CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Henry Ford Allegiance Health

Billing Code: 72131 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72131
  • Insurance Median: $44
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 0.41x Medicare
The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at Henry Ford Allegiance Health is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.41x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $62 (58%)
Insurance Median: $44 (41%)
Cash: $62 (58% of Medicare)
Ins. Median: $44 (41% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 $30 - $241 28%
Mclaren Health Plan Inc. $30 - $44 28%
Meridian $30 28%
Aetna $31 - $313 29%
Priority $31 - $44 29%
Molina $32 - $62 30%
Hap $37 - $1,496 35%
Hap Caresource $40 - $107 37%
Mclaren $40 37%
Meridian Health Plan Of Mi $40 - $145 37%
Priority Health $40 - $373 37%
Bcn $44 - $107 41%
Cca Health Mi $44 41%
Health Alliance Plan Of Michigan $44 41%
Humana $44 - $110 41%
Thomas Pace $44 - $107 41%
Vaccn $45 42%
United Behavioral Health, Inc. $46 43%
Vitalcore Physicians Group Of Mi $57 - $240 53%
Cigna $67 - $2,153 63%
Molina Mi Health Link $100 94%
UnitedHealthcare $100 - $1,786 94%
Veterans Evaluation Services $103 96%
Cca Health Michigan $107 100%
Mclaren Health $107 - $1,212 100%
Cofinity $110 103%
Frontpath $166 - $2,172 155%
Jackson County Offiice Of The Sheriff $1,255 1175%
Immergrun Inc $1,448 1356%
University Of Michigan $1,689 1581%
Cofinity Group Health $2,172 2034%
Multiplan, Inc. $2,172 2034%

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