CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Trinity Health Muskegon Hospital

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $12
  • Cash Discount Price: $12,701
  • vs. Medicare Baseline: 0.05x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Trinity Health Muskegon Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,701. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.05x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$12,701

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$223.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $223.72 (100%)
Cash / Self-Pay: $12,701 (5677%)
Insurance Median: $12 (5%)
Cash: $12,701 (5677% of Medicare)
Ins. Median: $12 (5% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $223.72 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
Aetna $6 - $3,038 3%
Albany County Correctional Facility $6 3%
Ambetter / Centene $6 3%
Amish Mennonite $6 3%
Ascension St. Vincent Public Safety Medical $6 3%
Bccp $6 3%
Blue Cross Blue Shield $6 - $3,038 3%
Bmc Healthnet $6 3%
Breast Grant-Connecticut $6 3%
Broward County Dept Of Health $6 3%
California Health And Wellness $6 3%
Can Community Health Inc $6 3%
Cardinal Innovations Lme $6 3%
Care Connections Of Northern Iowa $6 3%
Care Oregon Ohp $6 3%
Cencal Health Plan $6 3%
Cenpatico $6 3%
Chhuny $6 3%
Childrens Comm Health Plan $6 3%
Childrens Medical Services Title 19 $6 3%
Cigna $6 - $72 3%
City Of Philadelphia $6 3%
Cmh Allegan County $6 - $114 3%
Cmh Ausable Valley $6 3%
Cmh Barry County $6 - $114 3%
Cmh Bay-Arenac County $6 3%
Cmh Berrien County $6 - $114 3%
Cmh Cass County $6 - $114 3%
Cmh Central Mi County $6 3%
Cmh Clinton-Eaton-Ingham County $6 3%
Cmh Detroit Wayne Integrated Health Network $6 3%
Cmh Genesee County $6 3%
Cmh Ionia County $6 3%
Cmh Jackson County/Lifeways $6 3%
Cmh Kalamazoo $6 - $114 3%
Cmh Kent County $6 - $114 3%
Cmh Lenawee County $6 3%
Cmh Livingston County $6 3%
Cmh Macomb $6 3%
Cmh Misc $6 - $114 3%
Cmh Monroe County $6 3%
Cmh Montcalm County $6 3%
Cmh Muskegon County $6 - $114 3%
Cmh Newaygo County $6 3%
Cmh North Country $6 - $114 3%
Cmh Northern Lakes County $6 - $114 3%
Cmh Oakland County $6 3%
Cmh Ottawa County $6 - $114 3%
Cmh Van Buren County $6 - $114 3%
Cmh Washtenaw County $6 3%
Cmh Wayne County/Carelink $6 3%
Cmh Wayne Cty/Com Liv Svcs $6 3%
Cmh West Mi County $6 - $114 3%
Community Benefit Health $6 3%
Community Care Behavorial Health $6 3%
Community Care Partners $6 3%
Community Health Choice $6 3%
Connections Csp $6 3%
County Coroner $6 3%
County Funding Generic $6 3%
Covid19 Hrsa Uninsured Testing And Treatment Fund $6 3%
Dean Wi Badgercare $6 3%
Delaware County Department Of Health $6 3%
Delaware First Health $6 3%
Delta Dental Nj $6 3%
Dph Tb Program $6 3%
Dscc $6 3%
Eastpointe Lme $6 3%
Family Health Network $6 3%
Freedom First Healthcare $6 3%
Fresno County Ccs $6 3%
Ghc Scw Wi Badgercare $6 3%
Harbor Health $6 3%
Health Safety Net $6 3%
Healthy Blue Ne $6 3%
Hennepin Health $6 3%
Humana $6 - $90 3%
Id County Ada $6 3%
Id County Canyon $6 3%
Id County Cat Fund $6 3%
Id County Other $6 3%
Id County Payette $6 3%
Idaho Dept Health And Wellfare $6 3%
Idaho Womens Health Check $6 3%
Indiana Breast Cervical Cancer $6 3%
Inland Empire Health Plan $6 3%
Intercommunity Health Ohp $6 3%
Iowa Total Care $6 3%
Jai Medical System $6 3%
Kern Family Health Plan $6 3%
Keystone First $6 3%
Keystone First Chip $6 3%
La Care Health Plan $6 3%
Lakeland Care Inc $6 3%
Managed Health Services - Indiana $6 3%
Maryland Breast & Cervical Program $6 3%
Maryland Healthy Smiles - Scion Dental $6 3%
Maryland Physicians Care $6 3%
Massachusetts Behavioral Health Partnership $6 3%
Mdwise $6 3%
Medi-Cal $6 3%
Medi-Cal Healthnet $6 3%
Medicaid / KanCare $6 - $1,654 3%
Medstar Dc Healthy Family $6 3%
Medstar Md Health Choice $6 3%
Mo Home State Health Plan $6 3%
Molina Centennial Care $6 3%
Nascentia Health Options $6 3%
Nebraska Total Care $6 3%
New York Cancer Services Program $6 3%
Nextlevel Health $6 3%
Oregon Screenwise $6 3%
Pace Of Southwest Michigan $6 - $8 3%
Paramount Advantage $6 3%
Parkland Community Health Plan $6 3%
Partners Behavioral Lme $6 3%
Peach State Healthplan $6 3%
Philadelphia County Funding $6 3%
Presbyterian Centennial Care $6 3%
Prestige Health Choice $6 3%
Priority Partners $6 3%
Robert F Sing Program $6 3%
Rx 340B Pass Along $6 3%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $6 3%
Rx Medi-Cal $6 3%
Rx Meridian Rx $6 3%
Ryan White Florida Mssrp $6 3%
Sandhills Center Lme $6 3%
Screening For Life $6 3%
St Joseph County Hlth Dpt $6 3%
Stephenson Cty Health $6 3%
Sunshine State Health Plan $6 3%
Superior Health $6 3%
Tenncare $6 3%
Texas Children'S Health Plan $6 3%
Trillium Community Ohp $6 3%
Tufts Health Public Plans $6 3%
UnitedHealthcare $6 - $3,193 3%
Vaya Health Lme $6 3%
Washtenaw Health Plan $6 3%
Wellsense Health Plan $6 3%
Wi Womens Wellness $6 3%
Champva $7 3%
Tricare $7 3%
Triwest Health Alliance $7 3%
Us Family Health Plan $7 3%
Veterans Eval Services $7 3%
Align Senior Care $8 - $3,100 4%
Ally Align Care Adv $8 4%
American Health Advantage Of Idaho $8 4%
American Health Plan $8 4%
Aurora Special Needs $8 4%
Blue Care Network Advantage $8 - $3,038 4%
Blue Shield - De (Highmark) Medciare Advantage $8 4%
Care Dimensions $8 4%
Care Improvement Plus $8 4%
Care Resources Pace $8 4%
Careplus Health Plans $8 4%
Cca Senior Care Options $8 4%
Central Valley Medical Services Corp Pace $8 4%
Champion Health Plan Mcr Advantage $8 4%
Clear Spring Health $8 4%
Clover Health $8 4%
Commonwealth Care Alliance $8 4%
Community Pace At Home $8 4%
Eddy Senior Care-Pace $8 4%
Eddy Seniorcare Pace $8 4%
Elementcare $8 4%
Evercare $8 4%
Everence $8 4%
Gateway Health Plan $8 4%
Genesys Pace Of Genesee County $8 4%
Georgia Health Advantage $8 4%
Gold Advantage $8 4%
Gpa Croell Redi Mix $8 4%
Health America Advantra $8 4%
Highmark Health Options Dual Plan $8 4%
Hope Select Pace $8 4%
Horizon Nj Total Care $8 4%
Hudson Headwaters Pace $8 4%
Huron Valley Pace $8 4%
Innovative Integrated Health Community Plans $8 4%
Iowa Health Advantage $8 4%
Johns Hopkins Advantage Md $8 4%
Lasso Healthcare Msa $8 4%
Life St Marys Pace $8 4%
Lifecircles Pace $8 4%
Longevity Health Plan $8 4%
Martins Point Generations Advantage $8 4%
Mass General Brigham Mcr Adv $8 4%
Medicare (plans) $8 - $3,038 4%
Medipak Advantage $8 4%
Mercy Life $8 4%
Mercyone Cedar Valley $8 4%
Meridian Complete $8 4%
Michigan Complete Health $8 4%
Nascentia Health Plus $8 4%
New Centry Health Careplus $8 4%
Osu Prime Care Advantage $8 4%
Pace Cny $8 4%
Pace Iowa Immanuel Pathways $8 4%
Pace Southeast $8 4%
Pace-Trinity Health $8 4%
Peak Pace Solutions $8 4%
Perennial Advantage $8 4%
Preferred Care Partners $8 4%
Presbyterian Senior Plan $8 4%
Provider Partners Health Plan Of Illinois $8 4%
Provider Partners Health Plan Of Indiana $8 4%
Pruitthealth Premier $8 4%
Reliance Community Care Partners Care Resources Pace $8 4%
Rx Allwin $8 4%
Rx Grane Grnmedd $8 4%
Rx Retiree Rx Care $8 4%
Scan Health Plan Mcr Ipa Meritage Oon $8 4%
Secure Horizons Ma Pffs $8 4%
Serenity Pace $8 4%
Siouxland Pace $8 4%
Solis Health Plans $8 4%
Sunnyview-Pace Finance Dept $8 4%
Texan Plus $8 4%
The Health Plan $8 - $59 4%
Thome Pace $8 4%
Todays Options $8 4%
Tribute Health Plans $8 4%
Um Health Advantage $8 4%
Union Health Service $8 4%
Veterans Administration $8 4%
Welbe Health $8 4%
Wellmed $8 4%
Access Health $9 - $2,170 4%
Cca - Zing Health $9 4%
Longevity Ipa Of Michigan Llc Health Plan Isnp $9 - $3,493 4%
1199 National Benefit Fund $11 - $86 5%
Allied National Global Care $11 - $86 5%
Asrm - Reliance Standard Life Insurance $11 - $86 5%
Christian Care Ministry $11 - $86 5%
Dean Health $11 - $86 5%
Fallon Health $11 - $86 5%
Family Life Insurance Company $11 - $86 5%
International Benefit Administrators $11 - $86 5%
Lifetime Benefit Solutions $11 - $86 5%
Manhattan Life $11 - $86 5%
Molina Marketplace $11 - $4,030 5%
Multiplan $11 - $86 5%
Mvp $11 - $86 5%
Oscar $11 - $3,968 5%
Pai $11 - $86 5%
Pan-American Life $11 - $86 5%
Phcs $11 - $86 5%
Trinity Health Share $11 - $86 5%
Wc Accident Fund $11 - $61 5%
Wc Advantage $11 - $61 5%
Wc Aig $11 - $61 5%
Wc Allied $11 - $61 5%
Wc Amerisure $11 - $61 5%
Wc Amtrust $11 - $61 5%
Wc Asu Risk Mgt $11 - $61 5%
Wc Berkley Admin $11 - $61 5%
Wc Broadspire $11 - $61 5%
Wc Bunch & Associates $11 - $61 5%
Wc Ccmsi $11 - $61 5%
Wc Emc Insurance Company $11 - $61 5%
Wc Esis $11 - $61 5%
Wc Fcci $11 - $61 5%
Wc Federated $11 - $61 5%
Wc Gallagher Bassett $11 - $61 5%
Wc Genex Care For Ohio $11 - $61 5%
Wc Guard Insurance Company $11 - $61 5%
Wc Hartford $11 - $61 5%
Wc Liberty Mutual $11 - $61 5%
Wc Meijers $11 - $61 5%
Wc Michigan $11 - $61 5%
Wc Mitchell Frankenmuth $11 - $61 5%
Wc Pma $11 - $61 5%
Wc Sedgwick $11 - $61 5%
Wc Sentry $11 - $61 5%
Wc Travelers $11 - $61 5%
Wc Tristar $11 - $61 5%
Wc Walmart $11 - $61 5%
Wc Zurich $11 - $61 5%
Wellpath $11 - $4,805 5%
Andrie Inc $12 5%
Claimdoc $12 5%
East Greenbush Central School District $12 5%
Genex Wc $12 5%
Healthsmart Workers Comp $12 5%
Jag Source $12 5%
Kent County Jail $12 5%
Muskegon County Jail $12 5%
New York State Insurance Fund $12 5%
Njm Insurance Group $12 5%
Nomi Health $12 - $64 5%
Partners Direct Health - Brio $12 5%
Rx Heatlhcomp $12 5%
Rx Restat $12 5%
Rx Saif Opdp Wc $12 5%
Rx Worker'S Comp $12 5%
Wc Ace $12 5%
Wc Acs Federal Employees $12 5%
Wc Acuity $12 5%
Wc Aegis $12 5%
Wc Aims $12 5%
Wc Alaska National Ins $12 5%
Wc Align Network $12 5%
Wc Am Trust N America $12 5%
Wc American Claims Mgmt $12 5%
Wc Benetech $12 5%
Wc Broward County $12 5%
Wc California State Comp Ins $12 5%
Wc California State Ins Fund $12 5%
Wc Capitol Area Health Consortium $12 5%
Wc Chartis $12 5%
Wc Chubb $12 5%
Wc Cirma $12 5%
Wc City Of Albany $12 5%
Wc City Of Sioux City $12 5%
Wc Claims Mgmt Inc $12 5%
Wc Cna $12 5%
Wc Comp One Admin C/O Manageability $12 5%
Wc Compone Admin $12 5%
Wc Corvel $12 5%
Wc Ct Healthcare Trust $12 5%
Wc Donegal Insurance Group $12 5%
Wc Employee Mutual $12 5%
Wc Enablecomp $12 5%
Wc Encore Health Network $12 5%
Wc Erie $12 5%
Wc Evolutions $12 5%
Wc Fed Ex $12 5%
Wc Federal Black Lung $12 5%
Wc Finley Occupational Health $12 5%
Wc First Agency/Occunet $12 5%
Wc Ford Motor $12 5%
Wc Fresno Unified Emp $12 5%
Wc General Motors $12 5%
Wc Generic $12 5%
Wc Great West Casualty $12 5%
Wc Guarantee Insurance $12 5%
Wc Hab $12 5%
Wc Hastings $12 5%
Wc Health Management $12 5%
Wc Heritage Summit $12 5%
Wc Hireright $12 5%
Wc Horizon $12 5%
Wc Icw Group $12 5%
Wc Idaho State Ins Fund $12 5%
Wc Intercare Insurance $12 5%
Wc Intermountain $12 5%
Wc Johns Eastern $12 5%
Wc Kemberton $12 5%
Wc Key Ins & Benefit Solutions $12 5%
Wc Mac Risk Management $12 5%
Wc Massachusetts $12 5%
Wc Mdia $12 5%
Wc Meadowbrook Claim $12 5%
Wc Medical Administrators $12 5%
Wc Memic $12 5%
Wc Mercy Workcare $12 5%
Wc Michigan Millers Mutual $12 5%
Wc Mra $12 5%
Wc Nationwide $12 5%
Wc Nca Comp $12 5%
Wc New York $12 5%
Wc New York Special Funds $12 5%
Wc North American Rishces $12 5%
Wc Northeast Health $12 5%
Wc Notre Dame $12 5%
Wc Novanet $12 5%
Wc O'Hara Corp $12 5%
Wc Occ Health Allen $12 5%
Wc Ohio Bureau $12 5%
Wc One Call Medical $12 5%
Wc Paradigm $12 5%
Wc Peerless $12 5%
Wc Praxis Health Network $12 5%
Wc Price Chopper $12 5%
Wc Procura Management $12 5%
Wc Qualcare $12 5%
Wc Quiktrip $12 5%
Wc Reny Company $12 5%
Wc Rev Claims $12 5%
Wc Risico $12 5%
Wc Rural Mutual $12 5%
Wc Saif Oregon $12 5%
Wc Secura $12 5%
Wc Sheakley Unicomp $12 5%
Wc Smile Lodge $12 5%
Wc Society $12 5%
Wc Srs $12 5%
Wc Taconic (Mro) $12 5%
Wc Taconic Farms $12 5%
Wc Triad Group $12 5%
Wc Troy Ny $12 5%
Wc Tyson $12 5%
Wc Unified Health Services $12 5%
Wc United Heartland $12 5%
Wc Us Dept Of Labor $12 5%
Wc Velocity $12 5%
Wc West Bend $12 5%
Wc West Bend Mutual/Argent $12 5%
Wc Winnebago Industries $12 5%
Wc Yankee Trails $12 5%
Wc York Risk $12 5%
Wc Zenith $12 5%
Blue Benefit Administrators Of Massachusetts $13 - $66 6%
Blue Distinction Transplant $13 - $66 6%
Blue Shield - Ca $13 - $66 6%
Blue Shield - Id (Regence) $13 - $66 6%
Blue Shield - Ny Highmark Northeastern $13 - $66 6%
Blue Shield - Ny Highmark Western $13 - $66 6%
Blue Shield - Pa (Highmark) $13 - $66 6%
Blue Shield - Wa (Regence) $13 - $66 6%
Blue Care Network $14 - $66 6%
Meritain $14 - $77 6%
American Postal Workers Secondary $15 7%
Priority Health $16 - $83 7%
U Of M Health Plan $16 - $90 7%
Hap $18 - $90 8%
Health Partners $18 8%
Tufts Health Plan $18 8%
Acclaim $20 - $90 9%
Administrative Concepts $20 - $90 9%
Allegeant $20 - $90 9%
Allied Benefit Systems $20 - $59 9%
Ameriben $20 - $90 9%
American Family $20 - $90 9%
American Healthcare Alliance $20 - $90 9%
American National $20 - $27 9%
American Republic $20 - $90 9%
Amerihealth $20 - $90 9%
Aultcare $20 - $90 9%
Automated Benefit Services $20 - $90 9%
Auxiant $20 - $90 9%
Benefit Administrative Systems,Llc $20 - $90 9%
Boon Chapman $20 - $90 9%
Cam Administrative Services $20 - $90 9%
Christian Brother Services $20 - $90 9%
Christian Brothers Holy Cross $20 - $90 9%
Claimchoice Adminstrators $20 - $59 9%
Comprehensive Benefits $20 - $90 9%
Consociate $20 - $59 9%
Continental Life Insurance $20 - $90 9%
Coventry $20 - $27 9%
Custom Benefit Administrators $20 - $90 9%
Cypress Benefit Administrators $20 - $59 9%
Employee Benefit Concepts $20 - $90 9%
Employee Benefit Management $20 - $90 9%
Enterprise Group Planning $20 - $90 9%
First Health $20 - $94 9%
Forest County Potawatomi $20 - $59 9%
Freedom Life Insurance Company $20 - $90 9%
Geha $20 - $100 9%
Group Administrators $20 - $90 9%
Group Marketing Services $20 - $90 9%
Group Pension Administrators $20 - $86 9%
Guardian $20 - $90 9%
Health America $20 - $90 9%
Health Choices $20 - $90 9%
Health Smart $20 - $59 9%
Healthcare Management Admin $20 - $27 9%
Healthez $20 - $90 9%
Healthgram $20 - $59 9%
Healthscope $20 - $59 9%
Insight $20 - $90 9%
Intercare $20 - $90 9%
Jfp Benefit Management $20 - $90 9%
Jp Farley Corporation $20 - $90 9%
Key Benefit Administrator $20 - $90 9%
Liberty Union Life Assurance Co $20 - $90 9%
Lucent Health $20 - $90 9%
Luminare Health $20 - $90 9%
Luminare Health (Detroit) $20 - $90 9%
Magnacare $20 - $27 9%
Medben $20 - $90 9%
Medcost $20 - $90 9%
Medical Mutual $20 - $90 9%
Mutual Health Services $20 - $90 9%
Mutual Of Omaha $20 - $90 9%
Ncas $20 - $90 9%
Nippon Life Ins $20 - $90 9%
Nova $20 - $90 9%
Painters Union Insurance Fund $20 - $90 9%
Physicians Mutual $20 - $90 9%
Plumbers Local 98 Insurance Fund $20 - $90 9%
Prairie States $20 - $90 9%
Preferred One $20 - $59 9%
Primary Physician Care $20 - $90 9%
Professional Benefit Administrators $20 - $90 9%
Secureone Preferred United Plans $20 - $59 9%
Siho Insurance Services $20 - $27 9%
Sisco Benefits $20 - $59 9%
The Loomis Company $20 - $90 9%
Trustmark Small Business Benefits $20 - $59 9%
Unicare $20 - $90 9%
Unified Group Services $20 - $59 9%
Valenz $20 - $90 9%
Webtpa $20 - $59 9%
Western & Southern Financial Group $20 - $90 9%
Wps $20 - $90 9%
Asr Health Benefits $26 - $61 12%
Varipro $29 - $66 13%
Bcccp-Michigan $34 - $47 15%
Us Health And Life $34 - $90 15%
Acs Benefit Services $59 26%
Hospice Of Michigan $63 28%
Bcn Domestic $66 30%
Kaiser Domestic $66 30%
Caresource $72 32%
Ghc Scw $86 38%
Medi Share $86 38%
Paramount Hmo $86 38%
Barinet $114 51%
Correctional Recovery $234 - $3,100 105%
Heartland Hospice $234 - $3,100 105%
Hospice Harbor Hospice $234 - $3,100 105%
Vitalcore $362 - $4,805 162%

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