CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Hammond Henry Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,858
Cash Discount Price: $2,573
vs. Medicare Baseline: 10.37x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Hammond Henry Hospital is $1,858. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,573. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.37x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$2,573

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,858

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $2,573 (1436%)

Insurance Median: $1,858 (1037%)

Cash: $2,573 (1436% of Medicare)

Ins. Median: $1,858 (1037% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1037% of the Medicare baseline (a markup of 937%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Quad City Community Hc-All Plans	$105	59%
Cigna	$500	279%
Geneseo Good Samaritan Village Op Only-All Plans	$622	347%
Aetna	$725 - $2,144	405%
Blue Cross Blue Shield	$725 - $1,715	405%
Meridian Health Plan-All Plans	$725	405%
Tricare	$746	416%
Health Alliance Mcare Adv	$829	463%
UnitedHealthcare	$829 - $2,113	463%
Humana	$837 - $1,300	467%
Wellmark Of Ia-All Plans	$1,430	798%
Springfield Armory-All Plans	$1,858	1037%
Ambetter / Centene	$2,001	1117%
Health Alliance-All Other Plans	$2,144	1196%
Multiplan Integrated Hp	$2,144	1196%
Multiplan Pponext	$2,287	1276%
Osf Direct Access Network-All Plans	$2,287	1276%
Multiplan-All Other Plans	$2,430	1356%
Corvel-All Plans	$2,573	1436%
Healthsmart Adult-All Other Plans	$2,573	1436%
Healthsmart Pediatric	$2,573	1436%
Hfn-All Plans	$2,573	1436%
Multiplan Beech Street	$2,573	1436%
Multiplan Phcs Adult	$2,573	1436%
Multiplan Phcs Pediatric	$2,573	1436%
Usa Mco-All Plans	$2,573	1436%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,573.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hammond Henry Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.