CMS Price Transparency Data
X-ray, foot
Facility: Trinity Health Muskegon Hospital
Billing Code: 73630 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73630
- Insurance Median: $206
- Cash Discount Price: $170
- vs. Medicare Baseline: 2.32x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Trinity Health Muskegon Hospital is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.32x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$170
Average discount available for prompt cash payment at this facility.
Insurance Median
$206
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: $170 (191%)
Insurance Median: $206 (232%)
Cash: $170 (191% of Medicare)
Ins. Median: $206 (232% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 232% of the Medicare baseline (a markup of 132%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Cross Blue Shield | $49 - $142 | 55% |
| Medicaid / KanCare | $49 - $50 | 55% |
| Access Health | $65 | 73% |
| Bcn Domestic | $71 - $142 | 80% |
| Blue Benefit Administrators Of Massachusetts | $71 - $142 | 80% |
| Blue Care Network | $71 - $142 | 80% |
| Blue Distinction Transplant | $71 - $142 | 80% |
| Blue Shield - Ca | $71 - $142 | 80% |
| Blue Shield - Id (Regence) | $71 - $142 | 80% |
| Blue Shield - Ny Highmark Northeastern | $71 - $142 | 80% |
| Blue Shield - Ny Highmark Western | $71 - $142 | 80% |
| Blue Shield - Pa (Highmark) | $71 - $142 | 80% |
| Blue Shield - Wa (Regence) | $71 - $142 | 80% |
| Health Choices | $71 - $310 | 80% |
| Kaiser Domestic | $71 - $142 | 80% |
| U Of M Health Plan | $74 - $310 | 83% |
| Aetna | $85 - $166 | 96% |
| Align Senior Care | $85 - $93 | 96% |
| Blue Care Network Advantage | $85 - $91 | 96% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $85 - $105 | 96% |
| Medicare (plans) | $85 - $91 | 96% |
| UnitedHealthcare | $85 - $347 | 96% |
| Priority Health | $86 - $426 | 97% |
| Geha | $92 - $347 | 103% |
| Meritain | $92 | 103% |
| Correctional Recovery | $93 | 105% |
| Heartland Hospice | $93 | 105% |
| Hospice Harbor Hospice | $93 | 105% |
| Oscar | $119 | 134% |
| Molina Marketplace | $121 | 136% |
| Acs Benefit Services | $136 - $205 | 153% |
| Allied Benefit Systems | $136 - $205 | 153% |
| Claimchoice Adminstrators | $136 - $205 | 153% |
| Consociate | $136 - $205 | 153% |
| Cypress Benefit Administrators | $136 - $205 | 153% |
| Forest County Potawatomi | $136 - $205 | 153% |
| Health Smart | $136 - $205 | 153% |
| Healthgram | $136 - $205 | 153% |
| Healthscope | $136 - $205 | 153% |
| Preferred One | $136 - $205 | 153% |
| Secureone Preferred United Plans | $136 - $205 | 153% |
| Sisco Benefits | $136 - $205 | 153% |
| The Health Plan | $136 - $205 | 153% |
| Trustmark Small Business Benefits | $136 - $205 | 153% |
| Unified Group Services | $136 - $205 | 153% |
| Webtpa | $136 - $205 | 153% |
| Asr Health Benefits | $139 - $209 | 156% |
| Hap | $139 - $312 | 156% |
| Wc Accident Fund | $140 - $210 | 157% |
| Wc Advantage | $140 - $210 | 157% |
| Wc Aig | $140 - $210 | 157% |
| Wc Allied | $140 - $210 | 157% |
| Wc Amerisure | $140 - $210 | 157% |
| Wc Amtrust | $140 - $210 | 157% |
| Wc Asu Risk Mgt | $140 - $210 | 157% |
| Wc Berkley Admin | $140 - $210 | 157% |
| Wc Broadspire | $140 - $210 | 157% |
| Wc Bunch & Associates | $140 - $210 | 157% |
| Wc Ccmsi | $140 - $210 | 157% |
| Wc Emc Insurance Company | $140 - $210 | 157% |
| Wc Esis | $140 - $210 | 157% |
| Wc Fcci | $140 - $210 | 157% |
| Wc Federated | $140 - $210 | 157% |
| Wc Gallagher Bassett | $140 - $210 | 157% |
| Wc Genex Care For Ohio | $140 - $210 | 157% |
| Wc Guard Insurance Company | $140 - $210 | 157% |
| Wc Hartford | $140 - $210 | 157% |
| Wc Liberty Mutual | $140 - $210 | 157% |
| Wc Meijers | $140 - $210 | 157% |
| Wc Michigan | $140 - $210 | 157% |
| Wc Mitchell Frankenmuth | $140 - $210 | 157% |
| Wc Pma | $140 - $210 | 157% |
| Wc Sedgwick | $140 - $210 | 157% |
| Wc Sentry | $140 - $210 | 157% |
| Wc Travelers | $140 - $210 | 157% |
| Wc Tristar | $140 - $210 | 157% |
| Wc Walmart | $140 - $210 | 157% |
| Wc Zurich | $140 - $210 | 157% |
| Hospice Of Michigan | $144 - $217 | 162% |
| Vitalcore | $144 | 162% |
| Wellpath | $144 | 162% |
| Nomi Health | $147 - $221 | 165% |
| Varipro | $152 - $228 | 171% |
| Caresource | $165 - $248 | 186% |
| Cigna | $165 - $248 | 186% |
| 1199 National Benefit Fund | $196 - $296 | 220% |
| Allied National Global Care | $196 - $296 | 220% |
| Asrm - Reliance Standard Life Insurance | $196 - $296 | 220% |
| Christian Care Ministry | $196 - $296 | 220% |
| Dean Health | $196 - $296 | 220% |
| Fallon Health | $196 - $296 | 220% |
| Family Life Insurance Company | $196 - $296 | 220% |
| Ghc Scw | $196 - $296 | 220% |
| Group Pension Administrators | $196 - $296 | 220% |
| International Benefit Administrators | $196 - $296 | 220% |
| Lifetime Benefit Solutions | $196 - $296 | 220% |
| Manhattan Life | $196 - $296 | 220% |
| Medi Share | $196 - $296 | 220% |
| Multiplan | $196 - $296 | 220% |
| Mvp | $196 - $296 | 220% |
| Pai | $196 - $296 | 220% |
| Pan-American Life | $196 - $296 | 220% |
| Paramount Hmo | $196 - $296 | 220% |
| Phcs | $196 - $296 | 220% |
| Trinity Health Share | $196 - $296 | 220% |
| Acclaim | $206 - $310 | 232% |
| Administrative Concepts | $206 - $310 | 232% |
| Allegeant | $206 - $310 | 232% |
| Ameriben | $206 - $310 | 232% |
| American Family | $206 - $310 | 232% |
| American Healthcare Alliance | $206 - $310 | 232% |
| American Republic | $206 - $310 | 232% |
| Amerihealth | $206 - $310 | 232% |
| Aultcare | $206 - $310 | 232% |
| Automated Benefit Services | $206 - $310 | 232% |
| Auxiant | $206 - $310 | 232% |
| Benefit Administrative Systems,Llc | $206 - $310 | 232% |
| Boon Chapman | $206 - $310 | 232% |
| Cam Administrative Services | $206 - $310 | 232% |
| Christian Brother Services | $206 - $310 | 232% |
| Christian Brothers Holy Cross | $206 - $310 | 232% |
| Comprehensive Benefits | $206 - $310 | 232% |
| Continental Life Insurance | $206 - $310 | 232% |
| Custom Benefit Administrators | $206 - $310 | 232% |
| Employee Benefit Concepts | $206 - $310 | 232% |
| Employee Benefit Management | $206 - $310 | 232% |
| Enterprise Group Planning | $206 - $310 | 232% |
| Freedom Life Insurance Company | $206 - $310 | 232% |
| Group Administrators | $206 - $310 | 232% |
| Group Marketing Services | $206 - $310 | 232% |
| Guardian | $206 - $310 | 232% |
| Health America | $206 - $310 | 232% |
| Healthez | $206 - $310 | 232% |
| Humana | $206 - $310 | 232% |
| Insight | $206 - $310 | 232% |
| Intercare | $206 - $310 | 232% |
| Jfp Benefit Management | $206 - $310 | 232% |
| Jp Farley Corporation | $206 - $310 | 232% |
| Key Benefit Administrator | $206 - $310 | 232% |
| Liberty Union Life Assurance Co | $206 - $310 | 232% |
| Lucent Health | $206 - $310 | 232% |
| Luminare Health | $206 - $310 | 232% |
| Luminare Health (Detroit) | $206 - $310 | 232% |
| Medben | $206 - $310 | 232% |
| Medcost | $206 - $310 | 232% |
| Medical Mutual | $206 - $310 | 232% |
| Mutual Health Services | $206 - $310 | 232% |
| Mutual Of Omaha | $206 - $310 | 232% |
| Ncas | $206 - $310 | 232% |
| Nippon Life Ins | $206 - $310 | 232% |
| Nova | $206 - $310 | 232% |
| Painters Union Insurance Fund | $206 - $310 | 232% |
| Physicians Mutual | $206 - $310 | 232% |
| Plumbers Local 98 Insurance Fund | $206 - $310 | 232% |
| Prairie States | $206 - $310 | 232% |
| Primary Physician Care | $206 - $310 | 232% |
| Professional Benefit Administrators | $206 - $310 | 232% |
| The Loomis Company | $206 - $310 | 232% |
| Unicare | $206 - $310 | 232% |
| Us Health And Life | $206 - $310 | 232% |
| Valenz | $206 - $310 | 232% |
| Western & Southern Financial Group | $206 - $310 | 232% |
| Wps | $206 - $310 | 232% |
| First Health | $215 - $323 | 242% |
| Barinet | $262 - $394 | 295% |
| Cmh Allegan County | $262 - $394 | 295% |
| Cmh Barry County | $262 - $394 | 295% |
| Cmh Berrien County | $262 - $394 | 295% |
| Cmh Cass County | $262 - $394 | 295% |
| Cmh Kalamazoo | $262 - $394 | 295% |
| Cmh Kent County | $262 - $394 | 295% |
| Cmh Misc | $262 - $394 | 295% |
| Cmh Muskegon County | $262 - $394 | 295% |
| Cmh North Country | $262 - $394 | 295% |
| Cmh Northern Lakes County | $262 - $394 | 295% |
| Cmh Ottawa County | $262 - $394 | 295% |
| Cmh Van Buren County | $262 - $394 | 295% |
| Cmh West Mi County | $262 - $394 | 295% |