CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Trinity Health Muskegon Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $104
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Trinity Health Muskegon Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.88x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Insurance Median: $104 (88%)
Ins. Median: $104 (88% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 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.

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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
Medicaid / KanCare $56 - $97 48%
Aetna $59 - $166 50%
Ally Align Care Adv $59 - $111 50%
American Health Advantage Of Idaho $59 - $111 50%
American Health Plan $59 - $111 50%
Aurora Special Needs $59 - $111 50%
Blue Care Network Advantage $59 - $111 50%
Blue Cross Blue Shield $59 - $117 50%
Blue Shield - De (Highmark) Medciare Advantage $59 - $111 50%
Care Dimensions $59 - $111 50%
Care Improvement Plus $59 - $111 50%
Care Resources Pace $59 - $111 50%
Careplus Health Plans $59 - $111 50%
Cca Senior Care Options $59 - $111 50%
Central Valley Medical Services Corp Pace $59 - $111 50%
Champion Health Plan Mcr Advantage $59 - $111 50%
Cigna $59 - $113 50%
Clear Spring Health $59 - $111 50%
Clover Health $59 - $111 50%
Commonwealth Care Alliance $59 - $111 50%
Community Pace At Home $59 - $111 50%
Eddy Senior Care-Pace $59 - $111 50%
Eddy Seniorcare Pace $59 - $111 50%
Elementcare $59 - $111 50%
Evercare $59 - $111 50%
Everence $59 - $111 50%
Gateway Health Plan $59 - $111 50%
Genesys Pace Of Genesee County $59 - $111 50%
Georgia Health Advantage $59 - $111 50%
Gold Advantage $59 - $111 50%
Gpa Croell Redi Mix $59 - $111 50%
Health America Advantra $59 - $111 50%
Highmark Health Options Dual Plan $59 - $111 50%
Hope Select Pace $59 - $111 50%
Horizon Nj Total Care $59 - $111 50%
Hudson Headwaters Pace $59 - $111 50%
Humana $59 - $113 50%
Huron Valley Pace $59 - $111 50%
Innovative Integrated Health Community Plans $59 - $111 50%
Iowa Health Advantage $59 - $111 50%
Johns Hopkins Advantage Md $59 - $111 50%
Lasso Healthcare Msa $59 - $111 50%
Life St Marys Pace $59 - $111 50%
Lifecircles Pace $59 - $111 50%
Longevity Health Plan $59 - $111 50%
Martins Point Generations Advantage $59 - $111 50%
Mass General Brigham Mcr Adv $59 - $111 50%
Medicare (plans) $59 - $116 50%
Medipak Advantage $59 - $111 50%
Mercy Life $59 - $111 50%
Mercyone Cedar Valley $59 - $111 50%
Meridian Complete $59 - $111 50%
Michigan Complete Health $59 - $111 50%
Nascentia Health Plus $59 - $111 50%
New Centry Health Careplus $59 - $111 50%
Osu Prime Care Advantage $59 - $111 50%
Pace Cny $59 - $111 50%
Pace Iowa Immanuel Pathways $59 - $111 50%
Pace Of Southwest Michigan $59 - $111 50%
Pace Southeast $59 - $111 50%
Pace-Trinity Health $59 - $111 50%
Peak Pace Solutions $59 - $111 50%
Perennial Advantage $59 - $111 50%
Preferred Care Partners $59 - $111 50%
Presbyterian Senior Plan $59 - $111 50%
Provider Partners Health Plan Of Illinois $59 - $111 50%
Provider Partners Health Plan Of Indiana $59 - $111 50%
Pruitthealth Premier $59 - $111 50%
Reliance Community Care Partners Care Resources Pace $59 - $111 50%
Rx Allwin $59 - $111 50%
Rx Grane Grnmedd $59 - $111 50%
Rx Retiree Rx Care $59 - $111 50%
Scan Health Plan Mcr Ipa Meritage Oon $59 - $111 50%
Secure Horizons Ma Pffs $59 - $111 50%
Serenity Pace $59 - $111 50%
Siouxland Pace $59 - $111 50%
Solis Health Plans $59 - $111 50%
Sunnyview-Pace Finance Dept $59 - $111 50%
Texan Plus $59 - $111 50%
The Health Plan $59 - $113 50%
Thome Pace $59 - $111 50%
Todays Options $59 - $111 50%
Tribute Health Plans $59 - $111 50%
Um Health Advantage $59 - $111 50%
Union Health Service $59 - $111 50%
UnitedHealthcare $59 - $115 50%
Welbe Health $59 - $111 50%
Wellmed $59 - $111 50%
Align Senior Care $60 - $113 51%
Veterans Administration $60 - $113 51%
Albany County Correctional Facility $63 - $75 54%
Ambetter / Centene $63 - $75 54%
Amish Mennonite $63 - $75 54%
Ascension St. Vincent Public Safety Medical $63 - $75 54%
Bccp $63 - $75 54%
Bmc Healthnet $63 - $75 54%
Breast Grant-Connecticut $63 - $75 54%
Broward County Dept Of Health $63 - $75 54%
California Health And Wellness $63 - $75 54%
Can Community Health Inc $63 - $75 54%
Cardinal Innovations Lme $63 - $75 54%
Care Connections Of Northern Iowa $63 - $75 54%
Care Oregon Ohp $63 - $75 54%
Cencal Health Plan $63 - $75 54%
Cenpatico $63 - $75 54%
Chhuny $63 - $75 54%
Childrens Comm Health Plan $63 - $75 54%
Childrens Medical Services Title 19 $63 - $75 54%
City Of Philadelphia $63 - $75 54%
Cmh Allegan County $63 - $75 54%
Cmh Ausable Valley $63 - $75 54%
Cmh Barry County $63 - $75 54%
Cmh Bay-Arenac County $63 - $75 54%
Cmh Berrien County $63 - $75 54%
Cmh Cass County $63 - $75 54%
Cmh Central Mi County $63 - $75 54%
Cmh Clinton-Eaton-Ingham County $63 - $75 54%
Cmh Detroit Wayne Integrated Health Network $63 - $75 54%
Cmh Genesee County $63 - $75 54%
Cmh Ionia County $63 - $75 54%
Cmh Jackson County/Lifeways $63 - $75 54%
Cmh Kalamazoo $63 - $75 54%
Cmh Kent County $63 - $75 54%
Cmh Lenawee County $63 - $75 54%
Cmh Livingston County $63 - $75 54%
Cmh Macomb $63 - $75 54%
Cmh Misc $63 - $75 54%
Cmh Monroe County $63 - $75 54%
Cmh Montcalm County $63 - $75 54%
Cmh Muskegon County $63 - $75 54%
Cmh Newaygo County $63 - $75 54%
Cmh North Country $63 - $75 54%
Cmh Northern Lakes County $63 - $75 54%
Cmh Oakland County $63 - $75 54%
Cmh Ottawa County $63 - $75 54%
Cmh Van Buren County $63 - $75 54%
Cmh Washtenaw County $63 - $75 54%
Cmh Wayne County/Carelink $63 - $75 54%
Cmh Wayne Cty/Com Liv Svcs $63 - $75 54%
Cmh West Mi County $63 - $75 54%
Community Benefit Health $63 - $75 54%
Community Care Behavorial Health $63 - $75 54%
Community Care Partners $63 - $75 54%
Community Health Choice $63 - $75 54%
Connections Csp $63 - $75 54%
County Coroner $63 - $75 54%
County Funding Generic $63 - $75 54%
Covid19 Hrsa Uninsured Testing And Treatment Fund $63 - $75 54%
Dean Wi Badgercare $63 - $75 54%
Delaware County Department Of Health $63 - $75 54%
Delaware First Health $63 - $75 54%
Delta Dental Nj $63 - $75 54%
Dph Tb Program $63 - $75 54%
Dscc $63 - $75 54%
Eastpointe Lme $63 - $75 54%
Family Health Network $63 - $75 54%
Freedom First Healthcare $63 - $75 54%
Fresno County Ccs $63 - $75 54%
Ghc Scw Wi Badgercare $63 - $75 54%
Harbor Health $63 - $75 54%
Health Safety Net $63 - $75 54%
Healthy Blue Ne $63 - $75 54%
Hennepin Health $63 - $75 54%
Id County Ada $63 - $75 54%
Id County Canyon $63 - $75 54%
Id County Cat Fund $63 - $75 54%
Id County Other $63 - $75 54%
Id County Payette $63 - $75 54%
Idaho Dept Health And Wellfare $63 - $75 54%
Idaho Womens Health Check $63 - $75 54%
Indiana Breast Cervical Cancer $63 - $75 54%
Inland Empire Health Plan $63 - $75 54%
Intercommunity Health Ohp $63 - $75 54%
Iowa Total Care $63 - $75 54%
Jai Medical System $63 - $75 54%
Kern Family Health Plan $63 - $75 54%
Keystone First $63 - $75 54%
Keystone First Chip $63 - $75 54%
La Care Health Plan $63 - $75 54%
Lakeland Care Inc $63 - $75 54%
Managed Health Services - Indiana $63 - $75 54%
Maryland Breast & Cervical Program $63 - $75 54%
Maryland Healthy Smiles - Scion Dental $63 - $75 54%
Maryland Physicians Care $63 - $75 54%
Massachusetts Behavioral Health Partnership $63 - $75 54%
Mdwise $63 - $75 54%
Medi-Cal $63 - $75 54%
Medi-Cal Healthnet $63 - $75 54%
Medstar Dc Healthy Family $63 - $75 54%
Medstar Md Health Choice $63 - $75 54%
Mo Home State Health Plan $63 - $75 54%
Molina Centennial Care $63 - $75 54%
Nascentia Health Options $63 - $75 54%
Nebraska Total Care $63 - $75 54%
New York Cancer Services Program $63 - $75 54%
Nextlevel Health $63 - $75 54%
Oregon Screenwise $63 - $75 54%
Paramount Advantage $63 - $75 54%
Parkland Community Health Plan $63 - $75 54%
Partners Behavioral Lme $63 - $75 54%
Peach State Healthplan $63 - $75 54%
Philadelphia County Funding $63 - $75 54%
Presbyterian Centennial Care $63 - $75 54%
Prestige Health Choice $63 - $75 54%
Priority Partners $63 - $75 54%
Robert F Sing Program $63 - $75 54%
Rx 340B Pass Along $63 - $75 54%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $63 - $75 54%
Rx Medi-Cal $63 - $75 54%
Rx Meridian Rx $63 - $75 54%
Ryan White Florida Mssrp $63 - $75 54%
Sandhills Center Lme $63 - $75 54%
Screening For Life $63 - $75 54%
St Joseph County Hlth Dpt $63 - $75 54%
Stephenson Cty Health $63 - $75 54%
Sunshine State Health Plan $63 - $75 54%
Superior Health $63 - $75 54%
Tenncare $63 - $75 54%
Texas Children'S Health Plan $63 - $75 54%
Trillium Community Ohp $63 - $75 54%
Tufts Health Public Plans $63 - $75 54%
Vaya Health Lme $63 - $75 54%
Washtenaw Health Plan $63 - $75 54%
Wellsense Health Plan $63 - $75 54%
Wi Womens Wellness $63 - $75 54%
Cca - Zing Health $65 - $122 55%
Champva $65 - $103 55%
Tricare $65 - $103 55%
Triwest Health Alliance $65 - $103 55%
Us Family Health Plan $65 - $103 55%
Veterans Eval Services $65 - $103 55%
Access Health $68 - $127 58%
Geha $68 - $111 58%
Longevity Ipa Of Michigan Llc Health Plan Isnp $68 - $128 58%
American Postal Workers Secondary $71 - $113 60%
Priority Health $75 - $119 64%
1199 National Benefit Fund $82 - $153 70%
Allied National Global Care $82 - $153 70%
Asrm - Reliance Standard Life Insurance $82 - $153 70%
Christian Care Ministry $82 - $153 70%
Dean Health $82 - $153 70%
Fallon Health $82 - $153 70%
Family Life Insurance Company $82 - $153 70%
International Benefit Administrators $82 - $153 70%
Lifetime Benefit Solutions $82 - $153 70%
Manhattan Life $82 - $153 70%
Molina Marketplace $82 - $153 70%
Multiplan $82 - $153 70%
Mvp $82 - $153 70%
Oscar $82 - $153 70%
Pai $82 - $153 70%
Pan-American Life $82 - $153 70%
Phcs $82 - $153 70%
Trinity Health Share $82 - $153 70%
Wellpath $82 - $153 70%
Asr Health Benefits $86 - $134 73%
Partners Direct Health - Brio $88 - $164 75%
Meritain $92 - $144 78%
Claimdoc $94 - $175 80%
Kent County Jail $94 - $175 80%
Muskegon County Jail $94 - $175 80%
Nomi Health $94 - $175 80%
Hap $95 - $140 81%
Varipro $95 - $140 81%
Blue Care Network $97 - $114 83%
Wc Accident Fund $99 - $158 84%
Wc Advantage $99 - $158 84%
Wc Aig $99 - $158 84%
Wc Allied $99 - $158 84%
Wc Amerisure $99 - $158 84%
Wc Amtrust $99 - $158 84%
Wc Asu Risk Mgt $99 - $158 84%
Wc Berkley Admin $99 - $158 84%
Wc Broadspire $99 - $158 84%
Wc Bunch & Associates $99 - $158 84%
Wc Ccmsi $99 - $158 84%
Wc Emc Insurance Company $99 - $158 84%
Wc Esis $99 - $158 84%
Wc Fcci $99 - $158 84%
Wc Federated $99 - $158 84%
Wc Gallagher Bassett $99 - $158 84%
Wc Genex Care For Ohio $99 - $158 84%
Wc Guard Insurance Company $99 - $158 84%
Wc Hartford $99 - $158 84%
Wc Liberty Mutual $99 - $158 84%
Wc Meijers $99 - $158 84%
Wc Michigan $99 - $158 84%
Wc Mitchell Frankenmuth $99 - $158 84%
Wc Pma $99 - $158 84%
Wc Sedgwick $99 - $158 84%
Wc Sentry $99 - $158 84%
Wc Travelers $99 - $158 84%
Wc Tristar $99 - $158 84%
Wc Walmart $99 - $158 84%
Wc Zurich $99 - $158 84%
Blue Benefit Administrators Of Massachusetts $100 - $117 85%
Blue Distinction Transplant $100 - $117 85%
Blue Shield - Ca $100 - $117 85%
Blue Shield - Id (Regence) $100 - $117 85%
Blue Shield - Ny Highmark Northeastern $100 - $117 85%
Blue Shield - Ny Highmark Western $100 - $117 85%
Blue Shield - Pa (Highmark) $100 - $117 85%
Blue Shield - Wa (Regence) $100 - $117 85%
Andrie Inc $104 - $166 88%
East Greenbush Central School District $104 - $166 88%
Genex Wc $104 - $166 88%
Healthsmart Workers Comp $104 - $166 88%
Jag Source $104 - $166 88%
New York State Insurance Fund $104 - $166 88%
Njm Insurance Group $104 - $166 88%
Rx Heatlhcomp $104 - $166 88%
Rx Restat $104 - $166 88%
Rx Saif Opdp Wc $104 - $166 88%
Rx Worker'S Comp $104 - $166 88%
Wc Ace $104 - $166 88%
Wc Acs Federal Employees $104 - $166 88%
Wc Acuity $104 - $166 88%
Wc Aegis $104 - $166 88%
Wc Aims $104 - $166 88%
Wc Alaska National Ins $104 - $166 88%
Wc Align Network $104 - $166 88%
Wc Am Trust N America $104 - $166 88%
Wc American Claims Mgmt $104 - $166 88%
Wc Benetech $104 - $166 88%
Wc Broward County $104 - $166 88%
Wc California State Comp Ins $104 - $166 88%
Wc California State Ins Fund $104 - $166 88%
Wc Capitol Area Health Consortium $104 - $166 88%
Wc Chartis $104 - $166 88%
Wc Chubb $104 - $166 88%
Wc Cirma $104 - $166 88%
Wc City Of Albany $104 - $166 88%
Wc City Of Sioux City $104 - $166 88%
Wc Claims Mgmt Inc $104 - $166 88%
Wc Cna $104 - $166 88%
Wc Comp One Admin C/O Manageability $104 - $166 88%
Wc Compone Admin $104 - $166 88%
Wc Corvel $104 - $166 88%
Wc Ct Healthcare Trust $104 - $166 88%
Wc Donegal Insurance Group $104 - $166 88%
Wc Employee Mutual $104 - $166 88%
Wc Enablecomp $104 - $166 88%
Wc Encore Health Network $104 - $166 88%
Wc Erie $104 - $166 88%
Wc Evolutions $104 - $166 88%
Wc Fed Ex $104 - $166 88%
Wc Federal Black Lung $104 - $166 88%
Wc Finley Occupational Health $104 - $166 88%
Wc First Agency/Occunet $104 - $166 88%
Wc Ford Motor $104 - $166 88%
Wc Fresno Unified Emp $104 - $166 88%
Wc General Motors $104 - $166 88%
Wc Generic $104 - $166 88%
Wc Great West Casualty $104 - $166 88%
Wc Guarantee Insurance $104 - $166 88%
Wc Hab $104 - $166 88%
Wc Hastings $104 - $166 88%
Wc Health Management $104 - $166 88%
Wc Heritage Summit $104 - $166 88%
Wc Hireright $104 - $166 88%
Wc Horizon $104 - $166 88%
Wc Icw Group $104 - $166 88%
Wc Idaho State Ins Fund $104 - $166 88%
Wc Intercare Insurance $104 - $166 88%
Wc Intermountain $104 - $166 88%
Wc Johns Eastern $104 - $166 88%
Wc Kemberton $104 - $166 88%
Wc Key Ins & Benefit Solutions $104 - $166 88%
Wc Mac Risk Management $104 - $166 88%
Wc Massachusetts $104 - $166 88%
Wc Mdia $104 - $166 88%
Wc Meadowbrook Claim $104 - $166 88%
Wc Medical Administrators $104 - $166 88%
Wc Memic $104 - $166 88%
Wc Mercy Workcare $104 - $166 88%
Wc Michigan Millers Mutual $104 - $166 88%
Wc Mra $104 - $166 88%
Wc Nationwide $104 - $166 88%
Wc Nca Comp $104 - $166 88%
Wc New York $104 - $166 88%
Wc New York Special Funds $104 - $166 88%
Wc North American Rishces $104 - $166 88%
Wc Northeast Health $104 - $166 88%
Wc Notre Dame $104 - $166 88%
Wc Novanet $104 - $166 88%
Wc O'Hara Corp $104 - $166 88%
Wc Occ Health Allen $104 - $166 88%
Wc Ohio Bureau $104 - $166 88%
Wc One Call Medical $104 - $166 88%
Wc Paradigm $104 - $166 88%
Wc Peerless $104 - $166 88%
Wc Praxis Health Network $104 - $166 88%
Wc Price Chopper $104 - $166 88%
Wc Procura Management $104 - $166 88%
Wc Qualcare $104 - $166 88%
Wc Quiktrip $104 - $166 88%
Wc Reny Company $104 - $166 88%
Wc Rev Claims $104 - $166 88%
Wc Risico $104 - $166 88%
Wc Rural Mutual $104 - $166 88%
Wc Saif Oregon $104 - $166 88%
Wc Secura $104 - $166 88%
Wc Sheakley Unicomp $104 - $166 88%
Wc Smile Lodge $104 - $166 88%
Wc Society $104 - $166 88%
Wc Srs $104 - $166 88%
Wc Taconic (Mro) $104 - $166 88%
Wc Taconic Farms $104 - $166 88%
Wc Triad Group $104 - $166 88%
Wc Troy Ny $104 - $166 88%
Wc Tyson $104 - $166 88%
Wc Unified Health Services $104 - $166 88%
Wc United Heartland $104 - $166 88%
Wc Us Dept Of Labor $104 - $166 88%
Wc Velocity $104 - $166 88%
Wc West Bend $104 - $166 88%
Wc West Bend Mutual/Argent $104 - $166 88%
Wc Winnebago Industries $104 - $166 88%
Wc Yankee Trails $104 - $166 88%
Wc York Risk $104 - $166 88%
Wc Zenith $104 - $166 88%
Bcccp-Michigan $108 92%
U Of M Health Plan $109 - $171 93%
Acclaim $113 96%
Administrative Concepts $113 96%
Allegeant $113 96%
Allied Benefit Systems $113 96%
Ameriben $113 96%
American Family $113 96%
American Healthcare Alliance $113 96%
American National $113 96%
American Republic $113 96%
Amerihealth $113 96%
Aultcare $113 96%
Automated Benefit Services $113 96%
Auxiant $113 96%
Benefit Administrative Systems,Llc $113 96%
Boon Chapman $113 96%
Cam Administrative Services $113 96%
Christian Brother Services $113 96%
Christian Brothers Holy Cross $113 96%
Claimchoice Adminstrators $113 96%
Comprehensive Benefits $113 96%
Consociate $113 96%
Continental Life Insurance $113 96%
Coventry $113 96%
Custom Benefit Administrators $113 96%
Cypress Benefit Administrators $113 96%
Employee Benefit Concepts $113 96%
Employee Benefit Management $113 96%
Enterprise Group Planning $113 96%
First Health $113 96%
Forest County Potawatomi $113 96%
Freedom Life Insurance Company $113 96%
Group Administrators $113 96%
Group Marketing Services $113 96%
Group Pension Administrators $113 96%
Guardian $113 96%
Health America $113 96%
Health Choices $113 96%
Health Smart $113 96%
Healthcare Management Admin $113 96%
Healthez $113 96%
Healthgram $113 96%
Healthscope $113 96%
Insight $113 96%
Intercare $113 96%
Jfp Benefit Management $113 96%
Jp Farley Corporation $113 96%
Key Benefit Administrator $113 96%
Liberty Union Life Assurance Co $113 96%
Lucent Health $113 96%
Luminare Health $113 96%
Luminare Health (Detroit) $113 96%
Magnacare $113 96%
Medben $113 96%
Medcost $113 96%
Medical Mutual $113 96%
Mutual Health Services $113 96%
Mutual Of Omaha $113 96%
Ncas $113 96%
Nippon Life Ins $113 96%
Nova $113 96%
Painters Union Insurance Fund $113 96%
Physicians Mutual $113 96%
Plumbers Local 98 Insurance Fund $113 96%
Prairie States $113 96%
Preferred One $113 96%
Primary Physician Care $113 96%
Professional Benefit Administrators $113 96%
Secureone Preferred United Plans $113 96%
Siho Insurance Services $113 96%
Sisco Benefits $113 96%
The Loomis Company $113 96%
Trustmark Small Business Benefits $113 96%
Unicare $113 96%
Unified Group Services $113 96%
Valenz $113 96%
Webtpa $113 96%
Western & Southern Financial Group $113 96%
Wps $113 96%
Us Health And Life $114 - $145 97%
Health Partners $117 100%
Tufts Health Plan $117 100%

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