CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Henry Ford Allegiance Health

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $44
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 0.28x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) 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 $156.98, this hospital’s rate is 0.28x 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
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $62 (39%)
Insurance Median: $44 (28%)
Cash: $62 (39% of Medicare)
Ins. Median: $44 (28% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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 - $315 19%
Mclaren Health Plan Inc. $30 - $44 19%
Meridian $30 19%
Aetna $31 - $279 20%
Priority $31 - $44 20%
Molina $32 - $57 20%
Hap $37 - $399 24%
Bcn $44 - $208 28%
Cca Health Mi $44 28%
Health Alliance Plan Of Michigan $44 28%
Humana $44 - $105 28%
Thomas Pace $44 28%
Vaccn $45 29%
United Behavioral Health, Inc. $46 29%
Hap Caresource $53 34%
Mclaren $53 34%
Meridian Health Plan Of Mi $53 - $232 34%
Priority Health $53 - $423 34%
Vitalcore Physicians Group Of Mi $57 - $322 36%
Veterans Evaluation Services $111 71%
Frontpath $166 - $579 106%
Molina Mi Health Link $193 123%
Mclaren Health $323 206%
Jackson County Offiice Of The Sheriff $334 213%
Immergrun Inc $386 246%
University Of Michigan $450 287%
UnitedHealthcare $476 303%
Cigna $574 366%
Cofinity Group Health $579 369%
Multiplan, Inc. $579 369%

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