CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Henry Ford Allegiance Health

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $26
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Henry Ford Allegiance Health is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.24x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $36 (34%)
Insurance Median: $26 (24%)
Cash: $36 (34% of Medicare)
Ins. Median: $26 (24% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 $18 - $168 17%
Mclaren Health Plan Inc. $18 - $26 17%
Meridian $18 17%
Aetna $19 - $151 18%
Molina $19 - $62 18%
Priority $19 - $26 18%
Hap $22 - $482 21%
Bcn $26 - $107 24%
Cca Health Mi $26 24%
Health Alliance Plan Of Michigan $26 24%
Humana $26 - $110 24%
Thomas Pace $26 - $107 24%
Vaccn $26 24%
Hap Caresource $28 - $107 26%
Mclaren $28 26%
Meridian Health Plan Of Mi $28 - $145 26%
Priority Health $28 - $221 26%
United Behavioral Health, Inc. $28 26%
Vitalcore Physicians Group Of Mi $34 - $240 32%
Cigna $39 - $694 37%
Cofinity $57 53%
Frontpath $96 - $700 90%
Molina Mi Health Link $100 94%
UnitedHealthcare $100 - $576 94%
Veterans Evaluation Services $103 96%
Cca Health Michigan $107 100%
Mclaren Health $107 - $391 100%
Jackson County Offiice Of The Sheriff $405 379%
Immergrun Inc $467 437%
University Of Michigan $545 510%
Cofinity Group Health $700 655%
Multiplan, Inc. $700 655%

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