CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Trinity Health Muskegon Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$32,275
about 1.4× the $23,504 Medicare rate · typically $22,608–$58,475
modeled estimate · not a bill or quote
What this hospital charges insurers
$53,715
Above the fair price
about $21,440 over the fair price · 2.3× Medicare
Medicare pays $23,504 Fair price $32,275 This hospital $53,715 Cash price $53,050

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 $14,842 Priciest $53,715

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $32,275 (about 1.4× the $23,504 Medicare rate). Trinity Health Muskegon Hospital charges insurers about $53,715, or about $53,050 in cash — above the fair price. Located in Muskegon, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $32,275. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana

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 $25,308 108%
Blue Cross Blue Shieldmajor $24,080 - $60,750 102%
Aetnamajor $24,080 - $53,715 102%
Kaiser Permanentemajor $60,750 258%
CareSource $34,401 146%
GEHA $53,715 229%
Molina $31,943 136%
Oscar Health $26,977 115%
Priority Health $43,148 - $59,859 184%
+ 10 smaller / regional plans $17,200 - $60,750
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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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