How many shoppable procedure prices are published for Trinity Health Livingston Hospital?

Trinity Health Livingston Hospital in Howell, MI currently has 113 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Trinity Health Livingston Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Trinity Health Livingston Hospital's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Trinity Health Livingston Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Trinity Health Livingston Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 42 Beds · urban Updated: 2026-03-31

Trinity Health Livingston Hospital

620 Byron Rd, Howell, MI 48843 · 113 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.45×vs. Fair Market Price

Typical commercial prices here are +45% above the fair benchmark (1.45×) even after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 50% of the Time

File Completeness85

Price Logic42

Peer Alignment74

Clean Billing95

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.45× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Trinity Health Livingston Hospital prices routine shoppable procedures near 1.9× Medicare (p50 1.11×) while skewing captive emergency, lab, and upper-quartile codes to 2.4× Medicare (p75 1.71×, +54% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#86 of 91 in MI · 93rd State Percentile#2,551 of 3,385 in U.S. · 75th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.80× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 50% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 71% patient recommendation (72/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (43.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.1× markup over Medicare rates
Captive ER (1.9×) & laboratory (1.8×) services average 1.26× higher multiples than routine shoppable care (1.9×)
Upper-quartile procedures (Q75 1.71×) jump +54% above the median procedure ratio (Q50 1.11×)
Unnegotiated chargemaster list prices average 7.1× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.26× Divergence

2.4× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+54% Upper Tail

Q25 0.80× · Q50 1.11× · Q75 1.71×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.5× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.1× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

50% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 72/100Fair

Procedure Prices at Trinity Health Livingston Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$42,080	$48,604	$19,432	2.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	—	$17,936	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$13,492	$17,120	$8,223	2.1×
Total knee replacement CPT Code: `27447`	—	—	$13,523	—
Cataract surgery with lens implant CPT Code: `66984`	$8,639	$5,320	$2,540	2.1×
Rabies immune globulin HCPCS Code: `90375`	$6,267	$4,667	$322	unverified
Trauma team activation HCPCS Code: `G0390`	$3,400	$2,013	$1,453	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$5,097	$1,715	$511	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,063	$1,221	$855	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,970	$999	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$3,755	$993	$369	unverified
MRI, brain (no contrast) CPT Code: `70551`	$2,800	$942	$343	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,943	$654	$258	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,775	$597	$242	unverified
CT scan, sinuses CPT Code: `70486`	$1,801	$606	$166	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,677	$564	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,687	$568	$168	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,581	$532	$167	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$3,247	$480	$1,021	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,010	$453	$448	unverified
Total hip replacement CPT Code: `27130`	$5,868	$415	$13,413	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$548	$388	$148	unverified
Breast lump removal CPT Code: `19120`	$2,870	$294	$3,875	unverified
Blood transfusion CPT Code: `36430`	$930	$313	$498	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$320	$321	$123	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$546	$288	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$868	$292	$134	unverified
Bunion correction surgery CPT Code: `28296`	$16,036	$231	$3,446	0.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$299	$246	$3,372	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,399	$245	$303	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,037	$214	$6,109	0.0×
X-ray, hand CPT Code: `73130`	$324	$202	$93	unverified
Inguinal hernia repair CPT Code: `49505`	$1,327	$170	$3,629	0.0×
X-ray, shoulder CPT Code: `73030`	$352	$170	$92	unverified
X-ray, foot CPT Code: `73630`	$193	$181	$92	unverified
X-ray, lower back CPT Code: `72110`	$308	$137	$112	unverified
CT scan, pelvis CPT Code: `72192`	$1,314	$134	$163	unverified
X-ray, ankle CPT Code: `73610`	$213	$155	$93	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$203	$148	$185	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$300	$165	$86	unverified
X-ray, hip CPT Code: `73502`	$145	$129	$93	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$79	$98	$86	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,664	$102	$583	0.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$4,159	$80	$981	0.1×
Colonoscopy with biopsy CPT Code: `45380`	$5,819	$86	$1,256	0.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,760	$109	$160	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$623	$108	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$785	$116	$130	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$153	$111	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$185	$134	$181	unverified
Group therapy session CPT Code: `90853`	$120	$87	$100	0.9×
X-ray, chest (two views) CPT Code: `71046`	$238	$81	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$233	$101	$93	unverified
X-ray, pelvis CPT Code: `72170`	$164	$103	$110	unverified
Family therapy session CPT Code: `90847`	$132	$96	$173	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$148	$81	$34	unverified
Typhoid vaccine HCPCS Code: `90675`	$902	$974	$347	unverified
Drug screening test HCPCS Code: `G0480`	$911	$187	$116	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$153	$111	$56	unverified
Blood test, vitamin D CPT Code: `82306`	$73	$48	$31	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$47	$53	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$38	$53	$49	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	—	$70	$110	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$70	$123	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$4,173	$60	$987	unverified
X-ray, chest (single view) CPT Code: `71045`	$163	$60	$92	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$95	$69	$39	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$27	$33	0.8×
Blood antibody screen CPT Code: `86850`	$46	$35	$46	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$160	$54	$64	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$143	$78	$35	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$47	$87	0.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$17	$25	0.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$20	$24	$4	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$67	$48	$25	unverified
Speech therapy (group session) CPT Code: `92508`	$75	$46	$27	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$177	$59	$201	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$114	$63	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$96	$55	$33	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$63	$16	$10	unverified
Blood test, lipase CPT Code: `83690`	$47	$11	$7	unverified
Blood test, magnesium CPT Code: `83735`	$25	$11	$7	unverified
Blood test, potassium CPT Code: `84132`	$41	$26	$5	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$51	$30	$19	unverified
Blood test, sodium CPT Code: `84295`	$21	$25	$5	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,178	$49	$272	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$101	$65	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$101	$64	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$118	$71	$38	unverified
Orthotic fitting and training CPT Code: `97760`	$133	$79	$51	unverified
Prosthetic fitting and training CPT Code: `97761`	$118	$66	$45	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$15	$19	$49	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$68	$19	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$83	$33	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$73	$25	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$64	$21	$9	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$34	$5	$3	unverified
Blood test, amylase CPT Code: `82150`	$42	$11	$7	unverified
Blood test, calcium CPT Code: `82310`	$24	$17	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$25	$18	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$93	$25	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$71	$22	$14	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$64	$22	$18	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$22	$14	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$21	$6	$3	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$49	$13	$8	unverified
Culture, blood CPT Code: `87040`	$111	$37	$11	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$83	$55	$35	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$17	$7	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$17	$10	$6	unverified
Hepatitis C antibody test CPT Code: `86803`	$54	$23	$15	unverified
Culture, bacterial CPT Code: `87070`	$66	$22	$9	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$66	$32	$20	unverified

Showing top 25 high-impact procedures of 113 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 43.5%

Audit a Bill or Quote at Trinity Health Livingston Hospital (Zero PHI Required)

CMS CCN: 230069

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $42,080

Insurer Median $48,604

1. Amount on Your Bill or Quote ($) Pre-filled with Trinity Health Livingston Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $50,731 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $50,731

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (43.5% of gross = $50,731).

Step 2 · Cash vs. Insurance Arbitrage Save $74,570 Paying Cash

Self-Pay Cash Rate ($42,080) Beats Your Bill

Trinity Health Livingston Hospital's published 45 CFR § 180 self-pay cash rate is $42,080 (vs. $48,604 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$97,218 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($116,650) is $97,218 above the denoised Fair BaseRate ($19,432) and 8.3× the $14,044 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 383176225

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (43.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait161 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Trinity Health Livingston Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-18·administrative_or_closure
Met Requirements
Recorded
2025-05-21·administrative_or_closure
Met Requirements
Recorded
2023-07-10·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (540 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Trinity Health Livingston Hospital.

Price Index: 2.04× regional baseline

Quality: 69/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Kaiser Permanente

-43.9%

Asr Health Benefits

-40.8%

Median Household Income$101,315U.S. Census ACS

Local Uninsured Share3.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 76/100 · Corroborated CMS CCN 230069 EIN 383176225

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 230069) ↗ Verify IRS Form 990 (EIN 383176225) ↗ CMS HCRIS Cost Reports ↗

Published MRF File383176225_st-joseph-mercy-livingston-hospital_standardcharges.zip!383176225_St-Joseph-Mercy-Livingston-Hospital_standardcharges.csv

Publication / Vintage2026-03-31 · 254.75 MB

Validated Rate Rows26,667 (CMS v3.0.0)

File Integrity Digest45c2492da4db2f0ef5c8…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy