CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Trinity Health Livingston Hospital

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $96
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 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 $135.6, this hospital’s rate is 0.71x 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
$135.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.6 (100%)
Insurance Median: $96 (71%)
Ins. Median: $96 (71% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.6 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 $62 46%
Ambetter / Centene $62 46%
Amish Mennonite $62 46%
Ascension St. Vincent Public Safety Medical $62 46%
Bccp $62 46%
Blue Cross Blue Shield $62 - $112 46%
Bmc Healthnet $62 46%
Breast Grant-Connecticut $62 46%
Broward County Dept Of Health $62 46%
California Health And Wellness $62 46%
Cardinal Innovations Lme $62 46%
Care Connections Of Northern Iowa $62 46%
Care Oregon Ohp $62 46%
Cencal Health Plan $62 46%
Cenpatico $62 46%
Chhuny $62 46%
Childrens Comm Health Plan $62 46%
Childrens Medical Services Title 19 $62 46%
Cigna $62 - $102 46%
City Of Philadelphia $62 46%
Cmh Allegan County $62 46%
Cmh Ausable Valley $62 46%
Cmh Barry County $62 46%
Cmh Bay-Arenac County $62 46%
Cmh Berrien County $62 46%
Cmh Cass County $62 46%
Cmh Central Mi County $62 46%
Cmh Clinton-Eaton-Ingham County $62 46%
Cmh Detroit Wayne Integrated Health Network $62 46%
Cmh Genesee County $62 46%
Cmh Ionia County $62 46%
Cmh Jackson County/Lifeways $62 46%
Cmh Kalamazoo $62 46%
Cmh Kent County $62 46%
Cmh Lenawee County $62 46%
Cmh Livingston County $62 46%
Cmh Macomb $62 46%
Cmh Misc $62 46%
Cmh Monroe County $62 46%
Cmh Montcalm County $62 46%
Cmh Muskegon County $62 46%
Cmh Newaygo County $62 46%
Cmh North Country $62 46%
Cmh Northern Lakes County $62 46%
Cmh Oakland County $62 46%
Cmh Ottawa County $62 46%
Cmh Van Buren County $62 46%
Cmh Washtenaw County $62 46%
Cmh Wayne County/Carelink $62 46%
Cmh Wayne Cty/Com Liv Svcs $62 46%
Cmh West Mi County $62 46%
Community Benefit Health $62 46%
Community Care Behavorial Health $62 46%
Community Care Partners $62 46%
Community Health Choice $62 46%
Connections Csp $62 46%
County Coroner $62 46%
County Funding Generic $62 46%
Covid19 Hrsa Uninsured Testing And Treatment Fund $62 46%
Dean Wi Badgercare $62 46%
Delaware County Department Of Health $62 46%
Delaware First Health $62 46%
Delta Dental Nj $62 46%
Dph Tb Program $62 46%
Dscc $62 46%
Eastpointe Lme $62 46%
Family Health Network $62 46%
Freedom First Healthcare $62 46%
Fresno County Ccs $62 46%
Ghc Scw Wi Badgercare $62 46%
Harbor Health $62 46%
Health Safety Net $62 46%
Healthy Blue Ne $62 46%
Hennepin Health $62 46%
Humana $62 - $160 46%
Id County Ada $62 46%
Id County Canyon $62 46%
Id County Cat Fund $62 46%
Id County Other $62 46%
Id County Payette $62 46%
Idaho Dept Health And Wellfare $62 46%
Idaho Womens Health Check $62 46%
Indiana Breast Cervical Cancer $62 46%
Inland Empire Health Plan $62 46%
Intercommunity Health Ohp $62 46%
Iowa Total Care $62 46%
Jai Medical System $62 46%
Kern Family Health Plan $62 46%
Keystone First $62 46%
Keystone First Chip $62 46%
La Care Health Plan $62 46%
Lakeland Care Inc $62 46%
Managed Health Services - Indiana $62 46%
Maryland Breast & Cervical Program $62 46%
Maryland Healthy Smiles - Scion Dental $62 46%
Maryland Physicians Care $62 46%
Massachusetts Behavioral Health Partnership $62 46%
Mdwise $62 46%
Medi-Cal $62 46%
Medi-Cal Healthnet $62 46%
Medicaid / KanCare $62 - $80 46%
Medstar Dc Healthy Family $62 46%
Medstar Md Health Choice $62 46%
Mo Home State Health Plan $62 46%
Molina Centennial Care $62 46%
Nascentia Health Options $62 46%
Nebraska Total Care $62 46%
New York Cancer Services Program $62 46%
Nextlevel Health $62 46%
Oregon Screenwise $62 46%
Pace Of Southwest Michigan $62 - $70 46%
Paramount Advantage $62 46%
Parkland Community Health Plan $62 46%
Partners Behavioral Lme $62 46%
Peach State Healthplan $62 46%
Philadelphia County Funding $62 46%
Presbyterian Centennial Care $62 46%
Prestige Health Choice $62 46%
Priority Partners $62 46%
Robert F Sing Program $62 46%
Rx 340B Pass Along $62 46%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $62 46%
Rx Medi-Cal $62 46%
Rx Meridian Rx $62 46%
Ryan White Florida Mssrp $62 46%
Sandhills Center Lme $62 46%
Screening For Life $62 46%
St Joseph County Hlth Dpt $62 46%
Stephenson Cty Health $62 46%
Sunshine State Health Plan $62 46%
Superior Health $62 46%
Tenncare $62 46%
Texas Children'S Health Plan $62 46%
Trillium Community Ohp $62 46%
Tufts Health Public Plans $62 46%
UnitedHealthcare $62 - $90 46%
Vaya Health Lme $62 46%
Washtenaw Health Plan $62 46%
Wellsense Health Plan $62 46%
Wi Womens Wellness $62 46%
Aetna $65 - $123 48%
Ally Align Care Adv $70 52%
American Health Advantage Of Idaho $70 52%
American Health Plan $70 52%
Aurora Special Needs $70 52%
Blue Care Network Advantage $70 52%
Blue Shield - De (Highmark) Medciare Advantage $70 52%
Care Dimensions $70 52%
Care Improvement Plus $70 52%
Care Resources Pace $70 52%
Careplus Health Plans $70 52%
Cca Senior Care Options $70 52%
Central Valley Medical Services Corp Pace $70 52%
Champion Health Plan Mcr Advantage $70 52%
Clear Spring Health $70 52%
Clover Health $70 52%
Commonwealth Care Alliance $70 52%
Community Pace At Home $70 52%
Eddy Senior Care-Pace $70 52%
Eddy Seniorcare Pace $70 52%
Elementcare $70 52%
Evercare $70 52%
Everence $70 52%
Gateway Health Plan $70 52%
Genesys Pace Of Genesee County $70 52%
Georgia Health Advantage $70 52%
Gold Advantage $70 52%
Gpa Croell Redi Mix $70 52%
Health America Advantra $70 52%
Highmark Health Options Dual Plan $70 52%
Hope Select Pace $70 52%
Horizon Nj Total Care $70 52%
Hudson Headwaters Pace $70 52%
Huron Valley Pace $70 52%
Innovative Integrated Health Community Plans $70 52%
Iowa Health Advantage $70 52%
Johns Hopkins Advantage Md $70 52%
Lasso Healthcare Msa $70 52%
Life St Marys Pace $70 52%
Lifecircles Pace $70 52%
Longevity Health Plan $70 52%
Martins Point Generations Advantage $70 52%
Mass General Brigham Mcr Adv $70 52%
Medicare (plans) $70 - $74 52%
Medipak Advantage $70 52%
Mercy Life $70 52%
Mercyone Cedar Valley $70 52%
Meridian Complete $70 52%
Michigan Complete Health $70 52%
Nascentia Health Plus $70 52%
New Centry Health Careplus $70 52%
Osu Prime Care Advantage $70 52%
Pace Cny $70 52%
Pace Iowa Immanuel Pathways $70 52%
Pace Southeast $70 52%
Pace-Trinity Health $70 52%
Peak Pace Solutions $70 52%
Perennial Advantage $70 52%
Preferred Care Partners $70 52%
Presbyterian Senior Plan $70 52%
Provider Partners Health Plan Of Illinois $70 52%
Provider Partners Health Plan Of Indiana $70 52%
Pruitthealth Premier $70 52%
Reliance Community Care Partners Care Resources Pace $70 52%
Rx Allwin $70 52%
Rx Grane Grnmedd $70 52%
Rx Retiree Rx Care $70 52%
Scan Health Plan Mcr Ipa Meritage Oon $70 52%
Secure Horizons Ma Pffs $70 52%
Serenity Pace $70 52%
Siouxland Pace $70 52%
Solis Health Plans $70 52%
Sunnyview-Pace Finance Dept $70 52%
Texan Plus $70 52%
The Health Plan $70 - $160 52%
Thome Pace $70 52%
Todays Options $70 52%
Tribute Health Plans $70 52%
Um Health Advantage $70 52%
Union Health Service $70 52%
Welbe Health $70 52%
Wellmed $70 52%
Align Senior Care $71 52%
Veterans Administration $71 52%
Mclaren Health $72 53%
Cca - Zing Health $77 57%
Champva $77 57%
Tricare $77 57%
Triwest Health Alliance $77 57%
Us Family Health Plan $77 57%
Veterans Eval Services $77 57%
Longevity Ipa Of Michigan Llc Health Plan Isnp $80 59%
U Of M Health Plan $85 63%
Bcccp-Michigan $88 65%
Geha $90 66%
Meritain $94 69%
1199 National Benefit Fund $96 71%
Allied National Global Care $96 71%
Asrm - Reliance Standard Life Insurance $96 71%
Christian Care Ministry $96 71%
Dean Health $96 71%
Fallon Health $96 71%
Family Life Insurance Company $96 71%
International Benefit Administrators $96 71%
Lifetime Benefit Solutions $96 71%
Manhattan Life $96 71%
Molina Marketplace $96 71%
Multiplan $96 71%
Mvp $96 71%
Pai $96 71%
Pan-American Life $96 71%
Phcs $96 71%
Trinity Health Share $96 71%
Wellpath $96 71%
Blue Care Network $98 72%
Priority Health $101 74%
American Postal Workers Secondary $102 75%
Partners Direct Health - Brio $103 76%
Blue Benefit Administrators Of Massachusetts $106 78%
Blue Distinction Transplant $106 78%
Blue Shield - Ca $106 78%
Blue Shield - Id (Regence) $106 78%
Blue Shield - Ny Highmark Northeastern $106 78%
Blue Shield - Ny Highmark Western $106 78%
Blue Shield - Pa (Highmark) $106 78%
Blue Shield - Wa (Regence) $106 78%
Claimdoc $110 81%
Kent County Jail $110 81%
Muskegon County Jail $110 81%
Asr Health Benefits $115 85%
Hap $115 - $238 85%
Varipro $115 85%
Wc Accident Fund $117 86%
Wc Advantage $117 86%
Wc Aig $117 86%
Wc Allied $117 86%
Wc Amerisure $117 86%
Wc Amtrust $117 86%
Wc Asu Risk Mgt $117 86%
Wc Berkley Admin $117 86%
Wc Broadspire $117 86%
Wc Bunch & Associates $117 86%
Wc Ccmsi $117 86%
Wc Emc Insurance Company $117 86%
Wc Esis $117 86%
Wc Fcci $117 86%
Wc Federated $117 86%
Wc Gallagher Bassett $117 86%
Wc Genex Care For Ohio $117 86%
Wc Guard Insurance Company $117 86%
Wc Hartford $117 86%
Wc Liberty Mutual $117 86%
Wc Meijers $117 86%
Wc Michigan $117 86%
Wc Mitchell Frankenmuth $117 86%
Wc Pma $117 86%
Wc Sedgwick $117 86%
Wc Sentry $117 86%
Wc Travelers $117 86%
Wc Tristar $117 86%
Wc Walmart $117 86%
Wc Zurich $117 86%
Andrie Inc $123 91%
East Greenbush Central School District $123 91%
Genex Wc $123 91%
Healthsmart Workers Comp $123 91%
Jag Source $123 91%
New York State Insurance Fund $123 91%
Njm Insurance Group $123 91%
Rx Heatlhcomp $123 91%
Rx Restat $123 91%
Rx Saif Opdp Wc $123 91%
Rx Worker'S Comp $123 91%
Wc Ace $123 91%
Wc Acs Federal Employees $123 91%
Wc Acuity $123 91%
Wc Aegis $123 91%
Wc Aims $123 91%
Wc Alaska National Ins $123 91%
Wc Align Network $123 91%
Wc Am Trust N America $123 91%
Wc American Claims Mgmt $123 91%
Wc Benetech $123 91%
Wc Broward County $123 91%
Wc California State Comp Ins $123 91%
Wc California State Ins Fund $123 91%
Wc Capitol Area Health Consortium $123 91%
Wc Chartis $123 91%
Wc Chubb $123 91%
Wc Cirma $123 91%
Wc City Of Albany $123 91%
Wc City Of Sioux City $123 91%
Wc Claims Mgmt Inc $123 91%
Wc Cna $123 91%
Wc Comp One Admin C/O Manageability $123 91%
Wc Compone Admin $123 91%
Wc Corvel $123 91%
Wc Ct Healthcare Trust $123 91%
Wc Donegal Insurance Group $123 91%
Wc Employee Mutual $123 91%
Wc Enablecomp $123 91%
Wc Encore Health Network $123 91%
Wc Erie $123 91%
Wc Evolutions $123 91%
Wc Fed Ex $123 91%
Wc Federal Black Lung $123 91%
Wc Finley Occupational Health $123 91%
Wc First Agency/Occunet $123 91%
Wc Ford Motor $123 91%
Wc Fresno Unified Emp $123 91%
Wc General Motors $123 91%
Wc Generic $123 91%
Wc Great West Casualty $123 91%
Wc Guarantee Insurance $123 91%
Wc Hab $123 91%
Wc Hastings $123 91%
Wc Health Management $123 91%
Wc Heritage Summit $123 91%
Wc Hireright $123 91%
Wc Horizon $123 91%
Wc Icw Group $123 91%
Wc Idaho State Ins Fund $123 91%
Wc Intercare Insurance $123 91%
Wc Intermountain $123 91%
Wc Johns Eastern $123 91%
Wc Kemberton $123 91%
Wc Key Ins & Benefit Solutions $123 91%
Wc Mac Risk Management $123 91%
Wc Massachusetts $123 91%
Wc Mdia $123 91%
Wc Meadowbrook Claim $123 91%
Wc Medical Administrators $123 91%
Wc Memic $123 91%
Wc Mercy Workcare $123 91%
Wc Michigan Millers Mutual $123 91%
Wc Mra $123 91%
Wc Nationwide $123 91%
Wc Nca Comp $123 91%
Wc New York $123 91%
Wc New York Special Funds $123 91%
Wc North American Rishces $123 91%
Wc Northeast Health $123 91%
Wc Notre Dame $123 91%
Wc Novanet $123 91%
Wc O'Hara Corp $123 91%
Wc Occ Health Allen $123 91%
Wc Ohio Bureau $123 91%
Wc One Call Medical $123 91%
Wc Paradigm $123 91%
Wc Peerless $123 91%
Wc Praxis Health Network $123 91%
Wc Price Chopper $123 91%
Wc Procura Management $123 91%
Wc Qualcare $123 91%
Wc Quiktrip $123 91%
Wc Reny Company $123 91%
Wc Rev Claims $123 91%
Wc Risico $123 91%
Wc Rural Mutual $123 91%
Wc Saif Oregon $123 91%
Wc Secura $123 91%
Wc Sheakley Unicomp $123 91%
Wc Smile Lodge $123 91%
Wc Society $123 91%
Wc Srs $123 91%
Wc Taconic (Mro) $123 91%
Wc Taconic Farms $123 91%
Wc Triad Group $123 91%
Wc Troy Ny $123 91%
Wc Tyson $123 91%
Wc Unified Health Services $123 91%
Wc United Heartland $123 91%
Wc Us Dept Of Labor $123 91%
Wc Velocity $123 91%
Wc West Bend $123 91%
Wc West Bend Mutual/Argent $123 91%
Wc Winnebago Industries $123 91%
Wc Yankee Trails $123 91%
Wc York Risk $123 91%
Wc Zenith $123 91%
Oscar $124 91%
Access Health $160 118%
Acclaim $160 118%
Administrative Concepts $160 118%
Allegeant $160 118%
Allied Benefit Systems $160 118%
Ameriben $160 118%
American Family $160 118%
American Healthcare Alliance $160 118%
American National $160 118%
American Republic $160 118%
Amerihealth $160 118%
Aultcare $160 118%
Automated Benefit Services $160 118%
Auxiant $160 118%
Benefit Administrative Systems,Llc $160 118%
Boon Chapman $160 118%
Cam Administrative Services $160 118%
Christian Brother Services $160 118%
Christian Brothers Holy Cross $160 118%
Claimchoice Adminstrators $160 118%
Comprehensive Benefits $160 118%
Consociate $160 118%
Continental Life Insurance $160 118%
Coventry $160 118%
Custom Benefit Administrators $160 118%
Cypress Benefit Administrators $160 118%
Employee Benefit Concepts $160 118%
Employee Benefit Management $160 118%
Enterprise Group Planning $160 118%
First Health $160 118%
Forest County Potawatomi $160 118%
Freedom Life Insurance Company $160 118%
Group Administrators $160 118%
Group Marketing Services $160 118%
Group Pension Administrators $160 118%
Guardian $160 118%
Health America $160 118%
Health Choices $160 118%
Health Smart $160 118%
Healthcare Management Admin $160 118%
Healthez $160 118%
Healthgram $160 118%
Healthscope $160 118%
Insight $160 118%
Intercare $160 118%
Jfp Benefit Management $160 118%
Jp Farley Corporation $160 118%
Key Benefit Administrator $160 118%
Liberty Union Life Assurance Co $160 118%
Lucent Health $160 118%
Luminare Health $160 118%
Luminare Health (Detroit) $160 118%
Magnacare $160 118%
Medben $160 118%
Medcost $160 118%
Medical Mutual $160 118%
Mutual Health Services $160 118%
Mutual Of Omaha $160 118%
Ncas $160 118%
Nippon Life Ins $160 118%
Nova $160 118%
Painters Union Insurance Fund $160 118%
Physicians Mutual $160 118%
Plumbers Local 98 Insurance Fund $160 118%
Prairie States $160 118%
Preferred One $160 118%
Primary Physician Care $160 118%
Professional Benefit Administrators $160 118%
Secureone Preferred United Plans $160 118%
Siho Insurance Services $160 118%
Sisco Benefits $160 118%
The Loomis Company $160 118%
Trustmark Small Business Benefits $160 118%
Unicare $160 118%
Unified Group Services $160 118%
Us Health And Life $160 118%
Valenz $160 118%
Webtpa $160 118%
Western & Southern Financial Group $160 118%
Wps $160 118%
Health Partners $238 176%
Tufts Health Plan $238 176%

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