CMS Price Transparency Data
Blood test, clotting time (PT/INR)
Facility: Trinity Health Livingston Hospital
Billing Code: 85610 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85610
- Insurance Median: $10
- Cash Discount Price: $17
- vs. Medicare Baseline: 2.33x Medicare
The contracted insurance negotiated median rate for a Blood test, clotting time (PT/INR) at Trinity Health Livingston Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $4.29, this hospital’s rate is 2.33x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$17
Average discount available for prompt cash payment at this facility.
Insurance Median
$10
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$4.29
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $4.29 (100%)
Cash / Self-Pay: $17 (396%)
Insurance Median: $10 (233%)
Cash: $17 (396% of Medicare)
Ins. Median: $10 (233% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $4.29 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 233% of the Medicare baseline (a markup of 133%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 |
|---|---|---|
| Wc Accident Fund | $1 - $9 | 23% |
| Wc Advantage | $1 - $9 | 23% |
| Wc Aig | $1 - $9 | 23% |
| Wc Allied | $1 - $9 | 23% |
| Wc Amerisure | $1 - $9 | 23% |
| Wc Amtrust | $1 - $9 | 23% |
| Wc Asu Risk Mgt | $1 - $9 | 23% |
| Wc Berkley Admin | $1 - $9 | 23% |
| Wc Broadspire | $1 - $9 | 23% |
| Wc Bunch & Associates | $1 - $9 | 23% |
| Wc Ccmsi | $1 - $9 | 23% |
| Wc Emc Insurance Company | $1 - $9 | 23% |
| Wc Esis | $1 - $9 | 23% |
| Wc Fcci | $1 - $9 | 23% |
| Wc Federated | $1 - $9 | 23% |
| Wc Gallagher Bassett | $1 - $9 | 23% |
| Wc Genex Care For Ohio | $1 - $9 | 23% |
| Wc Guard Insurance Company | $1 - $9 | 23% |
| Wc Hartford | $1 - $9 | 23% |
| Wc Liberty Mutual | $1 - $9 | 23% |
| Wc Meijers | $1 - $9 | 23% |
| Wc Michigan | $1 - $9 | 23% |
| Wc Mitchell Frankenmuth | $1 - $9 | 23% |
| Wc Pma | $1 - $9 | 23% |
| Wc Sedgwick | $1 - $9 | 23% |
| Wc Sentry | $1 - $9 | 23% |
| Wc Travelers | $1 - $9 | 23% |
| Wc Tristar | $1 - $9 | 23% |
| Wc Walmart | $1 - $9 | 23% |
| Wc Zurich | $1 - $9 | 23% |
| Blue Cross Blue Shield | $2 - $7 | 47% |
| Medicaid / KanCare | $2 | 47% |
| Acs Benefit Services | $3 - $20 | 70% |
| Aetna | $3 - $20 | 70% |
| Allied Benefit Systems | $3 - $20 | 70% |
| Claimchoice Adminstrators | $3 - $20 | 70% |
| Consociate | $3 - $20 | 70% |
| Cypress Benefit Administrators | $3 - $20 | 70% |
| Forest County Potawatomi | $3 - $20 | 70% |
| Health Smart | $3 - $20 | 70% |
| Healthgram | $3 - $20 | 70% |
| Healthscope | $3 - $20 | 70% |
| Secureone Preferred United Plans | $3 - $20 | 70% |
| Sisco Benefits | $3 - $20 | 70% |
| The Health Plan | $3 - $20 | 70% |
| Trustmark Small Business Benefits | $3 - $20 | 70% |
| Unified Group Services | $3 - $20 | 70% |
| Webtpa | $3 - $20 | 70% |
| Align Senior Care | $4 | 93% |
| Angela Hospice | $4 | 93% |
| Blue Care Network Advantage | $4 | 93% |
| Hospice Of Lansing | $4 | 93% |
| Huron Valley Pace | $4 | 93% |
| Medicare (plans) | $4 | 93% |
| UnitedHealthcare | $4 - $39 | 93% |
| 1199 National Benefit Fund | $5 - $33 | 117% |
| Access Health | $5 - $35 | 117% |
| Acclaim | $5 - $35 | 117% |
| Administrative Concepts | $5 - $35 | 117% |
| Allegeant | $5 - $35 | 117% |
| Allied National Global Care | $5 - $33 | 117% |
| Ameriben | $5 - $35 | 117% |
| American Family | $5 - $35 | 117% |
| American Healthcare Alliance | $5 - $35 | 117% |
| American National | $5 - $35 | 117% |
| American Republic | $5 - $35 | 117% |
| Amerihealth | $5 - $35 | 117% |
| Asrm - Reliance Standard Life Insurance | $5 - $33 | 117% |
| Aultcare | $5 - $35 | 117% |
| Automated Benefit Services | $5 - $35 | 117% |
| Auxiant | $5 - $35 | 117% |
| Benefit Administrative Systems,Llc | $5 - $35 | 117% |
| Boon Chapman | $5 - $35 | 117% |
| Cam Administrative Services | $5 - $35 | 117% |
| Cca - Zing Health | $5 | 117% |
| Christian Brother Services | $5 - $35 | 117% |
| Christian Brothers Holy Cross | $5 - $35 | 117% |
| Christian Care Ministry | $5 - $33 | 117% |
| Cigna | $5 - $33 | 117% |
| Comprehensive Benefits | $5 - $35 | 117% |
| Continental Life Insurance | $5 - $35 | 117% |
| Coventry | $5 - $35 | 117% |
| Custom Benefit Administrators | $5 - $35 | 117% |
| Dean Health | $5 - $33 | 117% |
| Employee Benefit Concepts | $5 - $35 | 117% |
| Employee Benefit Management | $5 - $35 | 117% |
| Enterprise Group Planning | $5 - $35 | 117% |
| Fallon Health | $5 - $33 | 117% |
| Family Life Insurance Company | $5 - $33 | 117% |
| Freedom Life Insurance Company | $5 - $35 | 117% |
| Geha | $5 - $31 | 117% |
| Ghc Scw | $5 - $33 | 117% |
| Group Administrators | $5 - $35 | 117% |
| Group Marketing Services | $5 - $35 | 117% |
| Group Pension Administrators | $5 - $33 | 117% |
| Guardian | $5 - $35 | 117% |
| Hap | $5 - $33 | 117% |
| Health America | $5 - $35 | 117% |
| Health Choices | $5 - $35 | 117% |
| Health Partners | $5 - $33 | 117% |
| Healthcare Management Admin | $5 - $35 | 117% |
| Healthez | $5 - $35 | 117% |
| Hospice Advantage | $5 - $30 | 117% |
| Humana | $5 - $35 | 117% |
| Insight | $5 - $35 | 117% |
| Intercare | $5 - $35 | 117% |
| International Benefit Administrators | $5 - $33 | 117% |
| Jfp Benefit Management | $5 - $35 | 117% |
| Jp Farley Corporation | $5 - $35 | 117% |
| Key Benefit Administrator | $5 - $35 | 117% |
| Liberty Union Life Assurance Co | $5 - $35 | 117% |
| Lifetime Benefit Solutions | $5 - $33 | 117% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $5 | 117% |
| Lucent Health | $5 - $35 | 117% |
| Luminare Health | $5 - $35 | 117% |
| Luminare Health (Detroit) | $5 - $35 | 117% |
| Magnacare | $5 - $35 | 117% |
| Manhattan Life | $5 - $33 | 117% |
| Medben | $5 - $35 | 117% |
| Medcost | $5 - $35 | 117% |
| Medi Share | $5 - $33 | 117% |
| Medical Mutual | $5 - $35 | 117% |
| Multiplan | $5 - $33 | 117% |
| Mutual Health Services | $5 - $35 | 117% |
| Mutual Of Omaha | $5 - $35 | 117% |
| Mvp | $5 - $33 | 117% |
| Ncas | $5 - $35 | 117% |
| Nippon Life Ins | $5 - $35 | 117% |
| Nova | $5 - $35 | 117% |
| Pai | $5 - $33 | 117% |
| Painters Union Insurance Fund | $5 - $35 | 117% |
| Pan-American Life | $5 - $33 | 117% |
| Paramount Hmo | $5 - $33 | 117% |
| Phcs | $5 - $33 | 117% |
| Physicians Mutual | $5 - $35 | 117% |
| Plumbers Local 98 Insurance Fund | $5 - $35 | 117% |
| Prairie States | $5 - $35 | 117% |
| Preferred One | $5 - $35 | 117% |
| Primary Physician Care | $5 - $35 | 117% |
| Prime Health Services | $5 - $34 | 117% |
| Professional Benefit Administrators | $5 - $35 | 117% |
| Siho Insurance Services | $5 - $35 | 117% |
| The Loomis Company | $5 - $35 | 117% |
| Trinity Health Share | $5 - $33 | 117% |
| Tufts Health Plan | $5 - $33 | 117% |
| Unicare | $5 - $35 | 117% |
| Us Health And Life | $5 - $35 | 117% |
| Valenz | $5 - $35 | 117% |
| Western & Southern Financial Group | $5 - $35 | 117% |
| Wps | $5 - $35 | 117% |
| Correctional Healthcare Consultants | $6 - $38 | 140% |
| First Health | $6 - $36 | 140% |
| Meritain | $6 | 140% |
| Molina Marketplace | $6 | 140% |
| Three Rivers Provider Network | $6 - $39 | 140% |
| Bcn Domestic | $7 | 163% |
| Blue Benefit Administrators Of Massachusetts | $7 | 163% |
| Blue Care Network | $7 | 163% |
| Blue Distinction Transplant | $7 | 163% |
| Blue Shield - Ca | $7 | 163% |
| Blue Shield - Id (Regence) | $7 | 163% |
| Blue Shield - Ny Highmark Northeastern | $7 | 163% |
| Blue Shield - Ny Highmark Western | $7 | 163% |
| Blue Shield - Pa (Highmark) | $7 | 163% |
| Blue Shield - Wa (Regence) | $7 | 163% |
| Cmh Washtenaw County | $7 - $43 | 163% |
| Health Cost Solutions | $7 | 163% |
| Kaiser Domestic | $7 | 163% |
| U Of M Health Plan | $7 | 163% |
| Vitalcore | $7 | 163% |
| Wellpath | $7 | 163% |
| Employee Benefit Logistic | $10 | 233% |
| Priority Health | $10 - $11 | 233% |
| Asr Health Benefits | $14 | 326% |
| Caresource | $14 | 326% |
| Varipro | $14 | 326% |