CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Trinity Health Muskegon Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$148
about 1.4× the $107 Medicare rate · typically $110–$162
modeled estimate · not a bill or quote
What this hospital charges insurers
$135
About the fair price
about $13 under the fair price · 1.3× Medicare
Medicare pays $107 Fair price $148 This hospital $135 Cash price $960 Hospital's list price $1,477

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 $44 Priciest $135

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, lower back (lumbar spine) is about $148 (about 1.4× the $107 Medicare rate). Trinity Health Muskegon Hospital charges insurers about $135, or about $960 in cash — about the fair price. Located in Muskegon, MI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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
UnitedHealthcaremajor $115 - $1,300 108%
Blue Cross Blue Shieldmajor $58 - $135 54%
Aetnamajor $104 - $109 97%
Cignamajor $929 870%
Humanamajor $1,164 1090%
Kaiser Permanentemajor $135 126%
AmeriHealth $1,164 1090%
CareSource $930 871%
Dean Health Plan $1,108 1037%
GEHA $104 - $1,300 97%
Medical Mutual $1,164 1090%
Molina $145 136%
MVP Health Care $1,108 1037%
Oscar Health $143 134%
Paramount $1,108 1037%
Priority Health $542 - $606 507%
UniCare $1,164 1090%
+ 139 smaller / regional plans $78 - $1,477
Government programs also on file: Medicare, Medicaid.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

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