CMS Price Transparency Data

Prostate cancer screening (blood test)

Facility: Trinity Health Livingston Hospital

Billing Code: G0103 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$23
about 1.2× the $19 Medicare rate · typically $18–$32
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
Above the fair price
about $8 over the fair price · 1.6× Medicare
Medicare pays $19 Fair price $23 This hospital $31 Cash price $62 Hospital's list price $96

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $14 Priciest $31

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Prostate cancer screening (blood test) is about $23 (about 1.2× the $19 Medicare rate). Trinity Health Livingston Hospital charges insurers about $31, or about $62 in cash — above the fair price. Located in Howell, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $23. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $20 - $91 104%
Blue Cross Blue Shieldmajor $11 - $32 57%
Aetnamajor $19 - $82 98%
Cignamajor $71 - $78 368%
Humanamajor $74 - $82 383%
Kaiser Permanentemajor $32 166%
AmeriHealth $74 - $82 383%
CareSource $66 342%
Dean Health Plan $70 - $78 363%
GEHA $29 - $74 150%
HealthPartners $70 - $78 363%
MagnaCare $74 - $82 383%
Medical Mutual $74 - $82 383%
Molina $25 129%
MVP Health Care $70 - $78 363%
Paramount $70 - $78 363%
Priority Health $92 - $102 476%
Tufts Health Plan $70 - $78 363%
UniCare $74 - $82 383%
+ 132 smaller / regional plans $18 - $101
Government programs also on file: Medicare, Medicaid.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

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