CMS Price Transparency Data
Blood test, basic metabolic panel
Facility: Trinity Health Livingston Hospital
Billing Code: 80048 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80048
- Insurance Median: $31
- Cash Discount Price: $140
- vs. Medicare Baseline: 3.66x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Trinity Health Livingston Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 3.66x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$140
Average discount available for prompt cash payment at this facility.
Insurance Median
$31
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$8.46
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $8.46 (100%)
Cash / Self-Pay: $140 (1655%)
Insurance Median: $31 (366%)
Cash: $140 (1655% of Medicare)
Ins. Median: $31 (366% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $8.46 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 366% of the Medicare baseline (a markup of 266%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $5 - $19 | 59% |
| Medicaid / KanCare | $5 | 59% |
| Aetna | $8 - $50 | 95% |
| Align Senior Care | $8 | 95% |
| Angela Hospice | $8 | 95% |
| Blue Care Network Advantage | $8 | 95% |
| Hospice Of Lansing | $8 | 95% |
| Huron Valley Pace | $8 | 95% |
| Medicare (plans) | $8 | 95% |
| Cca - Zing Health | $9 | 106% |
| UnitedHealthcare | $9 - $94 | 106% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $10 | 118% |
| Molina Marketplace | $11 | 130% |
| Geha | $13 - $77 | 154% |
| Health Cost Solutions | $13 | 154% |
| Meritain | $13 | 154% |
| Vitalcore | $13 | 154% |
| Wellpath | $13 | 154% |
| U Of M Health Plan | $14 | 165% |
| Bcn Domestic | $19 | 225% |
| Blue Benefit Administrators Of Massachusetts | $19 | 225% |
| Blue Care Network | $19 | 225% |
| Blue Distinction Transplant | $19 | 225% |
| Blue Shield - Ca | $19 | 225% |
| Blue Shield - Id (Regence) | $19 | 225% |
| Blue Shield - Ny Highmark Northeastern | $19 | 225% |
| Blue Shield - Ny Highmark Western | $19 | 225% |
| Blue Shield - Pa (Highmark) | $19 | 225% |
| Blue Shield - Wa (Regence) | $19 | 225% |
| Employee Benefit Logistic | $19 | 225% |
| Health Choices | $19 - $86 | 225% |
| Kaiser Domestic | $19 | 225% |
| Priority Health | $21 - $24 | 248% |
| Wc Accident Fund | $23 | 272% |
| Wc Advantage | $23 | 272% |
| Wc Aig | $23 | 272% |
| Wc Allied | $23 | 272% |
| Wc Amerisure | $23 | 272% |
| Wc Amtrust | $23 | 272% |
| Wc Asu Risk Mgt | $23 | 272% |
| Wc Berkley Admin | $23 | 272% |
| Wc Broadspire | $23 | 272% |
| Wc Bunch & Associates | $23 | 272% |
| Wc Ccmsi | $23 | 272% |
| Wc Emc Insurance Company | $23 | 272% |
| Wc Esis | $23 | 272% |
| Wc Fcci | $23 | 272% |
| Wc Federated | $23 | 272% |
| Wc Gallagher Bassett | $23 | 272% |
| Wc Genex Care For Ohio | $23 | 272% |
| Wc Guard Insurance Company | $23 | 272% |
| Wc Hartford | $23 | 272% |
| Wc Liberty Mutual | $23 | 272% |
| Wc Meijers | $23 | 272% |
| Wc Michigan | $23 | 272% |
| Wc Mitchell Frankenmuth | $23 | 272% |
| Wc Pma | $23 | 272% |
| Wc Sedgwick | $23 | 272% |
| Wc Sentry | $23 | 272% |
| Wc Travelers | $23 | 272% |
| Wc Tristar | $23 | 272% |
| Wc Walmart | $23 | 272% |
| Wc Zurich | $23 | 272% |
| Asr Health Benefits | $31 | 366% |
| Caresource | $31 | 366% |
| Hap | $31 - $81 | 366% |
| Varipro | $31 | 366% |
| Acs Benefit Services | $50 | 591% |
| Allied Benefit Systems | $50 | 591% |
| Claimchoice Adminstrators | $50 | 591% |
| Consociate | $50 | 591% |
| Cypress Benefit Administrators | $50 | 591% |
| Forest County Potawatomi | $50 | 591% |
| Health Smart | $50 | 591% |
| Healthgram | $50 | 591% |
| Healthscope | $50 | 591% |
| Secureone Preferred United Plans | $50 | 591% |
| Sisco Benefits | $50 | 591% |
| The Health Plan | $50 | 591% |
| Trustmark Small Business Benefits | $50 | 591% |
| Unified Group Services | $50 | 591% |
| Webtpa | $50 | 591% |
| Hospice Advantage | $74 | 875% |
| 1199 National Benefit Fund | $81 | 957% |
| Allied National Global Care | $81 | 957% |
| Asrm - Reliance Standard Life Insurance | $81 | 957% |
| Christian Care Ministry | $81 | 957% |
| Dean Health | $81 | 957% |
| Fallon Health | $81 | 957% |
| Family Life Insurance Company | $81 | 957% |
| Ghc Scw | $81 | 957% |
| Group Pension Administrators | $81 | 957% |
| Health Partners | $81 | 957% |
| International Benefit Administrators | $81 | 957% |
| Lifetime Benefit Solutions | $81 | 957% |
| Manhattan Life | $81 | 957% |
| Medi Share | $81 | 957% |
| Multiplan | $81 | 957% |
| Mvp | $81 | 957% |
| Pai | $81 | 957% |
| Pan-American Life | $81 | 957% |
| Paramount Hmo | $81 | 957% |
| Phcs | $81 | 957% |
| Trinity Health Share | $81 | 957% |
| Tufts Health Plan | $81 | 957% |
| Cigna | $82 | 969% |
| Prime Health Services | $84 | 993% |
| Access Health | $86 | 1017% |
| Acclaim | $86 | 1017% |
| Administrative Concepts | $86 | 1017% |
| Allegeant | $86 | 1017% |
| Ameriben | $86 | 1017% |
| American Family | $86 | 1017% |
| American Healthcare Alliance | $86 | 1017% |
| American National | $86 | 1017% |
| American Republic | $86 | 1017% |
| Amerihealth | $86 | 1017% |
| Aultcare | $86 | 1017% |
| Automated Benefit Services | $86 | 1017% |
| Auxiant | $86 | 1017% |
| Benefit Administrative Systems,Llc | $86 | 1017% |
| Boon Chapman | $86 | 1017% |
| Cam Administrative Services | $86 | 1017% |
| Christian Brother Services | $86 | 1017% |
| Christian Brothers Holy Cross | $86 | 1017% |
| Comprehensive Benefits | $86 | 1017% |
| Continental Life Insurance | $86 | 1017% |
| Coventry | $86 | 1017% |
| Custom Benefit Administrators | $86 | 1017% |
| Employee Benefit Concepts | $86 | 1017% |
| Employee Benefit Management | $86 | 1017% |
| Enterprise Group Planning | $86 | 1017% |
| Freedom Life Insurance Company | $86 | 1017% |
| Group Administrators | $86 | 1017% |
| Group Marketing Services | $86 | 1017% |
| Guardian | $86 | 1017% |
| Health America | $86 | 1017% |
| Healthcare Management Admin | $86 | 1017% |
| Healthez | $86 | 1017% |
| Humana | $86 | 1017% |
| Insight | $86 | 1017% |
| Intercare | $86 | 1017% |
| Jfp Benefit Management | $86 | 1017% |
| Jp Farley Corporation | $86 | 1017% |
| Key Benefit Administrator | $86 | 1017% |
| Liberty Union Life Assurance Co | $86 | 1017% |
| Lucent Health | $86 | 1017% |
| Luminare Health | $86 | 1017% |
| Luminare Health (Detroit) | $86 | 1017% |
| Magnacare | $86 | 1017% |
| Medben | $86 | 1017% |
| Medcost | $86 | 1017% |
| Medical Mutual | $86 | 1017% |
| Mutual Health Services | $86 | 1017% |
| Mutual Of Omaha | $86 | 1017% |
| Ncas | $86 | 1017% |
| Nippon Life Ins | $86 | 1017% |
| Nova | $86 | 1017% |
| Painters Union Insurance Fund | $86 | 1017% |
| Physicians Mutual | $86 | 1017% |
| Plumbers Local 98 Insurance Fund | $86 | 1017% |
| Prairie States | $86 | 1017% |
| Preferred One | $86 | 1017% |
| Primary Physician Care | $86 | 1017% |
| Professional Benefit Administrators | $86 | 1017% |
| Siho Insurance Services | $86 | 1017% |
| The Loomis Company | $86 | 1017% |
| Unicare | $86 | 1017% |
| Us Health And Life | $86 | 1017% |
| Valenz | $86 | 1017% |
| Western & Southern Financial Group | $86 | 1017% |
| Wps | $86 | 1017% |
| First Health | $88 | 1040% |
| Correctional Healthcare Consultants | $93 | 1099% |
| Three Rivers Provider Network | $94 | 1111% |
| Cmh Washtenaw County | $105 | 1241% |