CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Henry Ford Allegiance Health

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 45380
  • Insurance Median: $389
  • Cash Discount Price: $263
  • vs. Medicare Baseline: 0.32x Medicare
The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Henry Ford Allegiance Health is $389. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $263. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 0.32x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$263

Average discount available for prompt cash payment at this facility.

Insurance Median
$389

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$1,222.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,222.56 (100%)
Cash / Self-Pay: $263 (22%)
Insurance Median: $389 (32%)
Cash: $263 (22% of Medicare)
Ins. Median: $389 (32% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,222.56 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 $100 - $1,737 8%
Hap Caresource $100 - $1,191 8%
Mclaren $100 8%
Meridian Health Plan Of Mi $100 - $1,608 8%
Priority Health $100 - $1,784 8%
Aetna $105 - $3,837 9%
Mclaren Health Plan Inc. $127 - $389 10%
Meridian $127 - $273 10%
Molina $132 - $683 11%
Priority $133 - $389 11%
Humana $157 - $1,215 13%
Hap $159 - $1,277 13%
Bcn $187 - $1,191 15%
Cca Health Mi $187 - $389 15%
Health Alliance Plan Of Michigan $187 - $389 15%
Thomas Pace $187 - $1,191 15%
Vaccn $191 16%
United Behavioral Health, Inc. $203 - $422 17%
Vitalcore Physicians Group Of Mi $243 - $2,657 20%
Frontpath $603 - $1,854 49%
Cofinity $615 50%
Cigna $670 - $1,838 55%
Veterans Evaluation Services $991 81%
Mclaren Health $1,035 - $1,191 85%
Jackson County Offiice Of The Sheriff $1,071 88%
Molina Mi Health Link $1,071 88%
UnitedHealthcare $1,071 - $1,524 88%
Cca Health Michigan $1,191 97%
Immergrun Inc $1,236 101%
University Of Michigan $1,442 118%
Cofinity Group Health $1,854 152%
Multiplan, Inc. $1,854 152%

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