CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Trinity Health Livingston Hospital

Billing Code: 99213 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99213
  • Insurance Median: $65
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.68x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (20-29 min) at Trinity Health Livingston Hospital is $65. 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 $95.19, this hospital’s rate is 0.68x 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
$65

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$95.19

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $95.19 (100%)
Insurance Median: $65 (68%)
Ins. Median: $65 (68% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $95.19 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 $42 44%
Ambetter / Centene $42 44%
Amish Mennonite $42 44%
Ascension St. Vincent Public Safety Medical $42 44%
Bccp $42 44%
Blue Cross Blue Shield $42 - $77 44%
Bmc Healthnet $42 44%
Breast Grant-Connecticut $42 44%
Broward County Dept Of Health $42 44%
California Health And Wellness $42 44%
Cardinal Innovations Lme $42 44%
Care Connections Of Northern Iowa $42 44%
Care Oregon Ohp $42 44%
Cencal Health Plan $42 44%
Cenpatico $42 44%
Chhuny $42 44%
Childrens Comm Health Plan $42 44%
Childrens Medical Services Title 19 $42 44%
Cigna $42 - $70 44%
City Of Philadelphia $42 44%
Cmh Allegan County $42 44%
Cmh Ausable Valley $42 44%
Cmh Barry County $42 44%
Cmh Bay-Arenac County $42 44%
Cmh Berrien County $42 44%
Cmh Cass County $42 44%
Cmh Central Mi County $42 44%
Cmh Clinton-Eaton-Ingham County $42 44%
Cmh Detroit Wayne Integrated Health Network $42 44%
Cmh Genesee County $42 44%
Cmh Ionia County $42 44%
Cmh Jackson County/Lifeways $42 44%
Cmh Kalamazoo $42 44%
Cmh Kent County $42 44%
Cmh Lenawee County $42 44%
Cmh Livingston County $42 44%
Cmh Macomb $42 44%
Cmh Misc $42 44%
Cmh Monroe County $42 44%
Cmh Montcalm County $42 44%
Cmh Muskegon County $42 44%
Cmh Newaygo County $42 44%
Cmh North Country $42 44%
Cmh Northern Lakes County $42 44%
Cmh Oakland County $42 44%
Cmh Ottawa County $42 44%
Cmh Van Buren County $42 44%
Cmh Washtenaw County $42 44%
Cmh Wayne County/Carelink $42 44%
Cmh Wayne Cty/Com Liv Svcs $42 44%
Cmh West Mi County $42 44%
Community Benefit Health $42 44%
Community Care Behavorial Health $42 44%
Community Care Partners $42 44%
Community Health Choice $42 44%
Connections Csp $42 44%
County Coroner $42 44%
County Funding Generic $42 44%
Covid19 Hrsa Uninsured Testing And Treatment Fund $42 44%
Dean Wi Badgercare $42 44%
Delaware County Department Of Health $42 44%
Delaware First Health $42 44%
Delta Dental Nj $42 44%
Dph Tb Program $42 44%
Dscc $42 44%
Eastpointe Lme $42 44%
Family Health Network $42 44%
Freedom First Healthcare $42 44%
Fresno County Ccs $42 44%
Ghc Scw Wi Badgercare $42 44%
Harbor Health $42 44%
Health Safety Net $42 44%
Healthy Blue Ne $42 44%
Hennepin Health $42 44%
Humana $42 - $111 44%
Id County Ada $42 44%
Id County Canyon $42 44%
Id County Cat Fund $42 44%
Id County Other $42 44%
Id County Payette $42 44%
Idaho Dept Health And Wellfare $42 44%
Idaho Womens Health Check $42 44%
Indiana Breast Cervical Cancer $42 44%
Inland Empire Health Plan $42 44%
Intercommunity Health Ohp $42 44%
Iowa Total Care $42 44%
Jai Medical System $42 44%
Kern Family Health Plan $42 44%
Keystone First $42 44%
Keystone First Chip $42 44%
La Care Health Plan $42 44%
Lakeland Care Inc $42 44%
Managed Health Services - Indiana $42 44%
Maryland Breast & Cervical Program $42 44%
Maryland Healthy Smiles - Scion Dental $42 44%
Maryland Physicians Care $42 44%
Massachusetts Behavioral Health Partnership $42 44%
Mdwise $42 44%
Medi-Cal $42 44%
Medi-Cal Healthnet $42 44%
Medicaid / KanCare $42 - $54 44%
Medstar Dc Healthy Family $42 44%
Medstar Md Health Choice $42 44%
Mo Home State Health Plan $42 44%
Molina Centennial Care $42 44%
Nascentia Health Options $42 44%
Nebraska Total Care $42 44%
New York Cancer Services Program $42 44%
Nextlevel Health $42 44%
Oregon Screenwise $42 44%
Pace Of Southwest Michigan $42 - $47 44%
Paramount Advantage $42 44%
Parkland Community Health Plan $42 44%
Partners Behavioral Lme $42 44%
Peach State Healthplan $42 44%
Philadelphia County Funding $42 44%
Presbyterian Centennial Care $42 44%
Prestige Health Choice $42 44%
Priority Partners $42 44%
Robert F Sing Program $42 44%
Rx 340B Pass Along $42 44%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $42 44%
Rx Medi-Cal $42 44%
Rx Meridian Rx $42 44%
Ryan White Florida Mssrp $42 44%
Sandhills Center Lme $42 44%
Screening For Life $42 44%
St Joseph County Hlth Dpt $42 44%
Stephenson Cty Health $42 44%
Sunshine State Health Plan $42 44%
Superior Health $42 44%
Tenncare $42 44%
Texas Children'S Health Plan $42 44%
Trillium Community Ohp $42 44%
Tufts Health Public Plans $42 44%
UnitedHealthcare $42 - $58 44%
Vaya Health Lme $42 44%
Washtenaw Health Plan $42 44%
Wellsense Health Plan $42 44%
Wi Womens Wellness $42 44%
Aetna $44 - $83 46%
Mclaren Health $45 47%
Ally Align Care Adv $47 49%
American Health Advantage Of Idaho $47 49%
American Health Plan $47 49%
Aurora Special Needs $47 49%
Blue Care Network Advantage $47 49%
Blue Shield - De (Highmark) Medciare Advantage $47 49%
Care Dimensions $47 49%
Care Improvement Plus $47 49%
Care Resources Pace $47 49%
Careplus Health Plans $47 49%
Cca Senior Care Options $47 49%
Central Valley Medical Services Corp Pace $47 49%
Champion Health Plan Mcr Advantage $47 49%
Clear Spring Health $47 49%
Clover Health $47 49%
Commonwealth Care Alliance $47 49%
Community Pace At Home $47 49%
Eddy Senior Care-Pace $47 49%
Eddy Seniorcare Pace $47 49%
Elementcare $47 49%
Evercare $47 49%
Everence $47 49%
Gateway Health Plan $47 49%
Genesys Pace Of Genesee County $47 49%
Georgia Health Advantage $47 49%
Gold Advantage $47 49%
Gpa Croell Redi Mix $47 49%
Health America Advantra $47 49%
Highmark Health Options Dual Plan $47 49%
Hope Select Pace $47 49%
Horizon Nj Total Care $47 49%
Hudson Headwaters Pace $47 49%
Huron Valley Pace $47 49%
Innovative Integrated Health Community Plans $47 49%
Iowa Health Advantage $47 49%
Johns Hopkins Advantage Md $47 49%
Lasso Healthcare Msa $47 49%
Life St Marys Pace $47 49%
Lifecircles Pace $47 49%
Longevity Health Plan $47 49%
Martins Point Generations Advantage $47 49%
Mass General Brigham Mcr Adv $47 49%
Medicare (plans) $47 - $50 49%
Medipak Advantage $47 49%
Mercy Life $47 49%
Mercyone Cedar Valley $47 49%
Meridian Complete $47 49%
Michigan Complete Health $47 49%
Nascentia Health Plus $47 49%
New Centry Health Careplus $47 49%
Osu Prime Care Advantage $47 49%
Pace Cny $47 49%
Pace Iowa Immanuel Pathways $47 49%
Pace Southeast $47 49%
Pace-Trinity Health $47 49%
Peak Pace Solutions $47 49%
Perennial Advantage $47 49%
Preferred Care Partners $47 49%
Presbyterian Senior Plan $47 49%
Provider Partners Health Plan Of Illinois $47 49%
Provider Partners Health Plan Of Indiana $47 49%
Pruitthealth Premier $47 49%
Reliance Community Care Partners Care Resources Pace $47 49%
Rx Allwin $47 49%
Rx Grane Grnmedd $47 49%
Rx Retiree Rx Care $47 49%
Scan Health Plan Mcr Ipa Meritage Oon $47 49%
Secure Horizons Ma Pffs $47 49%
Serenity Pace $47 49%
Siouxland Pace $47 49%
Solis Health Plans $47 49%
Sunnyview-Pace Finance Dept $47 49%
Texan Plus $47 49%
The Health Plan $47 - $111 49%
Thome Pace $47 49%
Todays Options $47 49%
Tribute Health Plans $47 49%
Um Health Advantage $47 49%
Union Health Service $47 49%
Welbe Health $47 49%
Wellmed $47 49%
Align Senior Care $48 50%
Veterans Administration $48 50%
Cca - Zing Health $52 55%
Champva $52 55%
Tricare $52 55%
Triwest Health Alliance $52 55%
Us Family Health Plan $52 55%
Veterans Eval Services $52 55%
Longevity Ipa Of Michigan Llc Health Plan Isnp $54 57%
Geha $58 61%
U Of M Health Plan $58 61%
Meritain $64 67%
1199 National Benefit Fund $65 68%
Allied National Global Care $65 68%
Asrm - Reliance Standard Life Insurance $65 68%
Christian Care Ministry $65 68%
Dean Health $65 68%
Fallon Health $65 68%
Family Life Insurance Company $65 68%
International Benefit Administrators $65 68%
Lifetime Benefit Solutions $65 68%
Manhattan Life $65 68%
Molina Marketplace $65 68%
Multiplan $65 68%
Mvp $65 68%
Pai $65 68%
Pan-American Life $65 68%
Phcs $65 68%
Trinity Health Share $65 68%
Wellpath $65 68%
Priority Health $66 69%
Blue Care Network $67 70%
American Postal Workers Secondary $70 74%
Partners Direct Health - Brio $70 74%
Blue Benefit Administrators Of Massachusetts $73 77%
Blue Distinction Transplant $73 77%
Blue Shield - Ca $73 77%
Blue Shield - Id (Regence) $73 77%
Blue Shield - Ny Highmark Northeastern $73 77%
Blue Shield - Ny Highmark Western $73 77%
Blue Shield - Pa (Highmark) $73 77%
Blue Shield - Wa (Regence) $73 77%
Claimdoc $75 79%
Kent County Jail $75 79%
Muskegon County Jail $75 79%
Asr Health Benefits $78 82%
Hap $78 - $165 82%
Varipro $78 82%
Wc Accident Fund $79 83%
Wc Advantage $79 83%
Wc Aig $79 83%
Wc Allied $79 83%
Wc Amerisure $79 83%
Wc Amtrust $79 83%
Wc Asu Risk Mgt $79 83%
Wc Berkley Admin $79 83%
Wc Broadspire $79 83%
Wc Bunch & Associates $79 83%
Wc Ccmsi $79 83%
Wc Emc Insurance Company $79 83%
Wc Esis $79 83%
Wc Fcci $79 83%
Wc Federated $79 83%
Wc Gallagher Bassett $79 83%
Wc Genex Care For Ohio $79 83%
Wc Guard Insurance Company $79 83%
Wc Hartford $79 83%
Wc Liberty Mutual $79 83%
Wc Meijers $79 83%
Wc Michigan $79 83%
Wc Mitchell Frankenmuth $79 83%
Wc Pma $79 83%
Wc Sedgwick $79 83%
Wc Sentry $79 83%
Wc Travelers $79 83%
Wc Tristar $79 83%
Wc Walmart $79 83%
Wc Zurich $79 83%
Andrie Inc $83 87%
East Greenbush Central School District $83 87%
Genex Wc $83 87%
Healthsmart Workers Comp $83 87%
Jag Source $83 87%
New York State Insurance Fund $83 87%
Njm Insurance Group $83 87%
Rx Heatlhcomp $83 87%
Rx Restat $83 87%
Rx Saif Opdp Wc $83 87%
Rx Worker'S Comp $83 87%
Wc Ace $83 87%
Wc Acs Federal Employees $83 87%
Wc Acuity $83 87%
Wc Aegis $83 87%
Wc Aims $83 87%
Wc Alaska National Ins $83 87%
Wc Align Network $83 87%
Wc Am Trust N America $83 87%
Wc American Claims Mgmt $83 87%
Wc Benetech $83 87%
Wc Broward County $83 87%
Wc California State Comp Ins $83 87%
Wc California State Ins Fund $83 87%
Wc Capitol Area Health Consortium $83 87%
Wc Chartis $83 87%
Wc Chubb $83 87%
Wc Cirma $83 87%
Wc City Of Albany $83 87%
Wc City Of Sioux City $83 87%
Wc Claims Mgmt Inc $83 87%
Wc Cna $83 87%
Wc Comp One Admin C/O Manageability $83 87%
Wc Compone Admin $83 87%
Wc Corvel $83 87%
Wc Ct Healthcare Trust $83 87%
Wc Donegal Insurance Group $83 87%
Wc Employee Mutual $83 87%
Wc Enablecomp $83 87%
Wc Encore Health Network $83 87%
Wc Erie $83 87%
Wc Evolutions $83 87%
Wc Fed Ex $83 87%
Wc Federal Black Lung $83 87%
Wc Finley Occupational Health $83 87%
Wc First Agency/Occunet $83 87%
Wc Ford Motor $83 87%
Wc Fresno Unified Emp $83 87%
Wc General Motors $83 87%
Wc Generic $83 87%
Wc Great West Casualty $83 87%
Wc Guarantee Insurance $83 87%
Wc Hab $83 87%
Wc Hastings $83 87%
Wc Health Management $83 87%
Wc Heritage Summit $83 87%
Wc Hireright $83 87%
Wc Horizon $83 87%
Wc Icw Group $83 87%
Wc Idaho State Ins Fund $83 87%
Wc Intercare Insurance $83 87%
Wc Intermountain $83 87%
Wc Johns Eastern $83 87%
Wc Kemberton $83 87%
Wc Key Ins & Benefit Solutions $83 87%
Wc Mac Risk Management $83 87%
Wc Massachusetts $83 87%
Wc Mdia $83 87%
Wc Meadowbrook Claim $83 87%
Wc Medical Administrators $83 87%
Wc Memic $83 87%
Wc Mercy Workcare $83 87%
Wc Michigan Millers Mutual $83 87%
Wc Mra $83 87%
Wc Nationwide $83 87%
Wc Nca Comp $83 87%
Wc New York $83 87%
Wc New York Special Funds $83 87%
Wc North American Rishces $83 87%
Wc Northeast Health $83 87%
Wc Notre Dame $83 87%
Wc Novanet $83 87%
Wc O'Hara Corp $83 87%
Wc Occ Health Allen $83 87%
Wc Ohio Bureau $83 87%
Wc One Call Medical $83 87%
Wc Paradigm $83 87%
Wc Peerless $83 87%
Wc Praxis Health Network $83 87%
Wc Price Chopper $83 87%
Wc Procura Management $83 87%
Wc Qualcare $83 87%
Wc Quiktrip $83 87%
Wc Reny Company $83 87%
Wc Rev Claims $83 87%
Wc Risico $83 87%
Wc Rural Mutual $83 87%
Wc Saif Oregon $83 87%
Wc Secura $83 87%
Wc Sheakley Unicomp $83 87%
Wc Smile Lodge $83 87%
Wc Society $83 87%
Wc Srs $83 87%
Wc Taconic (Mro) $83 87%
Wc Taconic Farms $83 87%
Wc Triad Group $83 87%
Wc Troy Ny $83 87%
Wc Tyson $83 87%
Wc Unified Health Services $83 87%
Wc United Heartland $83 87%
Wc Us Dept Of Labor $83 87%
Wc Velocity $83 87%
Wc West Bend $83 87%
Wc West Bend Mutual/Argent $83 87%
Wc Winnebago Industries $83 87%
Wc Yankee Trails $83 87%
Wc York Risk $83 87%
Wc Zenith $83 87%
Oscar $84 88%
Bcccp-Michigan $88 92%
Access Health $111 117%
Acclaim $111 117%
Administrative Concepts $111 117%
Allegeant $111 117%
Allied Benefit Systems $111 117%
Ameriben $111 117%
American Family $111 117%
American Healthcare Alliance $111 117%
American National $111 117%
American Republic $111 117%
Amerihealth $111 117%
Aultcare $111 117%
Automated Benefit Services $111 117%
Auxiant $111 117%
Benefit Administrative Systems,Llc $111 117%
Boon Chapman $111 117%
Cam Administrative Services $111 117%
Christian Brother Services $111 117%
Christian Brothers Holy Cross $111 117%
Claimchoice Adminstrators $111 117%
Comprehensive Benefits $111 117%
Consociate $111 117%
Continental Life Insurance $111 117%
Coventry $111 117%
Custom Benefit Administrators $111 117%
Cypress Benefit Administrators $111 117%
Employee Benefit Concepts $111 117%
Employee Benefit Management $111 117%
Enterprise Group Planning $111 117%
First Health $111 117%
Forest County Potawatomi $111 117%
Freedom Life Insurance Company $111 117%
Group Administrators $111 117%
Group Marketing Services $111 117%
Group Pension Administrators $111 117%
Guardian $111 117%
Health America $111 117%
Health Choices $111 117%
Health Smart $111 117%
Healthcare Management Admin $111 117%
Healthez $111 117%
Healthgram $111 117%
Healthscope $111 117%
Insight $111 117%
Intercare $111 117%
Jfp Benefit Management $111 117%
Jp Farley Corporation $111 117%
Key Benefit Administrator $111 117%
Liberty Union Life Assurance Co $111 117%
Lucent Health $111 117%
Luminare Health $111 117%
Luminare Health (Detroit) $111 117%
Magnacare $111 117%
Medben $111 117%
Medcost $111 117%
Medical Mutual $111 117%
Mutual Health Services $111 117%
Mutual Of Omaha $111 117%
Ncas $111 117%
Nippon Life Ins $111 117%
Nova $111 117%
Painters Union Insurance Fund $111 117%
Physicians Mutual $111 117%
Plumbers Local 98 Insurance Fund $111 117%
Prairie States $111 117%
Preferred One $111 117%
Primary Physician Care $111 117%
Professional Benefit Administrators $111 117%
Secureone Preferred United Plans $111 117%
Siho Insurance Services $111 117%
Sisco Benefits $111 117%
The Loomis Company $111 117%
Trustmark Small Business Benefits $111 117%
Unicare $111 117%
Unified Group Services $111 117%
Us Health And Life $111 117%
Valenz $111 117%
Webtpa $111 117%
Western & Southern Financial Group $111 117%
Wps $111 117%
Health Partners $165 173%
Tufts Health Plan $165 173%

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