CMS Price Transparency Data

Culture, blood

Facility: Henry Ford Allegiance Health

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $10
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Henry Ford Allegiance Health is $10. 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 $10.32, this hospital’s rate is 0.97x 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
$10

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$10.32

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $10.32 (100%)
Insurance Median: $10 (97%)
Ins. Median: $10 (97% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $10.32 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
Aetna $6 - $17 58%
Blue Cross Blue Shield $6 - $14 58%
Hap Caresource $6 - $10 58%
Mclaren $6 58%
Meridian Health Plan Of Mi $6 - $14 58%
Molina $6 58%
Priority Health $6 - $36 58%
Humana $9 - $11 87%
Bcn $10 97%
Cca Health Michigan $10 97%
Hap $10 - $136 97%
Mclaren Health $10 - $110 97%
Molina Mi Health Link $10 97%
Thomas Pace $10 97%
UnitedHealthcare $10 - $163 97%
Veterans Evaluation Services $10 97%
Vitalcore Physicians Group Of Mi $110 1066%
Jackson County Offiice Of The Sheriff $114 1105%
Immergrun Inc $132 1279%
University Of Michigan $154 1492%
Cigna $196 1899%
Cofinity Group Health $198 1919%
Frontpath $198 1919%
Multiplan, Inc. $198 1919%

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