CMS Price Transparency Data
X-ray, ankle
Facility: Trinity Health Livingston Hospital
Billing Code: 73610 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73610
- Insurance Median: $232
- Cash Discount Price: $319
- vs. Medicare Baseline: 2.61x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Trinity Health Livingston Hospital is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $319. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.61x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$319
Average discount available for prompt cash payment at this facility.
Insurance Median
$232
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$88.91
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $319 (359%)
Insurance Median: $232 (261%)
Cash: $319 (359% of Medicare)
Ins. Median: $232 (261% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $88.91 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 261% of the Medicare baseline (a markup of 161%). 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.
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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 | $49 - $195 | 55% |
| Medicaid / KanCare | $49 - $50 | 55% |
| Asr Health Benefits | $54 | 61% |
| Caresource | $54 | 61% |
| Hap | $54 - $380 | 61% |
| Varipro | $54 | 61% |
| Wc Accident Fund | $72 - $107 | 81% |
| Wc Advantage | $72 - $107 | 81% |
| Wc Aig | $72 - $107 | 81% |
| Wc Allied | $72 - $107 | 81% |
| Wc Amerisure | $72 - $107 | 81% |
| Wc Amtrust | $72 - $107 | 81% |
| Wc Asu Risk Mgt | $72 - $107 | 81% |
| Wc Berkley Admin | $72 - $107 | 81% |
| Wc Broadspire | $72 - $107 | 81% |
| Wc Bunch & Associates | $72 - $107 | 81% |
| Wc Ccmsi | $72 - $107 | 81% |
| Wc Emc Insurance Company | $72 - $107 | 81% |
| Wc Esis | $72 - $107 | 81% |
| Wc Fcci | $72 - $107 | 81% |
| Wc Federated | $72 - $107 | 81% |
| Wc Gallagher Bassett | $72 - $107 | 81% |
| Wc Genex Care For Ohio | $72 - $107 | 81% |
| Wc Guard Insurance Company | $72 - $107 | 81% |
| Wc Hartford | $72 - $107 | 81% |
| Wc Liberty Mutual | $72 - $107 | 81% |
| Wc Meijers | $72 - $107 | 81% |
| Wc Michigan | $72 - $107 | 81% |
| Wc Mitchell Frankenmuth | $72 - $107 | 81% |
| Wc Pma | $72 - $107 | 81% |
| Wc Sedgwick | $72 - $107 | 81% |
| Wc Sentry | $72 - $107 | 81% |
| Wc Travelers | $72 - $107 | 81% |
| Wc Tristar | $72 - $107 | 81% |
| Wc Walmart | $72 - $107 | 81% |
| Wc Zurich | $72 - $107 | 81% |
| U Of M Health Plan | $79 | 89% |
| Huron Valley Pace | $83 | 93% |
| Priority Health | $84 - $186 | 94% |
| Aetna | $85 - $232 | 96% |
| Blue Care Network Advantage | $85 | 96% |
| Hospice Of Lansing | $85 | 96% |
| Medicare (plans) | $85 - $87 | 96% |
| Align Senior Care | $87 | 98% |
| Angela Hospice | $87 | 98% |
| UnitedHealthcare | $90 - $442 | 101% |
| Cca - Zing Health | $92 | 103% |
| Bcn Domestic | $97 - $195 | 109% |
| Blue Benefit Administrators Of Massachusetts | $97 - $195 | 109% |
| Blue Care Network | $97 - $195 | 109% |
| Blue Distinction Transplant | $97 - $195 | 109% |
| Blue Shield - Ca | $97 - $195 | 109% |
| Blue Shield - Id (Regence) | $97 - $195 | 109% |
| Blue Shield - Ny Highmark Northeastern | $97 - $195 | 109% |
| Blue Shield - Ny Highmark Western | $97 - $195 | 109% |
| Blue Shield - Pa (Highmark) | $97 - $195 | 109% |
| Blue Shield - Wa (Regence) | $97 - $195 | 109% |
| Health Choices | $97 - $400 | 109% |
| Kaiser Domestic | $97 - $195 | 109% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $98 | 110% |
| Geha | $100 - $359 | 112% |
| Meritain | $100 | 112% |
| Molina Marketplace | $113 | 127% |
| Health Cost Solutions | $135 | 152% |
| Vitalcore | $135 | 152% |
| Wellpath | $135 | 152% |
| Acs Benefit Services | $155 - $232 | 174% |
| Allied Benefit Systems | $155 - $232 | 174% |
| Claimchoice Adminstrators | $155 - $232 | 174% |
| Consociate | $155 - $232 | 174% |
| Cypress Benefit Administrators | $155 - $232 | 174% |
| Forest County Potawatomi | $155 - $232 | 174% |
| Health Smart | $155 - $232 | 174% |
| Healthgram | $155 - $232 | 174% |
| Healthscope | $155 - $232 | 174% |
| Secureone Preferred United Plans | $155 - $232 | 174% |
| Sisco Benefits | $155 - $232 | 174% |
| The Health Plan | $155 - $232 | 174% |
| Trustmark Small Business Benefits | $155 - $232 | 174% |
| Unified Group Services | $155 - $232 | 174% |
| Webtpa | $155 - $232 | 174% |
| Employee Benefit Logistic | $196 | 220% |
| Hospice Advantage | $230 - $344 | 259% |
| 1199 National Benefit Fund | $253 - $378 | 285% |
| Allied National Global Care | $253 - $378 | 285% |
| Asrm - Reliance Standard Life Insurance | $253 - $378 | 285% |
| Christian Care Ministry | $253 - $378 | 285% |
| Dean Health | $253 - $378 | 285% |
| Fallon Health | $253 - $378 | 285% |
| Family Life Insurance Company | $253 - $378 | 285% |
| Ghc Scw | $253 - $378 | 285% |
| Group Pension Administrators | $253 - $378 | 285% |
| International Benefit Administrators | $253 - $378 | 285% |
| Lifetime Benefit Solutions | $253 - $378 | 285% |
| Manhattan Life | $253 - $378 | 285% |
| Medi Share | $253 - $378 | 285% |
| Multiplan | $253 - $378 | 285% |
| Mvp | $253 - $378 | 285% |
| Pai | $253 - $378 | 285% |
| Pan-American Life | $253 - $378 | 285% |
| Paramount Hmo | $253 - $378 | 285% |
| Phcs | $253 - $378 | 285% |
| Trinity Health Share | $253 - $378 | 285% |
| Health Partners | $254 - $380 | 286% |
| Tufts Health Plan | $254 - $380 | 286% |
| Cigna | $255 - $381 | 287% |
| Prime Health Services | $262 - $393 | 295% |
| Access Health | $267 - $400 | 300% |
| Acclaim | $267 - $400 | 300% |
| Administrative Concepts | $267 - $400 | 300% |
| Allegeant | $267 - $400 | 300% |
| Ameriben | $267 - $400 | 300% |
| American Family | $267 - $400 | 300% |
| American Healthcare Alliance | $267 - $400 | 300% |
| American National | $267 - $400 | 300% |
| American Republic | $267 - $400 | 300% |
| Amerihealth | $267 - $400 | 300% |
| Aultcare | $267 - $400 | 300% |
| Automated Benefit Services | $267 - $400 | 300% |
| Auxiant | $267 - $400 | 300% |
| Benefit Administrative Systems,Llc | $267 - $400 | 300% |
| Boon Chapman | $267 - $400 | 300% |
| Cam Administrative Services | $267 - $400 | 300% |
| Christian Brother Services | $267 - $400 | 300% |
| Christian Brothers Holy Cross | $267 - $400 | 300% |
| Comprehensive Benefits | $267 - $400 | 300% |
| Continental Life Insurance | $267 - $400 | 300% |
| Coventry | $267 - $400 | 300% |
| Custom Benefit Administrators | $267 - $400 | 300% |
| Employee Benefit Concepts | $267 - $400 | 300% |
| Employee Benefit Management | $267 - $400 | 300% |
| Enterprise Group Planning | $267 - $400 | 300% |
| Freedom Life Insurance Company | $267 - $400 | 300% |
| Group Administrators | $267 - $400 | 300% |
| Group Marketing Services | $267 - $400 | 300% |
| Guardian | $267 - $400 | 300% |
| Health America | $267 - $400 | 300% |
| Healthcare Management Admin | $267 - $400 | 300% |
| Healthez | $267 - $400 | 300% |
| Humana | $267 - $400 | 300% |
| Insight | $267 - $400 | 300% |
| Intercare | $267 - $400 | 300% |
| Jfp Benefit Management | $267 - $400 | 300% |
| Jp Farley Corporation | $267 - $400 | 300% |
| Key Benefit Administrator | $267 - $400 | 300% |
| Liberty Union Life Assurance Co | $267 - $400 | 300% |
| Lucent Health | $267 - $400 | 300% |
| Luminare Health | $267 - $400 | 300% |
| Luminare Health (Detroit) | $267 - $400 | 300% |
| Magnacare | $267 - $400 | 300% |
| Medben | $267 - $400 | 300% |
| Medcost | $267 - $400 | 300% |
| Medical Mutual | $267 - $400 | 300% |
| Mutual Health Services | $267 - $400 | 300% |
| Mutual Of Omaha | $267 - $400 | 300% |
| Ncas | $267 - $400 | 300% |
| Nippon Life Ins | $267 - $400 | 300% |
| Nova | $267 - $400 | 300% |
| Painters Union Insurance Fund | $267 - $400 | 300% |
| Physicians Mutual | $267 - $400 | 300% |
| Plumbers Local 98 Insurance Fund | $267 - $400 | 300% |
| Prairie States | $267 - $400 | 300% |
| Preferred One | $267 - $400 | 300% |
| Primary Physician Care | $267 - $400 | 300% |
| Professional Benefit Administrators | $267 - $400 | 300% |
| Siho Insurance Services | $267 - $400 | 300% |
| The Loomis Company | $267 - $400 | 300% |
| Unicare | $267 - $400 | 300% |
| Us Health And Life | $267 - $400 | 300% |
| Valenz | $267 - $400 | 300% |
| Western & Southern Financial Group | $267 - $400 | 300% |
| Wps | $267 - $400 | 300% |
| First Health | $274 - $410 | 308% |
| Correctional Healthcare Consultants | $290 - $435 | 326% |
| Three Rivers Provider Network | $295 - $442 | 332% |
| Cmh Washtenaw County | $328 - $491 | 369% |