CMS Price Transparency Data

X-ray, chest (single view)

Facility: Trinity Health Muskegon Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $151
  • Cash Discount Price: $10,925
  • vs. Medicare Baseline: 1.70x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Trinity Health Muskegon Hospital is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,925. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.70x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$10,925

Average discount available for prompt cash payment at this facility.

Insurance Median
$151

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $10,925 (12288%)
Insurance Median: $151 (170%)
Cash: $10,925 (12288% of Medicare)
Ins. Median: $151 (170% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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
Bcn Domestic $47 53%
Blue Benefit Administrators Of Massachusetts $47 53%
Blue Care Network $47 53%
Blue Cross Blue Shield $47 - $10,931 53%
Blue Distinction Transplant $47 53%
Blue Shield - Ca $47 53%
Blue Shield - Id (Regence) $47 53%
Blue Shield - Ny Highmark Northeastern $47 53%
Blue Shield - Ny Highmark Western $47 53%
Blue Shield - Pa (Highmark) $47 53%
Blue Shield - Wa (Regence) $47 53%
Health Choices $47 - $158 53%
Kaiser Domestic $47 53%
Medicaid / KanCare $49 - $5,953 55%
U Of M Health Plan $57 - $158 64%
Aetna $60 - $10,931 67%
Geha $60 - $177 67%
Meritain $60 67%
Access Health $65 - $7,808 73%
Priority Health $82 92%
Blue Care Network Advantage $91 - $10,931 102%
Medicare (plans) $91 - $10,931 102%
Align Senior Care $93 - $11,154 105%
Correctional Recovery $93 - $11,154 105%
Heartland Hospice $93 - $11,154 105%
Hospice Harbor Hospice $93 - $11,154 105%
UnitedHealthcare $96 - $11,488 108%
Acs Benefit Services $105 118%
Allied Benefit Systems $105 118%
Claimchoice Adminstrators $105 118%
Consociate $105 118%
Cypress Benefit Administrators $105 118%
Forest County Potawatomi $105 118%
Health Smart $105 118%
Healthgram $105 118%
Healthscope $105 118%
Longevity Ipa Of Michigan Llc Health Plan Isnp $105 - $12,570 118%
Preferred One $105 118%
Secureone Preferred United Plans $105 118%
Sisco Benefits $105 118%
The Health Plan $105 118%
Trustmark Small Business Benefits $105 118%
Unified Group Services $105 118%
Webtpa $105 118%
Asr Health Benefits $107 120%
Hap $107 - $159 120%
Wc Accident Fund $107 120%
Wc Advantage $107 120%
Wc Aig $107 120%
Wc Allied $107 120%
Wc Amerisure $107 120%
Wc Amtrust $107 120%
Wc Asu Risk Mgt $107 120%
Wc Berkley Admin $107 120%
Wc Broadspire $107 120%
Wc Bunch & Associates $107 120%
Wc Ccmsi $107 120%
Wc Emc Insurance Company $107 120%
Wc Esis $107 120%
Wc Fcci $107 120%
Wc Federated $107 120%
Wc Gallagher Bassett $107 120%
Wc Genex Care For Ohio $107 120%
Wc Guard Insurance Company $107 120%
Wc Hartford $107 120%
Wc Liberty Mutual $107 120%
Wc Meijers $107 120%
Wc Michigan $107 120%
Wc Mitchell Frankenmuth $107 120%
Wc Pma $107 120%
Wc Sedgwick $107 120%
Wc Sentry $107 120%
Wc Travelers $107 120%
Wc Tristar $107 120%
Wc Walmart $107 120%
Wc Zurich $107 120%
Hospice Of Michigan $111 125%
Nomi Health $113 127%
Varipro $116 130%
Oscar $119 - $14,277 134%
Molina Marketplace $121 - $14,500 136%
Cigna $126 142%
Caresource $127 143%
Vitalcore $144 - $17,288 162%
Wellpath $144 - $17,288 162%
1199 National Benefit Fund $151 170%
Allied National Global Care $151 170%
Asrm - Reliance Standard Life Insurance $151 170%
Christian Care Ministry $151 170%
Dean Health $151 170%
Fallon Health $151 170%
Family Life Insurance Company $151 170%
Ghc Scw $151 170%
Group Pension Administrators $151 170%
International Benefit Administrators $151 170%
Lifetime Benefit Solutions $151 170%
Manhattan Life $151 170%
Medi Share $151 170%
Multiplan $151 170%
Mvp $151 170%
Pai $151 170%
Pan-American Life $151 170%
Paramount Hmo $151 170%
Phcs $151 170%
Trinity Health Share $151 170%
Acclaim $158 178%
Administrative Concepts $158 178%
Allegeant $158 178%
Ameriben $158 178%
American Family $158 178%
American Healthcare Alliance $158 178%
American Republic $158 178%
Amerihealth $158 178%
Aultcare $158 178%
Automated Benefit Services $158 178%
Auxiant $158 178%
Benefit Administrative Systems,Llc $158 178%
Boon Chapman $158 178%
Cam Administrative Services $158 178%
Christian Brother Services $158 178%
Christian Brothers Holy Cross $158 178%
Comprehensive Benefits $158 178%
Continental Life Insurance $158 178%
Custom Benefit Administrators $158 178%
Employee Benefit Concepts $158 178%
Employee Benefit Management $158 178%
Enterprise Group Planning $158 178%
Freedom Life Insurance Company $158 178%
Group Administrators $158 178%
Group Marketing Services $158 178%
Guardian $158 178%
Health America $158 178%
Healthez $158 178%
Humana $158 178%
Insight $158 178%
Intercare $158 178%
Jfp Benefit Management $158 178%
Jp Farley Corporation $158 178%
Key Benefit Administrator $158 178%
Liberty Union Life Assurance Co $158 178%
Lucent Health $158 178%
Luminare Health $158 178%
Luminare Health (Detroit) $158 178%
Medben $158 178%
Medcost $158 178%
Medical Mutual $158 178%
Mutual Health Services $158 178%
Mutual Of Omaha $158 178%
Ncas $158 178%
Nippon Life Ins $158 178%
Nova $158 178%
Painters Union Insurance Fund $158 178%
Physicians Mutual $158 178%
Plumbers Local 98 Insurance Fund $158 178%
Prairie States $158 178%
Primary Physician Care $158 178%
Professional Benefit Administrators $158 178%
The Loomis Company $158 178%
Unicare $158 178%
Us Health And Life $158 178%
Valenz $158 178%
Western & Southern Financial Group $158 178%
Wps $158 178%
First Health $165 186%
Barinet $201 226%
Cmh Allegan County $201 226%
Cmh Barry County $201 226%
Cmh Berrien County $201 226%
Cmh Cass County $201 226%
Cmh Kalamazoo $201 226%
Cmh Kent County $201 226%
Cmh Misc $201 226%
Cmh Muskegon County $201 226%
Cmh North Country $201 226%
Cmh Northern Lakes County $201 226%
Cmh Ottawa County $201 226%
Cmh Van Buren County $201 226%
Cmh West Mi County $201 226%

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