CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Trinity Health Livingston Hospital
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $116
- Cash Discount Price: $234
- vs. Medicare Baseline: 1.92x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Trinity Health Livingston Hospital is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $234. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.92x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$234
Average discount available for prompt cash payment at this facility.
Insurance Median
$116
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$60.27
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $60.27 (100%)
Cash / Self-Pay: $234 (388%)
Insurance Median: $116 (192%)
Cash: $234 (388% of Medicare)
Ins. Median: $116 (192% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $60.27 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
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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 | $11 - $130 | 18% |
| U Of M Health Plan | $14 | 23% |
| Bcn Domestic | $18 | 30% |
| Blue Benefit Administrators Of Massachusetts | $18 | 30% |
| Blue Care Network | $18 | 30% |
| Blue Distinction Transplant | $18 | 30% |
| Blue Shield - Ca | $18 | 30% |
| Blue Shield - Id (Regence) | $18 | 30% |
| Blue Shield - Ny Highmark Northeastern | $18 | 30% |
| Blue Shield - Ny Highmark Western | $18 | 30% |
| Blue Shield - Pa (Highmark) | $18 | 30% |
| Blue Shield - Wa (Regence) | $18 | 30% |
| Health Choices | $18 - $200 | 30% |
| Kaiser Domestic | $18 | 30% |
| Asr Health Benefits | $28 | 46% |
| Caresource | $28 | 46% |
| Hap | $28 - $190 | 46% |
| Varipro | $28 | 46% |
| Medicaid / KanCare | $33 - $76 | 55% |
| Priority Health | $37 - $41 | 61% |
| Wc Accident Fund | $54 | 90% |
| Wc Advantage | $54 | 90% |
| Wc Aig | $54 | 90% |
| Wc Allied | $54 | 90% |
| Wc Amerisure | $54 | 90% |
| Wc Amtrust | $54 | 90% |
| Wc Asu Risk Mgt | $54 | 90% |
| Wc Berkley Admin | $54 | 90% |
| Wc Broadspire | $54 | 90% |
| Wc Bunch & Associates | $54 | 90% |
| Wc Ccmsi | $54 | 90% |
| Wc Emc Insurance Company | $54 | 90% |
| Wc Esis | $54 | 90% |
| Wc Fcci | $54 | 90% |
| Wc Federated | $54 | 90% |
| Wc Gallagher Bassett | $54 | 90% |
| Wc Genex Care For Ohio | $54 | 90% |
| Wc Guard Insurance Company | $54 | 90% |
| Wc Hartford | $54 | 90% |
| Wc Liberty Mutual | $54 | 90% |
| Wc Meijers | $54 | 90% |
| Wc Michigan | $54 | 90% |
| Wc Mitchell Frankenmuth | $54 | 90% |
| Wc Pma | $54 | 90% |
| Wc Sedgwick | $54 | 90% |
| Wc Sentry | $54 | 90% |
| Wc Travelers | $54 | 90% |
| Wc Tristar | $54 | 90% |
| Wc Walmart | $54 | 90% |
| Wc Zurich | $54 | 90% |
| Huron Valley Pace | $56 - $126 | 93% |
| Aetna | $58 - $165 | 96% |
| Blue Care Network Advantage | $58 - $130 | 96% |
| Hospice Of Lansing | $58 | 96% |
| Medicare (plans) | $58 - $133 | 96% |
| Align Senior Care | $59 - $133 | 98% |
| Angela Hospice | $59 | 98% |
| UnitedHealthcare | $61 - $221 | 101% |
| Cca - Zing Health | $62 - $141 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $66 - $150 | 110% |
| Molina Marketplace | $77 | 128% |
| Health Cost Solutions | $91 | 151% |
| Vitalcore | $91 - $206 | 151% |
| Wellpath | $91 | 151% |
| Acs Benefit Services | $116 | 192% |
| Allied Benefit Systems | $116 | 192% |
| Claimchoice Adminstrators | $116 | 192% |
| Consociate | $116 | 192% |
| Cypress Benefit Administrators | $116 | 192% |
| Forest County Potawatomi | $116 | 192% |
| Health Smart | $116 | 192% |
| Healthgram | $116 | 192% |
| Healthscope | $116 | 192% |
| Secureone Preferred United Plans | $116 | 192% |
| Sisco Benefits | $116 | 192% |
| The Health Plan | $116 | 192% |
| Trustmark Small Business Benefits | $116 | 192% |
| Unified Group Services | $116 | 192% |
| Webtpa | $116 | 192% |
| Employee Benefit Logistic | $133 | 221% |
| Geha | $165 - $180 | 274% |
| Meritain | $165 | 274% |
| Hospice Advantage | $172 | 285% |
| 1199 National Benefit Fund | $189 | 314% |
| Allied National Global Care | $189 | 314% |
| Asrm - Reliance Standard Life Insurance | $189 | 314% |
| Christian Care Ministry | $189 | 314% |
| Dean Health | $189 | 314% |
| Fallon Health | $189 | 314% |
| Family Life Insurance Company | $189 | 314% |
| Ghc Scw | $189 | 314% |
| Group Pension Administrators | $189 | 314% |
| International Benefit Administrators | $189 | 314% |
| Lifetime Benefit Solutions | $189 | 314% |
| Manhattan Life | $189 | 314% |
| Medi Share | $189 | 314% |
| Multiplan | $189 | 314% |
| Mvp | $189 | 314% |
| Pai | $189 | 314% |
| Pan-American Life | $189 | 314% |
| Paramount Hmo | $189 | 314% |
| Phcs | $189 | 314% |
| Trinity Health Share | $189 | 314% |
| Health Partners | $190 | 315% |
| Tufts Health Plan | $190 | 315% |
| Cigna | $191 | 317% |
| Prime Health Services | $197 | 327% |
| Access Health | $200 | 332% |
| Acclaim | $200 | 332% |
| Administrative Concepts | $200 | 332% |
| Allegeant | $200 | 332% |
| Ameriben | $200 | 332% |
| American Family | $200 | 332% |
| American Healthcare Alliance | $200 | 332% |
| American National | $200 | 332% |
| American Republic | $200 | 332% |
| Amerihealth | $200 | 332% |
| Aultcare | $200 | 332% |
| Automated Benefit Services | $200 | 332% |
| Auxiant | $200 | 332% |
| Benefit Administrative Systems,Llc | $200 | 332% |
| Boon Chapman | $200 | 332% |
| Cam Administrative Services | $200 | 332% |
| Christian Brother Services | $200 | 332% |
| Christian Brothers Holy Cross | $200 | 332% |
| Comprehensive Benefits | $200 | 332% |
| Continental Life Insurance | $200 | 332% |
| Coventry | $200 | 332% |
| Custom Benefit Administrators | $200 | 332% |
| Employee Benefit Concepts | $200 | 332% |
| Employee Benefit Management | $200 | 332% |
| Enterprise Group Planning | $200 | 332% |
| Freedom Life Insurance Company | $200 | 332% |
| Group Administrators | $200 | 332% |
| Group Marketing Services | $200 | 332% |
| Guardian | $200 | 332% |
| Health America | $200 | 332% |
| Healthcare Management Admin | $200 | 332% |
| Healthez | $200 | 332% |
| Humana | $200 | 332% |
| Insight | $200 | 332% |
| Intercare | $200 | 332% |
| Jfp Benefit Management | $200 | 332% |
| Jp Farley Corporation | $200 | 332% |
| Key Benefit Administrator | $200 | 332% |
| Liberty Union Life Assurance Co | $200 | 332% |
| Lucent Health | $200 | 332% |
| Luminare Health | $200 | 332% |
| Luminare Health (Detroit) | $200 | 332% |
| Magnacare | $200 | 332% |
| Medben | $200 | 332% |
| Medcost | $200 | 332% |
| Medical Mutual | $200 | 332% |
| Mutual Health Services | $200 | 332% |
| Mutual Of Omaha | $200 | 332% |
| Ncas | $200 | 332% |
| Nippon Life Ins | $200 | 332% |
| Nova | $200 | 332% |
| Painters Union Insurance Fund | $200 | 332% |
| Physicians Mutual | $200 | 332% |
| Plumbers Local 98 Insurance Fund | $200 | 332% |
| Prairie States | $200 | 332% |
| Preferred One | $200 | 332% |
| Primary Physician Care | $200 | 332% |
| Professional Benefit Administrators | $200 | 332% |
| Siho Insurance Services | $200 | 332% |
| The Loomis Company | $200 | 332% |
| Unicare | $200 | 332% |
| Us Health And Life | $200 | 332% |
| Valenz | $200 | 332% |
| Western & Southern Financial Group | $200 | 332% |
| Wps | $200 | 332% |
| First Health | $205 | 340% |
| Correctional Healthcare Consultants | $218 | 362% |
| Three Rivers Provider Network | $221 | 367% |
| Cmh Washtenaw County | $246 | 408% |