CMS Price Transparency Data
Urinalysis (automated, with microscopy)
Facility: Trinity Health Livingston Hospital
Billing Code: 81001 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 81001
- Insurance Median: $11
- Cash Discount Price: $171
- vs. Medicare Baseline: 3.47x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Trinity Health Livingston Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 3.47x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$171
Average discount available for prompt cash payment at this facility.
Insurance Median
$11
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$3.17
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $3.17 (100%)
Cash / Self-Pay: $171 (5394%)
Insurance Median: $11 (347%)
Cash: $171 (5394% of Medicare)
Ins. Median: $11 (347% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $3.17 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 347% of the Medicare baseline (a markup of 247%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Cross Blue Shield | $2 - $5 | 63% |
| Medicaid / KanCare | $2 | 63% |
| Aetna | $3 - $25 | 95% |
| Align Senior Care | $3 | 95% |
| Angela Hospice | $3 | 95% |
| Blue Care Network Advantage | $3 | 95% |
| Cca - Zing Health | $3 | 95% |
| Hospice Of Lansing | $3 | 95% |
| Huron Valley Pace | $3 | 95% |
| Medicare (plans) | $3 | 95% |
| UnitedHealthcare | $3 - $47 | 95% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $4 | 126% |
| Molina Marketplace | $4 - $136 | 126% |
| Bcn Domestic | $5 | 158% |
| Blue Benefit Administrators Of Massachusetts | $5 | 158% |
| Blue Care Network | $5 | 158% |
| Blue Distinction Transplant | $5 | 158% |
| Blue Shield - Ca | $5 | 158% |
| Blue Shield - Id (Regence) | $5 | 158% |
| Blue Shield - Ny Highmark Northeastern | $5 | 158% |
| Blue Shield - Ny Highmark Western | $5 | 158% |
| Blue Shield - Pa (Highmark) | $5 | 158% |
| Blue Shield - Wa (Regence) | $5 | 158% |
| Geha | $5 - $38 | 158% |
| Health Choices | $5 - $42 | 158% |
| Health Cost Solutions | $5 | 158% |
| Kaiser Domestic | $5 | 158% |
| Meritain | $5 | 158% |
| U Of M Health Plan | $5 | 158% |
| Vitalcore | $5 | 158% |
| Wellpath | $5 | 158% |
| Employee Benefit Logistic | $7 | 221% |
| Priority Health | $8 - $9 | 252% |
| Asr Health Benefits | $11 | 347% |
| Caresource | $11 | 347% |
| Hap | $11 - $40 | 347% |
| Varipro | $11 | 347% |
| Wc Accident Fund | $11 | 347% |
| Wc Advantage | $11 | 347% |
| Wc Aig | $11 | 347% |
| Wc Allied | $11 | 347% |
| Wc Amerisure | $11 | 347% |
| Wc Amtrust | $11 | 347% |
| Wc Asu Risk Mgt | $11 | 347% |
| Wc Berkley Admin | $11 | 347% |
| Wc Broadspire | $11 | 347% |
| Wc Bunch & Associates | $11 | 347% |
| Wc Ccmsi | $11 | 347% |
| Wc Emc Insurance Company | $11 | 347% |
| Wc Esis | $11 | 347% |
| Wc Fcci | $11 | 347% |
| Wc Federated | $11 | 347% |
| Wc Gallagher Bassett | $11 | 347% |
| Wc Genex Care For Ohio | $11 | 347% |
| Wc Guard Insurance Company | $11 | 347% |
| Wc Hartford | $11 | 347% |
| Wc Liberty Mutual | $11 | 347% |
| Wc Meijers | $11 | 347% |
| Wc Michigan | $11 | 347% |
| Wc Mitchell Frankenmuth | $11 | 347% |
| Wc Pma | $11 | 347% |
| Wc Sedgwick | $11 | 347% |
| Wc Sentry | $11 | 347% |
| Wc Travelers | $11 | 347% |
| Wc Tristar | $11 | 347% |
| Wc Walmart | $11 | 347% |
| Wc Zurich | $11 | 347% |
| Acs Benefit Services | $25 | 789% |
| Allied Benefit Systems | $25 | 789% |
| Claimchoice Adminstrators | $25 | 789% |
| Consociate | $25 | 789% |
| Cypress Benefit Administrators | $25 | 789% |
| Forest County Potawatomi | $25 | 789% |
| Health Smart | $25 | 789% |
| Healthgram | $25 | 789% |
| Healthscope | $25 | 789% |
| Secureone Preferred United Plans | $25 | 789% |
| Sisco Benefits | $25 | 789% |
| The Health Plan | $25 | 789% |
| Trustmark Small Business Benefits | $25 | 789% |
| Unified Group Services | $25 | 789% |
| Webtpa | $25 | 789% |
| Hospice Advantage | $36 | 1136% |
| 1199 National Benefit Fund | $40 | 1262% |
| Allied National Global Care | $40 | 1262% |
| Asrm - Reliance Standard Life Insurance | $40 | 1262% |
| Christian Care Ministry | $40 | 1262% |
| Cigna | $40 | 1262% |
| Dean Health | $40 | 1262% |
| Fallon Health | $40 | 1262% |
| Family Life Insurance Company | $40 | 1262% |
| Ghc Scw | $40 | 1262% |
| Group Pension Administrators | $40 | 1262% |
| Health Partners | $40 | 1262% |
| International Benefit Administrators | $40 | 1262% |
| Lifetime Benefit Solutions | $40 | 1262% |
| Manhattan Life | $40 | 1262% |
| Medi Share | $40 | 1262% |
| Multiplan | $40 | 1262% |
| Mvp | $40 | 1262% |
| Pai | $40 | 1262% |
| Pan-American Life | $40 | 1262% |
| Paramount Hmo | $40 | 1262% |
| Phcs | $40 | 1262% |
| Trinity Health Share | $40 | 1262% |
| Tufts Health Plan | $40 | 1262% |
| Access Health | $42 | 1325% |
| Acclaim | $42 | 1325% |
| Administrative Concepts | $42 | 1325% |
| Allegeant | $42 | 1325% |
| Ameriben | $42 | 1325% |
| American Family | $42 | 1325% |
| American Healthcare Alliance | $42 | 1325% |
| American National | $42 | 1325% |
| American Republic | $42 | 1325% |
| Amerihealth | $42 | 1325% |
| Aultcare | $42 | 1325% |
| Automated Benefit Services | $42 | 1325% |
| Auxiant | $42 | 1325% |
| Benefit Administrative Systems,Llc | $42 | 1325% |
| Boon Chapman | $42 | 1325% |
| Cam Administrative Services | $42 | 1325% |
| Christian Brother Services | $42 | 1325% |
| Christian Brothers Holy Cross | $42 | 1325% |
| Comprehensive Benefits | $42 | 1325% |
| Continental Life Insurance | $42 | 1325% |
| Coventry | $42 | 1325% |
| Custom Benefit Administrators | $42 | 1325% |
| Employee Benefit Concepts | $42 | 1325% |
| Employee Benefit Management | $42 | 1325% |
| Enterprise Group Planning | $42 | 1325% |
| Freedom Life Insurance Company | $42 | 1325% |
| Group Administrators | $42 | 1325% |
| Group Marketing Services | $42 | 1325% |
| Guardian | $42 | 1325% |
| Health America | $42 | 1325% |
| Healthcare Management Admin | $42 | 1325% |
| Healthez | $42 | 1325% |
| Humana | $42 | 1325% |
| Insight | $42 | 1325% |
| Intercare | $42 | 1325% |
| Jfp Benefit Management | $42 | 1325% |
| Jp Farley Corporation | $42 | 1325% |
| Key Benefit Administrator | $42 | 1325% |
| Liberty Union Life Assurance Co | $42 | 1325% |
| Lucent Health | $42 | 1325% |
| Luminare Health | $42 | 1325% |
| Luminare Health (Detroit) | $42 | 1325% |
| Magnacare | $42 | 1325% |
| Medben | $42 | 1325% |
| Medcost | $42 | 1325% |
| Medical Mutual | $42 | 1325% |
| Mutual Health Services | $42 | 1325% |
| Mutual Of Omaha | $42 | 1325% |
| Ncas | $42 | 1325% |
| Nippon Life Ins | $42 | 1325% |
| Nova | $42 | 1325% |
| Painters Union Insurance Fund | $42 | 1325% |
| Physicians Mutual | $42 | 1325% |
| Plumbers Local 98 Insurance Fund | $42 | 1325% |
| Prairie States | $42 | 1325% |
| Preferred One | $42 | 1325% |
| Primary Physician Care | $42 | 1325% |
| Prime Health Services | $42 | 1325% |
| Professional Benefit Administrators | $42 | 1325% |
| Siho Insurance Services | $42 | 1325% |
| The Loomis Company | $42 | 1325% |
| Unicare | $42 | 1325% |
| Us Health And Life | $42 | 1325% |
| Valenz | $42 | 1325% |
| Western & Southern Financial Group | $42 | 1325% |
| Wps | $42 | 1325% |
| First Health | $43 | 1356% |
| Correctional Healthcare Consultants | $46 | 1451% |
| Three Rivers Provider Network | $47 | 1483% |
| Cmh Washtenaw County | $52 | 1640% |