CMS Price Transparency Data
Blood test, cholesterol (lipid panel)
Facility: Trinity Health Livingston Hospital
Billing Code: 80061 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80061
- Insurance Median: $82
- Cash Discount Price: $73
- vs. Medicare Baseline: 6.12x Medicare
The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Trinity Health Livingston Hospital is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 6.12x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$73
Average discount available for prompt cash payment at this facility.
Insurance Median
$82
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$13.39
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $13.39 (100%)
Cash / Self-Pay: $73 (545%)
Insurance Median: $82 (612%)
Cash: $73 (545% of Medicare)
Ins. Median: $82 (612% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $13.39 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 612% of the Medicare baseline (a markup of 512%). 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.
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 |
|---|---|---|
| Blue Cross Blue Shield | $7 - $25 | 52% |
| Medicaid / KanCare | $7 | 52% |
| Aetna | $13 - $53 | 97% |
| Align Senior Care | $13 | 97% |
| Angela Hospice | $13 | 97% |
| Blue Care Network Advantage | $13 | 97% |
| Hospice Of Lansing | $13 | 97% |
| Huron Valley Pace | $13 | 97% |
| Medicare (plans) | $13 | 97% |
| Cca - Zing Health | $14 | 105% |
| UnitedHealthcare | $14 - $101 | 105% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $15 | 112% |
| Molina Marketplace | $17 | 127% |
| Geha | $20 - $82 | 149% |
| Meritain | $20 | 149% |
| Health Cost Solutions | $21 | 157% |
| Vitalcore | $21 | 157% |
| Wellpath | $21 | 157% |
| Wc Accident Fund | $24 | 179% |
| Wc Advantage | $24 | 179% |
| Wc Aig | $24 | 179% |
| Wc Allied | $24 | 179% |
| Wc Amerisure | $24 | 179% |
| Wc Amtrust | $24 | 179% |
| Wc Asu Risk Mgt | $24 | 179% |
| Wc Berkley Admin | $24 | 179% |
| Wc Broadspire | $24 | 179% |
| Wc Bunch & Associates | $24 | 179% |
| Wc Ccmsi | $24 | 179% |
| Wc Emc Insurance Company | $24 | 179% |
| Wc Esis | $24 | 179% |
| Wc Fcci | $24 | 179% |
| Wc Federated | $24 | 179% |
| Wc Gallagher Bassett | $24 | 179% |
| Wc Genex Care For Ohio | $24 | 179% |
| Wc Guard Insurance Company | $24 | 179% |
| Wc Hartford | $24 | 179% |
| Wc Liberty Mutual | $24 | 179% |
| Wc Meijers | $24 | 179% |
| Wc Michigan | $24 | 179% |
| Wc Mitchell Frankenmuth | $24 | 179% |
| Wc Pma | $24 | 179% |
| Wc Sedgwick | $24 | 179% |
| Wc Sentry | $24 | 179% |
| Wc Travelers | $24 | 179% |
| Wc Tristar | $24 | 179% |
| Wc Walmart | $24 | 179% |
| Wc Zurich | $24 | 179% |
| Bcn Domestic | $25 | 187% |
| Blue Benefit Administrators Of Massachusetts | $25 | 187% |
| Blue Care Network | $25 | 187% |
| Blue Distinction Transplant | $25 | 187% |
| Blue Shield - Ca | $25 | 187% |
| Blue Shield - Id (Regence) | $25 | 187% |
| Blue Shield - Ny Highmark Northeastern | $25 | 187% |
| Blue Shield - Ny Highmark Western | $25 | 187% |
| Blue Shield - Pa (Highmark) | $25 | 187% |
| Blue Shield - Wa (Regence) | $25 | 187% |
| Health Choices | $25 - $91 | 187% |
| Kaiser Domestic | $25 | 187% |
| U Of M Health Plan | $25 | 187% |
| Employee Benefit Logistic | $30 | 224% |
| Priority Health | $32 - $36 | 239% |
| Asr Health Benefits | $46 | 344% |
| Caresource | $46 | 344% |
| Hap | $46 - $87 | 344% |
| Varipro | $46 | 344% |
| Acs Benefit Services | $53 | 396% |
| Allied Benefit Systems | $53 | 396% |
| Claimchoice Adminstrators | $53 | 396% |
| Consociate | $53 | 396% |
| Cypress Benefit Administrators | $53 | 396% |
| Forest County Potawatomi | $53 | 396% |
| Health Smart | $53 | 396% |
| Healthgram | $53 | 396% |
| Healthscope | $53 | 396% |
| Secureone Preferred United Plans | $53 | 396% |
| Sisco Benefits | $53 | 396% |
| The Health Plan | $53 | 396% |
| Trustmark Small Business Benefits | $53 | 396% |
| Unified Group Services | $53 | 396% |
| Webtpa | $53 | 396% |
| Hospice Advantage | $78 | 583% |
| 1199 National Benefit Fund | $86 | 642% |
| Allied National Global Care | $86 | 642% |
| Asrm - Reliance Standard Life Insurance | $86 | 642% |
| Christian Care Ministry | $86 | 642% |
| Dean Health | $86 | 642% |
| Fallon Health | $86 | 642% |
| Family Life Insurance Company | $86 | 642% |
| Ghc Scw | $86 | 642% |
| Group Pension Administrators | $86 | 642% |
| International Benefit Administrators | $86 | 642% |
| Lifetime Benefit Solutions | $86 | 642% |
| Manhattan Life | $86 | 642% |
| Medi Share | $86 | 642% |
| Multiplan | $86 | 642% |
| Mvp | $86 | 642% |
| Pai | $86 | 642% |
| Pan-American Life | $86 | 642% |
| Paramount Hmo | $86 | 642% |
| Phcs | $86 | 642% |
| Trinity Health Share | $86 | 642% |
| Cigna | $87 | 650% |
| Health Partners | $87 | 650% |
| Tufts Health Plan | $87 | 650% |
| Prime Health Services | $90 | 672% |
| Access Health | $91 | 680% |
| Acclaim | $91 | 680% |
| Administrative Concepts | $91 | 680% |
| Allegeant | $91 | 680% |
| Ameriben | $91 | 680% |
| American Family | $91 | 680% |
| American Healthcare Alliance | $91 | 680% |
| American National | $91 | 680% |
| American Republic | $91 | 680% |
| Amerihealth | $91 | 680% |
| Aultcare | $91 | 680% |
| Automated Benefit Services | $91 | 680% |
| Auxiant | $91 | 680% |
| Benefit Administrative Systems,Llc | $91 | 680% |
| Boon Chapman | $91 | 680% |
| Cam Administrative Services | $91 | 680% |
| Christian Brother Services | $91 | 680% |
| Christian Brothers Holy Cross | $91 | 680% |
| Comprehensive Benefits | $91 | 680% |
| Continental Life Insurance | $91 | 680% |
| Coventry | $91 | 680% |
| Custom Benefit Administrators | $91 | 680% |
| Employee Benefit Concepts | $91 | 680% |
| Employee Benefit Management | $91 | 680% |
| Enterprise Group Planning | $91 | 680% |
| Freedom Life Insurance Company | $91 | 680% |
| Group Administrators | $91 | 680% |
| Group Marketing Services | $91 | 680% |
| Guardian | $91 | 680% |
| Health America | $91 | 680% |
| Healthcare Management Admin | $91 | 680% |
| Healthez | $91 | 680% |
| Humana | $91 | 680% |
| Insight | $91 | 680% |
| Intercare | $91 | 680% |
| Jfp Benefit Management | $91 | 680% |
| Jp Farley Corporation | $91 | 680% |
| Key Benefit Administrator | $91 | 680% |
| Liberty Union Life Assurance Co | $91 | 680% |
| Lucent Health | $91 | 680% |
| Luminare Health | $91 | 680% |
| Luminare Health (Detroit) | $91 | 680% |
| Magnacare | $91 | 680% |
| Medben | $91 | 680% |
| Medcost | $91 | 680% |
| Medical Mutual | $91 | 680% |
| Mutual Health Services | $91 | 680% |
| Mutual Of Omaha | $91 | 680% |
| Ncas | $91 | 680% |
| Nippon Life Ins | $91 | 680% |
| Nova | $91 | 680% |
| Painters Union Insurance Fund | $91 | 680% |
| Physicians Mutual | $91 | 680% |
| Plumbers Local 98 Insurance Fund | $91 | 680% |
| Prairie States | $91 | 680% |
| Preferred One | $91 | 680% |
| Primary Physician Care | $91 | 680% |
| Professional Benefit Administrators | $91 | 680% |
| Siho Insurance Services | $91 | 680% |
| The Loomis Company | $91 | 680% |
| Unicare | $91 | 680% |
| Us Health And Life | $91 | 680% |
| Valenz | $91 | 680% |
| Western & Southern Financial Group | $91 | 680% |
| Wps | $91 | 680% |
| First Health | $94 | 702% |
| Correctional Healthcare Consultants | $99 | 739% |
| Three Rivers Provider Network | $101 | 754% |
| Cmh Washtenaw County | $112 | 836% |