CMS Price Transparency Data
Blood test, hemoglobin
Facility: Trinity Health Livingston Hospital
Billing Code: 85018 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85018
- Insurance Median: $20
- Cash Discount Price: $21
- vs. Medicare Baseline: 8.44x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Trinity Health Livingston Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 8.44x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$21
Average discount available for prompt cash payment at this facility.
Insurance Median
$20
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$2.37
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $2.37 (100%)
Cash / Self-Pay: $21 (886%)
Insurance Median: $20 (844%)
Cash: $21 (886% of Medicare)
Ins. Median: $20 (844% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $2.37 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 844% of the Medicare baseline (a markup of 744%). 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 | $1 - $4 | 42% |
| Medicaid / KanCare | $1 | 42% |
| Aetna | $2 - $15 | 84% |
| Align Senior Care | $2 | 84% |
| Angela Hospice | $2 | 84% |
| Blue Care Network Advantage | $2 | 84% |
| Hospice Of Lansing | $2 | 84% |
| Huron Valley Pace | $2 | 84% |
| Medicare (plans) | $2 | 84% |
| UnitedHealthcare | $2 - $29 | 84% |
| Cca - Zing Health | $3 | 127% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $3 | 127% |
| Molina Marketplace | $3 | 127% |
| Bcn Domestic | $4 | 169% |
| Blue Benefit Administrators Of Massachusetts | $4 | 169% |
| Blue Care Network | $4 | 169% |
| Blue Distinction Transplant | $4 | 169% |
| Blue Shield - Ca | $4 | 169% |
| Blue Shield - Id (Regence) | $4 | 169% |
| Blue Shield - Ny Highmark Northeastern | $4 | 169% |
| Blue Shield - Ny Highmark Western | $4 | 169% |
| Blue Shield - Pa (Highmark) | $4 | 169% |
| Blue Shield - Wa (Regence) | $4 | 169% |
| Geha | $4 - $23 | 169% |
| Health Choices | $4 - $26 | 169% |
| Health Cost Solutions | $4 | 169% |
| Kaiser Domestic | $4 | 169% |
| Meritain | $4 | 169% |
| U Of M Health Plan | $4 | 169% |
| Vitalcore | $4 | 169% |
| Wellpath | $4 | 169% |
| Employee Benefit Logistic | $5 | 211% |
| Priority Health | $6 - $7 | 253% |
| Wc Accident Fund | $6 - $7 | 253% |
| Wc Advantage | $6 - $7 | 253% |
| Wc Aig | $6 - $7 | 253% |
| Wc Allied | $6 - $7 | 253% |
| Wc Amerisure | $6 - $7 | 253% |
| Wc Amtrust | $6 - $7 | 253% |
| Wc Asu Risk Mgt | $6 - $7 | 253% |
| Wc Berkley Admin | $6 - $7 | 253% |
| Wc Broadspire | $6 - $7 | 253% |
| Wc Bunch & Associates | $6 - $7 | 253% |
| Wc Ccmsi | $6 - $7 | 253% |
| Wc Emc Insurance Company | $6 - $7 | 253% |
| Wc Esis | $6 - $7 | 253% |
| Wc Fcci | $6 - $7 | 253% |
| Wc Federated | $6 - $7 | 253% |
| Wc Gallagher Bassett | $6 - $7 | 253% |
| Wc Genex Care For Ohio | $6 - $7 | 253% |
| Wc Guard Insurance Company | $6 - $7 | 253% |
| Wc Hartford | $6 - $7 | 253% |
| Wc Liberty Mutual | $6 - $7 | 253% |
| Wc Meijers | $6 - $7 | 253% |
| Wc Michigan | $6 - $7 | 253% |
| Wc Mitchell Frankenmuth | $6 - $7 | 253% |
| Wc Pma | $6 - $7 | 253% |
| Wc Sedgwick | $6 - $7 | 253% |
| Wc Sentry | $6 - $7 | 253% |
| Wc Travelers | $6 - $7 | 253% |
| Wc Tristar | $6 - $7 | 253% |
| Wc Walmart | $6 - $7 | 253% |
| Wc Zurich | $6 - $7 | 253% |
| Asr Health Benefits | $9 | 380% |
| Caresource | $9 | 380% |
| Hap | $9 - $25 | 380% |
| Varipro | $9 | 380% |
| Acs Benefit Services | $13 - $15 | 549% |
| Allied Benefit Systems | $13 - $15 | 549% |
| Claimchoice Adminstrators | $13 - $15 | 549% |
| Consociate | $13 - $15 | 549% |
| Cypress Benefit Administrators | $13 - $15 | 549% |
| Forest County Potawatomi | $13 - $15 | 549% |
| Health Smart | $13 - $15 | 549% |
| Healthgram | $13 - $15 | 549% |
| Healthscope | $13 - $15 | 549% |
| Secureone Preferred United Plans | $13 - $15 | 549% |
| Sisco Benefits | $13 - $15 | 549% |
| The Health Plan | $13 - $15 | 549% |
| Trustmark Small Business Benefits | $13 - $15 | 549% |
| Unified Group Services | $13 - $15 | 549% |
| Webtpa | $13 - $15 | 549% |
| 1199 National Benefit Fund | $21 - $25 | 886% |
| Allied National Global Care | $21 - $25 | 886% |
| Asrm - Reliance Standard Life Insurance | $21 - $25 | 886% |
| Christian Care Ministry | $21 - $25 | 886% |
| Cigna | $21 - $25 | 886% |
| Dean Health | $21 - $25 | 886% |
| Fallon Health | $21 - $25 | 886% |
| Family Life Insurance Company | $21 - $25 | 886% |
| Ghc Scw | $21 - $25 | 886% |
| Group Pension Administrators | $21 - $25 | 886% |
| Health Partners | $21 - $25 | 886% |
| International Benefit Administrators | $21 - $25 | 886% |
| Lifetime Benefit Solutions | $21 - $25 | 886% |
| Manhattan Life | $21 - $25 | 886% |
| Medi Share | $21 - $25 | 886% |
| Multiplan | $21 - $25 | 886% |
| Mvp | $21 - $25 | 886% |
| Pai | $21 - $25 | 886% |
| Pan-American Life | $21 - $25 | 886% |
| Paramount Hmo | $21 - $25 | 886% |
| Phcs | $21 - $25 | 886% |
| Trinity Health Share | $21 - $25 | 886% |
| Tufts Health Plan | $21 - $25 | 886% |
| Access Health | $22 - $26 | 928% |
| Acclaim | $22 - $26 | 928% |
| Administrative Concepts | $22 - $26 | 928% |
| Allegeant | $22 - $26 | 928% |
| Ameriben | $22 - $26 | 928% |
| American Family | $22 - $26 | 928% |
| American Healthcare Alliance | $22 - $26 | 928% |
| American National | $22 - $26 | 928% |
| American Republic | $22 - $26 | 928% |
| Amerihealth | $22 - $26 | 928% |
| Aultcare | $22 - $26 | 928% |
| Automated Benefit Services | $22 - $26 | 928% |
| Auxiant | $22 - $26 | 928% |
| Benefit Administrative Systems,Llc | $22 - $26 | 928% |
| Boon Chapman | $22 - $26 | 928% |
| Cam Administrative Services | $22 - $26 | 928% |
| Christian Brother Services | $22 - $26 | 928% |
| Christian Brothers Holy Cross | $22 - $26 | 928% |
| Comprehensive Benefits | $22 - $26 | 928% |
| Continental Life Insurance | $22 - $26 | 928% |
| Coventry | $22 - $26 | 928% |
| Custom Benefit Administrators | $22 - $26 | 928% |
| Employee Benefit Concepts | $22 - $26 | 928% |
| Employee Benefit Management | $22 - $26 | 928% |
| Enterprise Group Planning | $22 - $26 | 928% |
| Freedom Life Insurance Company | $22 - $26 | 928% |
| Group Administrators | $22 - $26 | 928% |
| Group Marketing Services | $22 - $26 | 928% |
| Guardian | $22 - $26 | 928% |
| Health America | $22 - $26 | 928% |
| Healthcare Management Admin | $22 - $26 | 928% |
| Healthez | $22 - $26 | 928% |
| Humana | $22 - $26 | 928% |
| Insight | $22 - $26 | 928% |
| Intercare | $22 - $26 | 928% |
| Jfp Benefit Management | $22 - $26 | 928% |
| Jp Farley Corporation | $22 - $26 | 928% |
| Key Benefit Administrator | $22 - $26 | 928% |
| Liberty Union Life Assurance Co | $22 - $26 | 928% |
| Lucent Health | $22 - $26 | 928% |
| Luminare Health | $22 - $26 | 928% |
| Luminare Health (Detroit) | $22 - $26 | 928% |
| Magnacare | $22 - $26 | 928% |
| Medben | $22 - $26 | 928% |
| Medcost | $22 - $26 | 928% |
| Medical Mutual | $22 - $26 | 928% |
| Mutual Health Services | $22 - $26 | 928% |
| Mutual Of Omaha | $22 - $26 | 928% |
| Ncas | $22 - $26 | 928% |
| Nippon Life Ins | $22 - $26 | 928% |
| Nova | $22 - $26 | 928% |
| Painters Union Insurance Fund | $22 - $26 | 928% |
| Physicians Mutual | $22 - $26 | 928% |
| Plumbers Local 98 Insurance Fund | $22 - $26 | 928% |
| Prairie States | $22 - $26 | 928% |
| Preferred One | $22 - $26 | 928% |
| Primary Physician Care | $22 - $26 | 928% |
| Prime Health Services | $22 - $26 | 928% |
| Professional Benefit Administrators | $22 - $26 | 928% |
| Siho Insurance Services | $22 - $26 | 928% |
| The Loomis Company | $22 - $26 | 928% |
| Unicare | $22 - $26 | 928% |
| Us Health And Life | $22 - $26 | 928% |
| Valenz | $22 - $26 | 928% |
| Western & Southern Financial Group | $22 - $26 | 928% |
| Wps | $22 - $26 | 928% |
| First Health | $23 - $27 | 970% |
| Correctional Healthcare Consultants | $24 - $28 | 1013% |
| Three Rivers Provider Network | $24 - $29 | 1013% |
| Cmh Washtenaw County | $27 - $32 | 1139% |