CMS Price Transparency Data

Ultrasound, pelvis

Facility: St Joe Mercy Hospital System Livonia

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $48
  • Cash Discount Price: $1,147
  • vs. Medicare Baseline: 0.45x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at St Joe Mercy Hospital System Livonia is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,147. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.45x the Medicare baseline. Located in 36475 Five Mile Road, Livonia, MI.
Cash / Self-Pay
$1,147

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,147 (1074%)
Insurance Median: $48 (45%)
Cash: $1,147 (1074% of Medicare)
Ins. Median: $48 (45% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

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Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $21 - $530 20%
Albany County Correctional Facility $21 20%
Ambetter / Centene $21 20%
Amish Mennonite $21 20%
Ascension St. Vincent Public Safety Medical $21 20%
Bccp $21 20%
Blue Cross Blue Shield $21 - $116 20%
Bmc Healthnet $21 20%
Breast Grant-Connecticut $21 20%
Broward County Dept Of Health $21 20%
California Health And Wellness $21 20%
Cardinal Innovations Lme $21 20%
Care Connections Of Northern Iowa $21 20%
Care Oregon Ohp $21 20%
Cencal Health Plan $21 20%
Cenpatico $21 20%
Chhuny $21 20%
Childrens Comm Health Plan $21 20%
Childrens Medical Services Title 19 $21 20%
Cigna $21 - $966 20%
City Of Philadelphia $21 20%
Cmh Allegan County $21 20%
Cmh Ausable Valley $21 20%
Cmh Barry County $21 20%
Cmh Bay-Arenac County $21 20%
Cmh Berrien County $21 20%
Cmh Cass County $21 20%
Cmh Central Mi County $21 20%
Cmh Clinton-Eaton-Ingham County $21 20%
Cmh Detroit Wayne Integrated Health Network $21 - $1,208 20%
Cmh Genesee County $21 20%
Cmh Ionia County $21 20%
Cmh Jackson County/Lifeways $21 20%
Cmh Kalamazoo $21 20%
Cmh Kent County $21 20%
Cmh Lenawee County $21 - $1,208 20%
Cmh Livingston County $21 - $1,208 20%
Cmh Macomb $21 20%
Cmh Misc $21 - $1,208 20%
Cmh Monroe County $21 - $1,208 20%
Cmh Montcalm County $21 20%
Cmh Muskegon County $21 20%
Cmh Newaygo County $21 20%
Cmh North Country $21 20%
Cmh Northern Lakes County $21 20%
Cmh Oakland County $21 20%
Cmh Ottawa County $21 20%
Cmh Van Buren County $21 20%
Cmh Washtenaw County $21 - $1,208 20%
Cmh Wayne County/Carelink $21 20%
Cmh Wayne Cty/Com Liv Svcs $21 20%
Cmh West Mi County $21 20%
Community Benefit Health $21 20%
Community Care Behavorial Health $21 20%
Community Care Partners $21 20%
Community Health Choice $21 20%
Connections Csp $21 20%
County Coroner $21 20%
County Funding Generic $21 20%
Covid19 Hrsa Uninsured Testing And Treatment Fund $21 20%
Dean Wi Badgercare $21 20%
Delaware County Department Of Health $21 20%
Delaware First Health $21 20%
Delta Dental Nj $21 20%
Dph Tb Program $21 20%
Dscc $21 20%
Eastpointe Lme $21 20%
Family Health Network $21 20%
Freedom First Healthcare $21 20%
Fresno County Ccs $21 20%
Ghc Scw Wi Badgercare $21 20%
Harbor Health $21 20%
Health Safety Net $21 20%
Healthy Blue Ne $21 20%
Hennepin Health $21 20%
Humana $21 - $767 20%
Id County Ada $21 20%
Id County Canyon $21 20%
Id County Cat Fund $21 20%
Id County Other $21 20%
Id County Payette $21 20%
Idaho Dept Health And Wellfare $21 20%
Idaho Womens Health Check $21 20%
Indiana Breast Cervical Cancer $21 20%
Inland Empire Health Plan $21 20%
Intercommunity Health Ohp $21 20%
Iowa Total Care $21 20%
Jai Medical System $21 20%
Kern Family Health Plan $21 20%
Keystone First $21 20%
Keystone First Chip $21 20%
La Care Health Plan $21 20%
Lakeland Care Inc $21 20%
Managed Health Services - Indiana $21 20%
Maryland Breast & Cervical Program $21 20%
Maryland Healthy Smiles - Scion Dental $21 20%
Maryland Physicians Care $21 20%
Massachusetts Behavioral Health Partnership $21 20%
Mdwise $21 20%
Medi-Cal $21 20%
Medi-Cal Healthnet $21 20%
Medicaid / KanCare $21 - $114 20%
Medstar Dc Healthy Family $21 20%
Medstar Md Health Choice $21 20%
Mo Home State Health Plan $21 20%
Molina Centennial Care $21 20%
Nascentia Health Options $21 20%
Nebraska Total Care $21 20%
New York Cancer Services Program $21 20%
Nextlevel Health $21 20%
Oregon Screenwise $21 20%
Pace Of Southwest Michigan $21 - $32 20%
Paramount Advantage $21 20%
Parkland Community Health Plan $21 20%
Partners Behavioral Lme $21 20%
Peach State Healthplan $21 20%
Philadelphia County Funding $21 20%
Presbyterian Centennial Care $21 20%
Prestige Health Choice $21 20%
Priority Partners $21 20%
Robert F Sing Program $21 20%
Rx 340B Pass Along $21 20%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $21 20%
Rx Medi-Cal $21 20%
Rx Meridian Rx $21 20%
Ryan White Florida Mssrp $21 20%
Sandhills Center Lme $21 20%
Screening For Life $21 20%
St Joseph County Hlth Dpt $21 20%
Stephenson Cty Health $21 20%
Sunshine State Health Plan $21 20%
Superior Health $21 20%
Tenncare $21 20%
Texas Children'S Health Plan $21 20%
Trillium Community Ohp $21 20%
Tufts Health Public Plans $21 20%
UnitedHealthcare $21 - $774 20%
Vaya Health Lme $21 20%
Washtenaw Health Plan $21 20%
Wellsense Health Plan $21 20%
Wi Womens Wellness $21 20%
Asr Health Benefits $28 - $216 26%
Hap $28 - $741 26%
Health Partners $28 - $741 26%
Tufts Health Plan $28 - $741 26%
Varipro $28 - $216 26%
Ally Align Care Adv $32 30%
American Health Advantage Of Idaho $32 30%
American Health Plan $32 30%
Aurora Special Needs $32 30%
Blue Care Network Advantage $32 - $102 30%
Blue Shield - De (Highmark) Medciare Advantage $32 30%
Care Dimensions $32 30%
Care Improvement Plus $32 30%
Care Resources Pace $32 30%
Careplus Health Plans $32 30%
Cca Senior Care Options $32 30%
Central Valley Medical Services Corp Pace $32 30%
Champion Health Plan Mcr Advantage $32 30%
Clear Spring Health $32 30%
Clover Health $32 30%
Commonwealth Care Alliance $32 30%
Community Pace At Home $32 30%
Eddy Senior Care-Pace $32 30%
Eddy Seniorcare Pace $32 30%
Elementcare $32 30%
Evercare $32 30%
Everence $32 30%
Gateway Health Plan $32 30%
Genesys Pace Of Genesee County $32 30%
Georgia Health Advantage $32 30%
Gold Advantage $32 30%
Gpa Croell Redi Mix $32 30%
Health America Advantra $32 30%
Highmark Health Options Dual Plan $32 30%
Hope Select Pace $32 30%
Horizon Nj Total Care $32 30%
Hudson Headwaters Pace $32 30%
Huron Valley Pace $32 30%
Innovative Integrated Health Community Plans $32 30%
Iowa Health Advantage $32 30%
Johns Hopkins Advantage Md $32 30%
Lasso Healthcare Msa $32 30%
Life St Marys Pace $32 30%
Lifecircles Pace $32 30%
Longevity Health Plan $32 30%
Martins Point Generations Advantage $32 30%
Mass General Brigham Mcr Adv $32 30%
Medicare (plans) $32 - $109 30%
Medipak Advantage $32 30%
Mercy Life $32 30%
Mercyone Cedar Valley $32 30%
Meridian Complete $32 30%
Michigan Complete Health $32 30%
Nascentia Health Plus $32 30%
New Centry Health Careplus $32 30%
Osu Prime Care Advantage $32 30%
Pace Cny $32 30%
Pace Iowa Immanuel Pathways $32 30%
Pace Southeast $32 30%
Pace-Trinity Health $32 30%
Peak Pace Solutions $32 30%
Perennial Advantage $32 30%
Preferred Care Partners $32 30%
Presbyterian Senior Plan $32 30%
Provider Partners Health Plan Of Illinois $32 30%
Provider Partners Health Plan Of Indiana $32 30%
Pruitthealth Premier $32 30%
Reliance Community Care Partners Care Resources Pace $32 30%
Rx Allwin $32 30%
Rx Grane Grnmedd $32 30%
Rx Retiree Rx Care $32 30%
Scan Health Plan Mcr Ipa Meritage Oon $32 30%
Secure Horizons Ma Pffs $32 30%
Serenity Pace $32 30%
Siouxland Pace $32 30%
Solis Health Plans $32 30%
Sunnyview-Pace Finance Dept $32 30%
Texan Plus $32 30%
The Health Plan $32 - $516 30%
Thome Pace $32 30%
Todays Options $32 30%
Tribute Health Plans $32 30%
Um Health Advantage $32 30%
Union Health Service $32 30%
Welbe Health $32 30%
Wellmed $32 30%
Align Senior Care $33 - $104 31%
Veterans Administration $33 31%
Cca - Zing Health $36 - $110 34%
Longevity Ipa Of Michigan Llc Health Plan Isnp $37 - $117 35%
Mclaren Health $42 39%
1199 National Benefit Fund $45 - $773 42%
Allied National Global Care $45 - $773 42%
American Postal Workers Secondary $45 42%
Asrm - Reliance Standard Life Insurance $45 - $773 42%
Christian Care Ministry $45 - $773 42%
Dean Health $45 - $773 42%
Fallon Health $45 - $773 42%
Family Life Insurance Company $45 - $773 42%
International Benefit Administrators $45 - $773 42%
Lifetime Benefit Solutions $45 - $773 42%
Manhattan Life $45 - $773 42%
Molina Marketplace $45 - $135 42%
Multiplan $45 - $773 42%
Mvp $45 - $773 42%
Pai $45 - $773 42%
Pan-American Life $45 - $773 42%
Phcs $45 - $773 42%
Trinity Health Share $45 - $773 42%
Wc Accident Fund $45 - $341 42%
Wc Advantage $45 - $341 42%
Wc Aig $45 - $341 42%
Wc Allied $45 - $341 42%
Wc Amerisure $45 - $341 42%
Wc Amtrust $45 - $341 42%
Wc Asu Risk Mgt $45 - $341 42%
Wc Berkley Admin $45 - $341 42%
Wc Broadspire $45 - $341 42%
Wc Bunch & Associates $45 - $341 42%
Wc Ccmsi $45 - $341 42%
Wc Emc Insurance Company $45 - $341 42%
Wc Esis $45 - $341 42%
Wc Fcci $45 - $341 42%
Wc Federated $45 - $341 42%
Wc Gallagher Bassett $45 - $341 42%
Wc Genex Care For Ohio $45 - $341 42%
Wc Guard Insurance Company $45 - $341 42%
Wc Hartford $45 - $341 42%
Wc Liberty Mutual $45 - $341 42%
Wc Meijers $45 - $341 42%
Wc Michigan $45 - $341 42%
Wc Mitchell Frankenmuth $45 - $341 42%
Wc Pma $45 - $341 42%
Wc Sedgwick $45 - $341 42%
Wc Sentry $45 - $341 42%
Wc Travelers $45 - $341 42%
Wc Tristar $45 - $341 42%
Wc Walmart $45 - $341 42%
Wc Zurich $45 - $341 42%
Wellpath $45 - $162 42%
Andrie Inc $48 45%
Blue Care Network $48 - $116 45%
East Greenbush Central School District $48 45%
Genex Wc $48 45%
Healthsmart Workers Comp $48 45%
Jag Source $48 45%
New York State Insurance Fund $48 45%
Njm Insurance Group $48 45%
Partners Direct Health - Brio $48 45%
Priority Health $48 - $175 45%
Rx Heatlhcomp $48 45%
Rx Restat $48 45%
Rx Saif Opdp Wc $48 45%
Rx Worker'S Comp $48 45%
Wc Ace $48 45%
Wc Acs Federal Employees $48 45%
Wc Acuity $48 45%
Wc Aegis $48 45%
Wc Aims $48 45%
Wc Alaska National Ins $48 45%
Wc Align Network $48 45%
Wc Am Trust N America $48 45%
Wc American Claims Mgmt $48 45%
Wc Benetech $48 45%
Wc Broward County $48 45%
Wc California State Comp Ins $48 45%
Wc California State Ins Fund $48 45%
Wc Capitol Area Health Consortium $48 45%
Wc Chartis $48 45%
Wc Chubb $48 45%
Wc Cirma $48 45%
Wc City Of Albany $48 45%
Wc City Of Sioux City $48 45%
Wc Claims Mgmt Inc $48 45%
Wc Cna $48 45%
Wc Comp One Admin C/O Manageability $48 45%
Wc Compone Admin $48 45%
Wc Corvel $48 45%
Wc Ct Healthcare Trust $48 45%
Wc Donegal Insurance Group $48 45%
Wc Employee Mutual $48 45%
Wc Enablecomp $48 45%
Wc Encore Health Network $48 45%
Wc Erie $48 45%
Wc Evolutions $48 45%
Wc Fed Ex $48 45%
Wc Federal Black Lung $48 45%
Wc Finley Occupational Health $48 45%
Wc First Agency/Occunet $48 45%
Wc Ford Motor $48 45%
Wc Fresno Unified Emp $48 45%
Wc General Motors $48 45%
Wc Generic $48 45%
Wc Great West Casualty $48 45%
Wc Guarantee Insurance $48 45%
Wc Hab $48 45%
Wc Hastings $48 45%
Wc Health Management $48 45%
Wc Heritage Summit $48 45%
Wc Hireright $48 45%
Wc Horizon $48 45%
Wc Icw Group $48 45%
Wc Idaho State Ins Fund $48 45%
Wc Intercare Insurance $48 45%
Wc Intermountain $48 45%
Wc Johns Eastern $48 45%
Wc Kemberton $48 45%
Wc Key Ins & Benefit Solutions $48 45%
Wc Mac Risk Management $48 45%
Wc Massachusetts $48 45%
Wc Mdia $48 45%
Wc Meadowbrook Claim $48 45%
Wc Medical Administrators $48 45%
Wc Memic $48 45%
Wc Mercy Workcare $48 45%
Wc Michigan Millers Mutual $48 45%
Wc Mra $48 45%
Wc Nationwide $48 45%
Wc Nca Comp $48 45%
Wc New York $48 45%
Wc New York Special Funds $48 45%
Wc North American Rishces $48 45%
Wc Northeast Health $48 45%
Wc Notre Dame $48 45%
Wc Novanet $48 45%
Wc O'Hara Corp $48 45%
Wc Occ Health Allen $48 45%
Wc Ohio Bureau $48 45%
Wc One Call Medical $48 45%
Wc Paradigm $48 45%
Wc Peerless $48 45%
Wc Praxis Health Network $48 45%
Wc Price Chopper $48 45%
Wc Procura Management $48 45%
Wc Qualcare $48 45%
Wc Quiktrip $48 45%
Wc Reny Company $48 45%
Wc Rev Claims $48 45%
Wc Risico $48 45%
Wc Rural Mutual $48 45%
Wc Saif Oregon $48 45%
Wc Secura $48 45%
Wc Sheakley Unicomp $48 45%
Wc Smile Lodge $48 45%
Wc Society $48 45%
Wc Srs $48 45%
Wc Taconic (Mro) $48 45%
Wc Taconic Farms $48 45%
Wc Triad Group $48 45%
Wc Troy Ny $48 45%
Wc Tyson $48 45%
Wc Unified Health Services $48 45%
Wc United Heartland $48 45%
Wc Us Dept Of Labor $48 45%
Wc Velocity $48 45%
Wc West Bend $48 45%
Wc West Bend Mutual/Argent $48 45%
Wc Winnebago Industries $48 45%
Wc Yankee Trails $48 45%
Wc York Risk $48 45%
Wc Zenith $48 45%
Acclaim $51 - $767 48%
Administrative Concepts $51 - $767 48%
Allegeant $51 - $767 48%
Allied Benefit Systems $51 - $516 48%
Ameriben $51 - $767 48%
American Family $51 - $767 48%
American Healthcare Alliance $51 - $767 48%
American National $51 - $767 48%
American Republic $51 - $767 48%
Amerihealth $51 - $767 48%
Aultcare $51 - $767 48%
Automated Benefit Services $51 - $767 48%
Auxiant $51 - $767 48%
Benefit Administrative Systems,Llc $51 - $767 48%
Boon Chapman $51 - $767 48%
Cam Administrative Services $51 - $767 48%
Christian Brother Services $51 - $767 48%
Christian Brothers Holy Cross $51 - $767 48%
Claimchoice Adminstrators $51 - $516 48%
Claimdoc $51 48%
Comprehensive Benefits $51 - $767 48%
Consociate $51 - $516 48%
Continental Life Insurance $51 - $767 48%
Coventry $51 - $966 48%
Custom Benefit Administrators $51 - $767 48%
Cypress Benefit Administrators $51 - $516 48%
Employee Benefit Concepts $51 - $767 48%
Employee Benefit Management $51 - $767 48%
Enterprise Group Planning $51 - $767 48%
First Health $51 - $789 48%
Forest County Potawatomi $51 - $516 48%
Freedom Life Insurance Company $51 - $767 48%
Group Administrators $51 - $767 48%
Group Marketing Services $51 - $767 48%
Group Pension Administrators $51 - $773 48%
Guardian $51 - $767 48%
Health America $51 - $767 48%
Health Choices $51 - $767 48%
Health Smart $51 - $516 48%
Healthcare Management Admin $51 - $767 48%
Healthez $51 - $767 48%
Healthgram $51 - $516 48%
Healthscope $51 - $516 48%
Insight $51 - $767 48%
Intercare $51 - $767 48%
Jfp Benefit Management $51 - $767 48%
Jp Farley Corporation $51 - $767 48%
Kent County Jail $51 48%
Key Benefit Administrator $51 - $767 48%
Liberty Union Life Assurance Co $51 - $767 48%
Lucent Health $51 - $767 48%
Luminare Health $51 - $767 48%
Luminare Health (Detroit) $51 - $82 48%
Magnacare $51 - $767 48%
Medben $51 - $767 48%
Medcost $51 - $767 48%
Medical Mutual $51 - $767 48%
Meritain $51 - $82 48%
Muskegon County Jail $51 48%
Mutual Health Services $51 - $767 48%
Mutual Of Omaha $51 - $767 48%
Ncas $51 - $767 48%
Nippon Life Ins $51 - $767 48%
Nova $51 - $767 48%
Painters Union Insurance Fund $51 - $767 48%
Physicians Mutual $51 - $767 48%
Plumbers Local 98 Insurance Fund $51 - $767 48%
Prairie States $51 - $767 48%
Preferred One $51 - $767 48%
Primary Physician Care $51 - $767 48%
Professional Benefit Administrators $51 - $767 48%
Secureone Preferred United Plans $51 - $516 48%
Siho Insurance Services $51 - $767 48%
Sisco Benefits $51 - $516 48%
The Loomis Company $51 - $767 48%
Trustmark Small Business Benefits $51 - $516 48%
Unicare $51 - $767 48%
Unified Group Services $51 - $516 48%
Us Health And Life $51 - $767 48%
Valenz $51 - $767 48%
Webtpa $51 - $516 48%
Western & Southern Financial Group $51 - $767 48%
Wps $51 - $767 48%
Blue Benefit Administrators Of Massachusetts $52 - $116 49%
Blue Distinction Transplant $52 - $116 49%
Blue Shield - Ca $52 - $116 49%
Blue Shield - Id (Regence) $52 - $116 49%
Blue Shield - Ny Highmark Northeastern $52 - $116 49%
Blue Shield - Ny Highmark Western $52 - $116 49%
Blue Shield - Pa (Highmark) $52 - $116 49%
Blue Shield - Wa (Regence) $52 - $116 49%
Champva $69 - $91 65%
Tricare $69 - $91 65%
Triwest Health Alliance $69 - $91 65%
Us Family Health Plan $69 - $91 65%
Veterans Eval Services $69 - $91 65%
U Of M Health Plan $75 - $229 70%
Geha $82 - $774 77%
Bcccp-Michigan $88 - $114 82%
Hospice Of Michigan $102 95%
Angela Hospice $104 97%
Bcn Domestic $116 109%
Kaiser Domestic $116 109%
Health Cost Solutions $162 152%
Vitalcore $162 152%
Caresource $216 202%
Employee Benefit Logistic $234 219%
Acs Benefit Services $516 483%
Access Health $767 718%
Ghc Scw $773 724%
Medi Share $773 724%
Paramount Hmo $773 724%
Prime Health Services $966 904%
Three Rivers Provider Network $1,087 1018%
Carelon Behavioral Health $1,208 1131%
Magellan Behavioral Health $1,208 1131%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

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