CMS Price Transparency Data
X-ray, foot
Facility: Trinity Health Livingston Hospital
Billing Code: 73630 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73630
- Insurance Median: $210
- Cash Discount Price: $289
- vs. Medicare Baseline: 2.36x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Trinity Health Livingston Hospital is $210. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $289. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.36x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$289
Average discount available for prompt cash payment at this facility.
Insurance Median
$210
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: $289 (325%)
Insurance Median: $210 (236%)
Cash: $289 (325% of Medicare)
Ins. Median: $210 (236% 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 236% of the Medicare baseline (a markup of 136%). 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 | $41 - $7,101 | 46% |
| Medicaid / KanCare | $49 - $4,133 | 55% |
| Asr Health Benefits | $51 | 57% |
| Caresource | $51 | 57% |
| Hap | $51 - $344 | 57% |
| Varipro | $51 | 57% |
| Wc Accident Fund | $65 - $97 | 73% |
| Wc Advantage | $65 - $97 | 73% |
| Wc Aig | $65 - $97 | 73% |
| Wc Allied | $65 - $97 | 73% |
| Wc Amerisure | $65 - $97 | 73% |
| Wc Amtrust | $65 - $97 | 73% |
| Wc Asu Risk Mgt | $65 - $97 | 73% |
| Wc Berkley Admin | $65 - $97 | 73% |
| Wc Broadspire | $65 - $97 | 73% |
| Wc Bunch & Associates | $65 - $97 | 73% |
| Wc Ccmsi | $65 - $97 | 73% |
| Wc Emc Insurance Company | $65 - $97 | 73% |
| Wc Esis | $65 - $97 | 73% |
| Wc Fcci | $65 - $97 | 73% |
| Wc Federated | $65 - $97 | 73% |
| Wc Gallagher Bassett | $65 - $97 | 73% |
| Wc Genex Care For Ohio | $65 - $97 | 73% |
| Wc Guard Insurance Company | $65 - $97 | 73% |
| Wc Hartford | $65 - $97 | 73% |
| Wc Liberty Mutual | $65 - $97 | 73% |
| Wc Meijers | $65 - $97 | 73% |
| Wc Michigan | $65 - $97 | 73% |
| Wc Mitchell Frankenmuth | $65 - $97 | 73% |
| Wc Pma | $65 - $97 | 73% |
| Wc Sedgwick | $65 - $97 | 73% |
| Wc Sentry | $65 - $97 | 73% |
| Wc Travelers | $65 - $97 | 73% |
| Wc Tristar | $65 - $97 | 73% |
| Wc Walmart | $65 - $97 | 73% |
| Wc Zurich | $65 - $97 | 73% |
| Priority Health | $73 - $162 | 82% |
| U Of M Health Plan | $74 | 83% |
| Huron Valley Pace | $83 - $6,883 | 93% |
| Aetna | $85 - $7,101 | 96% |
| Blue Care Network Advantage | $85 - $7,101 | 96% |
| Hospice Of Lansing | $85 - $7,101 | 96% |
| Medicare (plans) | $85 - $7,246 | 96% |
| Align Senior Care | $87 - $7,246 | 98% |
| Angela Hospice | $87 - $7,258 | 98% |
| Bcn Domestic | $90 - $181 | 101% |
| Blue Benefit Administrators Of Massachusetts | $90 - $181 | 101% |
| Blue Care Network | $90 - $181 | 101% |
| Blue Distinction Transplant | $90 - $181 | 101% |
| Blue Shield - Ca | $90 - $181 | 101% |
| Blue Shield - Id (Regence) | $90 - $181 | 101% |
| Blue Shield - Ny Highmark Northeastern | $90 - $181 | 101% |
| Blue Shield - Ny Highmark Western | $90 - $181 | 101% |
| Blue Shield - Pa (Highmark) | $90 - $181 | 101% |
| Blue Shield - Wa (Regence) | $90 - $181 | 101% |
| Health Choices | $90 - $362 | 101% |
| Kaiser Domestic | $90 - $181 | 101% |
| UnitedHealthcare | $90 - $7,463 | 101% |
| Cca - Zing Health | $92 - $7,669 | 103% |
| Geha | $92 - $326 | 103% |
| Meritain | $92 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $98 - $8,166 | 110% |
| Molina Marketplace | $113 - $9,419 | 127% |
| Health Cost Solutions | $135 - $11,231 | 152% |
| Vitalcore | $135 - $11,231 | 152% |
| Wellpath | $135 - $11,231 | 152% |
| Acs Benefit Services | $140 - $210 | 157% |
| Allied Benefit Systems | $140 - $210 | 157% |
| Claimchoice Adminstrators | $140 - $210 | 157% |
| Consociate | $140 - $210 | 157% |
| Cypress Benefit Administrators | $140 - $210 | 157% |
| Forest County Potawatomi | $140 - $210 | 157% |
| Health Smart | $140 - $210 | 157% |
| Healthgram | $140 - $210 | 157% |
| Healthscope | $140 - $210 | 157% |
| Secureone Preferred United Plans | $140 - $210 | 157% |
| Sisco Benefits | $140 - $210 | 157% |
| The Health Plan | $140 - $210 | 157% |
| Trustmark Small Business Benefits | $140 - $210 | 157% |
| Unified Group Services | $140 - $210 | 157% |
| Webtpa | $140 - $210 | 157% |
| Employee Benefit Logistic | $196 - $16,303 | 220% |
| Hospice Advantage | $208 - $312 | 234% |
| 1199 National Benefit Fund | $229 - $343 | 258% |
| Allied National Global Care | $229 - $343 | 258% |
| Asrm - Reliance Standard Life Insurance | $229 - $343 | 258% |
| Christian Care Ministry | $229 - $343 | 258% |
| Dean Health | $229 - $343 | 258% |
| Fallon Health | $229 - $343 | 258% |
| Family Life Insurance Company | $229 - $343 | 258% |
| Ghc Scw | $229 - $343 | 258% |
| Group Pension Administrators | $229 - $343 | 258% |
| International Benefit Administrators | $229 - $343 | 258% |
| Lifetime Benefit Solutions | $229 - $343 | 258% |
| Manhattan Life | $229 - $343 | 258% |
| Medi Share | $229 - $343 | 258% |
| Multiplan | $229 - $343 | 258% |
| Mvp | $229 - $343 | 258% |
| Pai | $229 - $343 | 258% |
| Pan-American Life | $229 - $343 | 258% |
| Paramount Hmo | $229 - $343 | 258% |
| Phcs | $229 - $343 | 258% |
| Trinity Health Share | $229 - $343 | 258% |
| Health Partners | $230 - $344 | 259% |
| Tufts Health Plan | $230 - $344 | 259% |
| Cigna | $231 - $346 | 260% |
| Prime Health Services | $238 - $356 | 268% |
| Access Health | $242 - $362 | 272% |
| Acclaim | $242 - $362 | 272% |
| Administrative Concepts | $242 - $362 | 272% |
| Allegeant | $242 - $362 | 272% |
| Ameriben | $242 - $362 | 272% |
| American Family | $242 - $362 | 272% |
| American Healthcare Alliance | $242 - $362 | 272% |
| American National | $242 - $362 | 272% |
| American Republic | $242 - $362 | 272% |
| Amerihealth | $242 - $362 | 272% |
| Aultcare | $242 - $362 | 272% |
| Automated Benefit Services | $242 - $362 | 272% |
| Auxiant | $242 - $362 | 272% |
| Benefit Administrative Systems,Llc | $242 - $362 | 272% |
| Boon Chapman | $242 - $362 | 272% |
| Cam Administrative Services | $242 - $362 | 272% |
| Christian Brother Services | $242 - $362 | 272% |
| Christian Brothers Holy Cross | $242 - $362 | 272% |
| Comprehensive Benefits | $242 - $362 | 272% |
| Continental Life Insurance | $242 - $362 | 272% |
| Coventry | $242 - $362 | 272% |
| Custom Benefit Administrators | $242 - $362 | 272% |
| Employee Benefit Concepts | $242 - $362 | 272% |
| Employee Benefit Management | $242 - $362 | 272% |
| Enterprise Group Planning | $242 - $362 | 272% |
| Freedom Life Insurance Company | $242 - $362 | 272% |
| Group Administrators | $242 - $362 | 272% |
| Group Marketing Services | $242 - $362 | 272% |
| Guardian | $242 - $362 | 272% |
| Health America | $242 - $362 | 272% |
| Healthcare Management Admin | $242 - $362 | 272% |
| Healthez | $242 - $362 | 272% |
| Humana | $242 - $362 | 272% |
| Insight | $242 - $362 | 272% |
| Intercare | $242 - $362 | 272% |
| Jfp Benefit Management | $242 - $362 | 272% |
| Jp Farley Corporation | $242 - $362 | 272% |
| Key Benefit Administrator | $242 - $362 | 272% |
| Liberty Union Life Assurance Co | $242 - $362 | 272% |
| Lucent Health | $242 - $362 | 272% |
| Luminare Health | $242 - $362 | 272% |
| Luminare Health (Detroit) | $242 - $362 | 272% |
| Magnacare | $242 - $362 | 272% |
| Medben | $242 - $362 | 272% |
| Medcost | $242 - $362 | 272% |
| Medical Mutual | $242 - $362 | 272% |
| Mutual Health Services | $242 - $362 | 272% |
| Mutual Of Omaha | $242 - $362 | 272% |
| Ncas | $242 - $362 | 272% |
| Nippon Life Ins | $242 - $362 | 272% |
| Nova | $242 - $362 | 272% |
| Painters Union Insurance Fund | $242 - $362 | 272% |
| Physicians Mutual | $242 - $362 | 272% |
| Plumbers Local 98 Insurance Fund | $242 - $362 | 272% |
| Prairie States | $242 - $362 | 272% |
| Preferred One | $242 - $362 | 272% |
| Primary Physician Care | $242 - $362 | 272% |
| Professional Benefit Administrators | $242 - $362 | 272% |
| Siho Insurance Services | $242 - $362 | 272% |
| The Loomis Company | $242 - $362 | 272% |
| Unicare | $242 - $362 | 272% |
| Us Health And Life | $242 - $362 | 272% |
| Valenz | $242 - $362 | 272% |
| Western & Southern Financial Group | $242 - $362 | 272% |
| Wps | $242 - $362 | 272% |
| First Health | $248 - $372 | 279% |
| Correctional Healthcare Consultants | $263 - $394 | 296% |
| Three Rivers Provider Network | $267 - $400 | 300% |
| Cmh Washtenaw County | $297 - $445 | 334% |