CMS Price Transparency Data
Hepatitis C antibody test
Facility: Trinity Health Livingston Hospital
Billing Code: 86803 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86803
- Insurance Median: $55
- Cash Discount Price: $49
- vs. Medicare Baseline: 3.85x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Trinity Health Livingston Hospital is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 3.85x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$49
Average discount available for prompt cash payment at this facility.
Insurance Median
$55
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$14.27
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $14.27 (100%)
Cash / Self-Pay: $49 (343%)
Insurance Median: $55 (385%)
Cash: $49 (343% of Medicare)
Ins. Median: $55 (385% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $14.27 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 385% of the Medicare baseline (a markup of 285%). 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 | $8 - $23 | 56% |
| Medicaid / KanCare | $8 | 56% |
| Aetna | $14 - $39 | 98% |
| Align Senior Care | $14 | 98% |
| Angela Hospice | $14 | 98% |
| Blue Care Network Advantage | $14 | 98% |
| Hospice Of Lansing | $14 | 98% |
| Huron Valley Pace | $14 | 98% |
| Medicare (plans) | $14 | 98% |
| Cca - Zing Health | $15 | 105% |
| UnitedHealthcare | $15 - $75 | 105% |
| Wc Accident Fund | $15 - $18 | 105% |
| Wc Advantage | $15 - $18 | 105% |
| Wc Aig | $15 - $18 | 105% |
| Wc Allied | $15 - $18 | 105% |
| Wc Amerisure | $15 - $18 | 105% |
| Wc Amtrust | $15 - $18 | 105% |
| Wc Asu Risk Mgt | $15 - $18 | 105% |
| Wc Berkley Admin | $15 - $18 | 105% |
| Wc Broadspire | $15 - $18 | 105% |
| Wc Bunch & Associates | $15 - $18 | 105% |
| Wc Ccmsi | $15 - $18 | 105% |
| Wc Emc Insurance Company | $15 - $18 | 105% |
| Wc Esis | $15 - $18 | 105% |
| Wc Fcci | $15 - $18 | 105% |
| Wc Federated | $15 - $18 | 105% |
| Wc Gallagher Bassett | $15 - $18 | 105% |
| Wc Genex Care For Ohio | $15 - $18 | 105% |
| Wc Guard Insurance Company | $15 - $18 | 105% |
| Wc Hartford | $15 - $18 | 105% |
| Wc Liberty Mutual | $15 - $18 | 105% |
| Wc Meijers | $15 - $18 | 105% |
| Wc Michigan | $15 - $18 | 105% |
| Wc Mitchell Frankenmuth | $15 - $18 | 105% |
| Wc Pma | $15 - $18 | 105% |
| Wc Sedgwick | $15 - $18 | 105% |
| Wc Sentry | $15 - $18 | 105% |
| Wc Travelers | $15 - $18 | 105% |
| Wc Tristar | $15 - $18 | 105% |
| Wc Walmart | $15 - $18 | 105% |
| Wc Zurich | $15 - $18 | 105% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $16 | 112% |
| U Of M Health Plan | $17 | 119% |
| Molina Marketplace | $19 | 133% |
| Geha | $21 - $61 | 147% |
| Meritain | $21 | 147% |
| Health Cost Solutions | $22 | 154% |
| Vitalcore | $22 | 154% |
| Wellpath | $22 | 154% |
| Bcn Domestic | $23 | 161% |
| Blue Benefit Administrators Of Massachusetts | $23 | 161% |
| Blue Care Network | $23 | 161% |
| Blue Distinction Transplant | $23 | 161% |
| Blue Shield - Ca | $23 | 161% |
| Blue Shield - Id (Regence) | $23 | 161% |
| Blue Shield - Ny Highmark Northeastern | $23 | 161% |
| Blue Shield - Ny Highmark Western | $23 | 161% |
| Blue Shield - Pa (Highmark) | $23 | 161% |
| Blue Shield - Wa (Regence) | $23 | 161% |
| Health Choices | $23 - $68 | 161% |
| Kaiser Domestic | $23 | 161% |
| Employee Benefit Logistic | $32 | 224% |
| Acs Benefit Services | $33 - $39 | 231% |
| Allied Benefit Systems | $33 - $39 | 231% |
| Claimchoice Adminstrators | $33 - $39 | 231% |
| Consociate | $33 - $39 | 231% |
| Cypress Benefit Administrators | $33 - $39 | 231% |
| Forest County Potawatomi | $33 - $39 | 231% |
| Health Smart | $33 - $39 | 231% |
| Healthgram | $33 - $39 | 231% |
| Healthscope | $33 - $39 | 231% |
| Priority Health | $33 - $36 | 231% |
| Secureone Preferred United Plans | $33 - $39 | 231% |
| Sisco Benefits | $33 - $39 | 231% |
| The Health Plan | $33 - $39 | 231% |
| Trustmark Small Business Benefits | $33 - $39 | 231% |
| Unified Group Services | $33 - $39 | 231% |
| Webtpa | $33 - $39 | 231% |
| Asr Health Benefits | $47 | 329% |
| Caresource | $47 | 329% |
| Hap | $47 - $64 | 329% |
| Varipro | $47 | 329% |
| 1199 National Benefit Fund | $53 - $64 | 371% |
| Allied National Global Care | $53 - $64 | 371% |
| Asrm - Reliance Standard Life Insurance | $53 - $64 | 371% |
| Christian Care Ministry | $53 - $64 | 371% |
| Dean Health | $53 - $64 | 371% |
| Fallon Health | $53 - $64 | 371% |
| Family Life Insurance Company | $53 - $64 | 371% |
| Ghc Scw | $53 - $64 | 371% |
| Group Pension Administrators | $53 - $64 | 371% |
| Health Partners | $53 - $64 | 371% |
| International Benefit Administrators | $53 - $64 | 371% |
| Lifetime Benefit Solutions | $53 - $64 | 371% |
| Manhattan Life | $53 - $64 | 371% |
| Medi Share | $53 - $64 | 371% |
| Multiplan | $53 - $64 | 371% |
| Mvp | $53 - $64 | 371% |
| Pai | $53 - $64 | 371% |
| Pan-American Life | $53 - $64 | 371% |
| Paramount Hmo | $53 - $64 | 371% |
| Phcs | $53 - $64 | 371% |
| Trinity Health Share | $53 - $64 | 371% |
| Tufts Health Plan | $53 - $64 | 371% |
| Cigna | $54 - $64 | 378% |
| Prime Health Services | $55 - $66 | 385% |
| Access Health | $56 - $68 | 392% |
| Acclaim | $56 - $68 | 392% |
| Administrative Concepts | $56 - $68 | 392% |
| Allegeant | $56 - $68 | 392% |
| Ameriben | $56 - $68 | 392% |
| American Family | $56 - $68 | 392% |
| American Healthcare Alliance | $56 - $68 | 392% |
| American National | $56 - $68 | 392% |
| American Republic | $56 - $68 | 392% |
| Amerihealth | $56 - $68 | 392% |
| Aultcare | $56 - $68 | 392% |
| Automated Benefit Services | $56 - $68 | 392% |
| Auxiant | $56 - $68 | 392% |
| Benefit Administrative Systems,Llc | $56 - $68 | 392% |
| Boon Chapman | $56 - $68 | 392% |
| Cam Administrative Services | $56 - $68 | 392% |
| Christian Brother Services | $56 - $68 | 392% |
| Christian Brothers Holy Cross | $56 - $68 | 392% |
| Comprehensive Benefits | $56 - $68 | 392% |
| Continental Life Insurance | $56 - $68 | 392% |
| Coventry | $56 - $68 | 392% |
| Custom Benefit Administrators | $56 - $68 | 392% |
| Employee Benefit Concepts | $56 - $68 | 392% |
| Employee Benefit Management | $56 - $68 | 392% |
| Enterprise Group Planning | $56 - $68 | 392% |
| Freedom Life Insurance Company | $56 - $68 | 392% |
| Group Administrators | $56 - $68 | 392% |
| Group Marketing Services | $56 - $68 | 392% |
| Guardian | $56 - $68 | 392% |
| Health America | $56 - $68 | 392% |
| Healthcare Management Admin | $56 - $68 | 392% |
| Healthez | $56 - $68 | 392% |
| Humana | $56 - $68 | 392% |
| Insight | $56 - $68 | 392% |
| Intercare | $56 - $68 | 392% |
| Jfp Benefit Management | $56 - $68 | 392% |
| Jp Farley Corporation | $56 - $68 | 392% |
| Key Benefit Administrator | $56 - $68 | 392% |
| Liberty Union Life Assurance Co | $56 - $68 | 392% |
| Lucent Health | $56 - $68 | 392% |
| Luminare Health | $56 - $68 | 392% |
| Luminare Health (Detroit) | $56 - $68 | 392% |
| Magnacare | $56 - $68 | 392% |
| Medben | $56 - $68 | 392% |
| Medcost | $56 - $68 | 392% |
| Medical Mutual | $56 - $68 | 392% |
| Mutual Health Services | $56 - $68 | 392% |
| Mutual Of Omaha | $56 - $68 | 392% |
| Ncas | $56 - $68 | 392% |
| Nippon Life Ins | $56 - $68 | 392% |
| Nova | $56 - $68 | 392% |
| Painters Union Insurance Fund | $56 - $68 | 392% |
| Physicians Mutual | $56 - $68 | 392% |
| Plumbers Local 98 Insurance Fund | $56 - $68 | 392% |
| Prairie States | $56 - $68 | 392% |
| Preferred One | $56 - $68 | 392% |
| Primary Physician Care | $56 - $68 | 392% |
| Professional Benefit Administrators | $56 - $68 | 392% |
| Siho Insurance Services | $56 - $68 | 392% |
| The Loomis Company | $56 - $68 | 392% |
| Unicare | $56 - $68 | 392% |
| Us Health And Life | $56 - $68 | 392% |
| Valenz | $56 - $68 | 392% |
| Western & Southern Financial Group | $56 - $68 | 392% |
| Wps | $56 - $68 | 392% |
| First Health | $58 - $69 | 406% |
| Correctional Healthcare Consultants | $61 - $73 | 427% |
| Three Rivers Provider Network | $62 - $75 | 434% |
| Cmh Washtenaw County | $69 - $83 | 484% |