CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Henry Ford Allegiance Health

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $66
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 0.30x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Henry Ford Allegiance Health is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.30x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$10

Average discount available for prompt cash payment at this facility.

Insurance Median
$66

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$223.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $223.72 (100%)
Cash / Self-Pay: $10 (4%)
Insurance Median: $66 (30%)
Cash: $10 (4% of Medicare)
Ins. Median: $66 (30% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $223.72 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $4 - $304 2%
Blue Cross Blue Shield $4 - $205 2%
Hap Caresource $4 - $205 2%
Mclaren $4 2%
Meridian Health Plan Of Mi $4 - $277 2%
Priority Health $4 - $378 2%
Mclaren Health Plan Inc. $5 - $7 2%
Meridian $5 2%
Molina $5 - $653 2%
Priority $5 - $7 2%
Hap $6 - $290 3%
Humana $6 - $210 3%
Bcn $7 - $205 3%
Cca Health Mi $7 3%
Health Alliance Plan Of Michigan $7 3%
Thomas Pace $7 - $205 3%
Vaccn $7 3%
United Behavioral Health, Inc. $8 4%
Vitalcore Physicians Group Of Mi $9 - $458 4%
Cofinity $22 10%
Cigna $27 - $418 12%
Mclaren Health $83 - $235 37%
Jackson County Offiice Of The Sheriff $86 - $243 38%
Immergrun Inc $99 - $281 44%
University Of Michigan $116 - $328 52%
UnitedHealthcare $122 - $346 55%
Cofinity Group Health $148 - $421 66%
Frontpath $148 - $421 66%
Multiplan, Inc. $148 - $421 66%
Veterans Evaluation Services $175 78%
Molina Mi Health Link $194 87%
Cca Health Michigan $205 92%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 205 N East Ave, Jackson, MI 49201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals