CMS Price Transparency Data
X-ray, shoulder
Facility: Trinity Health Livingston Hospital
Billing Code: 73030 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73030
- Insurance Median: $179
- Cash Discount Price: $293
- vs. Medicare Baseline: 2.01x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Trinity Health Livingston Hospital is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $293. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.01x the Medicare baseline. Located in 620 Byron Rd, Howell, MI.
Cash / Self-Pay
$293
Average discount available for prompt cash payment at this facility.
Insurance Median
$179
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: $293 (330%)
Insurance Median: $179 (201%)
Cash: $293 (330% of Medicare)
Ins. Median: $179 (201% 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 201% of the Medicare baseline (a markup of 101%). 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 |
|---|---|---|
| Asr Health Benefits | $46 | 52% |
| Caresource | $46 | 52% |
| Hap | $46 - $419 | 52% |
| Varipro | $46 | 52% |
| Blue Cross Blue Shield | $49 - $179 | 55% |
| Medicaid / KanCare | $49 - $60 | 55% |
| Priority Health | $71 - $158 | 80% |
| U Of M Health Plan | $76 | 85% |
| Wc Accident Fund | $79 - $118 | 89% |
| Wc Advantage | $79 - $118 | 89% |
| Wc Aig | $79 - $118 | 89% |
| Wc Allied | $79 - $118 | 89% |
| Wc Amerisure | $79 - $118 | 89% |
| Wc Amtrust | $79 - $118 | 89% |
| Wc Asu Risk Mgt | $79 - $118 | 89% |
| Wc Berkley Admin | $79 - $118 | 89% |
| Wc Broadspire | $79 - $118 | 89% |
| Wc Bunch & Associates | $79 - $118 | 89% |
| Wc Ccmsi | $79 - $118 | 89% |
| Wc Emc Insurance Company | $79 - $118 | 89% |
| Wc Esis | $79 - $118 | 89% |
| Wc Fcci | $79 - $118 | 89% |
| Wc Federated | $79 - $118 | 89% |
| Wc Gallagher Bassett | $79 - $118 | 89% |
| Wc Genex Care For Ohio | $79 - $118 | 89% |
| Wc Guard Insurance Company | $79 - $118 | 89% |
| Wc Hartford | $79 - $118 | 89% |
| Wc Liberty Mutual | $79 - $118 | 89% |
| Wc Meijers | $79 - $118 | 89% |
| Wc Michigan | $79 - $118 | 89% |
| Wc Mitchell Frankenmuth | $79 - $118 | 89% |
| Wc Pma | $79 - $118 | 89% |
| Wc Sedgwick | $79 - $118 | 89% |
| Wc Sentry | $79 - $118 | 89% |
| Wc Travelers | $79 - $118 | 89% |
| Wc Tristar | $79 - $118 | 89% |
| Wc Walmart | $79 - $118 | 89% |
| Wc Zurich | $79 - $118 | 89% |
| Huron Valley Pace | $83 - $99 | 93% |
| Aetna | $85 - $256 | 96% |
| Blue Care Network Advantage | $85 - $102 | 96% |
| Hospice Of Lansing | $85 - $102 | 96% |
| Medicare (plans) | $85 - $104 | 96% |
| Align Senior Care | $87 - $104 | 98% |
| Angela Hospice | $87 - $105 | 98% |
| Bcn Domestic | $89 - $179 | 100% |
| Blue Benefit Administrators Of Massachusetts | $89 - $179 | 100% |
| Blue Care Network | $89 - $179 | 100% |
| Blue Distinction Transplant | $89 - $179 | 100% |
| Blue Shield - Ca | $89 - $179 | 100% |
| Blue Shield - Id (Regence) | $89 - $179 | 100% |
| Blue Shield - Ny Highmark Northeastern | $89 - $179 | 100% |
| Blue Shield - Ny Highmark Western | $89 - $179 | 100% |
| Blue Shield - Pa (Highmark) | $89 - $179 | 100% |
| Blue Shield - Wa (Regence) | $89 - $179 | 100% |
| Geha | $89 - $396 | 100% |
| Health Choices | $89 - $441 | 100% |
| Kaiser Domestic | $89 - $179 | 100% |
| Meritain | $89 | 100% |
| UnitedHealthcare | $90 - $487 | 101% |
| Cca - Zing Health | $92 - $110 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $98 - $118 | 110% |
| Molina Marketplace | $113 - $136 | 127% |
| Health Cost Solutions | $135 - $162 | 152% |
| Vitalcore | $135 - $162 | 152% |
| Wellpath | $135 - $162 | 152% |
| Acs Benefit Services | $170 - $255 | 191% |
| Allied Benefit Systems | $170 - $255 | 191% |
| Claimchoice Adminstrators | $170 - $255 | 191% |
| Consociate | $170 - $255 | 191% |
| Cypress Benefit Administrators | $170 - $255 | 191% |
| Forest County Potawatomi | $170 - $255 | 191% |
| Health Smart | $170 - $255 | 191% |
| Healthgram | $170 - $255 | 191% |
| Healthscope | $170 - $255 | 191% |
| Secureone Preferred United Plans | $170 - $255 | 191% |
| Sisco Benefits | $170 - $255 | 191% |
| The Health Plan | $170 - $255 | 191% |
| Trustmark Small Business Benefits | $170 - $255 | 191% |
| Unified Group Services | $170 - $255 | 191% |
| Webtpa | $170 - $255 | 191% |
| Employee Benefit Logistic | $196 - $235 | 220% |
| Hospice Advantage | $252 - $379 | 283% |
| 1199 National Benefit Fund | $277 - $417 | 312% |
| Allied National Global Care | $277 - $417 | 312% |
| Asrm - Reliance Standard Life Insurance | $277 - $417 | 312% |
| Christian Care Ministry | $277 - $417 | 312% |
| Dean Health | $277 - $417 | 312% |
| Fallon Health | $277 - $417 | 312% |
| Family Life Insurance Company | $277 - $417 | 312% |
| Ghc Scw | $277 - $417 | 312% |
| Group Pension Administrators | $277 - $417 | 312% |
| International Benefit Administrators | $277 - $417 | 312% |
| Lifetime Benefit Solutions | $277 - $417 | 312% |
| Manhattan Life | $277 - $417 | 312% |
| Medi Share | $277 - $417 | 312% |
| Multiplan | $277 - $417 | 312% |
| Mvp | $277 - $417 | 312% |
| Pai | $277 - $417 | 312% |
| Pan-American Life | $277 - $417 | 312% |
| Paramount Hmo | $277 - $417 | 312% |
| Phcs | $277 - $417 | 312% |
| Trinity Health Share | $277 - $417 | 312% |
| Health Partners | $279 - $419 | 314% |
| Tufts Health Plan | $279 - $419 | 314% |
| Cigna | $280 - $420 | 315% |
| Prime Health Services | $288 - $433 | 324% |
| Access Health | $293 - $441 | 330% |
| Acclaim | $293 - $441 | 330% |
| Administrative Concepts | $293 - $441 | 330% |
| Allegeant | $293 - $441 | 330% |
| Ameriben | $293 - $441 | 330% |
| American Family | $293 - $441 | 330% |
| American Healthcare Alliance | $293 - $441 | 330% |
| American National | $293 - $441 | 330% |
| American Republic | $293 - $441 | 330% |
| Amerihealth | $293 - $441 | 330% |
| Aultcare | $293 - $441 | 330% |
| Automated Benefit Services | $293 - $441 | 330% |
| Auxiant | $293 - $441 | 330% |
| Benefit Administrative Systems,Llc | $293 - $441 | 330% |
| Boon Chapman | $293 - $441 | 330% |
| Cam Administrative Services | $293 - $441 | 330% |
| Christian Brother Services | $293 - $441 | 330% |
| Christian Brothers Holy Cross | $293 - $441 | 330% |
| Comprehensive Benefits | $293 - $441 | 330% |
| Continental Life Insurance | $293 - $441 | 330% |
| Coventry | $293 - $441 | 330% |
| Custom Benefit Administrators | $293 - $441 | 330% |
| Employee Benefit Concepts | $293 - $441 | 330% |
| Employee Benefit Management | $293 - $441 | 330% |
| Enterprise Group Planning | $293 - $441 | 330% |
| Freedom Life Insurance Company | $293 - $441 | 330% |
| Group Administrators | $293 - $441 | 330% |
| Group Marketing Services | $293 - $441 | 330% |
| Guardian | $293 - $441 | 330% |
| Health America | $293 - $441 | 330% |
| Healthcare Management Admin | $293 - $441 | 330% |
| Healthez | $293 - $441 | 330% |
| Humana | $293 - $441 | 330% |
| Insight | $293 - $441 | 330% |
| Intercare | $293 - $441 | 330% |
| Jfp Benefit Management | $293 - $441 | 330% |
| Jp Farley Corporation | $293 - $441 | 330% |
| Key Benefit Administrator | $293 - $441 | 330% |
| Liberty Union Life Assurance Co | $293 - $441 | 330% |
| Lucent Health | $293 - $441 | 330% |
| Luminare Health | $293 - $441 | 330% |
| Luminare Health (Detroit) | $293 - $441 | 330% |
| Magnacare | $293 - $441 | 330% |
| Medben | $293 - $441 | 330% |
| Medcost | $293 - $441 | 330% |
| Medical Mutual | $293 - $441 | 330% |
| Mutual Health Services | $293 - $441 | 330% |
| Mutual Of Omaha | $293 - $441 | 330% |
| Ncas | $293 - $441 | 330% |
| Nippon Life Ins | $293 - $441 | 330% |
| Nova | $293 - $441 | 330% |
| Painters Union Insurance Fund | $293 - $441 | 330% |
| Physicians Mutual | $293 - $441 | 330% |
| Plumbers Local 98 Insurance Fund | $293 - $441 | 330% |
| Prairie States | $293 - $441 | 330% |
| Preferred One | $293 - $441 | 330% |
| Primary Physician Care | $293 - $441 | 330% |
| Professional Benefit Administrators | $293 - $441 | 330% |
| Siho Insurance Services | $293 - $441 | 330% |
| The Loomis Company | $293 - $441 | 330% |
| Unicare | $293 - $441 | 330% |
| Us Health And Life | $293 - $441 | 330% |
| Valenz | $293 - $441 | 330% |
| Western & Southern Financial Group | $293 - $441 | 330% |
| Wps | $293 - $441 | 330% |
| First Health | $301 - $452 | 339% |
| Correctional Healthcare Consultants | $319 - $479 | 359% |
| Three Rivers Provider Network | $324 - $487 | 364% |
| Cmh Washtenaw County | $360 - $541 | 405% |