CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Henry Ford Allegiance Health

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $65
  • Cash Discount Price: $93
  • vs. Medicare Baseline: 0.27x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Henry Ford Allegiance Health is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.27x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$93

Average discount available for prompt cash payment at this facility.

Insurance Median
$65

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $93 (38%)
Insurance Median: $65 (27%)
Cash: $93 (38% of Medicare)
Ins. Median: $65 (27% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 $45 - $358 18%
Mclaren Health Plan Inc. $45 - $65 18%
Meridian $45 18%
Aetna $47 - $465 19%
Priority $47 - $65 19%
Molina $48 - $140 20%
Hap $55 - $1,872 23%
Hap Caresource $59 - $244 24%
Mclaren $59 24%
Meridian Health Plan Of Mi $59 - $330 24%
Priority Health $59 - $508 24%
Bcn $65 - $244 27%
Cca Health Mi $65 27%
Health Alliance Plan Of Michigan $65 27%
Humana $65 - $249 27%
Thomas Pace $65 - $244 27%
Vaccn $67 27%
United Behavioral Health, Inc. $69 28%
Vitalcore Physicians Group Of Mi $85 - $545 35%
Cigna $101 - $2,694 41%
Cofinity $142 58%
Veterans Evaluation Services $212 87%
Molina Mi Health Link $222 91%
UnitedHealthcare $222 - $2,234 91%
Cca Health Michigan $244 100%
Mclaren Health $244 - $1,516 100%
Frontpath $248 - $2,717 102%
Jackson County Offiice Of The Sheriff $1,570 644%
Immergrun Inc $1,811 743%
University Of Michigan $2,113 867%
Cofinity Group Health $2,717 1115%
Multiplan, Inc. $2,717 1115%

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