CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Trinity Health Livingston Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $96
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Trinity Health Livingston Hospital is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.82x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Insurance Median: $96 (82%)
Ins. Median: $96 (82% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Albany County Correctional Facility $52 44%
Ambetter / Centene $52 44%
Amish Mennonite $52 44%
Ascension St. Vincent Public Safety Medical $52 44%
Bccp $52 44%
Blue Cross Blue Shield $52 - $117 44%
Bmc Healthnet $52 44%
Breast Grant-Connecticut $52 44%
Broward County Dept Of Health $52 44%
California Health And Wellness $52 44%
Cardinal Innovations Lme $52 44%
Care Connections Of Northern Iowa $52 44%
Care Oregon Ohp $52 44%
Cencal Health Plan $52 44%
Cenpatico $52 44%
Chhuny $52 44%
Childrens Comm Health Plan $52 44%
Childrens Medical Services Title 19 $52 44%
Cigna $52 - $102 44%
City Of Philadelphia $52 44%
Cmh Allegan County $52 44%
Cmh Ausable Valley $52 44%
Cmh Barry County $52 44%
Cmh Bay-Arenac County $52 44%
Cmh Berrien County $52 44%
Cmh Cass County $52 44%
Cmh Central Mi County $52 44%
Cmh Clinton-Eaton-Ingham County $52 44%
Cmh Detroit Wayne Integrated Health Network $52 44%
Cmh Genesee County $52 44%
Cmh Ionia County $52 44%
Cmh Jackson County/Lifeways $52 44%
Cmh Kalamazoo $52 44%
Cmh Kent County $52 44%
Cmh Lenawee County $52 44%
Cmh Livingston County $52 44%
Cmh Macomb $52 44%
Cmh Misc $52 44%
Cmh Monroe County $52 44%
Cmh Montcalm County $52 44%
Cmh Muskegon County $52 44%
Cmh Newaygo County $52 44%
Cmh North Country $52 44%
Cmh Northern Lakes County $52 44%
Cmh Oakland County $52 44%
Cmh Ottawa County $52 44%
Cmh Van Buren County $52 44%
Cmh Washtenaw County $52 44%
Cmh Wayne County/Carelink $52 44%
Cmh Wayne Cty/Com Liv Svcs $52 44%
Cmh West Mi County $52 44%
Community Benefit Health $52 44%
Community Care Behavorial Health $52 44%
Community Care Partners $52 44%
Community Health Choice $52 44%
Connections Csp $52 44%
County Coroner $52 44%
County Funding Generic $52 44%
Covid19 Hrsa Uninsured Testing And Treatment Fund $52 44%
Dean Wi Badgercare $52 44%
Delaware County Department Of Health $52 44%
Delaware First Health $52 44%
Delta Dental Nj $52 44%
Dph Tb Program $52 44%
Dscc $52 44%
Eastpointe Lme $52 44%
Family Health Network $52 44%
Freedom First Healthcare $52 44%
Fresno County Ccs $52 44%
Ghc Scw Wi Badgercare $52 44%
Harbor Health $52 44%
Health Safety Net $52 44%
Healthy Blue Ne $52 44%
Hennepin Health $52 44%
Humana $52 - $152 44%
Id County Ada $52 44%
Id County Canyon $52 44%
Id County Cat Fund $52 44%
Id County Other $52 44%
Id County Payette $52 44%
Idaho Dept Health And Wellfare $52 44%
Idaho Womens Health Check $52 44%
Indiana Breast Cervical Cancer $52 44%
Inland Empire Health Plan $52 44%
Intercommunity Health Ohp $52 44%
Iowa Total Care $52 44%
Jai Medical System $52 44%
Kern Family Health Plan $52 44%
Keystone First $52 44%
Keystone First Chip $52 44%
La Care Health Plan $52 44%
Lakeland Care Inc $52 44%
Managed Health Services - Indiana $52 44%
Maryland Breast & Cervical Program $52 44%
Maryland Healthy Smiles - Scion Dental $52 44%
Maryland Physicians Care $52 44%
Massachusetts Behavioral Health Partnership $52 44%
Mdwise $52 44%
Medi-Cal $52 44%
Medi-Cal Healthnet $52 44%
Medicaid / KanCare $52 - $78 44%
Medstar Dc Healthy Family $52 44%
Medstar Md Health Choice $52 44%
Mo Home State Health Plan $52 44%
Molina Centennial Care $52 44%
Nascentia Health Options $52 44%
Nebraska Total Care $52 44%
New York Cancer Services Program $52 44%
Nextlevel Health $52 44%
Oregon Screenwise $52 44%
Pace Of Southwest Michigan $52 - $70 44%
Paramount Advantage $52 44%
Parkland Community Health Plan $52 44%
Partners Behavioral Lme $52 44%
Peach State Healthplan $52 44%
Philadelphia County Funding $52 44%
Presbyterian Centennial Care $52 44%
Prestige Health Choice $52 44%
Priority Partners $52 44%
Robert F Sing Program $52 44%
Rx 340B Pass Along $52 44%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $52 44%
Rx Medi-Cal $52 44%
Rx Meridian Rx $52 44%
Ryan White Florida Mssrp $52 44%
Sandhills Center Lme $52 44%
Screening For Life $52 44%
St Joseph County Hlth Dpt $52 44%
Stephenson Cty Health $52 44%
Sunshine State Health Plan $52 44%
Superior Health $52 44%
Tenncare $52 44%
Texas Children'S Health Plan $52 44%
Trillium Community Ohp $52 44%
Tufts Health Public Plans $52 44%
UnitedHealthcare $52 - $106 44%
Vaya Health Lme $52 44%
Washtenaw Health Plan $52 44%
Wellsense Health Plan $52 44%
Wi Womens Wellness $52 44%
Aetna $55 - $123 47%
Ally Align Care Adv $70 60%
American Health Advantage Of Idaho $70 60%
American Health Plan $70 60%
Aurora Special Needs $70 60%
Blue Care Network Advantage $70 60%
Blue Shield - De (Highmark) Medciare Advantage $70 60%
Care Dimensions $70 60%
Care Improvement Plus $70 60%
Care Resources Pace $70 60%
Careplus Health Plans $70 60%
Cca Senior Care Options $70 60%
Central Valley Medical Services Corp Pace $70 60%
Champion Health Plan Mcr Advantage $70 60%
Clear Spring Health $70 60%
Clover Health $70 60%
Commonwealth Care Alliance $70 60%
Community Pace At Home $70 60%
Eddy Senior Care-Pace $70 60%
Eddy Seniorcare Pace $70 60%
Elementcare $70 60%
Evercare $70 60%
Everence $70 60%
Gateway Health Plan $70 60%
Genesys Pace Of Genesee County $70 60%
Georgia Health Advantage $70 60%
Gold Advantage $70 60%
Gpa Croell Redi Mix $70 60%
Health America Advantra $70 60%
Highmark Health Options Dual Plan $70 60%
Hope Select Pace $70 60%
Horizon Nj Total Care $70 60%
Hudson Headwaters Pace $70 60%
Huron Valley Pace $70 60%
Innovative Integrated Health Community Plans $70 60%
Iowa Health Advantage $70 60%
Johns Hopkins Advantage Md $70 60%
Lasso Healthcare Msa $70 60%
Life St Marys Pace $70 60%
Lifecircles Pace $70 60%
Longevity Health Plan $70 60%
Martins Point Generations Advantage $70 60%
Mass General Brigham Mcr Adv $70 60%
Medicare (plans) $70 - $75 60%
Medipak Advantage $70 60%
Mercy Life $70 60%
Mercyone Cedar Valley $70 60%
Meridian Complete $70 60%
Michigan Complete Health $70 60%
Nascentia Health Plus $70 60%
New Centry Health Careplus $70 60%
Osu Prime Care Advantage $70 60%
Pace Cny $70 60%
Pace Iowa Immanuel Pathways $70 60%
Pace Southeast $70 60%
Pace-Trinity Health $70 60%
Peak Pace Solutions $70 60%
Perennial Advantage $70 60%
Preferred Care Partners $70 60%
Presbyterian Senior Plan $70 60%
Provider Partners Health Plan Of Illinois $70 60%
Provider Partners Health Plan Of Indiana $70 60%
Pruitthealth Premier $70 60%
Reliance Community Care Partners Care Resources Pace $70 60%
Rx Allwin $70 60%
Rx Grane Grnmedd $70 60%
Rx Retiree Rx Care $70 60%
Scan Health Plan Mcr Ipa Meritage Oon $70 60%
Secure Horizons Ma Pffs $70 60%
Serenity Pace $70 60%
Siouxland Pace $70 60%
Solis Health Plans $70 60%
Sunnyview-Pace Finance Dept $70 60%
Texan Plus $70 60%
The Health Plan $70 - $152 60%
Thome Pace $70 60%
Todays Options $70 60%
Tribute Health Plans $70 60%
Um Health Advantage $70 60%
Union Health Service $70 60%
Welbe Health $70 60%
Wellmed $70 60%
Align Senior Care $71 60%
Veterans Administration $71 60%
Mclaren Health $75 64%
Cca - Zing Health $77 65%
Champva $77 65%
Tricare $77 65%
Triwest Health Alliance $77 65%
Us Family Health Plan $77 65%
Veterans Eval Services $77 65%
Longevity Ipa Of Michigan Llc Health Plan Isnp $80 68%
U Of M Health Plan $85 72%
Meritain $95 81%
1199 National Benefit Fund $96 82%
Allied National Global Care $96 82%
Asrm - Reliance Standard Life Insurance $96 82%
Christian Care Ministry $96 82%
Dean Health $96 82%
Fallon Health $96 82%
Family Life Insurance Company $96 82%
International Benefit Administrators $96 82%
Lifetime Benefit Solutions $96 82%
Manhattan Life $96 82%
Molina Marketplace $96 82%
Multiplan $96 82%
Mvp $96 82%
Pai $96 82%
Pan-American Life $96 82%
Phcs $96 82%
Trinity Health Share $96 82%
Wellpath $96 82%
American Postal Workers Secondary $102 87%
Partners Direct Health - Brio $103 88%
Geha $106 90%
Bcccp-Michigan $108 92%
Blue Care Network $109 93%
Claimdoc $110 94%
Kent County Jail $110 94%
Muskegon County Jail $110 94%
Asr Health Benefits $117 100%
Blue Benefit Administrators Of Massachusetts $117 100%
Blue Distinction Transplant $117 100%
Blue Shield - Ca $117 100%
Blue Shield - Id (Regence) $117 100%
Blue Shield - Ny Highmark Northeastern $117 100%
Blue Shield - Ny Highmark Western $117 100%
Blue Shield - Pa (Highmark) $117 100%
Blue Shield - Wa (Regence) $117 100%
Hap $117 - $226 100%
Varipro $117 100%
Wc Accident Fund $117 100%
Wc Advantage $117 100%
Wc Aig $117 100%
Wc Allied $117 100%
Wc Amerisure $117 100%
Wc Amtrust $117 100%
Wc Asu Risk Mgt $117 100%
Wc Berkley Admin $117 100%
Wc Broadspire $117 100%
Wc Bunch & Associates $117 100%
Wc Ccmsi $117 100%
Wc Emc Insurance Company $117 100%
Wc Esis $117 100%
Wc Fcci $117 100%
Wc Federated $117 100%
Wc Gallagher Bassett $117 100%
Wc Genex Care For Ohio $117 100%
Wc Guard Insurance Company $117 100%
Wc Hartford $117 100%
Wc Liberty Mutual $117 100%
Wc Meijers $117 100%
Wc Michigan $117 100%
Wc Mitchell Frankenmuth $117 100%
Wc Pma $117 100%
Wc Sedgwick $117 100%
Wc Sentry $117 100%
Wc Travelers $117 100%
Wc Tristar $117 100%
Wc Walmart $117 100%
Wc Zurich $117 100%
Priority Health $118 100%
Andrie Inc $123 105%
East Greenbush Central School District $123 105%
Genex Wc $123 105%
Healthsmart Workers Comp $123 105%
Jag Source $123 105%
New York State Insurance Fund $123 105%
Njm Insurance Group $123 105%
Rx Heatlhcomp $123 105%
Rx Restat $123 105%
Rx Saif Opdp Wc $123 105%
Rx Worker'S Comp $123 105%
Wc Ace $123 105%
Wc Acs Federal Employees $123 105%
Wc Acuity $123 105%
Wc Aegis $123 105%
Wc Aims $123 105%
Wc Alaska National Ins $123 105%
Wc Align Network $123 105%
Wc Am Trust N America $123 105%
Wc American Claims Mgmt $123 105%
Wc Benetech $123 105%
Wc Broward County $123 105%
Wc California State Comp Ins $123 105%
Wc California State Ins Fund $123 105%
Wc Capitol Area Health Consortium $123 105%
Wc Chartis $123 105%
Wc Chubb $123 105%
Wc Cirma $123 105%
Wc City Of Albany $123 105%
Wc City Of Sioux City $123 105%
Wc Claims Mgmt Inc $123 105%
Wc Cna $123 105%
Wc Comp One Admin C/O Manageability $123 105%
Wc Compone Admin $123 105%
Wc Corvel $123 105%
Wc Ct Healthcare Trust $123 105%
Wc Donegal Insurance Group $123 105%
Wc Employee Mutual $123 105%
Wc Enablecomp $123 105%
Wc Encore Health Network $123 105%
Wc Erie $123 105%
Wc Evolutions $123 105%
Wc Fed Ex $123 105%
Wc Federal Black Lung $123 105%
Wc Finley Occupational Health $123 105%
Wc First Agency/Occunet $123 105%
Wc Ford Motor $123 105%
Wc Fresno Unified Emp $123 105%
Wc General Motors $123 105%
Wc Generic $123 105%
Wc Great West Casualty $123 105%
Wc Guarantee Insurance $123 105%
Wc Hab $123 105%
Wc Hastings $123 105%
Wc Health Management $123 105%
Wc Heritage Summit $123 105%
Wc Hireright $123 105%
Wc Horizon $123 105%
Wc Icw Group $123 105%
Wc Idaho State Ins Fund $123 105%
Wc Intercare Insurance $123 105%
Wc Intermountain $123 105%
Wc Johns Eastern $123 105%
Wc Kemberton $123 105%
Wc Key Ins & Benefit Solutions $123 105%
Wc Mac Risk Management $123 105%
Wc Massachusetts $123 105%
Wc Mdia $123 105%
Wc Meadowbrook Claim $123 105%
Wc Medical Administrators $123 105%
Wc Memic $123 105%
Wc Mercy Workcare $123 105%
Wc Michigan Millers Mutual $123 105%
Wc Mra $123 105%
Wc Nationwide $123 105%
Wc Nca Comp $123 105%
Wc New York $123 105%
Wc New York Special Funds $123 105%
Wc North American Rishces $123 105%
Wc Northeast Health $123 105%
Wc Notre Dame $123 105%
Wc Novanet $123 105%
Wc O'Hara Corp $123 105%
Wc Occ Health Allen $123 105%
Wc Ohio Bureau $123 105%
Wc One Call Medical $123 105%
Wc Paradigm $123 105%
Wc Peerless $123 105%
Wc Praxis Health Network $123 105%
Wc Price Chopper $123 105%
Wc Procura Management $123 105%
Wc Qualcare $123 105%
Wc Quiktrip $123 105%
Wc Reny Company $123 105%
Wc Rev Claims $123 105%
Wc Risico $123 105%
Wc Rural Mutual $123 105%
Wc Saif Oregon $123 105%
Wc Secura $123 105%
Wc Sheakley Unicomp $123 105%
Wc Smile Lodge $123 105%
Wc Society $123 105%
Wc Srs $123 105%
Wc Taconic (Mro) $123 105%
Wc Taconic Farms $123 105%
Wc Triad Group $123 105%
Wc Troy Ny $123 105%
Wc Tyson $123 105%
Wc Unified Health Services $123 105%
Wc United Heartland $123 105%
Wc Us Dept Of Labor $123 105%
Wc Velocity $123 105%
Wc West Bend $123 105%
Wc West Bend Mutual/Argent $123 105%
Wc Winnebago Industries $123 105%
Wc Yankee Trails $123 105%
Wc York Risk $123 105%
Wc Zenith $123 105%
Oscar $125 106%
Access Health $152 129%
Acclaim $152 129%
Administrative Concepts $152 129%
Allegeant $152 129%
Allied Benefit Systems $152 129%
Ameriben $152 129%
American Family $152 129%
American Healthcare Alliance $152 129%
American National $152 129%
American Republic $152 129%
Amerihealth $152 129%
Aultcare $152 129%
Automated Benefit Services $152 129%
Auxiant $152 129%
Benefit Administrative Systems,Llc $152 129%
Boon Chapman $152 129%
Cam Administrative Services $152 129%
Christian Brother Services $152 129%
Christian Brothers Holy Cross $152 129%
Claimchoice Adminstrators $152 129%
Comprehensive Benefits $152 129%
Consociate $152 129%
Continental Life Insurance $152 129%
Coventry $152 129%
Custom Benefit Administrators $152 129%
Cypress Benefit Administrators $152 129%
Employee Benefit Concepts $152 129%
Employee Benefit Management $152 129%
Enterprise Group Planning $152 129%
First Health $152 129%
Forest County Potawatomi $152 129%
Freedom Life Insurance Company $152 129%
Group Administrators $152 129%
Group Marketing Services $152 129%
Group Pension Administrators $152 129%
Guardian $152 129%
Health America $152 129%
Health Choices $152 129%
Health Smart $152 129%
Healthcare Management Admin $152 129%
Healthez $152 129%
Healthgram $152 129%
Healthscope $152 129%
Insight $152 129%
Intercare $152 129%
Jfp Benefit Management $152 129%
Jp Farley Corporation $152 129%
Key Benefit Administrator $152 129%
Liberty Union Life Assurance Co $152 129%
Lucent Health $152 129%
Luminare Health $152 129%
Luminare Health (Detroit) $152 129%
Magnacare $152 129%
Medben $152 129%
Medcost $152 129%
Medical Mutual $152 129%
Mutual Health Services $152 129%
Mutual Of Omaha $152 129%
Ncas $152 129%
Nippon Life Ins $152 129%
Nova $152 129%
Painters Union Insurance Fund $152 129%
Physicians Mutual $152 129%
Plumbers Local 98 Insurance Fund $152 129%
Prairie States $152 129%
Preferred One $152 129%
Primary Physician Care $152 129%
Professional Benefit Administrators $152 129%
Secureone Preferred United Plans $152 129%
Siho Insurance Services $152 129%
Sisco Benefits $152 129%
The Loomis Company $152 129%
Trustmark Small Business Benefits $152 129%
Unicare $152 129%
Unified Group Services $152 129%
Us Health And Life $152 129%
Valenz $152 129%
Webtpa $152 129%
Western & Southern Financial Group $152 129%
Wps $152 129%
Health Partners $226 192%
Tufts Health Plan $226 192%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 620 Byron Rd, Howell, MI 48843
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals