CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Henry Ford Allegiance Health

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $77
  • Cash Discount Price: $109
  • vs. Medicare Baseline: 0.65x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Henry Ford Allegiance Health is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.65x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$109

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Cash / Self-Pay: $109 (93%)
Insurance Median: $77 (65%)
Cash: $109 (93% of Medicare)
Ins. Median: $77 (65% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 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
Molina Mi Health Link $35 30%
Blue Cross Blue Shield $41 - $117 35%
Hap Caresource $41 - $72 35%
Mclaren $41 35%
Meridian Health Plan Of Mi $41 35%
Priority Health $41 - $188 35%
Aetna $43 - $104 37%
Molina $44 - $104 37%
Mclaren Health Plan Inc. $52 - $104 44%
Meridian $52 - $72 44%
Priority $55 - $104 47%
Vitalcore Physicians Group Of Mi $58 - $135 49%
Mclaren Health $59 50%
Jackson County Offiice Of The Sheriff $61 52%
Humana $63 - $106 54%
Hap $65 - $140 55%
Immergrun Inc $70 60%
Bcn $77 - $110 65%
Cca Health Mi $77 - $104 65%
Health Alliance Plan Of Michigan $77 - $104 65%
Thomas Pace $77 - $104 65%
Vaccn $79 67%
Frontpath $81 - $186 69%
University Of Michigan $82 70%
United Behavioral Health, Inc. $83 - $112 71%
UnitedHealthcare $87 74%
Cigna $90 - $152 77%
Cofinity Group Health $105 89%
Multiplan, Inc. $105 89%
Cofinity $136 116%

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