund $8 82%
Id County Other $8 82%
Id County Payette $8 82%
Idaho Dept Health And Wellfare $8 82%
Idaho Womens Health Check $8 82%
Indiana Breast Cervical Cancer $8 82%
Inland Empire Health Plan $8 82%
Intercommunity Health Ohp $8 82%
Iowa Total Care $8 82%
Jai Medical System $8 82%
Kern Family Health Plan $8 82%
Keystone First $8 82%
Keystone First Chip $8 82%
La Care Health Plan $8 82%
Lakeland Care Inc $8 82%
Managed Health Services - Indiana $8 82%
Maryland Breast & Cervical Program $8 82%
Maryland Healthy Smiles - Scion Dental $8 82%
Maryland Physicians Care $8 82%
Massachusetts Behavioral Health Partnership $8 82%
Mdwise $8 82%
Medi-Cal $8 82%
Medi-Cal Healthnet $8 82%
Medicare (plans) $8 - $10 82%
Medstar Dc Healthy Family $8 82%
Medstar Md Health Choice $8 82%
Mo Home State Health Plan $8 82%
Molina Centennial Care $8 82%
Nascentia Health Options $8 82%
Nebraska Total Care $8 82%
New York Cancer Services Program $8 82%
Nextlevel Health $8 82%
Oregon Screenwise $8 82%
Pace Of Southwest Michigan $8 - $10 82%
Paramount Advantage $8 82%
Parkland Community Health Plan $8 82%
Partners Behavioral Lme $8 82%
Peach State Healthplan $8 82%
Philadelphia County Funding $8 82%
Presbyterian Centennial Care $8 82%
Prestige Health Choice $8 82%
Priority Partners $8 82%
Robert F Sing Program $8 82%
Rx 340B Pass Along $8 82%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $8 82%
Rx Medi-Cal $8 82%
Rx Meridian Rx $8 82%
Ryan White Florida Mssrp $8 82%
Sandhills Center Lme $8 82%
Screening For Life $8 82%
St Joseph County Hlth Dpt $8 82%
Stephenson Cty Health $8 82%
Sunshine State Health Plan $8 82%
Superior Health $8 82%
Tenncare $8 82%
Texas Children'S Health Plan $8 82%
Tricare $8 82%
Trillium Community Ohp $8 82%
Triwest Health Alliance $8 82%
Tufts Health Public Plans $8 82%
Us Family Health Plan $8 82%
Vaya Health Lme $8 82%
Veterans Eval Services $8 82%
Washtenaw Health Plan $8 82%
Wellsense Health Plan $8 82%
Wi Womens Wellness $8 82%
Meritain $9 - $14 93%
Priority Health $9 - $75 93%
Align Senior Care $10 103%
Ally Align Care Adv $10 103%
American Health Advantage Of Idaho $10 103%
American Health Plan $10 103%
Aurora Special Needs $10 103%
Blue Care Network Advantage $10 103%
Blue Shield - De (Highmark) Medciare Advantage $10 103%
Care Dimensions $10 103%
Care Improvement Plus $10 103%
Care Resources Pace $10 103%
Careplus Health Plans $10 103%
Cca - Zing Health $10 103%
Cca Senior Care Options $10 103%
Central Valley Medical Services Corp Pace $10 103%
Champion Health Plan Mcr Advantage $10 103%
Clear Spring Health $10 103%
Clover Health $10 103%
Commonwealth Care Alliance $10 103%
Community Pace At Home $10 103%
Correctional Recovery $10 103%
Eddy Senior Care-Pace $10 103%
Eddy Seniorcare Pace $10 103%
Elementcare $10 103%
Evercare $10 103%
Everence $10 103%
Gateway Health Plan $10 103%
Genesys Pace Of Genesee County $10 103%
Georgia Health Advantage $10 103%
Gold Advantage $10 103%
Gpa Croell Redi Mix $10 103%
Health America Advantra $10 103%
Heartland Hospice $10 103%
Highmark Health Options Dual Plan $10 103%
Hope Select Pace $10 103%
Horizon Nj Total Care $10 103%
Hospice Harbor Hospice $10 103%
Hudson Headwaters Pace $10 103%
Huron Valley Pace $10 103%
Innovative Integrated Health Community Plans $10 103%
Iowa Health Advantage $10 103%
Johns Hopkins Advantage Md $10 103%
Lasso Healthcare Msa $10 103%
Life St Marys Pace $10 103%
Lifecircles Pace $10 103%
Longevity Health Plan $10 103%
Martins Point Generations Advantage $10 103%
Mass General Brigham Mcr Adv $10 103%
Medipak Advantage $10 103%
Mercy Life $10 103%
Mercyone Cedar Valley $10 103%
Meridian Complete $10 103%
Michigan Complete Health $10 103%
Nascentia Health Plus $10 103%
New Centry Health Careplus $10 103%
Oscar $10 - $13 103%
Osu Prime Care Advantage $10 103%
Pace Cny $10 103%
Pace Iowa Immanuel Pathways $10 103%
Pace Southeast $10 103%
Pace-Trinity Health $10 103%
Peak Pace Solutions $10 103%
Perennial Advantage $10 103%
Preferred Care Partners $10 103%
Presbyterian Senior Plan $10 103%
Provider Partners Health Plan Of Illinois $10 103%
Provider Partners Health Plan Of Indiana $10 103%
Pruitthealth Premier $10 103%
Reliance Community Care Partners Care Resources Pace $10 103%
Rx Allwin $10 103%
Rx Grane Grnmedd $10 103%
Rx Retiree Rx Care $10 103%
Scan Health Plan Mcr Ipa Meritage Oon $10 103%
Secure Horizons Ma Pffs $10 103%
Serenity Pace $10 103%
Siouxland Pace $10 103%
Solis Health Plans $10 103%
Sunnyview-Pace Finance Dept $10 103%
Texan Plus $10 103%
Thome Pace $10 103%
Todays Options $10 103%
Tribute Health Plans $10 103%
Um Health Advantage $10 103%
Union Health Service $10 103%
Veterans Administration $10 103%
Welbe Health $10 103%
Wellmed $10 103%
Andrie Inc $11 113%
East Greenbush Central School District $11 113%
Genex Wc $11 113%
Healthsmart Workers Comp $11 113%
Jag Source $11 113%
Longevity Ipa Of Michigan Llc Health Plan Isnp $11 113%
New York State Insurance Fund $11 113%
Njm Insurance Group $11 113%
Rx Heatlhcomp $11 113%
Rx Restat $11 113%
Rx Saif Opdp Wc $11 113%
Rx Worker'S Comp $11 113%
Wc Ace $11 113%
Wc Acs Federal Employees $11 113%
Wc Acuity $11 113%
Wc Aegis $11 113%
Wc Aims $11 113%
Wc Alaska National Ins $11 113%
Wc Align Network $11 113%
Wc Am Trust N America $11 113%
Wc American Claims Mgmt $11 113%
Wc Benetech $11 113%
Wc Broward County $11 113%
Wc California State Comp Ins $11 113%
Wc California State Ins Fund $11 113%
Wc Capitol Area Health Consortium $11 113%
Wc Chartis $11 113%
Wc Chubb $11 113%
Wc Cirma $11 113%
Wc City Of Albany $11 113%
Wc City Of Sioux City $11 113%
Wc Claims Mgmt Inc $11 113%
Wc Cna $11 113%
Wc Comp One Admin C/O Manageability $11 113%
Wc Compone Admin $11 113%
Wc Corvel $11 113%
Wc Ct Healthcare Trust $11 113%
Wc Donegal Insurance Group $11 113%
Wc Employee Mutual $11 113%
Wc Enablecomp $11 113%
Wc Encore Health Network $11 113%
Wc Erie $11 113%
Wc Evolutions $11 113%
Wc Fed Ex $11 113%
Wc Federal Black Lung $11 113%
Wc Finley Occupational Health $11 113%
Wc First Agency/Occunet $11 113%
Wc Ford Motor $11 113%
Wc Fresno Unified Emp $11 113%
Wc General Motors $11 113%
Wc Generic $11 113%
Wc Great West Casualty $11 113%
Wc Guarantee Insurance $11 113%
Wc Hab $11 113%
Wc Hastings $11 113%
Wc Health Management $11 113%
Wc Heritage Summit $11 113%
Wc Hireright $11 113%
Wc Horizon $11 113%
Wc Icw Group $11 113%
Wc Idaho State Ins Fund $11 113%
Wc Intercare Insurance $11 113%
Wc Intermountain $11 113%
Wc Johns Eastern $11 113%
Wc Kemberton $11 113%
Wc Key Ins & Benefit Solutions $11 113%
Wc Mac Risk Management $11 113%
Wc Massachusetts $11 113%
Wc Mdia $11 113%
Wc Meadowbrook Claim $11 113%
Wc Medical Administrators $11 113%
Wc Memic $11 113%
Wc Mercy Workcare $11 113%
Wc Michigan Millers Mutual $11 113%
Wc Mra $11 113%
Wc Nationwide $11 113%
Wc Nca Comp $11 113%
Wc New York $11 113%
Wc New York Special Funds $11 113%
Wc North American Rishces $11 113%
Wc Northeast Health $11 113%
Wc Notre Dame $11 113%
Wc Novanet $11 113%
Wc O'Hara Corp $11 113%
Wc Occ Health Allen $11 113%
Wc Ohio Bureau $11 113%
Wc One Call Medical $11 113%
Wc Paradigm $11 113%
Wc Peerless $11 113%
Wc Praxis Health Network $11 113%
Wc Price Chopper $11 113%
Wc Procura Management $11 113%
Wc Qualcare $11 113%
Wc Quiktrip $11 113%
Wc Reny Company $11 113%
Wc Rev Claims $11 113%
Wc Risico $11 113%
Wc Rural Mutual $11 113%
Wc Saif Oregon $11 113%
Wc Secura $11 113%
Wc Sheakley Unicomp $11 113%
Wc Smile Lodge $11 113%
Wc Society $11 113%
Wc Srs $11 113%
Wc Taconic (Mro) $11 113%
Wc Taconic Farms $11 113%
Wc Triad Group $11 113%
Wc Troy Ny $11 113%
Wc Tyson $11 113%
Wc Unified Health Services $11 113%
Wc United Heartland $11 113%
Wc Us Dept Of Labor $11 113%
Wc Velocity $11 113%
Wc West Bend $11 113%
Wc West Bend Mutual/Argent $11 113%
Wc Winnebago Industries $11 113%
Wc Yankee Trails $11 113%
Wc York Risk $11 113%
Wc Zenith $11 113%
Bcn Domestic $12 124%
Blue Benefit Administrators Of Massachusetts $12 - $15 124%
Blue Care Network $12 - $15 124%
Blue Distinction Transplant $12 - $15 124%
Blue Shield - Ca $12 - $15 124%
Blue Shield - Id (Regence) $12 - $15 124%
Blue Shield - Ny Highmark Northeastern $12 - $15 124%
Blue Shield - Ny Highmark Western $12 - $15 124%
Blue Shield - Pa (Highmark) $12 - $15 124%
Blue Shield - Wa (Regence) $12 - $15 124%
Kaiser Domestic $12 124%
Molina Marketplace $13 134%
Wellpath $13 - $15 134%
American National $14 144%
Coventry $14 144%
Health Partners $14 144%
Healthcare Management Admin $14 144%
Magnacare $14 144%
Partners Direct Health - Brio $14 144%
Siho Insurance Services $14 144%
Tufts Health Plan $14 144%
Claimdoc $15 154%
Kent County Jail $15 154%
Muskegon County Jail $15 154%
Vitalcore $15 154%
Bcccp-Michigan $24 - $25 247%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Sherman Blvd, Muskegon, MI 49441
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals