CMS Price Transparency Data

Total hip replacement

Facility: Henry Ford Allegiance Health

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27130
  • Insurance Median: $1,222
  • Cash Discount Price: $1,717
  • vs. Medicare Baseline: 0.09x Medicare
The contracted insurance negotiated median rate for a Total hip replacement at Henry Ford Allegiance Health is $1,222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,717. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.09x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$1,717

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,222

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$13,116.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13,116.76 (100%)
Cash / Self-Pay: $1,717 (13%)
Insurance Median: $1,222 (9%)
Cash: $1,717 (13% of Medicare)
Ins. Median: $1,222 (9% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13,116.76 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 $655 - $36,404 5%
Hap Caresource $655 - $13,000 5%
Mclaren $655 5%
Meridian Health Plan Of Mi $655 - $17,549 5%
Priority Health $655 - $24,482 5%
Aetna $688 - $13,000 5%
Mclaren Health Plan Inc. $829 - $1,222 6%
Meridian $829 6%
Molina $862 - $7,449 7%
Priority $871 - $1,222 7%
Humana $1,021 - $13,260 8%
Hap $1,038 - $13,130 8%
Bcn $1,222 - $13,000 9%
Cca Health Mi $1,222 9%
Health Alliance Plan Of Michigan $1,222 9%
Thomas Pace $1,222 - $13,000 9%
Vaccn $1,244 9%
United Behavioral Health, Inc. $1,347 10%
Vitalcore Physicians Group Of Mi $1,588 - $28,995 12%
Cigna $2,123 16%
Cofinity $3,080 23%
Frontpath $4,059 31%
Veterans Evaluation Services $11,938 91%
Molina Mi Health Link $11,943 91%
UnitedHealthcare $11,943 - $13,000 91%
Cca Health Michigan $13,000 99%
Mclaren Health $13,000 99%

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