Trinity Health Muskegon Hospital
Trinity Health Muskegon Hospital in Muskegon, MI charges 3.5x the Medicare reimbursement rate across 69 analyzed procedures, representing a significant markup for this nonprofit healthcare facility.
Muskegon, MI 49441 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
3.47x
Charge / Medicare rate
Max markup
5.2x
Worst procedure
Procedures analyzed
69
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $32,413 | $16,206 | — | 5.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $34,873 | $17,437 | — | 4.9x |
| HYPERTENSION WITHOUT MCC | 305 | $20,548 | $10,274 | — | 4.9x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $33,740 | $16,870 | — | 4.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $28,494 | $14,247 | — | 4.5x |
| RENAL FAILURE WITH CC | 683 | $25,056 | $12,528 | — | 4.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $21,599 | $10,799 | — | 4.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $20,229 | $10,114 | — | 4.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $24,694 | $12,347 | — | 4.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $20,051 | $10,025 | — | 4.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $26,015 | $13,007 | — | 4.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $57,579 | $28,790 | — | 4.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $52,846 | $26,423 | — | 4.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $19,339 | $9,669 | — | 4.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $59,237 | $29,618 | — | 4.1x |
| RENAL FAILURE WITH MCC | 682 | $51,999 | $26,000 | — | 4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $25,502 | $12,751 | — | 3.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $72,382 | $36,191 | — | 3.9x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $46,283 | $23,142 | — | 3.8x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $87,316 | $43,658 | — | 3.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $63,053 | $31,527 | — | 3.8x |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $65,720 | $32,860 | — | 3.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $18,970 | $9,485 | — | 3.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $25,597 | $12,798 | — | 3.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $18,758 | $9,379 | — | 3.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $32,265 | $16,133 | — | 3.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $31,383 | $15,691 | — | 3.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $22,253 | $11,126 | — | 3.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $24,244 | $12,122 | — | 3.6x |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | 857 | $49,465 | $24,733 | — | 3.6x |
| DIABETES WITH CC | 638 | $20,086 | $10,043 | — | 3.5x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $88,122 | $44,061 | — | 3.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $30,394 | $15,197 | — | 3.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $40,748 | $20,374 | — | 3.5x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $60,903 | $30,452 | — | 3.4x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $88,411 | $44,205 | — | 3.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $31,644 | $15,822 | — | 3.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $34,913 | $17,456 | — | 3.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $24,899 | $12,449 | — | 3.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $26,346 | $13,173 | — | 3.4x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $44,806 | $22,403 | — | 3.4x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $187,256 | $93,628 | — | 3.4x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $32,019 | $16,010 | — | 3.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $57,277 | $28,638 | — | 3.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $35,824 | $17,912 | — | 3.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $44,561 | $22,281 | — | 3.1x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $92,837 | $46,418 | — | 3.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $33,988 | $16,994 | — | 3.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $47,257 | $23,629 | — | 3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $70,998 | $35,499 | — | 3x |
Showing 50 of 69 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use