CMS Price Transparency Data
X-ray, hip
Facility: Trinity Health Muskegon Hospital
Billing Code: 73502 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73502
- Insurance Median: $135
- Cash Discount Price: $164
- vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Trinity Health Muskegon Hospital is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.52x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$164
Average discount available for prompt cash payment at this facility.
Insurance Median
$135
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: $164 (184%)
Insurance Median: $135 (152%)
Cash: $164 (184% of Medicare)
Ins. Median: $135 (152% 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 |
|---|---|---|
| Blue Cross Blue Shield | $49 - $102 | 55% |
| Medicaid / KanCare | $49 - $60 | 55% |
| Access Health | $65 - $78 | 73% |
| Aetna | $85 - $126 | 96% |
| Align Senior Care | $85 - $102 | 96% |
| Blue Care Network Advantage | $85 - $102 | 96% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $85 - $105 | 96% |
| Medicare (plans) | $85 - $109 | 96% |
| UnitedHealthcare | $85 - $223 | 96% |
| Correctional Recovery | $93 - $112 | 105% |
| Heartland Hospice | $93 - $112 | 105% |
| Hospice Harbor Hospice | $93 - $112 | 105% |
| Bcn Domestic | $101 | 114% |
| Blue Benefit Administrators Of Massachusetts | $101 | 114% |
| Blue Care Network | $101 | 114% |
| Blue Distinction Transplant | $101 | 114% |
| Blue Shield - Ca | $101 | 114% |
| Blue Shield - Id (Regence) | $101 | 114% |
| Blue Shield - Ny Highmark Northeastern | $101 | 114% |
| Blue Shield - Ny Highmark Western | $101 | 114% |
| Blue Shield - Pa (Highmark) | $101 | 114% |
| Blue Shield - Wa (Regence) | $101 | 114% |
| Health Choices | $101 - $199 | 114% |
| Kaiser Domestic | $101 | 114% |
| U Of M Health Plan | $104 - $199 | 117% |
| Priority Health | $110 | 124% |
| Oscar | $119 - $143 | 134% |
| Molina Marketplace | $121 - $145 | 136% |
| Geha | $126 - $223 | 142% |
| Meritain | $126 | 142% |
| Acs Benefit Services | $132 | 148% |
| Allied Benefit Systems | $132 | 148% |
| Claimchoice Adminstrators | $132 | 148% |
| Consociate | $132 | 148% |
| Cypress Benefit Administrators | $132 | 148% |
| Forest County Potawatomi | $132 | 148% |
| Health Smart | $132 | 148% |
| Healthgram | $132 | 148% |
| Healthscope | $132 | 148% |
| Preferred One | $132 | 148% |
| Secureone Preferred United Plans | $132 | 148% |
| Sisco Benefits | $132 | 148% |
| The Health Plan | $132 | 148% |
| Trustmark Small Business Benefits | $132 | 148% |
| Unified Group Services | $132 | 148% |
| Webtpa | $132 | 148% |
| Asr Health Benefits | $134 | 151% |
| Hap | $134 - $201 | 151% |
| Wc Accident Fund | $135 | 152% |
| Wc Advantage | $135 | 152% |
| Wc Aig | $135 | 152% |
| Wc Allied | $135 | 152% |
| Wc Amerisure | $135 | 152% |
| Wc Amtrust | $135 | 152% |
| Wc Asu Risk Mgt | $135 | 152% |
| Wc Berkley Admin | $135 | 152% |
| Wc Broadspire | $135 | 152% |
| Wc Bunch & Associates | $135 | 152% |
| Wc Ccmsi | $135 | 152% |
| Wc Emc Insurance Company | $135 | 152% |
| Wc Esis | $135 | 152% |
| Wc Fcci | $135 | 152% |
| Wc Federated | $135 | 152% |
| Wc Gallagher Bassett | $135 | 152% |
| Wc Genex Care For Ohio | $135 | 152% |
| Wc Guard Insurance Company | $135 | 152% |
| Wc Hartford | $135 | 152% |
| Wc Liberty Mutual | $135 | 152% |
| Wc Meijers | $135 | 152% |
| Wc Michigan | $135 | 152% |
| Wc Mitchell Frankenmuth | $135 | 152% |
| Wc Pma | $135 | 152% |
| Wc Sedgwick | $135 | 152% |
| Wc Sentry | $135 | 152% |
| Wc Travelers | $135 | 152% |
| Wc Tristar | $135 | 152% |
| Wc Walmart | $135 | 152% |
| Wc Zurich | $135 | 152% |
| Hospice Of Michigan | $139 | 156% |
| Nomi Health | $142 | 160% |
| Vitalcore | $144 - $173 | 162% |
| Wellpath | $144 - $173 | 162% |
| Varipro | $146 | 164% |
| Caresource | $159 | 179% |
| Cigna | $159 | 179% |
| 1199 National Benefit Fund | $190 | 214% |
| Allied National Global Care | $190 | 214% |
| Asrm - Reliance Standard Life Insurance | $190 | 214% |
| Christian Care Ministry | $190 | 214% |
| Dean Health | $190 | 214% |
| Fallon Health | $190 | 214% |
| Family Life Insurance Company | $190 | 214% |
| Ghc Scw | $190 | 214% |
| Group Pension Administrators | $190 | 214% |
| International Benefit Administrators | $190 | 214% |
| Lifetime Benefit Solutions | $190 | 214% |
| Manhattan Life | $190 | 214% |
| Medi Share | $190 | 214% |
| Multiplan | $190 | 214% |
| Mvp | $190 | 214% |
| Pai | $190 | 214% |
| Pan-American Life | $190 | 214% |
| Paramount Hmo | $190 | 214% |
| Phcs | $190 | 214% |
| Trinity Health Share | $190 | 214% |
| Acclaim | $199 | 224% |
| Administrative Concepts | $199 | 224% |
| Allegeant | $199 | 224% |
| Ameriben | $199 | 224% |
| American Family | $199 | 224% |
| American Healthcare Alliance | $199 | 224% |
| American Republic | $199 | 224% |
| Amerihealth | $199 | 224% |
| Aultcare | $199 | 224% |
| Automated Benefit Services | $199 | 224% |
| Auxiant | $199 | 224% |
| Benefit Administrative Systems,Llc | $199 | 224% |
| Boon Chapman | $199 | 224% |
| Cam Administrative Services | $199 | 224% |
| Christian Brother Services | $199 | 224% |
| Christian Brothers Holy Cross | $199 | 224% |
| Comprehensive Benefits | $199 | 224% |
| Continental Life Insurance | $199 | 224% |
| Custom Benefit Administrators | $199 | 224% |
| Employee Benefit Concepts | $199 | 224% |
| Employee Benefit Management | $199 | 224% |
| Enterprise Group Planning | $199 | 224% |
| Freedom Life Insurance Company | $199 | 224% |
| Group Administrators | $199 | 224% |
| Group Marketing Services | $199 | 224% |
| Guardian | $199 | 224% |
| Health America | $199 | 224% |
| Healthez | $199 | 224% |
| Humana | $199 | 224% |
| Insight | $199 | 224% |
| Intercare | $199 | 224% |
| Jfp Benefit Management | $199 | 224% |
| Jp Farley Corporation | $199 | 224% |
| Key Benefit Administrator | $199 | 224% |
| Liberty Union Life Assurance Co | $199 | 224% |
| Lucent Health | $199 | 224% |
| Luminare Health | $199 | 224% |
| Luminare Health (Detroit) | $199 | 224% |
| Medben | $199 | 224% |
| Medcost | $199 | 224% |
| Medical Mutual | $199 | 224% |
| Mutual Health Services | $199 | 224% |
| Mutual Of Omaha | $199 | 224% |
| Ncas | $199 | 224% |
| Nippon Life Ins | $199 | 224% |
| Nova | $199 | 224% |
| Painters Union Insurance Fund | $199 | 224% |
| Physicians Mutual | $199 | 224% |
| Plumbers Local 98 Insurance Fund | $199 | 224% |
| Prairie States | $199 | 224% |
| Primary Physician Care | $199 | 224% |
| Professional Benefit Administrators | $199 | 224% |
| The Loomis Company | $199 | 224% |
| Unicare | $199 | 224% |
| Us Health And Life | $199 | 224% |
| Valenz | $199 | 224% |
| Western & Southern Financial Group | $199 | 224% |
| Wps | $199 | 224% |
| First Health | $208 | 234% |
| Barinet | $253 | 285% |
| Cmh Allegan County | $253 | 285% |
| Cmh Barry County | $253 | 285% |
| Cmh Berrien County | $253 | 285% |
| Cmh Cass County | $253 | 285% |
| Cmh Kalamazoo | $253 | 285% |
| Cmh Kent County | $253 | 285% |
| Cmh Misc | $253 | 285% |
| Cmh Muskegon County | $253 | 285% |
| Cmh North Country | $253 | 285% |
| Cmh Northern Lakes County | $253 | 285% |
| Cmh Ottawa County | $253 | 285% |
| Cmh Van Buren County | $253 | 285% |
| Cmh West Mi County | $253 | 285% |