CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Henry Ford Allegiance Health

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $102
  • Cash Discount Price: $143
  • vs. Medicare Baseline: 0.29x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Henry Ford Allegiance Health is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $143. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.29x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$143

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $143 (40%)
Insurance Median: $102 (29%)
Cash: $143 (40% of Medicare)
Ins. Median: $102 (29% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 $69 - $620 19%
Mclaren Health Plan Inc. $69 - $101 19%
Meridian $69 19%
Aetna $72 - $810 20%
Priority $72 - $101 20%
Molina $75 - $207 21%
Hap $86 - $2,914 24%
Humana $100 - $368 28%
Bcn $101 - $361 28%
Cca Health Mi $101 28%
Health Alliance Plan Of Michigan $101 28%
Thomas Pace $101 - $361 28%
Hap Caresource $102 - $361 29%
Mclaren $102 29%
Meridian Health Plan Of Mi $102 - $487 29%
Priority Health $102 - $890 29%
Vaccn $103 29%
United Behavioral Health, Inc. $108 30%
Vitalcore Physicians Group Of Mi $132 - $805 37%
Cigna $159 - $4,193 45%
Cofinity $227 64%
Molina Mi Health Link $349 98%
UnitedHealthcare $349 - $3,478 98%
Veterans Evaluation Services $355 100%
Cca Health Michigan $361 101%
Mclaren Health $361 - $2,360 101%
Frontpath $378 - $4,230 106%
Jackson County Offiice Of The Sheriff $2,444 686%
Immergrun Inc $2,820 791%
University Of Michigan $3,290 923%
Cofinity Group Health $4,230 1187%
Multiplan, Inc. $4,230 1187%

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