CMS Price Transparency Data
Blood test, creatinine (kidney)
Facility: Trinity Health Livingston Hospital
Billing Code: 82565 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82565
- Insurance Median: $18
- Cash Discount Price: $93
- vs. Medicare Baseline: 3.52x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Trinity Health Livingston Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 3.52x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$93
Average discount available for prompt cash payment at this facility.
Insurance Median
$18
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$5.12
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $5.12 (100%)
Cash / Self-Pay: $93 (1816%)
Insurance Median: $18 (352%)
Cash: $93 (1816% of Medicare)
Ins. Median: $18 (352% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $5.12 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 352% of the Medicare baseline (a markup of 252%). 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 |
|---|---|---|
| U Of M Health Plan | $2 | 39% |
| Blue Cross Blue Shield | $3 - $5 | 59% |
| Medicaid / KanCare | $3 | 59% |
| Aetna | $5 - $18 | 98% |
| Align Senior Care | $5 | 98% |
| Angela Hospice | $5 | 98% |
| Blue Care Network Advantage | $5 | 98% |
| Cca - Zing Health | $5 | 98% |
| Hospice Of Lansing | $5 | 98% |
| Huron Valley Pace | $5 | 98% |
| Medicare (plans) | $5 | 98% |
| UnitedHealthcare | $5 - $34 | 98% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $6 | 117% |
| Molina Marketplace | $7 | 137% |
| Geha | $8 - $28 | 156% |
| Health Cost Solutions | $8 | 156% |
| Meritain | $8 | 156% |
| Vitalcore | $8 | 156% |
| Wc Accident Fund | $8 | 156% |
| Wc Advantage | $8 | 156% |
| Wc Aig | $8 | 156% |
| Wc Allied | $8 | 156% |
| Wc Amerisure | $8 | 156% |
| Wc Amtrust | $8 | 156% |
| Wc Asu Risk Mgt | $8 | 156% |
| Wc Berkley Admin | $8 | 156% |
| Wc Broadspire | $8 | 156% |
| Wc Bunch & Associates | $8 | 156% |
| Wc Ccmsi | $8 | 156% |
| Wc Emc Insurance Company | $8 | 156% |
| Wc Esis | $8 | 156% |
| Wc Fcci | $8 | 156% |
| Wc Federated | $8 | 156% |
| Wc Gallagher Bassett | $8 | 156% |
| Wc Genex Care For Ohio | $8 | 156% |
| Wc Guard Insurance Company | $8 | 156% |
| Wc Hartford | $8 | 156% |
| Wc Liberty Mutual | $8 | 156% |
| Wc Meijers | $8 | 156% |
| Wc Michigan | $8 | 156% |
| Wc Mitchell Frankenmuth | $8 | 156% |
| Wc Pma | $8 | 156% |
| Wc Sedgwick | $8 | 156% |
| Wc Sentry | $8 | 156% |
| Wc Travelers | $8 | 156% |
| Wc Tristar | $8 | 156% |
| Wc Walmart | $8 | 156% |
| Wc Zurich | $8 | 156% |
| Wellpath | $8 | 156% |
| Employee Benefit Logistic | $12 | 234% |
| Priority Health | $12 - $13 | 234% |
| Asr Health Benefits | $17 | 332% |
| Caresource | $17 | 332% |
| Hap | $17 - $29 | 332% |
| Varipro | $17 | 332% |
| Acs Benefit Services | $18 | 352% |
| Allied Benefit Systems | $18 | 352% |
| Claimchoice Adminstrators | $18 | 352% |
| Consociate | $18 | 352% |
| Cypress Benefit Administrators | $18 | 352% |
| Forest County Potawatomi | $18 | 352% |
| Health Smart | $18 | 352% |
| Healthgram | $18 | 352% |
| Healthscope | $18 | 352% |
| Secureone Preferred United Plans | $18 | 352% |
| Sisco Benefits | $18 | 352% |
| The Health Plan | $18 | 352% |
| Trustmark Small Business Benefits | $18 | 352% |
| Unified Group Services | $18 | 352% |
| Webtpa | $18 | 352% |
| Hospice Advantage | $27 | 527% |
| 1199 National Benefit Fund | $29 | 566% |
| Allied National Global Care | $29 | 566% |
| Asrm - Reliance Standard Life Insurance | $29 | 566% |
| Christian Care Ministry | $29 | 566% |
| Dean Health | $29 | 566% |
| Fallon Health | $29 | 566% |
| Family Life Insurance Company | $29 | 566% |
| Ghc Scw | $29 | 566% |
| Group Pension Administrators | $29 | 566% |
| Health Partners | $29 | 566% |
| International Benefit Administrators | $29 | 566% |
| Lifetime Benefit Solutions | $29 | 566% |
| Manhattan Life | $29 | 566% |
| Medi Share | $29 | 566% |
| Multiplan | $29 | 566% |
| Mvp | $29 | 566% |
| Pai | $29 | 566% |
| Pan-American Life | $29 | 566% |
| Paramount Hmo | $29 | 566% |
| Phcs | $29 | 566% |
| Trinity Health Share | $29 | 566% |
| Tufts Health Plan | $29 | 566% |
| Cigna | $30 | 586% |
| Prime Health Services | $30 | 586% |
| Access Health | $31 | 605% |
| Acclaim | $31 | 605% |
| Administrative Concepts | $31 | 605% |
| Allegeant | $31 | 605% |
| Ameriben | $31 | 605% |
| American Family | $31 | 605% |
| American Healthcare Alliance | $31 | 605% |
| American National | $31 | 605% |
| American Republic | $31 | 605% |
| Amerihealth | $31 | 605% |
| Aultcare | $31 | 605% |
| Automated Benefit Services | $31 | 605% |
| Auxiant | $31 | 605% |
| Benefit Administrative Systems,Llc | $31 | 605% |
| Boon Chapman | $31 | 605% |
| Cam Administrative Services | $31 | 605% |
| Christian Brother Services | $31 | 605% |
| Christian Brothers Holy Cross | $31 | 605% |
| Comprehensive Benefits | $31 | 605% |
| Continental Life Insurance | $31 | 605% |
| Coventry | $31 | 605% |
| Custom Benefit Administrators | $31 | 605% |
| Employee Benefit Concepts | $31 | 605% |
| Employee Benefit Management | $31 | 605% |
| Enterprise Group Planning | $31 | 605% |
| Freedom Life Insurance Company | $31 | 605% |
| Group Administrators | $31 | 605% |
| Group Marketing Services | $31 | 605% |
| Guardian | $31 | 605% |
| Health America | $31 | 605% |
| Health Choices | $31 | 605% |
| Healthcare Management Admin | $31 | 605% |
| Healthez | $31 | 605% |
| Humana | $31 | 605% |
| Insight | $31 | 605% |
| Intercare | $31 | 605% |
| Jfp Benefit Management | $31 | 605% |
| Jp Farley Corporation | $31 | 605% |
| Key Benefit Administrator | $31 | 605% |
| Liberty Union Life Assurance Co | $31 | 605% |
| Lucent Health | $31 | 605% |
| Luminare Health | $31 | 605% |
| Luminare Health (Detroit) | $31 | 605% |
| Magnacare | $31 | 605% |
| Medben | $31 | 605% |
| Medcost | $31 | 605% |
| Medical Mutual | $31 | 605% |
| Mutual Health Services | $31 | 605% |
| Mutual Of Omaha | $31 | 605% |
| Ncas | $31 | 605% |
| Nippon Life Ins | $31 | 605% |
| Nova | $31 | 605% |
| Painters Union Insurance Fund | $31 | 605% |
| Physicians Mutual | $31 | 605% |
| Plumbers Local 98 Insurance Fund | $31 | 605% |
| Prairie States | $31 | 605% |
| Preferred One | $31 | 605% |
| Primary Physician Care | $31 | 605% |
| Professional Benefit Administrators | $31 | 605% |
| Siho Insurance Services | $31 | 605% |
| The Loomis Company | $31 | 605% |
| Unicare | $31 | 605% |
| Us Health And Life | $31 | 605% |
| Valenz | $31 | 605% |
| Western & Southern Financial Group | $31 | 605% |
| Wps | $31 | 605% |
| First Health | $32 | 625% |
| Correctional Healthcare Consultants | $34 | 664% |
| Three Rivers Provider Network | $34 | 664% |
| Cmh Washtenaw County | $38 | 742% |