CMS Price Transparency Data
X-ray, pelvis
Facility: Trinity Health Muskegon Hospital
Billing Code: 72170 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72170
- Insurance Median: $207
- Cash Discount Price: $16,865
- vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Trinity Health Muskegon Hospital is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,865. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.94x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$16,865
Average discount available for prompt cash payment at this facility.
Insurance Median
$207
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$106.81
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $16,865 (15790%)
Insurance Median: $207 (194%)
Cash: $16,865 (15790% of Medicare)
Ins. Median: $207 (194% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $106.81 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
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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 |
|---|---|---|
| Bcn Domestic | $54 | 51% |
| Blue Benefit Administrators Of Massachusetts | $54 | 51% |
| Blue Care Network | $54 | 51% |
| Blue Cross Blue Shield | $54 - $13,427 | 51% |
| Blue Distinction Transplant | $54 | 51% |
| Blue Shield - Ca | $54 | 51% |
| Blue Shield - Id (Regence) | $54 | 51% |
| Blue Shield - Ny Highmark Northeastern | $54 | 51% |
| Blue Shield - Ny Highmark Western | $54 | 51% |
| Blue Shield - Pa (Highmark) | $54 | 51% |
| Blue Shield - Wa (Regence) | $54 | 51% |
| Health Choices | $54 - $217 | 51% |
| Kaiser Domestic | $54 | 51% |
| Medicaid / KanCare | $58 - $7,312 | 54% |
| U Of M Health Plan | $61 - $217 | 57% |
| Aetna | $68 - $13,427 | 64% |
| Geha | $68 - $243 | 64% |
| Meritain | $68 | 64% |
| Access Health | $78 - $9,591 | 73% |
| Blue Care Network Advantage | $109 - $13,427 | 102% |
| Medicare (plans) | $109 - $13,427 | 102% |
| Align Senior Care | $112 - $13,701 | 105% |
| Correctional Recovery | $112 - $13,701 | 105% |
| Heartland Hospice | $112 - $13,701 | 105% |
| Hospice Harbor Hospice | $112 - $13,701 | 105% |
| UnitedHealthcare | $115 - $14,112 | 108% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $126 - $15,441 | 118% |
| Priority Health | $142 - $174 | 133% |
| Oscar | $143 - $17,537 | 134% |
| Acs Benefit Services | $144 | 135% |
| Allied Benefit Systems | $144 | 135% |
| Claimchoice Adminstrators | $144 | 135% |
| Consociate | $144 | 135% |
| Cypress Benefit Administrators | $144 | 135% |
| Forest County Potawatomi | $144 | 135% |
| Health Smart | $144 | 135% |
| Healthgram | $144 | 135% |
| Healthscope | $144 | 135% |
| Preferred One | $144 | 135% |
| Secureone Preferred United Plans | $144 | 135% |
| Sisco Benefits | $144 | 135% |
| The Health Plan | $144 | 135% |
| Trustmark Small Business Benefits | $144 | 135% |
| Unified Group Services | $144 | 135% |
| Webtpa | $144 | 135% |
| Molina Marketplace | $145 - $17,811 | 136% |
| Asr Health Benefits | $147 | 138% |
| Hap | $147 - $219 | 138% |
| Wc Accident Fund | $147 | 138% |
| Wc Advantage | $147 | 138% |
| Wc Aig | $147 | 138% |
| Wc Allied | $147 | 138% |
| Wc Amerisure | $147 | 138% |
| Wc Amtrust | $147 | 138% |
| Wc Asu Risk Mgt | $147 | 138% |
| Wc Berkley Admin | $147 | 138% |
| Wc Broadspire | $147 | 138% |
| Wc Bunch & Associates | $147 | 138% |
| Wc Ccmsi | $147 | 138% |
| Wc Emc Insurance Company | $147 | 138% |
| Wc Esis | $147 | 138% |
| Wc Fcci | $147 | 138% |
| Wc Federated | $147 | 138% |
| Wc Gallagher Bassett | $147 | 138% |
| Wc Genex Care For Ohio | $147 | 138% |
| Wc Guard Insurance Company | $147 | 138% |
| Wc Hartford | $147 | 138% |
| Wc Liberty Mutual | $147 | 138% |
| Wc Meijers | $147 | 138% |
| Wc Michigan | $147 | 138% |
| Wc Mitchell Frankenmuth | $147 | 138% |
| Wc Pma | $147 | 138% |
| Wc Sedgwick | $147 | 138% |
| Wc Sentry | $147 | 138% |
| Wc Travelers | $147 | 138% |
| Wc Tristar | $147 | 138% |
| Wc Walmart | $147 | 138% |
| Wc Zurich | $147 | 138% |
| Hospice Of Michigan | $152 | 142% |
| Nomi Health | $155 | 145% |
| Varipro | $160 | 150% |
| Vitalcore | $173 - $21,236 | 162% |
| Wellpath | $173 - $21,236 | 162% |
| Caresource | $174 | 163% |
| Cigna | $174 | 163% |
| 1199 National Benefit Fund | $207 | 194% |
| Allied National Global Care | $207 | 194% |
| Asrm - Reliance Standard Life Insurance | $207 | 194% |
| Christian Care Ministry | $207 | 194% |
| Dean Health | $207 | 194% |
| Fallon Health | $207 | 194% |
| Family Life Insurance Company | $207 | 194% |
| Ghc Scw | $207 | 194% |
| Group Pension Administrators | $207 | 194% |
| International Benefit Administrators | $207 | 194% |
| Lifetime Benefit Solutions | $207 | 194% |
| Manhattan Life | $207 | 194% |
| Medi Share | $207 | 194% |
| Multiplan | $207 | 194% |
| Mvp | $207 | 194% |
| Pai | $207 | 194% |
| Pan-American Life | $207 | 194% |
| Paramount Hmo | $207 | 194% |
| Phcs | $207 | 194% |
| Trinity Health Share | $207 | 194% |
| Acclaim | $217 | 203% |
| Administrative Concepts | $217 | 203% |
| Allegeant | $217 | 203% |
| Ameriben | $217 | 203% |
| American Family | $217 | 203% |
| American Healthcare Alliance | $217 | 203% |
| American Republic | $217 | 203% |
| Amerihealth | $217 | 203% |
| Aultcare | $217 | 203% |
| Automated Benefit Services | $217 | 203% |
| Auxiant | $217 | 203% |
| Benefit Administrative Systems,Llc | $217 | 203% |
| Boon Chapman | $217 | 203% |
| Cam Administrative Services | $217 | 203% |
| Christian Brother Services | $217 | 203% |
| Christian Brothers Holy Cross | $217 | 203% |
| Comprehensive Benefits | $217 | 203% |
| Continental Life Insurance | $217 | 203% |
| Custom Benefit Administrators | $217 | 203% |
| Employee Benefit Concepts | $217 | 203% |
| Employee Benefit Management | $217 | 203% |
| Enterprise Group Planning | $217 | 203% |
| Freedom Life Insurance Company | $217 | 203% |
| Group Administrators | $217 | 203% |
| Group Marketing Services | $217 | 203% |
| Guardian | $217 | 203% |
| Health America | $217 | 203% |
| Healthez | $217 | 203% |
| Humana | $217 | 203% |
| Insight | $217 | 203% |
| Intercare | $217 | 203% |
| Jfp Benefit Management | $217 | 203% |
| Jp Farley Corporation | $217 | 203% |
| Key Benefit Administrator | $217 | 203% |
| Liberty Union Life Assurance Co | $217 | 203% |
| Lucent Health | $217 | 203% |
| Luminare Health | $217 | 203% |
| Luminare Health (Detroit) | $217 | 203% |
| Medben | $217 | 203% |
| Medcost | $217 | 203% |
| Medical Mutual | $217 | 203% |
| Mutual Health Services | $217 | 203% |
| Mutual Of Omaha | $217 | 203% |
| Ncas | $217 | 203% |
| Nippon Life Ins | $217 | 203% |
| Nova | $217 | 203% |
| Painters Union Insurance Fund | $217 | 203% |
| Physicians Mutual | $217 | 203% |
| Plumbers Local 98 Insurance Fund | $217 | 203% |
| Prairie States | $217 | 203% |
| Primary Physician Care | $217 | 203% |
| Professional Benefit Administrators | $217 | 203% |
| The Loomis Company | $217 | 203% |
| Unicare | $217 | 203% |
| Us Health And Life | $217 | 203% |
| Valenz | $217 | 203% |
| Western & Southern Financial Group | $217 | 203% |
| Wps | $217 | 203% |
| First Health | $227 | 213% |
| Barinet | $276 | 258% |
| Cmh Allegan County | $276 | 258% |
| Cmh Barry County | $276 | 258% |
| Cmh Berrien County | $276 | 258% |
| Cmh Cass County | $276 | 258% |
| Cmh Kalamazoo | $276 | 258% |
| Cmh Kent County | $276 | 258% |
| Cmh Misc | $276 | 258% |
| Cmh Muskegon County | $276 | 258% |
| Cmh North Country | $276 | 258% |
| Cmh Northern Lakes County | $276 | 258% |
| Cmh Ottawa County | $276 | 258% |
| Cmh Van Buren County | $276 | 258% |
| Cmh West Mi County | $276 | 258% |