How many shoppable procedure prices are published for Trinity Health Muskegon Hospital?

Trinity Health Muskegon Hospital in Muskegon, MI currently has 126 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Trinity Health Muskegon Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Trinity Health Muskegon Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Trinity Health Muskegon Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Trinity Health Muskegon Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 297 Beds · rural Updated: 2026-03-31

Trinity Health Muskegon Hospital

1500 E Sherman Blvd, Muskegon, MI 49441 · 126 Priced Procedures · 62% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

1.02×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.02×) after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 50% of the Time

File Completeness51

Price Logic70

Peer Alignment71

Clean Billing84

Real Cash Discount88

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.02× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Trinity Health Muskegon Hospital prices shoppable and inpatient services (1.1× to 1.3× Medicare, divergence 1.18×) in alignment with regional hospital peers (1.02× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#66 of 91 in MI · 71st State Percentile#1,382 of 3,385 in U.S. · 40th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.80× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 50% of shoppable procedures (88/100 Cash Honesty)
CMS clinical safety score (63/100 safety score) with 62% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (52.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.02× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.1×) & laboratory (1.7×) services average 1.18× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 1.22×) jump +27% above the median procedure ratio (Q50 0.96×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.18× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+27% Upper Tail

Q25 0.80× · Q50 0.96× · Q75 1.22×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

50% Cash Edge · 88/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 63/100Elevated

Procedure Prices at Trinity Health Muskegon Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 126 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$53,050	$53,715	$30,775	1.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$26,843	$32,300	$19,087	1.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$43,506	$32,074	$19,432	1.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$42,403	$29,315	$17,936	1.6×
Total knee replacement CPT Code: `27447`	$45,061	$20,452	$13,523	unverified
Total hip replacement CPT Code: `27130`	$33,930	$17,811	$13,413	1.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$13,779	$13,779	$8,223	1.7×
Rabies immune globulin HCPCS Code: `90375`	$6,267	$6,267	$322	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$24,205	$5,861	$6,109	1.0×
Inguinal hernia repair CPT Code: `49505`	$25,725	$5,540	$3,629	unverified
Breast lump removal CPT Code: `19120`	$11,942	$4,047	$3,875	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$16,642	$3,717	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	$16,319	$3,094	$3,446	0.9×
Trauma team activation HCPCS Code: `G0390`	$3,769	$1,792	$1,453	1.2×
Colonoscopy with biopsy CPT Code: `45380`	—	—	$1,256	—
C-section delivery (full package) CPT Code: `59510`	$938	$1,174	$2,975	0.4×
Vaginal delivery (full package) CPT Code: `59400`	—	$1,080	$2,680	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	—	$987	—
Colonoscopy (diagnostic) CPT Code: `45378`	—	—	$981	—
Injection procedure for pain management HCPCS Code: `G0260`	$716	$693	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	—	$583	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	$714	$407	$272	1.5×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$430	$1,021	0.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,014	$352	$448	0.8×
Blood transfusion CPT Code: `36430`	—	$359	$498	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,051	$345	$511	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$294	$298	$148	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,499	$250	$369	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$158	$217	$86	2.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$252	$214	$151	1.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$346	$225	$132	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$221	$239	$123	unverified
Family therapy session CPT Code: `90847`	$151	$186	$173	1.1×
Neurobehavioral status check CPT Code: `96116`	$181	$181	$231	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,151	$186	$258	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,362	$208	$343	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,546	$199	$338	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	—	—	$201	—
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,894	$173	$303	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$90	$139	$123	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$501	$124	$134	0.9×
CT scan, sinuses CPT Code: `70486`	$841	$143	$166	0.9×
CT scan, pelvis CPT Code: `72192`	$892	$134	$163	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$913	$135	$167	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$960	$136	$169	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$960	$135	$168	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$989	$156	$242	0.6×
X-ray, hip CPT Code: `73502`	$164	$101	$93	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$176	$125	$185	0.7×
X-ray, ankle CPT Code: `73610`	$188	$93	$93	1.0×
X-ray, foot CPT Code: `73630`	$170	$91	$92	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$187	$91	$93	1.0×
X-ray, lower back CPT Code: `72110`	$298	$109	$112	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	—	$99	$110	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$164	$120	$181	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$84	$87	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$358	$94	$126	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$825	$109	$160	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$114	$82	$166	0.5×
X-ray, chest (two views) CPT Code: `71046`	—	—	$93	—
X-ray, shoulder CPT Code: `73030`	$241	$92	$92	unverified
X-ray, hand CPT Code: `73130`	$200	$96	$93	unverified
Typhoid vaccine HCPCS Code: `90675`	$902	$496	$347	1.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$116	$197	$203	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$207	$207	$140	unverified
Drug screening test HCPCS Code: `G0480`	$525	$140	$116	1.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$102	$111	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$71	$64	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$207	$75	$86	0.9×
X-ray, pelvis CPT Code: `72170`	—	$78	$110	0.7×
X-ray, chest (single view) CPT Code: `71045`	—	$65	$92	0.7×
Ultrasound, pelvis CPT Code: `76856`	—	$67	$130	0.5×
Electrical stimulation therapy HCPCS Code: `G0283`	$65	$25	$14	1.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$16	$11	1.5×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$99	$34	$27	1.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	$83	$43	$35	1.2×
Blood test, vitamin D CPT Code: `82306`	$47	$38	$31	1.2×
Orthotic fitting and training CPT Code: `97760`	$104	$44	$51	0.9×
Group therapy session CPT Code: `90853`	$55	$55	$100	0.6×
Blood test, liver function panel CPT Code: `80076`	$56	$12	$9	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$8	$6	1.3×
Blood test, lipase CPT Code: `83690`	—	$9	$7	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$10	$8	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$69	$25	$20	1.3×
Culture, bacterial CPT Code: `87070`	$54	$11	$9	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$59	$17	$14	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$44	$23	$19	1.2×
Hepatitis C antibody test CPT Code: `86803`	$50	$18	$15	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$30	$19	$16	1.2×
Culture, blood CPT Code: `87040`	$65	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$37	$21	$18	1.2×
Blood test, amylase CPT Code: `82150`	—	$8	$7	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$33	$33	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$81	$33	$37	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$88	$33	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	$86	$39	$45	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$81	$34	$40	0.8×
Blood test, calcium CPT Code: `82310`	$26	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$36	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$27	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$10	$10	1.0×
Blood test, potassium CPT Code: `84132`	$36	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$22	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$25	$4	$4	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$40	$23	$25	0.9×
Speech therapy (group session) CPT Code: `92508`	$54	$23	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$80	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$84	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$87	$32	$38	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$92	$32	$39	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$39	$56	0.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$4	$5	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$20	$25	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$102	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$101	$27	$34	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$36	$32	$48	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$36	$32	$49	0.7×
Blood test, hemoglobin CPT Code: `85018`	—	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$39	$22	$46	0.5×
Psychological testing evaluation CPT Code: `96136`	$21	$22	$128	0.2×
Psychological testing by technician CPT Code: `96138`	$14	$14	$395	0.0×
Blood test, basic metabolic panel CPT Code: `80048`	—	$15	$9	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$30	$20	$14	unverified
Blood test, magnesium CPT Code: `83735`	—	—	$7	—
Colorectal cancer screening HCPCS Code: `G0010`	$25	$25	$49	unverified

Showing top 25 high-impact procedures of 126 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 52.5%

Audit a Bill or Quote at Trinity Health Muskegon Hospital (Zero PHI Required)

CMS CCN: 230066

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $53,050

Insurer Median $53,715

1. Amount on Your Bill or Quote ($) Pre-filled with Trinity Health Muskegon Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $67,720 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $67,720

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (52.5% of gross = $67,720).

Step 2 · Cash vs. Insurance Arbitrage Save $75,866 Paying Cash

Self-Pay Cash Rate ($53,050) Beats Your Bill

Trinity Health Muskegon Hospital's published 45 CFR § 180 self-pay cash rate is $53,050 (vs. $53,715 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$98,141 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($128,916) is $98,141 above the denoised Fair BaseRate ($30,775) and 5.5× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (52.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite63/100

Would Recommend62%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait208 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionbetter

Hip/Knee Complication Rate4.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Trinity Health Muskegon Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-18·administrative_or_closure
Met Requirements
Recorded
2025-05-21·administrative_or_closure
Met Requirements
Recorded
2025-04-03·administrative_or_closure
Met Requirements
Recorded
2023-07-05·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (648 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Trinity Health Muskegon Hospital.

Price Index: 1.00× regional baseline

Quality: 61/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Access Health

-43.7%

Median Household Income$63,495U.S. Census ACS

Local Uninsured Share4.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 72/100 · Corroborated CMS CCN 230066

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 230066) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-31

Validated Rate Rows43,724 (CMS v3.0.0)

File Integrity DigestVerified · CCN 230066

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy