CMS Price Transparency Data
Blood transfusion
Facility: Trinity Health Livingston Hospital
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $675
- Cash Discount Price: $2,489
- vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Trinity Health Livingston Hospital is $675. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,489. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.50x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$2,489
Average discount available for prompt cash payment at this facility.
Insurance Median
$675
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$450.73
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $450.73 (100%)
Cash / Self-Pay: $2,489 (552%)
Insurance Median: $675 (150%)
Cash: $2,489 (552% of Medicare)
Ins. Median: $675 (150% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $450.73 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.
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 |
|---|---|---|
| U Of M Health Plan | $89 | 20% |
| Asr Health Benefits | $90 | 20% |
| Caresource | $90 | 20% |
| Hap | $90 - $1,107 | 20% |
| Varipro | $90 | 20% |
| Blue Cross Blue Shield | $100 - $432 | 22% |
| Bcn Domestic | $163 | 36% |
| Blue Benefit Administrators Of Massachusetts | $163 | 36% |
| Blue Care Network | $163 | 36% |
| Blue Distinction Transplant | $163 | 36% |
| Blue Shield - Ca | $163 | 36% |
| Blue Shield - Id (Regence) | $163 | 36% |
| Blue Shield - Ny Highmark Northeastern | $163 | 36% |
| Blue Shield - Ny Highmark Western | $163 | 36% |
| Blue Shield - Pa (Highmark) | $163 | 36% |
| Blue Shield - Wa (Regence) | $163 | 36% |
| Health Choices | $163 - $1,166 | 36% |
| Kaiser Domestic | $163 | 36% |
| Medicaid / KanCare | $246 - $251 | 55% |
| Wc Accident Fund | $313 | 69% |
| Wc Advantage | $313 | 69% |
| Wc Aig | $313 | 69% |
| Wc Allied | $313 | 69% |
| Wc Amerisure | $313 | 69% |
| Wc Amtrust | $313 | 69% |
| Wc Asu Risk Mgt | $313 | 69% |
| Wc Berkley Admin | $313 | 69% |
| Wc Broadspire | $313 | 69% |
| Wc Bunch & Associates | $313 | 69% |
| Wc Ccmsi | $313 | 69% |
| Wc Emc Insurance Company | $313 | 69% |
| Wc Esis | $313 | 69% |
| Wc Fcci | $313 | 69% |
| Wc Federated | $313 | 69% |
| Wc Gallagher Bassett | $313 | 69% |
| Wc Genex Care For Ohio | $313 | 69% |
| Wc Guard Insurance Company | $313 | 69% |
| Wc Hartford | $313 | 69% |
| Wc Liberty Mutual | $313 | 69% |
| Wc Meijers | $313 | 69% |
| Wc Michigan | $313 | 69% |
| Wc Mitchell Frankenmuth | $313 | 69% |
| Wc Pma | $313 | 69% |
| Wc Sedgwick | $313 | 69% |
| Wc Sentry | $313 | 69% |
| Wc Travelers | $313 | 69% |
| Wc Tristar | $313 | 69% |
| Wc Walmart | $313 | 69% |
| Wc Zurich | $313 | 69% |
| Priority Health | $414 - $460 | 92% |
| Huron Valley Pace | $419 | 93% |
| Aetna | $432 - $962 | 96% |
| Blue Care Network Advantage | $432 | 96% |
| Hospice Of Lansing | $432 | 96% |
| Medicare (plans) | $432 - $441 | 96% |
| Align Senior Care | $441 | 98% |
| Angela Hospice | $441 | 98% |
| UnitedHealthcare | $454 - $1,288 | 101% |
| Cca - Zing Health | $466 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $496 | 110% |
| Molina Marketplace | $573 | 127% |
| Acs Benefit Services | $675 | 150% |
| Allied Benefit Systems | $675 | 150% |
| Claimchoice Adminstrators | $675 | 150% |
| Consociate | $675 | 150% |
| Cypress Benefit Administrators | $675 | 150% |
| Forest County Potawatomi | $675 | 150% |
| Health Smart | $675 | 150% |
| Healthgram | $675 | 150% |
| Healthscope | $675 | 150% |
| Secureone Preferred United Plans | $675 | 150% |
| Sisco Benefits | $675 | 150% |
| The Health Plan | $675 | 150% |
| Trustmark Small Business Benefits | $675 | 150% |
| Unified Group Services | $675 | 150% |
| Webtpa | $675 | 150% |
| Health Cost Solutions | $683 | 152% |
| Vitalcore | $683 | 152% |
| Wellpath | $683 | 152% |
| Geha | $962 - $1,047 | 213% |
| Meritain | $962 | 213% |
| Employee Benefit Logistic | $991 | 220% |
| Hospice Advantage | $1,002 | 222% |
| 1199 National Benefit Fund | $1,102 | 244% |
| Allied National Global Care | $1,102 | 244% |
| Asrm - Reliance Standard Life Insurance | $1,102 | 244% |
| Christian Care Ministry | $1,102 | 244% |
| Dean Health | $1,102 | 244% |
| Fallon Health | $1,102 | 244% |
| Family Life Insurance Company | $1,102 | 244% |
| Ghc Scw | $1,102 | 244% |
| Group Pension Administrators | $1,102 | 244% |
| International Benefit Administrators | $1,102 | 244% |
| Lifetime Benefit Solutions | $1,102 | 244% |
| Manhattan Life | $1,102 | 244% |
| Medi Share | $1,102 | 244% |
| Multiplan | $1,102 | 244% |
| Mvp | $1,102 | 244% |
| Pai | $1,102 | 244% |
| Pan-American Life | $1,102 | 244% |
| Paramount Hmo | $1,102 | 244% |
| Phcs | $1,102 | 244% |
| Trinity Health Share | $1,102 | 244% |
| Health Partners | $1,107 | 246% |
| Tufts Health Plan | $1,107 | 246% |
| Cigna | $1,111 | 246% |
| Prime Health Services | $1,145 | 254% |
| Access Health | $1,166 | 259% |
| Acclaim | $1,166 | 259% |
| Administrative Concepts | $1,166 | 259% |
| Allegeant | $1,166 | 259% |
| Ameriben | $1,166 | 259% |
| American Family | $1,166 | 259% |
| American Healthcare Alliance | $1,166 | 259% |
| American National | $1,166 | 259% |
| American Republic | $1,166 | 259% |
| Amerihealth | $1,166 | 259% |
| Aultcare | $1,166 | 259% |
| Automated Benefit Services | $1,166 | 259% |
| Auxiant | $1,166 | 259% |
| Benefit Administrative Systems,Llc | $1,166 | 259% |
| Boon Chapman | $1,166 | 259% |
| Cam Administrative Services | $1,166 | 259% |
| Christian Brother Services | $1,166 | 259% |
| Christian Brothers Holy Cross | $1,166 | 259% |
| Comprehensive Benefits | $1,166 | 259% |
| Continental Life Insurance | $1,166 | 259% |
| Coventry | $1,166 | 259% |
| Custom Benefit Administrators | $1,166 | 259% |
| Employee Benefit Concepts | $1,166 | 259% |
| Employee Benefit Management | $1,166 | 259% |
| Enterprise Group Planning | $1,166 | 259% |
| Freedom Life Insurance Company | $1,166 | 259% |
| Group Administrators | $1,166 | 259% |
| Group Marketing Services | $1,166 | 259% |
| Guardian | $1,166 | 259% |
| Health America | $1,166 | 259% |
| Healthcare Management Admin | $1,166 | 259% |
| Healthez | $1,166 | 259% |
| Humana | $1,166 | 259% |
| Insight | $1,166 | 259% |
| Intercare | $1,166 | 259% |
| Jfp Benefit Management | $1,166 | 259% |
| Jp Farley Corporation | $1,166 | 259% |
| Key Benefit Administrator | $1,166 | 259% |
| Liberty Union Life Assurance Co | $1,166 | 259% |
| Lucent Health | $1,166 | 259% |
| Luminare Health | $1,166 | 259% |
| Luminare Health (Detroit) | $1,166 | 259% |
| Magnacare | $1,166 | 259% |
| Medben | $1,166 | 259% |
| Medcost | $1,166 | 259% |
| Medical Mutual | $1,166 | 259% |
| Mutual Health Services | $1,166 | 259% |
| Mutual Of Omaha | $1,166 | 259% |
| Ncas | $1,166 | 259% |
| Nippon Life Ins | $1,166 | 259% |
| Nova | $1,166 | 259% |
| Painters Union Insurance Fund | $1,166 | 259% |
| Physicians Mutual | $1,166 | 259% |
| Plumbers Local 98 Insurance Fund | $1,166 | 259% |
| Prairie States | $1,166 | 259% |
| Preferred One | $1,166 | 259% |
| Primary Physician Care | $1,166 | 259% |
| Professional Benefit Administrators | $1,166 | 259% |
| Siho Insurance Services | $1,166 | 259% |
| The Loomis Company | $1,166 | 259% |
| Unicare | $1,166 | 259% |
| Us Health And Life | $1,166 | 259% |
| Valenz | $1,166 | 259% |
| Western & Southern Financial Group | $1,166 | 259% |
| Wps | $1,166 | 259% |
| First Health | $1,195 | 265% |
| Correctional Healthcare Consultants | $1,267 | 281% |
| Three Rivers Provider Network | $1,288 | 286% |
| Cmh Washtenaw County | $1,431 | 317% |