CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Henry Ford Allegiance Health

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $90
  • Cash Discount Price: $128
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Henry Ford Allegiance Health is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.66x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$128

Average discount available for prompt cash payment at this facility.

Insurance Median
$90

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$135.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.6 (100%)
Cash / Self-Pay: $128 (94%)
Insurance Median: $90 (66%)
Cash: $128 (94% of Medicare)
Ins. Median: $90 (66% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.6 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 26%
Blue Cross Blue Shield $49 - $124 36%
Hap Caresource $49 - $82 36%
Mclaren $49 36%
Meridian Health Plan Of Mi $49 36%
Priority Health $49 - $184 36%
Aetna $51 - $119 38%
Molina $53 - $119 39%
Vitalcore Physicians Group Of Mi $58 - $155 43%
Mclaren Health $59 44%
Jackson County Offiice Of The Sheriff $61 45%
Mclaren Health Plan Inc. $62 - $119 46%
Meridian $62 - $82 46%
Priority $65 - $119 48%
Humana $69 - $122 51%
Immergrun Inc $70 52%
Hap $73 - $161 54%
University Of Michigan $82 60%
UnitedHealthcare $87 64%
Frontpath $89 - $202 66%
Bcn $91 - $119 67%
Cca Health Mi $91 - $119 67%
Health Alliance Plan Of Michigan $91 - $119 67%
Thomas Pace $91 - $119 67%
Vaccn $93 - $130 69%
United Behavioral Health, Inc. $97 - $128 72%
Cigna $99 - $148 73%
Cofinity Group Health $105 77%
Multiplan, Inc. $105 77%
Cofinity $125 92%

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