CMS Price Transparency Data

CT scan, pelvis

Facility: Henry Ford Allegiance Health

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $48
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 0.45x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Henry Ford Allegiance Health is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.45x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $68 (64%)
Insurance Median: $48 (45%)
Cash: $68 (64% of Medicare)
Ins. Median: $48 (45% 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 $33 - $240 31%
Mclaren Health Plan Inc. $33 - $48 31%
Meridian $33 31%
Aetna $34 - $312 32%
Priority $34 - $48 32%
Molina $35 - $62 33%
Hap Caresource $40 - $107 37%
Mclaren $40 37%
Meridian Health Plan Of Mi $40 - $145 37%
Priority Health $40 - $323 37%
Hap $41 - $1,267 38%
Bcn $48 - $107 45%
Cca Health Mi $48 45%
Health Alliance Plan Of Michigan $48 45%
Humana $48 - $110 45%
Thomas Pace $48 - $107 45%
Vaccn $49 46%
United Behavioral Health, Inc. $51 48%
Vitalcore Physicians Group Of Mi $62 - $240 58%
Cigna $72 - $1,823 67%
Molina Mi Health Link $100 94%
UnitedHealthcare $100 - $1,512 94%
Veterans Evaluation Services $103 96%
Cofinity $104 97%
Cca Health Michigan $107 100%
Mclaren Health $107 - $1,026 100%
Frontpath $180 - $1,839 169%
Jackson County Offiice Of The Sheriff $1,062 994%
Immergrun Inc $1,226 1148%
University Of Michigan $1,430 1339%
Cofinity Group Health $1,839 1722%
Multiplan, Inc. $1,839 1722%

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