CMS Price Transparency Data

X-ray, pelvis

Facility: Henry Ford Allegiance Health

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $8
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 0.07x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Henry Ford Allegiance Health is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.07x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $11 (10%)
Insurance Median: $8 (7%)
Cash: $11 (10% of Medicare)
Ins. Median: $8 (7% 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 $5 - $107 5%
Mclaren Health Plan Inc. $5 - $8 5%
Meridian $5 5%
Aetna $6 - $107 6%
Molina $6 - $62 6%
Priority $6 - $8 6%
Hap $7 - $164 7%
Bcn $8 - $107 7%
Cca Health Mi $8 7%
Health Alliance Plan Of Michigan $8 7%
Humana $8 - $110 7%
Thomas Pace $8 - $107 7%
United Behavioral Health, Inc. $8 7%
Vaccn $8 7%
Hap Caresource $9 - $107 8%
Mclaren $9 8%
Meridian Health Plan Of Mi $9 - $145 8%
Priority Health $9 - $107 8%
Vitalcore Physicians Group Of Mi $10 - $240 9%
Cigna $14 - $236 13%
Cofinity $16 15%
Frontpath $29 - $238 27%
Molina Mi Health Link $100 94%
UnitedHealthcare $100 - $195 94%
Veterans Evaluation Services $104 97%
Cca Health Michigan $107 100%
Mclaren Health $107 - $133 100%
Jackson County Offiice Of The Sheriff $137 128%
Immergrun Inc $158 148%
University Of Michigan $185 173%
Cofinity Group Health $238 223%
Multiplan, Inc. $238 223%

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