CMS Price Transparency Data

Ultrasound, pelvis

Facility: Henry Ford Allegiance Health

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $70
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Henry Ford Allegiance Health is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.66x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$88

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $88 (82%)
Insurance Median: $70 (66%)
Cash: $88 (82% of Medicare)
Ins. Median: $70 (66% 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 $21 - $336 20%
Hap Caresource $21 - $107 20%
Mclaren Health Plan Inc. $21 - $94 20%
Meridian $21 - $67 20%
Aetna $22 - $184 21%
Molina $22 - $94 21%
Priority $22 - $94 21%
Hap $26 - $617 24%
Bcn $30 - $156 28%
Cca Health Mi $30 - $94 28%
Health Alliance Plan Of Michigan $30 - $94 28%
Humana $30 - $110 28%
Thomas Pace $30 - $107 28%
Vaccn $31 - $97 29%
United Behavioral Health, Inc. $32 - $102 30%
Mclaren $34 32%
Meridian Health Plan Of Mi $34 - $145 32%
Priority Health $34 - $269 32%
Vitalcore Physicians Group Of Mi $39 - $240 37%
Cigna $46 - $888 43%
Cofinity $67 - $158 63%
Molina Mi Health Link $100 94%
UnitedHealthcare $100 - $736 94%
Veterans Evaluation Services $103 96%
Cca Health Michigan $107 100%
Mclaren Health $107 - $500 100%
Frontpath $114 - $896 107%
Jackson County Offiice Of The Sheriff $517 484%
Immergrun Inc $597 559%
University Of Michigan $696 652%
Cofinity Group Health $896 839%
Multiplan, Inc. $896 839%

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