CMS Price Transparency Data

Culture, bacterial

Facility: Henry Ford Allegiance Health

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $62
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 7.19x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Henry Ford Allegiance Health is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 7.19x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.62

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.62 (100%)
Insurance Median: $62 (719%)
Ins. Median: $62 (719% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.62 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 719% of the Medicare baseline (a markup of 619%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $5 - $14 58%
Blue Cross Blue Shield $5 - $11 58%
Hap Caresource $5 - $9 58%
Mclaren $5 58%
Meridian Health Plan Of Mi $5 - $12 58%
Molina $5 58%
Priority Health $5 - $30 58%
Humana $7 - $9 81%
Bcn $9 104%
Cca Health Michigan $9 104%
Hap $9 - $84 104%
Mclaren Health $9 - $68 104%
Molina Mi Health Link $9 104%
Thomas Pace $9 104%
UnitedHealthcare $9 - $100 104%
Veterans Evaluation Services $9 104%
Vitalcore Physicians Group Of Mi $58 - $68 673%
Jackson County Offiice Of The Sheriff $60 - $70 696%
Immergrun Inc $70 - $81 812%
University Of Michigan $81 - $94 940%
Cigna $104 - $120 1206%
Cofinity Group Health $104 - $122 1206%
Frontpath $104 - $122 1206%
Multiplan, Inc. $104 - $122 1206%

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