CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: St Joe Mercy Hospital System Livonia

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$75
about 0.6× the $118 Medicare rate · typically $53–$99
modeled estimate · not a bill or quote
What this hospital charges insurers
$117
Above the fair price
about $42 over the fair price · 1.0× Medicare
Medicare pays $118 Fair price $75 This hospital $117 Hospital's list price $248

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 $47 Priciest $117

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

A fair price for a New patient office visit (30-44 min) is about $75 (about 0.6× the $118 Medicare rate). St Joe Mercy Hospital System Livonia charges insurers about $117 — 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 $75. 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.

5 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 $52 - $117 44%
Blue Cross Blue Shieldmajor $52 - $117 44%
Aetnamajor $52 - $166 44%
Cignamajor $52 - $119 44%
Humanamajor $52 - $144 44%
Ambetter (Centene) $52 - $96 44%
AmeriHealth $143 - $144 122%
Clover Health $73 - $117 62%
Dean Health Plan $101 - $161 86%
Health Net $52 - $166 44%
HealthPartners $52 - $117 44%
MagnaCare $143 - $144 122%
Medical Mutual $143 - $144 122%
Meridian $52 - $117 44%
Molina $52 - $161 44%
MVP Health Care $101 - $161 86%
Paramount $52 - $96 44%
Presbyterian $52 - $117 44%
Priority Health $94 - $126 80%
Tufts Health Plan $52 - $117 44%
UniCare $143 - $144 122%
WellMed $73 - $117 62%
WellSense $52 - $96 44%
+ 419 smaller / regional plans $52 - $185
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 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

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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