CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: St Joe Mercy Hospital System Livonia

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$60
about 0.6× the $95 Medicare rate · typically $47–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$58
About the fair price
about $2 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $60 This hospital $58 Hospital's list price $182

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

On the higher side — 6 of 8 other MI hospitals charge less.

Cheapest $34 Priciest $60

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

A fair price for a Office visit, established patient (20-29 min) is about $60 (about 0.6× the $95 Medicare rate). St Joe Mercy Hospital System Livonia charges insurers about $58 — about the fair price. Located in Livonia, MI.

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 $42 - $58 44%
Blue Cross Blue Shieldmajor $42 - $86 44%
Aetnamajor $42 - $106 44%
Cignamajor $42 - $70 44%
Humanamajor $42 - $106 44%
Ambetter (Centene) $42 44%
AmeriHealth $106 111%
Clover Health $58 61%
Dean Health Plan $80 84%
Health Net $42 - $98 44%
HealthPartners $42 - $78 44%
MagnaCare $106 111%
Medical Mutual $106 111%
Meridian $42 - $58 44%
Molina $42 - $80 44%
MVP Health Care $80 84%
Paramount $42 44%
Presbyterian $42 - $58 44%
Priority Health $75 79%
Tufts Health Plan $42 - $78 44%
UniCare $106 111%
WellMed $58 61%
WellSense $42 44%
+ 419 smaller / regional plans $42 - $106
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.

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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