CMS Price Transparency Data

Prosthetic fitting and training

Facility: Henry Ford Allegiance Health

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97761
  • Insurance Median: $58
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Prosthetic fitting and training at Henry Ford Allegiance Health is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.44x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)
Insurance Median: $58 (144%)
Ins. Median: $58 (144% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 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 $20 - $97 49%
Hap Caresource $20 49%
Mclaren $20 49%
Meridian Health Plan Of Mi $20 - $58 49%
Priority Health $20 - $85 49%
Aetna $21 - $72 52%
Molina $22 54%
Molina Mi Health Link $33 82%
Humana $39 97%
Bcn $52 129%
Mclaren Health $56 139%
Vitalcore Physicians Group Of Mi $56 139%
Jackson County Offiice Of The Sheriff $58 144%
Immergrun Inc $67 166%
Hap $69 171%
UnitedHealthcare $82 203%
Cigna $99 245%
Cofinity Group Health $100 247%
Frontpath $100 247%
Multiplan, Inc. $100 247%
University Of Michigan $120 297%

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