CMS Price Transparency Data
Ultrasound, thyroid and neck
Facility: Trinity Health Livingston Hospital
Billing Code: 76536 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76536
- Insurance Median: $615
- Cash Discount Price: $546
- vs. Medicare Baseline: 5.76x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Trinity Health Livingston Hospital is $615. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $546. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.76x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$546
Average discount available for prompt cash payment at this facility.
Insurance Median
$615
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$106.81
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $546 (511%)
Insurance Median: $615 (576%)
Cash: $546 (511% of Medicare)
Ins. Median: $615 (576% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $106.81 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 576% of the Medicare baseline (a markup of 476%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 | $58 - $288 | 54% |
| Medicaid / KanCare | $58 - $60 | 54% |
| Huron Valley Pace | $99 | 93% |
| Aetna | $102 - $397 | 95% |
| Blue Care Network Advantage | $102 | 95% |
| Hospice Of Lansing | $102 | 95% |
| Medicare (plans) | $102 - $104 | 95% |
| Align Senior Care | $104 | 97% |
| Angela Hospice | $105 | 98% |
| UnitedHealthcare | $108 - $756 | 101% |
| Cca - Zing Health | $110 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $118 | 110% |
| Molina Marketplace | $136 | 127% |
| Health Cost Solutions | $162 | 152% |
| Vitalcore | $162 | 152% |
| Wellpath | $162 | 152% |
| Priority Health | $165 - $183 | 154% |
| Wc Accident Fund | $184 | 172% |
| Wc Advantage | $184 | 172% |
| Wc Aig | $184 | 172% |
| Wc Allied | $184 | 172% |
| Wc Amerisure | $184 | 172% |
| Wc Amtrust | $184 | 172% |
| Wc Asu Risk Mgt | $184 | 172% |
| Wc Berkley Admin | $184 | 172% |
| Wc Broadspire | $184 | 172% |
| Wc Bunch & Associates | $184 | 172% |
| Wc Ccmsi | $184 | 172% |
| Wc Emc Insurance Company | $184 | 172% |
| Wc Esis | $184 | 172% |
| Wc Fcci | $184 | 172% |
| Wc Federated | $184 | 172% |
| Wc Gallagher Bassett | $184 | 172% |
| Wc Genex Care For Ohio | $184 | 172% |
| Wc Guard Insurance Company | $184 | 172% |
| Wc Hartford | $184 | 172% |
| Wc Liberty Mutual | $184 | 172% |
| Wc Meijers | $184 | 172% |
| Wc Michigan | $184 | 172% |
| Wc Mitchell Frankenmuth | $184 | 172% |
| Wc Pma | $184 | 172% |
| Wc Sedgwick | $184 | 172% |
| Wc Sentry | $184 | 172% |
| Wc Travelers | $184 | 172% |
| Wc Tristar | $184 | 172% |
| Wc Walmart | $184 | 172% |
| Wc Zurich | $184 | 172% |
| Asr Health Benefits | $203 | 190% |
| Caresource | $203 | 190% |
| Hap | $203 - $650 | 190% |
| Varipro | $203 | 190% |
| Employee Benefit Logistic | $235 | 220% |
| U Of M Health Plan | $238 | 223% |
| Bcn Domestic | $288 | 270% |
| Blue Benefit Administrators Of Massachusetts | $288 | 270% |
| Blue Care Network | $288 | 270% |
| Blue Distinction Transplant | $288 | 270% |
| Blue Shield - Ca | $288 | 270% |
| Blue Shield - Id (Regence) | $288 | 270% |
| Blue Shield - Ny Highmark Northeastern | $288 | 270% |
| Blue Shield - Ny Highmark Western | $288 | 270% |
| Blue Shield - Pa (Highmark) | $288 | 270% |
| Blue Shield - Wa (Regence) | $288 | 270% |
| Health Choices | $288 - $684 | 270% |
| Kaiser Domestic | $288 | 270% |
| Geha | $294 - $615 | 275% |
| Meritain | $294 | 275% |
| Acs Benefit Services | $396 | 371% |
| Allied Benefit Systems | $396 | 371% |
| Claimchoice Adminstrators | $396 | 371% |
| Consociate | $396 | 371% |
| Cypress Benefit Administrators | $396 | 371% |
| Forest County Potawatomi | $396 | 371% |
| Health Smart | $396 | 371% |
| Healthgram | $396 | 371% |
| Healthscope | $396 | 371% |
| Secureone Preferred United Plans | $396 | 371% |
| Sisco Benefits | $396 | 371% |
| The Health Plan | $396 | 371% |
| Trustmark Small Business Benefits | $396 | 371% |
| Unified Group Services | $396 | 371% |
| Webtpa | $396 | 371% |
| Hospice Advantage | $588 | 551% |
| 1199 National Benefit Fund | $647 | 606% |
| Allied National Global Care | $647 | 606% |
| Asrm - Reliance Standard Life Insurance | $647 | 606% |
| Christian Care Ministry | $647 | 606% |
| Dean Health | $647 | 606% |
| Fallon Health | $647 | 606% |
| Family Life Insurance Company | $647 | 606% |
| Ghc Scw | $647 | 606% |
| Group Pension Administrators | $647 | 606% |
| International Benefit Administrators | $647 | 606% |
| Lifetime Benefit Solutions | $647 | 606% |
| Manhattan Life | $647 | 606% |
| Medi Share | $647 | 606% |
| Multiplan | $647 | 606% |
| Mvp | $647 | 606% |
| Pai | $647 | 606% |
| Pan-American Life | $647 | 606% |
| Paramount Hmo | $647 | 606% |
| Phcs | $647 | 606% |
| Trinity Health Share | $647 | 606% |
| Health Partners | $650 | 609% |
| Tufts Health Plan | $650 | 609% |
| Cigna | $652 | 610% |
| Prime Health Services | $672 | 629% |
| Access Health | $684 | 640% |
| Acclaim | $684 | 640% |
| Administrative Concepts | $684 | 640% |
| Allegeant | $684 | 640% |
| Ameriben | $684 | 640% |
| American Family | $684 | 640% |
| American Healthcare Alliance | $684 | 640% |
| American National | $684 | 640% |
| American Republic | $684 | 640% |
| Amerihealth | $684 | 640% |
| Aultcare | $684 | 640% |
| Automated Benefit Services | $684 | 640% |
| Auxiant | $684 | 640% |
| Benefit Administrative Systems,Llc | $684 | 640% |
| Boon Chapman | $684 | 640% |
| Cam Administrative Services | $684 | 640% |
| Christian Brother Services | $684 | 640% |
| Christian Brothers Holy Cross | $684 | 640% |
| Comprehensive Benefits | $684 | 640% |
| Continental Life Insurance | $684 | 640% |
| Coventry | $684 | 640% |
| Custom Benefit Administrators | $684 | 640% |
| Employee Benefit Concepts | $684 | 640% |
| Employee Benefit Management | $684 | 640% |
| Enterprise Group Planning | $684 | 640% |
| Freedom Life Insurance Company | $684 | 640% |
| Group Administrators | $684 | 640% |
| Group Marketing Services | $684 | 640% |
| Guardian | $684 | 640% |
| Health America | $684 | 640% |
| Healthcare Management Admin | $684 | 640% |
| Healthez | $684 | 640% |
| Humana | $684 | 640% |
| Insight | $684 | 640% |
| Intercare | $684 | 640% |
| Jfp Benefit Management | $684 | 640% |
| Jp Farley Corporation | $684 | 640% |
| Key Benefit Administrator | $684 | 640% |
| Liberty Union Life Assurance Co | $684 | 640% |
| Lucent Health | $684 | 640% |
| Luminare Health | $684 | 640% |
| Luminare Health (Detroit) | $684 | 640% |
| Magnacare | $684 | 640% |
| Medben | $684 | 640% |
| Medcost | $684 | 640% |
| Medical Mutual | $684 | 640% |
| Mutual Health Services | $684 | 640% |
| Mutual Of Omaha | $684 | 640% |
| Ncas | $684 | 640% |
| Nippon Life Ins | $684 | 640% |
| Nova | $684 | 640% |
| Painters Union Insurance Fund | $684 | 640% |
| Physicians Mutual | $684 | 640% |
| Plumbers Local 98 Insurance Fund | $684 | 640% |
| Prairie States | $684 | 640% |
| Preferred One | $684 | 640% |
| Primary Physician Care | $684 | 640% |
| Professional Benefit Administrators | $684 | 640% |
| Siho Insurance Services | $684 | 640% |
| The Loomis Company | $684 | 640% |
| Unicare | $684 | 640% |
| Us Health And Life | $684 | 640% |
| Valenz | $684 | 640% |
| Western & Southern Financial Group | $684 | 640% |
| Wps | $684 | 640% |
| First Health | $701 | 656% |
| Correctional Healthcare Consultants | $744 | 697% |
| Three Rivers Provider Network | $756 | 708% |
| Cmh Washtenaw County | $840 | 786% |