CMS Price Transparency Data
Group therapy session
Facility: Trinity Health Livingston Hospital
Billing Code: 90853 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90853
- Insurance Median: $142
- Cash Discount Price: $120
- vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Group therapy session at Trinity Health Livingston Hospital is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 1.37x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$120
Average discount available for prompt cash payment at this facility.
Insurance Median
$142
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$103.79
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $103.79 (100%)
Cash / Self-Pay: $120 (116%)
Insurance Median: $142 (137%)
Cash: $120 (116% of Medicare)
Ins. Median: $142 (137% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $103.79 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 | $40 | 39% |
| Wc Advantage | $40 | 39% |
| Wc Aig | $40 | 39% |
| Wc Allied | $40 | 39% |
| Wc Amerisure | $40 | 39% |
| Wc Amtrust | $40 | 39% |
| Wc Asu Risk Mgt | $40 | 39% |
| Wc Berkley Admin | $40 | 39% |
| Wc Broadspire | $40 | 39% |
| Wc Bunch & Associates | $40 | 39% |
| Wc Ccmsi | $40 | 39% |
| Wc Emc Insurance Company | $40 | 39% |
| Wc Esis | $40 | 39% |
| Wc Fcci | $40 | 39% |
| Wc Federated | $40 | 39% |
| Wc Gallagher Bassett | $40 | 39% |
| Wc Genex Care For Ohio | $40 | 39% |
| Wc Guard Insurance Company | $40 | 39% |
| Wc Hartford | $40 | 39% |
| Wc Liberty Mutual | $40 | 39% |
| Wc Meijers | $40 | 39% |
| Wc Michigan | $40 | 39% |
| Wc Mitchell Frankenmuth | $40 | 39% |
| Wc Pma | $40 | 39% |
| Wc Sedgwick | $40 | 39% |
| Wc Sentry | $40 | 39% |
| Wc Travelers | $40 | 39% |
| Wc Tristar | $40 | 39% |
| Wc Walmart | $40 | 39% |
| Wc Zurich | $40 | 39% |
| Blue Cross Blue Shield | $42 - $66 | 40% |
| U Of M Health Plan | $50 | 48% |
| Bcn Domestic | $66 | 64% |
| Blue Benefit Administrators Of Massachusetts | $66 | 64% |
| Blue Care Network | $66 | 64% |
| Blue Distinction Transplant | $66 | 64% |
| Blue Shield - Ca | $66 | 64% |
| Blue Shield - Id (Regence) | $66 | 64% |
| Blue Shield - Ny Highmark Northeastern | $66 | 64% |
| Blue Shield - Ny Highmark Western | $66 | 64% |
| Blue Shield - Pa (Highmark) | $66 | 64% |
| Blue Shield - Wa (Regence) | $66 | 64% |
| Health Choices | $66 - $151 | 64% |
| Kaiser Domestic | $66 | 64% |
| Aetna | $71 - $124 | 68% |
| Acs Benefit Services | $87 | 84% |
| Allied Benefit Systems | $87 | 84% |
| Claimchoice Adminstrators | $87 | 84% |
| Consociate | $87 | 84% |
| Cypress Benefit Administrators | $87 | 84% |
| Forest County Potawatomi | $87 | 84% |
| Health Smart | $87 | 84% |
| Healthgram | $87 | 84% |
| Healthscope | $87 | 84% |
| Secureone Preferred United Plans | $87 | 84% |
| Sisco Benefits | $87 | 84% |
| The Health Plan | $87 | 84% |
| Trustmark Small Business Benefits | $87 | 84% |
| Unified Group Services | $87 | 84% |
| Webtpa | $87 | 84% |
| Asr Health Benefits | $102 | 98% |
| Caresource | $102 | 98% |
| Hap | $102 - $143 | 98% |
| Varipro | $102 | 98% |
| Geha | $124 | 119% |
| Meritain | $124 | 119% |
| Hospice Advantage | $130 | 125% |
| 1199 National Benefit Fund | $142 | 137% |
| Allied National Global Care | $142 | 137% |
| Asrm - Reliance Standard Life Insurance | $142 | 137% |
| Christian Care Ministry | $142 | 137% |
| Dean Health | $142 | 137% |
| Fallon Health | $142 | 137% |
| Family Life Insurance Company | $142 | 137% |
| Ghc Scw | $142 | 137% |
| Group Pension Administrators | $142 | 137% |
| International Benefit Administrators | $142 | 137% |
| Lifetime Benefit Solutions | $142 | 137% |
| Manhattan Life | $142 | 137% |
| Medi Share | $142 | 137% |
| Multiplan | $142 | 137% |
| Mvp | $142 | 137% |
| Pai | $142 | 137% |
| Pan-American Life | $142 | 137% |
| Paramount Hmo | $142 | 137% |
| Phcs | $142 | 137% |
| Trinity Health Share | $142 | 137% |
| Health Partners | $143 | 138% |
| Tufts Health Plan | $143 | 138% |
| Cigna | $144 | 139% |
| Prime Health Services | $148 | 143% |
| Priority Health | $149 - $166 | 144% |
| Access Health | $151 | 145% |
| Acclaim | $151 | 145% |
| Administrative Concepts | $151 | 145% |
| Allegeant | $151 | 145% |
| Ameriben | $151 | 145% |
| American Family | $151 | 145% |
| American Healthcare Alliance | $151 | 145% |
| American National | $151 | 145% |
| American Republic | $151 | 145% |
| Amerihealth | $151 | 145% |
| Aultcare | $151 | 145% |
| Automated Benefit Services | $151 | 145% |
| Auxiant | $151 | 145% |
| Benefit Administrative Systems,Llc | $151 | 145% |
| Boon Chapman | $151 | 145% |
| Cam Administrative Services | $151 | 145% |
| Christian Brother Services | $151 | 145% |
| Christian Brothers Holy Cross | $151 | 145% |
| Comprehensive Benefits | $151 | 145% |
| Continental Life Insurance | $151 | 145% |
| Coventry | $151 | 145% |
| Custom Benefit Administrators | $151 | 145% |
| Employee Benefit Concepts | $151 | 145% |
| Employee Benefit Management | $151 | 145% |
| Enterprise Group Planning | $151 | 145% |
| Freedom Life Insurance Company | $151 | 145% |
| Group Administrators | $151 | 145% |
| Group Marketing Services | $151 | 145% |
| Guardian | $151 | 145% |
| Health America | $151 | 145% |
| Healthcare Management Admin | $151 | 145% |
| Healthez | $151 | 145% |
| Humana | $151 | 145% |
| Insight | $151 | 145% |
| Intercare | $151 | 145% |
| Jfp Benefit Management | $151 | 145% |
| Jp Farley Corporation | $151 | 145% |
| Key Benefit Administrator | $151 | 145% |
| Liberty Union Life Assurance Co | $151 | 145% |
| Lucent Health | $151 | 145% |
| Luminare Health | $151 | 145% |
| Luminare Health (Detroit) | $151 | 145% |
| Magnacare | $151 | 145% |
| Medben | $151 | 145% |
| Medcost | $151 | 145% |
| Medical Mutual | $151 | 145% |
| Mutual Health Services | $151 | 145% |
| Mutual Of Omaha | $151 | 145% |
| Ncas | $151 | 145% |
| Nippon Life Ins | $151 | 145% |
| Nova | $151 | 145% |
| Painters Union Insurance Fund | $151 | 145% |
| Physicians Mutual | $151 | 145% |
| Plumbers Local 98 Insurance Fund | $151 | 145% |
| Prairie States | $151 | 145% |
| Preferred One | $151 | 145% |
| Primary Physician Care | $151 | 145% |
| Professional Benefit Administrators | $151 | 145% |
| Siho Insurance Services | $151 | 145% |
| The Loomis Company | $151 | 145% |
| Unicare | $151 | 145% |
| Us Health And Life | $151 | 145% |
| Valenz | $151 | 145% |
| Western & Southern Financial Group | $151 | 145% |
| Wps | $151 | 145% |
| First Health | $154 | 148% |
| Correctional Healthcare Consultants | $164 | 158% |
| Three Rivers Provider Network | $166 | 160% |
| UnitedHealthcare | $166 | 160% |
| Cmh Washtenaw County | $185 | 178% |