CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Henry Ford Allegiance Health

Billing Code: 45378 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 45378
  • Insurance Median: $308
  • Cash Discount Price: $242
  • vs. Medicare Baseline: 0.32x Medicare
The contracted insurance negotiated median rate for a Colonoscopy (diagnostic) at Henry Ford Allegiance Health is $308. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $242. Compared to the federal Medicare reimbursement reference rate of $950.1, this hospital’s rate is 0.32x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$242

Average discount available for prompt cash payment at this facility.

Insurance Median
$308

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$950.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $950.1 (100%)
Cash / Self-Pay: $242 (25%)
Insurance Median: $308 (32%)
Cash: $242 (25% of Medicare)
Ins. Median: $308 (32% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $950.1 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
Blue Cross Blue Shield $92 - $1,583 10%
Hap Caresource $92 - $921 10%
Mclaren $92 10%
Meridian Health Plan Of Mi $92 - $1,244 10%
Priority Health $92 - $1,357 10%
Aetna $97 - $3,837 10%
Mclaren Health Plan Inc. $117 - $309 12%
Meridian $117 - $216 12%
Molina $121 - $528 13%
Priority $123 - $309 13%
Humana $144 - $940 15%
Hap $146 - $1,027 15%
Bcn $172 - $921 18%
Cca Health Mi $172 - $309 18%
Health Alliance Plan Of Michigan $172 - $309 18%
Thomas Pace $172 - $921 18%
Vaccn $176 19%
United Behavioral Health, Inc. $187 - $335 20%
Vitalcore Physicians Group Of Mi $223 - $2,055 23%
Cofinity $509 54%
Frontpath $558 - $1,491 59%
Cigna $577 - $1,478 61%
Veterans Evaluation Services $760 80%
Molina Mi Health Link $829 87%
UnitedHealthcare $829 - $1,226 87%
Mclaren Health $832 - $921 88%
Jackson County Offiice Of The Sheriff $862 91%
Cca Health Michigan $921 97%
Immergrun Inc $994 105%
University Of Michigan $1,160 122%
Cofinity Group Health $1,491 157%
Multiplan, Inc. $1,491 157%

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