CMS Price Transparency Data

Blood test, hemoglobin

Facility: Trinity Health Muskegon Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Trinity Health Muskegon Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$16

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$2.37

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2.37 (100%)
Cash / Self-Pay: $16 (675%)
Insurance Median: $3 (127%)
Cash: $16 (675% of Medicare)
Ins. Median: $3 (127% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2.37 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $1 - $571 42%
Medicaid / KanCare $1 - $311 42%
Access Health $2 - $408 84%
Aetna $2 - $571 84%
Albany County Correctional Facility $2 84%
Align Senior Care $2 - $583 84%
Ally Align Care Adv $2 84%
Ambetter / Centene $2 84%
American Health Advantage Of Idaho $2 84%
American Health Plan $2 84%
American Postal Workers Secondary $2 84%
Amish Mennonite $2 84%
Ascension St. Vincent Public Safety Medical $2 84%
Aurora Special Needs $2 84%
Bccp $2 84%
Blue Benefit Administrators Of Massachusetts $2 - $3 84%
Blue Care Network $2 - $3 84%
Blue Care Network Advantage $2 - $571 84%
Blue Distinction Transplant $2 - $3 84%
Blue Shield - Ca $2 - $3 84%
Blue Shield - De (Highmark) Medciare Advantage $2 84%
Blue Shield - Id (Regence) $2 - $3 84%
Blue Shield - Ny Highmark Northeastern $2 - $3 84%
Blue Shield - Ny Highmark Western $2 - $3 84%
Blue Shield - Pa (Highmark) $2 - $3 84%
Blue Shield - Wa (Regence) $2 - $3 84%
Bmc Healthnet $2 84%
Breast Grant-Connecticut $2 84%
Broward County Dept Of Health $2 84%
California Health And Wellness $2 84%
Can Community Health Inc $2 84%
Cardinal Innovations Lme $2 84%
Care Connections Of Northern Iowa $2 84%
Care Dimensions $2 84%
Care Improvement Plus $2 84%
Care Oregon Ohp $2 84%
Care Resources Pace $2 84%
Careplus Health Plans $2 84%
Cca Senior Care Options $2 84%
Cencal Health Plan $2 84%
Cenpatico $2 84%
Central Valley Medical Services Corp Pace $2 84%
Champion Health Plan Mcr Advantage $2 84%
Champva $2 84%
Chhuny $2 84%
Childrens Comm Health Plan $2 84%
Childrens Medical Services Title 19 $2 84%
Cigna $2 - $15 84%
City Of Philadelphia $2 84%
Clear Spring Health $2 84%
Clover Health $2 84%
Cmh Allegan County $2 - $24 84%
Cmh Ausable Valley $2 84%
Cmh Barry County $2 - $24 84%
Cmh Bay-Arenac County $2 84%
Cmh Berrien County $2 - $24 84%
Cmh Cass County $2 - $24 84%
Cmh Central Mi County $2 84%
Cmh Clinton-Eaton-Ingham County $2 84%
Cmh Detroit Wayne Integrated Health Network $2 84%
Cmh Genesee County $2 84%
Cmh Ionia County $2 84%
Cmh Jackson County/Lifeways $2 84%
Cmh Kalamazoo $2 - $24 84%
Cmh Kent County $2 - $24 84%
Cmh Lenawee County $2 84%
Cmh Livingston County $2 84%
Cmh Macomb $2 84%
Cmh Misc $2 - $24 84%
Cmh Monroe County $2 84%
Cmh Montcalm County $2 84%
Cmh Muskegon County $2 - $24 84%
Cmh Newaygo County $2 84%
Cmh North Country $2 - $24 84%
Cmh Northern Lakes County $2 - $24 84%
Cmh Oakland County $2 84%
Cmh Ottawa County $2 - $24 84%
Cmh Van Buren County $2 - $24 84%
Cmh Washtenaw County $2 84%
Cmh Wayne County/Carelink $2 84%
Cmh Wayne Cty/Com Liv Svcs $2 84%
Cmh West Mi County $2 - $24 84%
Commonwealth Care Alliance $2 84%
Community Benefit Health $2 84%
Community Care Behavorial Health $2 84%
Community Care Partners $2 84%
Community Health Choice $2 84%
Community Pace At Home $2 84%
Connections Csp $2 84%
Correctional Recovery $2 - $583 84%
County Coroner $2 84%
County Funding Generic $2 84%
Covid19 Hrsa Uninsured Testing And Treatment Fund $2 84%
Dean Wi Badgercare $2 84%
Delaware County Department Of Health $2 84%
Delaware First Health $2 84%
Delta Dental Nj $2 84%
Dph Tb Program $2 84%
Dscc $2 84%
Eastpointe Lme $2 84%
Eddy Senior Care-Pace $2 84%
Eddy Seniorcare Pace $2 84%
Elementcare $2 84%
Evercare $2 84%
Everence $2 84%
Family Health Network $2 84%
Freedom First Healthcare $2 84%
Fresno County Ccs $2 84%
Gateway Health Plan $2 84%
Genesys Pace Of Genesee County $2 84%
Georgia Health Advantage $2 84%
Ghc Scw Wi Badgercare $2 84%
Gold Advantage $2 84%
Gpa Croell Redi Mix $2 84%
Harbor Health $2 84%
Health America Advantra $2 84%
Health Safety Net $2 84%
Healthy Blue Ne $2 84%
Heartland Hospice $2 - $583 84%
Hennepin Health $2 84%
Highmark Health Options Dual Plan $2 84%
Hope Select Pace $2 84%
Horizon Nj Total Care $2 84%
Hospice Harbor Hospice $2 - $583 84%
Hudson Headwaters Pace $2 84%
Humana $2 - $19 84%
Huron Valley Pace $2 84%
Id County Ada $2 84%
Id County Canyon $2 84%
Id County Cat Fund $2 84%
Id County Other $2 84%
Id County Payette $2 84%
Idaho Dept Health And Wellfare $2 84%
Idaho Womens Health Check $2 84%
Indiana Breast Cervical Cancer $2 84%
Inland Empire Health Plan $2 84%
Innovative Integrated Health Community Plans $2 84%
Intercommunity Health Ohp $2 84%
Iowa Health Advantage $2 84%
Iowa Total Care $2 84%
Jai Medical System $2 84%
Johns Hopkins Advantage Md $2 84%
Kern Family Health Plan $2 84%
Keystone First $2 84%
Keystone First Chip $2 84%
La Care Health Plan $2 84%
Lakeland Care Inc $2 84%
Lasso Healthcare Msa $2 84%
Life St Marys Pace $2 84%
Lifecircles Pace $2 84%
Longevity Health Plan $2 84%
Managed Health Services - Indiana $2 84%
Martins Point Generations Advantage $2 84%
Maryland Breast & Cervical Program $2 84%
Maryland Healthy Smiles - Scion Dental $2 84%
Maryland Physicians Care $2 84%
Mass General Brigham Mcr Adv $2 84%
Massachusetts Behavioral Health Partnership $2 84%
Mdwise $2 84%
Medi-Cal $2 84%
Medi-Cal Healthnet $2 84%
Medicare (plans) $2 - $571 84%
Medipak Advantage $2 84%
Medstar Dc Healthy Family $2 84%
Medstar Md Health Choice $2 84%
Mercy Life $2 84%
Mercyone Cedar Valley $2 84%
Meridian Complete $2 84%
Meritain $2 - $4 84%
Michigan Complete Health $2 84%
Mo Home State Health Plan $2 84%
Molina Centennial Care $2 84%
Nascentia Health Options $2 84%
Nascentia Health Plus $2 84%
Nebraska Total Care $2 84%
New Centry Health Careplus $2 84%
New York Cancer Services Program $2 84%
Nextlevel Health $2 84%
Nomi Health $2 - $13 84%
Oregon Screenwise $2 84%
Oscar $2 - $746 84%
Osu Prime Care Advantage $2 84%
Pace Cny $2 84%
Pace Iowa Immanuel Pathways $2 84%
Pace Of Southwest Michigan $2 84%
Pace Southeast $2 84%
Pace-Trinity Health $2 84%
Paramount Advantage $2 84%
Parkland Community Health Plan $2 84%
Partners Behavioral Lme $2 84%
Peach State Healthplan $2 84%
Peak Pace Solutions $2 84%
Perennial Advantage $2 84%
Philadelphia County Funding $2 84%
Preferred Care Partners $2 84%
Presbyterian Centennial Care $2 84%
Presbyterian Senior Plan $2 84%
Prestige Health Choice $2 84%
Priority Health $2 - $14 84%
Priority Partners $2 84%
Provider Partners Health Plan Of Illinois $2 84%
Provider Partners Health Plan Of Indiana $2 84%
Pruitthealth Premier $2 84%
Reliance Community Care Partners Care Resources Pace $2 84%
Robert F Sing Program $2 84%
Rx 340B Pass Along $2 84%
Rx Allwin $2 84%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $2 84%
Rx Grane Grnmedd $2 84%
Rx Medi-Cal $2 84%
Rx Meridian Rx $2 84%
Rx Retiree Rx Care $2 84%
Ryan White Florida Mssrp $2 84%
Sandhills Center Lme $2 84%
Scan Health Plan Mcr Ipa Meritage Oon $2 84%
Screening For Life $2 84%
Secure Horizons Ma Pffs $2 84%
Serenity Pace $2 84%
Siouxland Pace $2 84%
Solis Health Plans $2 84%
St Joseph County Hlth Dpt $2 84%
Stephenson Cty Health $2 84%
Sunnyview-Pace Finance Dept $2 84%
Sunshine State Health Plan $2 84%
Superior Health $2 84%
Tenncare $2 84%
Texan Plus $2 84%
Texas Children'S Health Plan $2 84%
The Health Plan $2 - $12 84%
Thome Pace $2 84%
Todays Options $2 84%
Tribute Health Plans $2 84%
Tricare $2 84%
Trillium Community Ohp $2 84%
Triwest Health Alliance $2 84%
Tufts Health Public Plans $2 84%
Um Health Advantage $2 84%
Union Health Service $2 84%
UnitedHealthcare $2 - $601 84%
Us Family Health Plan $2 84%
Vaya Health Lme $2 84%
Veterans Administration $2 84%
Veterans Eval Services $2 84%
Washtenaw Health Plan $2 84%
Wc Accident Fund $2 - $13 84%
Wc Advantage $2 - $13 84%
Wc Aig $2 - $13 84%
Wc Allied $2 - $13 84%
Wc Amerisure $2 - $13 84%
Wc Amtrust $2 - $13 84%
Wc Asu Risk Mgt $2 - $13 84%
Wc Berkley Admin $2 - $13 84%
Wc Broadspire $2 - $13 84%
Wc Bunch & Associates $2 - $13 84%
Wc Ccmsi $2 - $13 84%
Wc Emc Insurance Company $2 - $13 84%
Wc Esis $2 - $13 84%
Wc Fcci $2 - $13 84%
Wc Federated $2 - $13 84%
Wc Gallagher Bassett $2 - $13 84%
Wc Genex Care For Ohio $2 - $13 84%
Wc Guard Insurance Company $2 - $13 84%
Wc Hartford $2 - $13 84%
Wc Liberty Mutual $2 - $13 84%
Wc Meijers $2 - $13 84%
Wc Michigan $2 - $13 84%
Wc Mitchell Frankenmuth $2 - $13 84%
Wc Pma $2 - $13 84%
Wc Sedgwick $2 - $13 84%
Wc Sentry $2 - $13 84%
Wc Travelers $2 - $13 84%
Wc Tristar $2 - $13 84%
Wc Walmart $2 - $13 84%
Wc Zurich $2 - $13 84%
Welbe Health $2 84%
Wellmed $2 84%
Wellsense Health Plan $2 84%
Wi Womens Wellness $2 84%
Acclaim $3 - $19 127%
Administrative Concepts $3 - $19 127%
Allegeant $3 - $19 127%
Allied Benefit Systems $3 - $12 127%
Ameriben $3 - $19 127%
American Family $3 - $19 127%
American Healthcare Alliance $3 - $19 127%
American National $3 - $6 127%
American Republic $3 - $19 127%
Amerihealth $3 - $19 127%
Andrie Inc $3 127%
Asr Health Benefits $3 - $13 127%
Aultcare $3 - $19 127%
Automated Benefit Services $3 - $19 127%
Auxiant $3 - $19 127%
Bcn Domestic $3 127%
Benefit Administrative Systems,Llc $3 - $19 127%
Boon Chapman $3 - $19 127%
Cam Administrative Services $3 - $19 127%
Cca - Zing Health $3 127%
Christian Brother Services $3 - $19 127%
Christian Brothers Holy Cross $3 - $19 127%
Claimchoice Adminstrators $3 - $12 127%
Comprehensive Benefits $3 - $19 127%
Consociate $3 - $12 127%
Continental Life Insurance $3 - $19 127%
Coventry $3 - $6 127%
Custom Benefit Administrators $3 - $19 127%
Cypress Benefit Administrators $3 - $12 127%
East Greenbush Central School District $3 127%
Employee Benefit Concepts $3 - $19 127%
Employee Benefit Management $3 - $19 127%
Enterprise Group Planning $3 - $19 127%
First Health $3 - $20 127%
Forest County Potawatomi $3 - $12 127%
Freedom Life Insurance Company $3 - $19 127%
Geha $3 - $21 127%
Genex Wc $3 127%
Group Administrators $3 - $19 127%
Group Marketing Services $3 - $19 127%
Group Pension Administrators $3 - $18 127%
Guardian $3 - $19 127%
Hap $3 - $19 127%
Health America $3 - $19 127%
Health Choices $3 - $19 127%
Health Partners $3 127%
Health Smart $3 - $12 127%
Healthcare Management Admin $3 - $6 127%
Healthez $3 - $19 127%
Healthgram $3 - $12 127%
Healthscope $3 - $12 127%
Healthsmart Workers Comp $3 127%
Insight $3 - $19 127%
Intercare $3 - $19 127%
Jag Source $3 127%
Jfp Benefit Management $3 - $19 127%
Jp Farley Corporation $3 - $19 127%
Kaiser Domestic $3 127%
Key Benefit Administrator $3 - $19 127%
Liberty Union Life Assurance Co $3 - $19 127%
Longevity Ipa Of Michigan Llc Health Plan Isnp $3 - $657 127%
Lucent Health $3 - $19 127%
Luminare Health $3 - $19 127%
Luminare Health (Detroit) $3 - $19 127%
Magnacare $3 - $6 127%
Medben $3 - $19 127%
Medcost $3 - $19 127%
Medical Mutual $3 - $19 127%
Molina Marketplace $3 - $758 127%
Mutual Health Services $3 - $19 127%
Mutual Of Omaha $3 - $19 127%
Ncas $3 - $19 127%
New York State Insurance Fund $3 127%
Nippon Life Ins $3 - $19 127%
Njm Insurance Group $3 127%
Nova $3 - $19 127%
Painters Union Insurance Fund $3 - $19 127%
Partners Direct Health - Brio $3 127%
Physicians Mutual $3 - $19 127%
Plumbers Local 98 Insurance Fund $3 - $19 127%
Prairie States $3 - $19 127%
Preferred One $3 - $12 127%
Primary Physician Care $3 - $19 127%
Professional Benefit Administrators $3 - $19 127%
Rx Heatlhcomp $3 127%
Rx Restat $3 127%
Rx Saif Opdp Wc $3 127%
Rx Worker'S Comp $3 127%
Secureone Preferred United Plans $3 - $12 127%
Siho Insurance Services $3 - $6 127%
Sisco Benefits $3 - $12 127%
The Loomis Company $3 - $19 127%
Trustmark Small Business Benefits $3 - $12 127%
Tufts Health Plan $3 127%
U Of M Health Plan $3 - $19 127%
Unicare $3 - $19 127%
Unified Group Services $3 - $12 127%
Valenz $3 - $19 127%
Varipro $3 - $14 127%
Wc Ace $3 127%
Wc Acs Federal Employees $3 127%
Wc Acuity $3 127%
Wc Aegis $3 127%
Wc Aims $3 127%
Wc Alaska National Ins $3 127%
Wc Align Network $3 127%
Wc Am Trust N America $3 127%
Wc American Claims Mgmt $3 127%
Wc Benetech $3 127%
Wc Broward County $3 127%
Wc California State Comp Ins $3 127%
Wc California State Ins Fund $3 127%
Wc Capitol Area Health Consortium $3 127%
Wc Chartis $3 127%
Wc Chubb $3 127%
Wc Cirma $3 127%
Wc City Of Albany $3 127%
Wc City Of Sioux City $3 127%
Wc Claims Mgmt Inc $3 127%
Wc Cna $3 127%
Wc Comp One Admin C/O Manageability $3 127%
Wc Compone Admin $3 127%
Wc Corvel $3 127%
Wc Ct Healthcare Trust $3 127%
Wc Donegal Insurance Group $3 127%
Wc Employee Mutual $3 127%
Wc Enablecomp $3 127%
Wc Encore Health Network $3 127%
Wc Erie $3 127%
Wc Evolutions $3 127%
Wc Fed Ex $3 127%
Wc Federal Black Lung $3 127%
Wc Finley Occupational Health $3 127%
Wc First Agency/Occunet $3 127%
Wc Ford Motor $3 127%
Wc Fresno Unified Emp $3 127%
Wc General Motors $3 127%
Wc Generic $3 127%
Wc Great West Casualty $3 127%
Wc Guarantee Insurance $3 127%
Wc Hab $3 127%
Wc Hastings $3 127%
Wc Health Management $3 127%
Wc Heritage Summit $3 127%
Wc Hireright $3 127%
Wc Horizon $3 127%
Wc Icw Group $3 127%
Wc Idaho State Ins Fund $3 127%
Wc Intercare Insurance $3 127%
Wc Intermountain $3 127%
Wc Johns Eastern $3 127%
Wc Kemberton $3 127%
Wc Key Ins & Benefit Solutions $3 127%
Wc Mac Risk Management $3 127%
Wc Massachusetts $3 127%
Wc Mdia $3 127%
Wc Meadowbrook Claim $3 127%
Wc Medical Administrators $3 127%
Wc Memic $3 127%
Wc Mercy Workcare $3 127%
Wc Michigan Millers Mutual $3 127%
Wc Mra $3 127%
Wc Nationwide $3 127%
Wc Nca Comp $3 127%
Wc New York $3 127%
Wc New York Special Funds $3 127%
Wc North American Rishces $3 127%
Wc Northeast Health $3 127%
Wc Notre Dame $3 127%
Wc Novanet $3 127%
Wc O'Hara Corp $3 127%
Wc Occ Health Allen $3 127%
Wc Ohio Bureau $3 127%
Wc One Call Medical $3 127%
Wc Paradigm $3 127%
Wc Peerless $3 127%
Wc Praxis Health Network $3 127%
Wc Price Chopper $3 127%
Wc Procura Management $3 127%
Wc Qualcare $3 127%
Wc Quiktrip $3 127%
Wc Reny Company $3 127%
Wc Rev Claims $3 127%
Wc Risico $3 127%
Wc Rural Mutual $3 127%
Wc Saif Oregon $3 127%
Wc Secura $3 127%
Wc Sheakley Unicomp $3 127%
Wc Smile Lodge $3 127%
Wc Society $3 127%
Wc Srs $3 127%
Wc Taconic (Mro) $3 127%
Wc Taconic Farms $3 127%
Wc Triad Group $3 127%
Wc Troy Ny $3 127%
Wc Tyson $3 127%
Wc Unified Health Services $3 127%
Wc United Heartland $3 127%
Wc Us Dept Of Labor $3 127%
Wc Velocity $3 127%
Wc West Bend $3 127%
Wc West Bend Mutual/Argent $3 127%
Wc Winnebago Industries $3 127%
Wc Yankee Trails $3 127%
Wc York Risk $3 127%
Wc Zenith $3 127%
Webtpa $3 - $12 127%
Wellpath $3 - $904 127%
Western & Southern Financial Group $3 - $19 127%
Wps $3 - $19 127%
1199 National Benefit Fund $4 - $18 169%
Allied National Global Care $4 - $18 169%
Asrm - Reliance Standard Life Insurance $4 - $18 169%
Christian Care Ministry $4 - $18 169%
Claimdoc $4 169%
Dean Health $4 - $18 169%
Fallon Health $4 - $18 169%
Family Life Insurance Company $4 - $18 169%
International Benefit Administrators $4 - $18 169%
Kent County Jail $4 169%
Lifetime Benefit Solutions $4 - $18 169%
Manhattan Life $4 - $18 169%
Multiplan $4 - $18 169%
Muskegon County Jail $4 169%
Mvp $4 - $18 169%
Pai $4 - $18 169%
Pan-American Life $4 - $18 169%
Phcs $4 - $18 169%
Trinity Health Share $4 - $18 169%
Us Health And Life $4 - $19 169%
Vitalcore $4 - $904 169%
Bcccp-Michigan $5 - $10 211%
Acs Benefit Services $12 506%
Hospice Of Michigan $13 549%
Caresource $15 633%
Ghc Scw $18 759%
Medi Share $18 759%
Paramount Hmo $18 759%
Barinet $24 1013%

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