CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Henry Ford Allegiance Health

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $34
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 0.27x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Henry Ford Allegiance Health is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.27x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $48 (38%)
Insurance Median: $34 (27%)
Cash: $48 (38% of Medicare)
Ins. Median: $34 (27% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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 $23 - $260 18%
Mclaren Health Plan Inc. $23 - $34 18%
Meridian $23 18%
Aetna $24 - $231 19%
Priority $24 - $34 19%
Molina $25 - $47 20%
Hap $29 - $291 23%
Humana $33 - $87 26%
Bcn $34 - $169 27%
Cca Health Mi $34 27%
Health Alliance Plan Of Michigan $34 27%
Thomas Pace $34 27%
Vaccn $34 27%
United Behavioral Health, Inc. $36 29%
Hap Caresource $44 35%
Mclaren $44 35%
Meridian Health Plan Of Mi $44 - $188 35%
Priority Health $44 - $351 35%
Vitalcore Physicians Group Of Mi $44 - $234 35%
Veterans Evaluation Services $91 72%
Molina Mi Health Link $106 - $141 84%
Frontpath $125 - $422 99%
Mclaren Health $177 - $236 140%
Jackson County Offiice Of The Sheriff $184 - $244 146%
Immergrun Inc $212 - $281 168%
University Of Michigan $247 - $328 196%
UnitedHealthcare $261 - $347 207%
Cigna $315 - $418 250%
Cofinity Group Health $318 - $422 252%
Multiplan, Inc. $318 - $422 252%

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