CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: Trinity Health Livingston Hospital
Billing Code: 80053 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80053
- Insurance Median: $38
- Cash Discount Price: $211
- vs. Medicare Baseline: 3.60x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Trinity Health Livingston Hospital is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 3.60x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$211
Average discount available for prompt cash payment at this facility.
Insurance Median
$38
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$10.56
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $10.56 (100%)
Cash / Self-Pay: $211 (1998%)
Insurance Median: $38 (360%)
Cash: $211 (1998% of Medicare)
Ins. Median: $38 (360% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $10.56 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 360% of the Medicare baseline (a markup of 260%). 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 | $6 - $33 | 57% |
| Medicaid / KanCare | $6 | 57% |
| Aetna | $10 - $60 | 95% |
| Blue Care Network Advantage | $10 | 95% |
| Hospice Of Lansing | $10 | 95% |
| Huron Valley Pace | $10 | 95% |
| Medicare (plans) | $10 - $11 | 95% |
| Align Senior Care | $11 | 104% |
| Angela Hospice | $11 | 104% |
| Cca - Zing Health | $11 | 104% |
| UnitedHealthcare | $11 - $114 | 104% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $12 | 114% |
| Molina Marketplace | $14 | 133% |
| Geha | $16 - $93 | 152% |
| Health Cost Solutions | $16 | 152% |
| Meritain | $16 | 152% |
| Vitalcore | $16 | 152% |
| Wellpath | $16 | 152% |
| U Of M Health Plan | $23 | 218% |
| Employee Benefit Logistic | $24 | 227% |
| Priority Health | $26 - $29 | 246% |
| Wc Accident Fund | $28 | 265% |
| Wc Advantage | $28 | 265% |
| Wc Aig | $28 | 265% |
| Wc Allied | $28 | 265% |
| Wc Amerisure | $28 | 265% |
| Wc Amtrust | $28 | 265% |
| Wc Asu Risk Mgt | $28 | 265% |
| Wc Berkley Admin | $28 | 265% |
| Wc Broadspire | $28 | 265% |
| Wc Bunch & Associates | $28 | 265% |
| Wc Ccmsi | $28 | 265% |
| Wc Emc Insurance Company | $28 | 265% |
| Wc Esis | $28 | 265% |
| Wc Fcci | $28 | 265% |
| Wc Federated | $28 | 265% |
| Wc Gallagher Bassett | $28 | 265% |
| Wc Genex Care For Ohio | $28 | 265% |
| Wc Guard Insurance Company | $28 | 265% |
| Wc Hartford | $28 | 265% |
| Wc Liberty Mutual | $28 | 265% |
| Wc Meijers | $28 | 265% |
| Wc Michigan | $28 | 265% |
| Wc Mitchell Frankenmuth | $28 | 265% |
| Wc Pma | $28 | 265% |
| Wc Sedgwick | $28 | 265% |
| Wc Sentry | $28 | 265% |
| Wc Travelers | $28 | 265% |
| Wc Tristar | $28 | 265% |
| Wc Walmart | $28 | 265% |
| Wc Zurich | $28 | 265% |
| Bcn Domestic | $33 | 313% |
| Blue Benefit Administrators Of Massachusetts | $33 | 313% |
| Blue Care Network | $33 | 313% |
| Blue Distinction Transplant | $33 | 313% |
| Blue Shield - Ca | $33 | 313% |
| Blue Shield - Id (Regence) | $33 | 313% |
| Blue Shield - Ny Highmark Northeastern | $33 | 313% |
| Blue Shield - Ny Highmark Western | $33 | 313% |
| Blue Shield - Pa (Highmark) | $33 | 313% |
| Blue Shield - Wa (Regence) | $33 | 313% |
| Health Choices | $33 - $103 | 313% |
| Kaiser Domestic | $33 | 313% |
| Asr Health Benefits | $38 | 360% |
| Caresource | $38 | 360% |
| Hap | $38 - $98 | 360% |
| Varipro | $38 | 360% |
| Acs Benefit Services | $60 | 568% |
| Allied Benefit Systems | $60 | 568% |
| Claimchoice Adminstrators | $60 | 568% |
| Consociate | $60 | 568% |
| Cypress Benefit Administrators | $60 | 568% |
| Forest County Potawatomi | $60 | 568% |
| Health Smart | $60 | 568% |
| Healthgram | $60 | 568% |
| Healthscope | $60 | 568% |
| Secureone Preferred United Plans | $60 | 568% |
| Sisco Benefits | $60 | 568% |
| The Health Plan | $60 | 568% |
| Trustmark Small Business Benefits | $60 | 568% |
| Unified Group Services | $60 | 568% |
| Webtpa | $60 | 568% |
| Hospice Advantage | $89 | 843% |
| 1199 National Benefit Fund | $98 | 928% |
| Allied National Global Care | $98 | 928% |
| Asrm - Reliance Standard Life Insurance | $98 | 928% |
| Christian Care Ministry | $98 | 928% |
| Dean Health | $98 | 928% |
| Fallon Health | $98 | 928% |
| Family Life Insurance Company | $98 | 928% |
| Ghc Scw | $98 | 928% |
| Group Pension Administrators | $98 | 928% |
| Health Partners | $98 | 928% |
| International Benefit Administrators | $98 | 928% |
| Lifetime Benefit Solutions | $98 | 928% |
| Manhattan Life | $98 | 928% |
| Medi Share | $98 | 928% |
| Multiplan | $98 | 928% |
| Mvp | $98 | 928% |
| Pai | $98 | 928% |
| Pan-American Life | $98 | 928% |
| Paramount Hmo | $98 | 928% |
| Phcs | $98 | 928% |
| Trinity Health Share | $98 | 928% |
| Tufts Health Plan | $98 | 928% |
| Cigna | $99 | 938% |
| Prime Health Services | $102 | 966% |
| Access Health | $103 | 975% |
| Acclaim | $103 | 975% |
| Administrative Concepts | $103 | 975% |
| Allegeant | $103 | 975% |
| Ameriben | $103 | 975% |
| American Family | $103 | 975% |
| American Healthcare Alliance | $103 | 975% |
| American National | $103 | 975% |
| American Republic | $103 | 975% |
| Amerihealth | $103 | 975% |
| Aultcare | $103 | 975% |
| Automated Benefit Services | $103 | 975% |
| Auxiant | $103 | 975% |
| Benefit Administrative Systems,Llc | $103 | 975% |
| Boon Chapman | $103 | 975% |
| Cam Administrative Services | $103 | 975% |
| Christian Brother Services | $103 | 975% |
| Christian Brothers Holy Cross | $103 | 975% |
| Comprehensive Benefits | $103 | 975% |
| Continental Life Insurance | $103 | 975% |
| Coventry | $103 | 975% |
| Custom Benefit Administrators | $103 | 975% |
| Employee Benefit Concepts | $103 | 975% |
| Employee Benefit Management | $103 | 975% |
| Enterprise Group Planning | $103 | 975% |
| Freedom Life Insurance Company | $103 | 975% |
| Group Administrators | $103 | 975% |
| Group Marketing Services | $103 | 975% |
| Guardian | $103 | 975% |
| Health America | $103 | 975% |
| Healthcare Management Admin | $103 | 975% |
| Healthez | $103 | 975% |
| Humana | $103 | 975% |
| Insight | $103 | 975% |
| Intercare | $103 | 975% |
| Jfp Benefit Management | $103 | 975% |
| Jp Farley Corporation | $103 | 975% |
| Key Benefit Administrator | $103 | 975% |
| Liberty Union Life Assurance Co | $103 | 975% |
| Lucent Health | $103 | 975% |
| Luminare Health | $103 | 975% |
| Luminare Health (Detroit) | $103 | 975% |
| Magnacare | $103 | 975% |
| Medben | $103 | 975% |
| Medcost | $103 | 975% |
| Medical Mutual | $103 | 975% |
| Mutual Health Services | $103 | 975% |
| Mutual Of Omaha | $103 | 975% |
| Ncas | $103 | 975% |
| Nippon Life Ins | $103 | 975% |
| Nova | $103 | 975% |
| Painters Union Insurance Fund | $103 | 975% |
| Physicians Mutual | $103 | 975% |
| Plumbers Local 98 Insurance Fund | $103 | 975% |
| Prairie States | $103 | 975% |
| Preferred One | $103 | 975% |
| Primary Physician Care | $103 | 975% |
| Professional Benefit Administrators | $103 | 975% |
| Siho Insurance Services | $103 | 975% |
| The Loomis Company | $103 | 975% |
| Unicare | $103 | 975% |
| Us Health And Life | $103 | 975% |
| Valenz | $103 | 975% |
| Western & Southern Financial Group | $103 | 975% |
| Wps | $103 | 975% |
| First Health | $106 | 1004% |
| Correctional Healthcare Consultants | $112 | 1061% |
| Three Rivers Provider Network | $114 | 1080% |
| Cmh Washtenaw County | $127 | 1203% |