CMS Price Transparency Data

Blood antibody screen

Facility: St Joe Mercy Hospital System Livonia

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$24
about 0.5× the $53 Medicare rate · typically $10–$51
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Above the fair price
about $6 over the fair price · 0.6× Medicare
Medicare pays $53 Fair price $24 This hospital $30 Cash price $46 Hospital's list price $71

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $7 Priciest $30

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Blood antibody screen is about $24 (about 0.5× the $53 Medicare rate). St Joe Mercy Hospital System Livonia charges insurers about $30, or about $46 in cash — above the fair price. Located in Livonia, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $24. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $29 - $61 54%
Blue Cross Blue Shieldmajor $6 - $51 11%
Aetnamajor $14 - $76 26%
Cignamajor $29 - $76 54%
Humanamajor $29 - $60 54%
Kaiser Permanentemajor $9 17%
AmeriHealth $29 - $60 54%
CareSource $46 86%
Dean Health Plan $29 - $61 54%
GEHA $14 - $61 26%
Health Net $46 - $95 86%
HealthPartners $28 - $58 53%
MagnaCare $29 - $60 54%
Medical Mutual $29 - $60 54%
Molina $68 128%
MVP Health Care $29 - $61 54%
Paramount $29 - $61 54%
Priority Health $30 - $33 56%
Tufts Health Plan $28 - $58 53%
UniCare $29 - $60 54%
+ 135 smaller / regional plans $9 - $117
Government programs also on file: Medicare, Medicaid.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 36475 Five Mile Road, Livonia, MI 48154
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals