CMS Price Transparency Data
Family therapy session
Facility: Trinity Health Livingston Hospital
Billing Code: 90847 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90847
- Insurance Median: $156
- Cash Discount Price: $132
- vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Trinity Health Livingston Hospital is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.86x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$132
Average discount available for prompt cash payment at this facility.
Insurance Median
$156
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$181.34
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $132 (73%)
Insurance Median: $156 (86%)
Cash: $132 (73% of Medicare)
Ins. Median: $156 (86% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $181.34 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 |
|---|---|---|
| Wc Accident Fund | $44 | 24% |
| Wc Advantage | $44 | 24% |
| Wc Aig | $44 | 24% |
| Wc Allied | $44 | 24% |
| Wc Amerisure | $44 | 24% |
| Wc Amtrust | $44 | 24% |
| Wc Asu Risk Mgt | $44 | 24% |
| Wc Berkley Admin | $44 | 24% |
| Wc Broadspire | $44 | 24% |
| Wc Bunch & Associates | $44 | 24% |
| Wc Ccmsi | $44 | 24% |
| Wc Emc Insurance Company | $44 | 24% |
| Wc Esis | $44 | 24% |
| Wc Fcci | $44 | 24% |
| Wc Federated | $44 | 24% |
| Wc Gallagher Bassett | $44 | 24% |
| Wc Genex Care For Ohio | $44 | 24% |
| Wc Guard Insurance Company | $44 | 24% |
| Wc Hartford | $44 | 24% |
| Wc Liberty Mutual | $44 | 24% |
| Wc Meijers | $44 | 24% |
| Wc Michigan | $44 | 24% |
| Wc Mitchell Frankenmuth | $44 | 24% |
| Wc Pma | $44 | 24% |
| Wc Sedgwick | $44 | 24% |
| Wc Sentry | $44 | 24% |
| Wc Travelers | $44 | 24% |
| Wc Tristar | $44 | 24% |
| Wc Walmart | $44 | 24% |
| Wc Zurich | $44 | 24% |
| Blue Cross Blue Shield | $46 - $72 | 25% |
| Bcn Domestic | $72 | 40% |
| Blue Benefit Administrators Of Massachusetts | $72 | 40% |
| Blue Care Network | $72 | 40% |
| Blue Distinction Transplant | $72 | 40% |
| Blue Shield - Ca | $72 | 40% |
| Blue Shield - Id (Regence) | $72 | 40% |
| Blue Shield - Ny Highmark Northeastern | $72 | 40% |
| Blue Shield - Ny Highmark Western | $72 | 40% |
| Blue Shield - Pa (Highmark) | $72 | 40% |
| Blue Shield - Wa (Regence) | $72 | 40% |
| Health Choices | $72 - $165 | 40% |
| Kaiser Domestic | $72 | 40% |
| Aetna | $78 - $136 | 43% |
| Acs Benefit Services | $96 | 53% |
| Allied Benefit Systems | $96 | 53% |
| Claimchoice Adminstrators | $96 | 53% |
| Consociate | $96 | 53% |
| Cypress Benefit Administrators | $96 | 53% |
| Forest County Potawatomi | $96 | 53% |
| Health Smart | $96 | 53% |
| Healthgram | $96 | 53% |
| Healthscope | $96 | 53% |
| Secureone Preferred United Plans | $96 | 53% |
| Sisco Benefits | $96 | 53% |
| The Health Plan | $96 | 53% |
| Trustmark Small Business Benefits | $96 | 53% |
| Unified Group Services | $96 | 53% |
| Webtpa | $96 | 53% |
| Geha | $136 | 75% |
| Meritain | $136 | 75% |
| Hospice Advantage | $142 | 78% |
| 1199 National Benefit Fund | $156 | 86% |
| Allied National Global Care | $156 | 86% |
| Asrm - Reliance Standard Life Insurance | $156 | 86% |
| Christian Care Ministry | $156 | 86% |
| Dean Health | $156 | 86% |
| Fallon Health | $156 | 86% |
| Family Life Insurance Company | $156 | 86% |
| Ghc Scw | $156 | 86% |
| Group Pension Administrators | $156 | 86% |
| International Benefit Administrators | $156 | 86% |
| Lifetime Benefit Solutions | $156 | 86% |
| Manhattan Life | $156 | 86% |
| Medi Share | $156 | 86% |
| Multiplan | $156 | 86% |
| Mvp | $156 | 86% |
| Pai | $156 | 86% |
| Pan-American Life | $156 | 86% |
| Paramount Hmo | $156 | 86% |
| Phcs | $156 | 86% |
| Trinity Health Share | $156 | 86% |
| Hap | $157 - $271 | 87% |
| Health Partners | $157 | 87% |
| Tufts Health Plan | $157 | 87% |
| Cigna | $158 | 87% |
| Prime Health Services | $162 | 89% |
| Access Health | $165 | 91% |
| Acclaim | $165 | 91% |
| Administrative Concepts | $165 | 91% |
| Allegeant | $165 | 91% |
| Ameriben | $165 | 91% |
| American Family | $165 | 91% |
| American Healthcare Alliance | $165 | 91% |
| American National | $165 | 91% |
| American Republic | $165 | 91% |
| Amerihealth | $165 | 91% |
| Aultcare | $165 | 91% |
| Automated Benefit Services | $165 | 91% |
| Auxiant | $165 | 91% |
| Benefit Administrative Systems,Llc | $165 | 91% |
| Boon Chapman | $165 | 91% |
| Cam Administrative Services | $165 | 91% |
| Christian Brother Services | $165 | 91% |
| Christian Brothers Holy Cross | $165 | 91% |
| Comprehensive Benefits | $165 | 91% |
| Continental Life Insurance | $165 | 91% |
| Coventry | $165 | 91% |
| Custom Benefit Administrators | $165 | 91% |
| Employee Benefit Concepts | $165 | 91% |
| Employee Benefit Management | $165 | 91% |
| Enterprise Group Planning | $165 | 91% |
| Freedom Life Insurance Company | $165 | 91% |
| Group Administrators | $165 | 91% |
| Group Marketing Services | $165 | 91% |
| Guardian | $165 | 91% |
| Health America | $165 | 91% |
| Healthcare Management Admin | $165 | 91% |
| Healthez | $165 | 91% |
| Humana | $165 | 91% |
| Insight | $165 | 91% |
| Intercare | $165 | 91% |
| Jfp Benefit Management | $165 | 91% |
| Jp Farley Corporation | $165 | 91% |
| Key Benefit Administrator | $165 | 91% |
| Liberty Union Life Assurance Co | $165 | 91% |
| Lucent Health | $165 | 91% |
| Luminare Health | $165 | 91% |
| Luminare Health (Detroit) | $165 | 91% |
| Magnacare | $165 | 91% |
| Medben | $165 | 91% |
| Medcost | $165 | 91% |
| Medical Mutual | $165 | 91% |
| Mutual Health Services | $165 | 91% |
| Mutual Of Omaha | $165 | 91% |
| Ncas | $165 | 91% |
| Nippon Life Ins | $165 | 91% |
| Nova | $165 | 91% |
| Painters Union Insurance Fund | $165 | 91% |
| Physicians Mutual | $165 | 91% |
| Plumbers Local 98 Insurance Fund | $165 | 91% |
| Prairie States | $165 | 91% |
| Preferred One | $165 | 91% |
| Primary Physician Care | $165 | 91% |
| Professional Benefit Administrators | $165 | 91% |
| Siho Insurance Services | $165 | 91% |
| The Loomis Company | $165 | 91% |
| Unicare | $165 | 91% |
| Us Health And Life | $165 | 91% |
| Valenz | $165 | 91% |
| Western & Southern Financial Group | $165 | 91% |
| Wps | $165 | 91% |
| First Health | $169 | 93% |
| Correctional Healthcare Consultants | $180 | 99% |
| Three Rivers Provider Network | $183 | 101% |
| U Of M Health Plan | $183 | 101% |
| UnitedHealthcare | $183 | 101% |
| Cmh Washtenaw County | $203 | 112% |
| Asr Health Benefits | $271 | 149% |
| Caresource | $271 | 149% |
| Varipro | $271 | 149% |
| Priority Health | $327 - $363 | 180% |