CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Henry Ford Allegiance Health

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $76
  • Cash Discount Price: $109
  • vs. Medicare Baseline: 0.31x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Henry Ford Allegiance Health is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.31x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$109

Average discount available for prompt cash payment at this facility.

Insurance Median
$76

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $109 (45%)
Insurance Median: $76 (31%)
Cash: $109 (45% of Medicare)
Ins. Median: $76 (31% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 $50 - $299 21%
Hap Caresource $50 - $244 21%
Mclaren $50 21%
Meridian Health Plan Of Mi $50 - $330 21%
Priority Health $50 - $400 21%
Aetna $52 - $387 21%
Mclaren Health Plan Inc. $52 - $76 21%
Meridian $52 21%
Priority $55 - $76 23%
Molina $56 - $140 23%
Hap $65 - $2,318 27%
Bcn $76 - $244 31%
Cca Health Mi $76 31%
Health Alliance Plan Of Michigan $76 31%
Humana $76 - $249 31%
Thomas Pace $76 - $244 31%
Vaccn $79 32%
United Behavioral Health, Inc. $81 33%
Vitalcore Physicians Group Of Mi $99 - $545 41%
Cigna $117 - $3,336 48%
Veterans Evaluation Services $212 87%
Molina Mi Health Link $222 91%
UnitedHealthcare $222 - $2,767 91%
Cca Health Michigan $244 100%
Mclaren Health $244 - $1,878 100%
Frontpath $451 - $3,365 185%
Jackson County Offiice Of The Sheriff $1,944 797%
Immergrun Inc $2,243 920%
University Of Michigan $2,617 1074%
Cofinity Group Health $3,365 1380%
Multiplan, Inc. $3,365 1380%

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