CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Henry Ford Allegiance Health

Billing Code: 451 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 451
  • Insurance Median: $22,517
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Spinal fusion, single level (inpatient stay) at Henry Ford Allegiance Health is $22,517. 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 $23,503.93, this hospital’s rate is 0.96x 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
$22,517

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$23,503.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $23,503.93 (100%)
Insurance Median: $22,517 (96%)
Ins. Median: $22,517 (96% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $23,503.93 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $22,185 - $61,887 94%
Bcn $22,185 94%
Cca Health Michigan $22,185 94%
Hap $22,185 - $29,329 94%
Hap Caresource $22,185 94%
Mclaren Health $22,185 94%
Thomas Pace $22,185 94%
UnitedHealthcare $22,185 94%
Priority Health $22,406 - $51,683 95%
Humana $22,628 - $31,623 96%
Immergrun Inc $24,403 104%
Meridian Health Plan Of Mi $29,949 127%
Vitalcore Physicians Group Of Mi $41,041 175%
Blue Cross Blue Shield $64,891 276%

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