CMS Price Transparency Data
Culture, bacterial
Facility: Trinity Health Livingston Hospital
Billing Code: 87070 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87070
- Insurance Median: $76
- Cash Discount Price: $73
- vs. Medicare Baseline: 8.82x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Trinity Health Livingston Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 8.82x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$73
Average discount available for prompt cash payment at this facility.
Insurance Median
$76
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$8.62
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $8.62 (100%)
Cash / Self-Pay: $73 (847%)
Insurance Median: $76 (882%)
Cash: $73 (847% of Medicare)
Ins. Median: $76 (882% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $8.62 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 882% of the Medicare baseline (a markup of 782%). 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 | $5 - $14 | 58% |
| Medicaid / KanCare | $5 | 58% |
| Aetna | $8 - $53 | 93% |
| Blue Care Network Advantage | $8 | 93% |
| Hospice Of Lansing | $8 | 93% |
| Huron Valley Pace | $8 | 93% |
| Medicare (plans) | $8 - $9 | 93% |
| Align Senior Care | $9 | 104% |
| Angela Hospice | $9 | 104% |
| Cca - Zing Health | $9 | 104% |
| UnitedHealthcare | $9 - $102 | 104% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $10 | 116% |
| U Of M Health Plan | $10 | 116% |
| Molina Marketplace | $11 | 128% |
| Geha | $13 - $83 | 151% |
| Health Cost Solutions | $13 | 151% |
| Meritain | $13 | 151% |
| Vitalcore | $13 | 151% |
| Wellpath | $13 | 151% |
| Bcn Domestic | $14 | 162% |
| Blue Benefit Administrators Of Massachusetts | $14 | 162% |
| Blue Care Network | $14 | 162% |
| Blue Distinction Transplant | $14 | 162% |
| Blue Shield - Ca | $14 | 162% |
| Blue Shield - Id (Regence) | $14 | 162% |
| Blue Shield - Ny Highmark Northeastern | $14 | 162% |
| Blue Shield - Ny Highmark Western | $14 | 162% |
| Blue Shield - Pa (Highmark) | $14 | 162% |
| Blue Shield - Wa (Regence) | $14 | 162% |
| Health Choices | $14 - $92 | 162% |
| Kaiser Domestic | $14 | 162% |
| Employee Benefit Logistic | $19 | 220% |
| Priority Health | $22 - $24 | 255% |
| Wc Accident Fund | $22 - $25 | 255% |
| Wc Advantage | $22 - $25 | 255% |
| Wc Aig | $22 - $25 | 255% |
| Wc Allied | $22 - $25 | 255% |
| Wc Amerisure | $22 - $25 | 255% |
| Wc Amtrust | $22 - $25 | 255% |
| Wc Asu Risk Mgt | $22 - $25 | 255% |
| Wc Berkley Admin | $22 - $25 | 255% |
| Wc Broadspire | $22 - $25 | 255% |
| Wc Bunch & Associates | $22 - $25 | 255% |
| Wc Ccmsi | $22 - $25 | 255% |
| Wc Emc Insurance Company | $22 - $25 | 255% |
| Wc Esis | $22 - $25 | 255% |
| Wc Fcci | $22 - $25 | 255% |
| Wc Federated | $22 - $25 | 255% |
| Wc Gallagher Bassett | $22 - $25 | 255% |
| Wc Genex Care For Ohio | $22 - $25 | 255% |
| Wc Guard Insurance Company | $22 - $25 | 255% |
| Wc Hartford | $22 - $25 | 255% |
| Wc Liberty Mutual | $22 - $25 | 255% |
| Wc Meijers | $22 - $25 | 255% |
| Wc Michigan | $22 - $25 | 255% |
| Wc Mitchell Frankenmuth | $22 - $25 | 255% |
| Wc Pma | $22 - $25 | 255% |
| Wc Sedgwick | $22 - $25 | 255% |
| Wc Sentry | $22 - $25 | 255% |
| Wc Travelers | $22 - $25 | 255% |
| Wc Tristar | $22 - $25 | 255% |
| Wc Walmart | $22 - $25 | 255% |
| Wc Zurich | $22 - $25 | 255% |
| Asr Health Benefits | $31 | 360% |
| Caresource | $31 | 360% |
| Hap | $31 - $87 | 360% |
| Varipro | $31 | 360% |
| Acs Benefit Services | $48 - $53 | 557% |
| Allied Benefit Systems | $48 - $53 | 557% |
| Claimchoice Adminstrators | $48 - $53 | 557% |
| Consociate | $48 - $53 | 557% |
| Cypress Benefit Administrators | $48 - $53 | 557% |
| Forest County Potawatomi | $48 - $53 | 557% |
| Health Smart | $48 - $53 | 557% |
| Healthgram | $48 - $53 | 557% |
| Healthscope | $48 - $53 | 557% |
| Secureone Preferred United Plans | $48 - $53 | 557% |
| Sisco Benefits | $48 - $53 | 557% |
| The Health Plan | $48 - $53 | 557% |
| Trustmark Small Business Benefits | $48 - $53 | 557% |
| Unified Group Services | $48 - $53 | 557% |
| Webtpa | $48 - $53 | 557% |
| 1199 National Benefit Fund | $78 - $87 | 905% |
| Allied National Global Care | $78 - $87 | 905% |
| Asrm - Reliance Standard Life Insurance | $78 - $87 | 905% |
| Christian Care Ministry | $78 - $87 | 905% |
| Cigna | $78 - $88 | 905% |
| Dean Health | $78 - $87 | 905% |
| Fallon Health | $78 - $87 | 905% |
| Family Life Insurance Company | $78 - $87 | 905% |
| Ghc Scw | $78 - $87 | 905% |
| Group Pension Administrators | $78 - $87 | 905% |
| Health Partners | $78 - $87 | 905% |
| International Benefit Administrators | $78 - $87 | 905% |
| Lifetime Benefit Solutions | $78 - $87 | 905% |
| Manhattan Life | $78 - $87 | 905% |
| Medi Share | $78 - $87 | 905% |
| Multiplan | $78 - $87 | 905% |
| Mvp | $78 - $87 | 905% |
| Pai | $78 - $87 | 905% |
| Pan-American Life | $78 - $87 | 905% |
| Paramount Hmo | $78 - $87 | 905% |
| Phcs | $78 - $87 | 905% |
| Trinity Health Share | $78 - $87 | 905% |
| Tufts Health Plan | $78 - $87 | 905% |
| Prime Health Services | $81 - $90 | 940% |
| Access Health | $82 - $92 | 951% |
| Acclaim | $82 - $92 | 951% |
| Administrative Concepts | $82 - $92 | 951% |
| Allegeant | $82 - $92 | 951% |
| Ameriben | $82 - $92 | 951% |
| American Family | $82 - $92 | 951% |
| American Healthcare Alliance | $82 - $92 | 951% |
| American National | $82 - $92 | 951% |
| American Republic | $82 - $92 | 951% |
| Amerihealth | $82 - $92 | 951% |
| Aultcare | $82 - $92 | 951% |
| Automated Benefit Services | $82 - $92 | 951% |
| Auxiant | $82 - $92 | 951% |
| Benefit Administrative Systems,Llc | $82 - $92 | 951% |
| Boon Chapman | $82 - $92 | 951% |
| Cam Administrative Services | $82 - $92 | 951% |
| Christian Brother Services | $82 - $92 | 951% |
| Christian Brothers Holy Cross | $82 - $92 | 951% |
| Comprehensive Benefits | $82 - $92 | 951% |
| Continental Life Insurance | $82 - $92 | 951% |
| Coventry | $82 - $92 | 951% |
| Custom Benefit Administrators | $82 - $92 | 951% |
| Employee Benefit Concepts | $82 - $92 | 951% |
| Employee Benefit Management | $82 - $92 | 951% |
| Enterprise Group Planning | $82 - $92 | 951% |
| Freedom Life Insurance Company | $82 - $92 | 951% |
| Group Administrators | $82 - $92 | 951% |
| Group Marketing Services | $82 - $92 | 951% |
| Guardian | $82 - $92 | 951% |
| Health America | $82 - $92 | 951% |
| Healthcare Management Admin | $82 - $92 | 951% |
| Healthez | $82 - $92 | 951% |
| Humana | $82 - $92 | 951% |
| Insight | $82 - $92 | 951% |
| Intercare | $82 - $92 | 951% |
| Jfp Benefit Management | $82 - $92 | 951% |
| Jp Farley Corporation | $82 - $92 | 951% |
| Key Benefit Administrator | $82 - $92 | 951% |
| Liberty Union Life Assurance Co | $82 - $92 | 951% |
| Lucent Health | $82 - $92 | 951% |
| Luminare Health | $82 - $92 | 951% |
| Luminare Health (Detroit) | $82 - $92 | 951% |
| Magnacare | $82 - $92 | 951% |
| Medben | $82 - $92 | 951% |
| Medcost | $82 - $92 | 951% |
| Medical Mutual | $82 - $92 | 951% |
| Mutual Health Services | $82 - $92 | 951% |
| Mutual Of Omaha | $82 - $92 | 951% |
| Ncas | $82 - $92 | 951% |
| Nippon Life Ins | $82 - $92 | 951% |
| Nova | $82 - $92 | 951% |
| Painters Union Insurance Fund | $82 - $92 | 951% |
| Physicians Mutual | $82 - $92 | 951% |
| Plumbers Local 98 Insurance Fund | $82 - $92 | 951% |
| Prairie States | $82 - $92 | 951% |
| Preferred One | $82 - $92 | 951% |
| Primary Physician Care | $82 - $92 | 951% |
| Professional Benefit Administrators | $82 - $92 | 951% |
| Siho Insurance Services | $82 - $92 | 951% |
| The Loomis Company | $82 - $92 | 951% |
| Unicare | $82 - $92 | 951% |
| Us Health And Life | $82 - $92 | 951% |
| Valenz | $82 - $92 | 951% |
| Western & Southern Financial Group | $82 - $92 | 951% |
| Wps | $82 - $92 | 951% |
| First Health | $84 - $94 | 974% |
| Correctional Healthcare Consultants | $89 - $100 | 1032% |
| Three Rivers Provider Network | $91 - $102 | 1056% |
| Cmh Washtenaw County | $101 - $113 | 1172% |