CMS Price Transparency Data

CT scan, sinuses

Facility: Henry Ford Allegiance Health

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $39
Cash Discount Price: $53
vs. Medicare Baseline: 0.37x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Henry Ford Allegiance Health is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.37x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.

Cash / Self-Pay

$53

Average discount available for prompt cash payment at this facility.

Insurance Median

$39

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: $53 (50%)

Insurance Median: $39 (37%)

Cash: $53 (50% of Medicare)

Ins. Median: $39 (37% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$26 - $257	24%
Mclaren Health Plan Inc.	$26 - $38	24%
Meridian	$26	24%
Aetna	$27 - $334	25%
Priority	$27 - $38	25%
Molina	$28 - $62	26%
Hap	$32 - $1,255	30%
Humana	$37 - $110	35%
Bcn	$38 - $107	36%
Cca Health Mi	$38	36%
Health Alliance Plan Of Michigan	$38	36%
Thomas Pace	$38 - $107	36%
Vaccn	$39	37%
United Behavioral Health, Inc.	$40	37%
Hap Caresource	$43 - $107	40%
Mclaren	$43	40%
Meridian Health Plan Of Mi	$43 - $145	40%
Priority Health	$43 - $342	40%
Vitalcore Physicians Group Of Mi	$49 - $240	46%
Cigna	$76 - $1,806	71%
Molina Mi Health Link	$100	94%
UnitedHealthcare	$100 - $1,498	94%
Veterans Evaluation Services	$103	96%
Cca Health Michigan	$107	100%
Mclaren Health	$107 - $1,016	100%
Cofinity	$109	102%
Frontpath	$142 - $1,822	133%
Jackson County Offiice Of The Sheriff	$1,052	985%
Immergrun Inc	$1,214	1137%
University Of Michigan	$1,417	1327%
Cofinity Group Health	$1,822	1706%
Multiplan, Inc.	$1,822	1706%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $53.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Henry Ford Allegiance Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70486.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.