CMS Price Transparency Data
X-ray, neck (cervical spine)
Facility: Trinity Health Livingston Hospital
Billing Code: 72040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72040
- Insurance Median: $263
- Cash Discount Price: $233
- vs. Medicare Baseline: 2.96x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Trinity Health Livingston Hospital is $263. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.96x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$233
Average discount available for prompt cash payment at this facility.
Insurance Median
$263
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: $233 (262%)
Insurance Median: $263 (296%)
Cash: $233 (262% of Medicare)
Ins. Median: $263 (296% 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 296% of the Medicare baseline (a markup of 196%). 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 - $101 | 55% |
| Medicaid / KanCare | $49 - $50 | 55% |
| Asr Health Benefits | $62 | 70% |
| Caresource | $62 | 70% |
| Hap | $62 - $278 | 70% |
| Varipro | $62 | 70% |
| Wc Accident Fund | $79 | 89% |
| Wc Advantage | $79 | 89% |
| Wc Aig | $79 | 89% |
| Wc Allied | $79 | 89% |
| Wc Amerisure | $79 | 89% |
| Wc Amtrust | $79 | 89% |
| Wc Asu Risk Mgt | $79 | 89% |
| Wc Berkley Admin | $79 | 89% |
| Wc Broadspire | $79 | 89% |
| Wc Bunch & Associates | $79 | 89% |
| Wc Ccmsi | $79 | 89% |
| Wc Emc Insurance Company | $79 | 89% |
| Wc Esis | $79 | 89% |
| Wc Fcci | $79 | 89% |
| Wc Federated | $79 | 89% |
| Wc Gallagher Bassett | $79 | 89% |
| Wc Genex Care For Ohio | $79 | 89% |
| Wc Guard Insurance Company | $79 | 89% |
| Wc Hartford | $79 | 89% |
| Wc Liberty Mutual | $79 | 89% |
| Wc Meijers | $79 | 89% |
| Wc Michigan | $79 | 89% |
| Wc Mitchell Frankenmuth | $79 | 89% |
| Wc Pma | $79 | 89% |
| Wc Sedgwick | $79 | 89% |
| Wc Sentry | $79 | 89% |
| Wc Travelers | $79 | 89% |
| Wc Tristar | $79 | 89% |
| Wc Walmart | $79 | 89% |
| Wc Zurich | $79 | 89% |
| Priority Health | $82 - $91 | 92% |
| Huron Valley Pace | $83 | 93% |
| Aetna | $85 - $170 | 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% |
| U Of M Health Plan | $87 | 98% |
| UnitedHealthcare | $90 - $323 | 101% |
| Cca - Zing Health | $92 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $98 | 110% |
| Bcn Domestic | $101 | 114% |
| Blue Benefit Administrators Of Massachusetts | $101 | 114% |
| Blue Care Network | $101 | 114% |
| Blue Distinction Transplant | $101 | 114% |
| Blue Shield - Ca | $101 | 114% |
| Blue Shield - Id (Regence) | $101 | 114% |
| Blue Shield - Ny Highmark Northeastern | $101 | 114% |
| Blue Shield - Ny Highmark Western | $101 | 114% |
| Blue Shield - Pa (Highmark) | $101 | 114% |
| Blue Shield - Wa (Regence) | $101 | 114% |
| Geha | $101 - $263 | 114% |
| Health Choices | $101 - $292 | 114% |
| Kaiser Domestic | $101 | 114% |
| Meritain | $101 | 114% |
| Molina Marketplace | $113 | 127% |
| Health Cost Solutions | $135 | 152% |
| Vitalcore | $135 | 152% |
| Wellpath | $135 | 152% |
| Acs Benefit Services | $169 | 190% |
| Allied Benefit Systems | $169 | 190% |
| Claimchoice Adminstrators | $169 | 190% |
| Consociate | $169 | 190% |
| Cypress Benefit Administrators | $169 | 190% |
| Forest County Potawatomi | $169 | 190% |
| Health Smart | $169 | 190% |
| Healthgram | $169 | 190% |
| Healthscope | $169 | 190% |
| Secureone Preferred United Plans | $169 | 190% |
| Sisco Benefits | $169 | 190% |
| The Health Plan | $169 | 190% |
| Trustmark Small Business Benefits | $169 | 190% |
| Unified Group Services | $169 | 190% |
| Webtpa | $169 | 190% |
| Employee Benefit Logistic | $196 | 220% |
| Hospice Advantage | $251 | 282% |
| 1199 National Benefit Fund | $276 | 310% |
| Allied National Global Care | $276 | 310% |
| Asrm - Reliance Standard Life Insurance | $276 | 310% |
| Christian Care Ministry | $276 | 310% |
| Dean Health | $276 | 310% |
| Fallon Health | $276 | 310% |
| Family Life Insurance Company | $276 | 310% |
| Ghc Scw | $276 | 310% |
| Group Pension Administrators | $276 | 310% |
| International Benefit Administrators | $276 | 310% |
| Lifetime Benefit Solutions | $276 | 310% |
| Manhattan Life | $276 | 310% |
| Medi Share | $276 | 310% |
| Multiplan | $276 | 310% |
| Mvp | $276 | 310% |
| Pai | $276 | 310% |
| Pan-American Life | $276 | 310% |
| Paramount Hmo | $276 | 310% |
| Phcs | $276 | 310% |
| Trinity Health Share | $276 | 310% |
| Health Partners | $278 | 313% |
| Tufts Health Plan | $278 | 313% |
| Cigna | $279 | 314% |
| Prime Health Services | $287 | 323% |
| Access Health | $292 | 328% |
| Acclaim | $292 | 328% |
| Administrative Concepts | $292 | 328% |
| Allegeant | $292 | 328% |
| Ameriben | $292 | 328% |
| American Family | $292 | 328% |
| American Healthcare Alliance | $292 | 328% |
| American National | $292 | 328% |
| American Republic | $292 | 328% |
| Amerihealth | $292 | 328% |
| Aultcare | $292 | 328% |
| Automated Benefit Services | $292 | 328% |
| Auxiant | $292 | 328% |
| Benefit Administrative Systems,Llc | $292 | 328% |
| Boon Chapman | $292 | 328% |
| Cam Administrative Services | $292 | 328% |
| Christian Brother Services | $292 | 328% |
| Christian Brothers Holy Cross | $292 | 328% |
| Comprehensive Benefits | $292 | 328% |
| Continental Life Insurance | $292 | 328% |
| Coventry | $292 | 328% |
| Custom Benefit Administrators | $292 | 328% |
| Employee Benefit Concepts | $292 | 328% |
| Employee Benefit Management | $292 | 328% |
| Enterprise Group Planning | $292 | 328% |
| Freedom Life Insurance Company | $292 | 328% |
| Group Administrators | $292 | 328% |
| Group Marketing Services | $292 | 328% |
| Guardian | $292 | 328% |
| Health America | $292 | 328% |
| Healthcare Management Admin | $292 | 328% |
| Healthez | $292 | 328% |
| Humana | $292 | 328% |
| Insight | $292 | 328% |
| Intercare | $292 | 328% |
| Jfp Benefit Management | $292 | 328% |
| Jp Farley Corporation | $292 | 328% |
| Key Benefit Administrator | $292 | 328% |
| Liberty Union Life Assurance Co | $292 | 328% |
| Lucent Health | $292 | 328% |
| Luminare Health | $292 | 328% |
| Luminare Health (Detroit) | $292 | 328% |
| Magnacare | $292 | 328% |
| Medben | $292 | 328% |
| Medcost | $292 | 328% |
| Medical Mutual | $292 | 328% |
| Mutual Health Services | $292 | 328% |
| Mutual Of Omaha | $292 | 328% |
| Ncas | $292 | 328% |
| Nippon Life Ins | $292 | 328% |
| Nova | $292 | 328% |
| Painters Union Insurance Fund | $292 | 328% |
| Physicians Mutual | $292 | 328% |
| Plumbers Local 98 Insurance Fund | $292 | 328% |
| Prairie States | $292 | 328% |
| Preferred One | $292 | 328% |
| Primary Physician Care | $292 | 328% |
| Professional Benefit Administrators | $292 | 328% |
| Siho Insurance Services | $292 | 328% |
| The Loomis Company | $292 | 328% |
| Unicare | $292 | 328% |
| Us Health And Life | $292 | 328% |
| Valenz | $292 | 328% |
| Western & Southern Financial Group | $292 | 328% |
| Wps | $292 | 328% |
| First Health | $300 | 337% |
| Correctional Healthcare Consultants | $318 | 358% |
| Three Rivers Provider Network | $323 | 363% |
| Cmh Washtenaw County | $359 | 404% |