CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: Trinity Health Livingston Hospital
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $617
- Cash Discount Price: $548
- vs. Medicare Baseline: 3.93x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Trinity Health Livingston Hospital is $617. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $548. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.93x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$548
Average discount available for prompt cash payment at this facility.
Insurance Median
$617
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$156.98
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $548 (349%)
Insurance Median: $617 (393%)
Cash: $548 (349% of Medicare)
Ins. Median: $617 (393% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $156.98 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 393% of the Medicare baseline (a markup of 293%). 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 | $55 - $388 | 35% |
| Medicaid / KanCare | $55 - $56 | 35% |
| Huron Valley Pace | $96 | 61% |
| Aetna | $99 - $399 | 63% |
| Blue Care Network Advantage | $99 | 63% |
| Hospice Of Lansing | $99 | 63% |
| Medicare (plans) | $99 - $101 | 63% |
| Align Senior Care | $101 | 64% |
| UnitedHealthcare | $104 - $759 | 66% |
| Angela Hospice | $107 | 68% |
| Cca - Zing Health | $107 | 68% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $114 | 73% |
| Molina Marketplace | $131 | 83% |
| Health Cost Solutions | $157 | 100% |
| Vitalcore | $157 | 100% |
| Wellpath | $157 - $166 | 100% |
| Wc Accident Fund | $184 | 117% |
| Wc Advantage | $184 | 117% |
| Wc Aig | $184 | 117% |
| Wc Allied | $184 | 117% |
| Wc Amerisure | $184 | 117% |
| Wc Amtrust | $184 | 117% |
| Wc Asu Risk Mgt | $184 | 117% |
| Wc Berkley Admin | $184 | 117% |
| Wc Broadspire | $184 | 117% |
| Wc Bunch & Associates | $184 | 117% |
| Wc Ccmsi | $184 | 117% |
| Wc Emc Insurance Company | $184 | 117% |
| Wc Esis | $184 | 117% |
| Wc Fcci | $184 | 117% |
| Wc Federated | $184 | 117% |
| Wc Gallagher Bassett | $184 | 117% |
| Wc Genex Care For Ohio | $184 | 117% |
| Wc Guard Insurance Company | $184 | 117% |
| Wc Hartford | $184 | 117% |
| Wc Liberty Mutual | $184 | 117% |
| Wc Meijers | $184 | 117% |
| Wc Michigan | $184 | 117% |
| Wc Mitchell Frankenmuth | $184 | 117% |
| Wc Pma | $184 | 117% |
| Wc Sedgwick | $184 | 117% |
| Wc Sentry | $184 | 117% |
| Wc Travelers | $184 | 117% |
| Wc Tristar | $184 | 117% |
| Wc Walmart | $184 | 117% |
| Wc Zurich | $184 | 117% |
| Employee Benefit Logistic | $227 | 145% |
| Asr Health Benefits | $244 | 155% |
| Caresource | $244 | 155% |
| Hap | $244 - $652 | 155% |
| Varipro | $244 | 155% |
| Priority Health | $252 - $280 | 161% |
| U Of M Health Plan | $346 | 220% |
| Geha | $386 - $617 | 246% |
| Meritain | $386 | 246% |
| Bcn Domestic | $388 | 247% |
| Blue Benefit Administrators Of Massachusetts | $388 | 247% |
| Blue Care Network | $388 | 247% |
| Blue Distinction Transplant | $388 | 247% |
| Blue Shield - Ca | $388 | 247% |
| Blue Shield - Id (Regence) | $388 | 247% |
| Blue Shield - Ny Highmark Northeastern | $388 | 247% |
| Blue Shield - Ny Highmark Western | $388 | 247% |
| Blue Shield - Pa (Highmark) | $388 | 247% |
| Blue Shield - Wa (Regence) | $388 | 247% |
| Health Choices | $388 - $687 | 247% |
| Kaiser Domestic | $388 | 247% |
| Acs Benefit Services | $398 | 254% |
| Allied Benefit Systems | $398 | 254% |
| Claimchoice Adminstrators | $398 | 254% |
| Consociate | $398 | 254% |
| Cypress Benefit Administrators | $398 | 254% |
| Forest County Potawatomi | $398 | 254% |
| Health Smart | $398 | 254% |
| Healthgram | $398 | 254% |
| Healthscope | $398 | 254% |
| Secureone Preferred United Plans | $398 | 254% |
| Sisco Benefits | $398 | 254% |
| The Health Plan | $398 | 254% |
| Trustmark Small Business Benefits | $398 | 254% |
| Unified Group Services | $398 | 254% |
| Webtpa | $398 | 254% |
| Hospice Advantage | $590 | 376% |
| 1199 National Benefit Fund | $649 | 413% |
| Allied National Global Care | $649 | 413% |
| Asrm - Reliance Standard Life Insurance | $649 | 413% |
| Christian Care Ministry | $649 | 413% |
| Dean Health | $649 | 413% |
| Fallon Health | $649 | 413% |
| Family Life Insurance Company | $649 | 413% |
| Ghc Scw | $649 | 413% |
| Group Pension Administrators | $649 | 413% |
| International Benefit Administrators | $649 | 413% |
| Lifetime Benefit Solutions | $649 | 413% |
| Manhattan Life | $649 | 413% |
| Medi Share | $649 | 413% |
| Multiplan | $649 | 413% |
| Mvp | $649 | 413% |
| Pai | $649 | 413% |
| Pan-American Life | $649 | 413% |
| Paramount Hmo | $649 | 413% |
| Phcs | $649 | 413% |
| Trinity Health Share | $649 | 413% |
| Health Partners | $652 | 415% |
| Tufts Health Plan | $652 | 415% |
| Cigna | $655 | 417% |
| Prime Health Services | $674 | 429% |
| Access Health | $687 | 438% |
| Acclaim | $687 | 438% |
| Administrative Concepts | $687 | 438% |
| Allegeant | $687 | 438% |
| Ameriben | $687 | 438% |
| American Family | $687 | 438% |
| American Healthcare Alliance | $687 | 438% |
| American National | $687 | 438% |
| American Republic | $687 | 438% |
| Amerihealth | $687 | 438% |
| Aultcare | $687 | 438% |
| Automated Benefit Services | $687 | 438% |
| Auxiant | $687 | 438% |
| Benefit Administrative Systems,Llc | $687 | 438% |
| Boon Chapman | $687 | 438% |
| Cam Administrative Services | $687 | 438% |
| Christian Brother Services | $687 | 438% |
| Christian Brothers Holy Cross | $687 | 438% |
| Comprehensive Benefits | $687 | 438% |
| Continental Life Insurance | $687 | 438% |
| Coventry | $687 | 438% |
| Custom Benefit Administrators | $687 | 438% |
| Employee Benefit Concepts | $687 | 438% |
| Employee Benefit Management | $687 | 438% |
| Enterprise Group Planning | $687 | 438% |
| Freedom Life Insurance Company | $687 | 438% |
| Group Administrators | $687 | 438% |
| Group Marketing Services | $687 | 438% |
| Guardian | $687 | 438% |
| Health America | $687 | 438% |
| Healthcare Management Admin | $687 | 438% |
| Healthez | $687 | 438% |
| Humana | $687 | 438% |
| Insight | $687 | 438% |
| Intercare | $687 | 438% |
| Jfp Benefit Management | $687 | 438% |
| Jp Farley Corporation | $687 | 438% |
| Key Benefit Administrator | $687 | 438% |
| Liberty Union Life Assurance Co | $687 | 438% |
| Lucent Health | $687 | 438% |
| Luminare Health | $687 | 438% |
| Luminare Health (Detroit) | $687 | 438% |
| Magnacare | $687 | 438% |
| Medben | $687 | 438% |
| Medcost | $687 | 438% |
| Medical Mutual | $687 | 438% |
| Mutual Health Services | $687 | 438% |
| Mutual Of Omaha | $687 | 438% |
| Ncas | $687 | 438% |
| Nippon Life Ins | $687 | 438% |
| Nova | $687 | 438% |
| Painters Union Insurance Fund | $687 | 438% |
| Physicians Mutual | $687 | 438% |
| Plumbers Local 98 Insurance Fund | $687 | 438% |
| Prairie States | $687 | 438% |
| Preferred One | $687 | 438% |
| Primary Physician Care | $687 | 438% |
| Professional Benefit Administrators | $687 | 438% |
| Siho Insurance Services | $687 | 438% |
| The Loomis Company | $687 | 438% |
| Unicare | $687 | 438% |
| Us Health And Life | $687 | 438% |
| Valenz | $687 | 438% |
| Western & Southern Financial Group | $687 | 438% |
| Wps | $687 | 438% |
| First Health | $704 | 448% |
| Correctional Healthcare Consultants | $746 | 475% |
| Three Rivers Provider Network | $759 | 484% |
| Cmh Washtenaw County | $843 | 537% |