CMS Price Transparency Data

CT scan, pelvis

Facility: Hammond Henry Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,458
Cash Discount Price: $2,019
vs. Medicare Baseline: 13.65x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Hammond Henry Hospital is $1,458. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,019. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.65x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$2,019

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,458

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: $2,019 (1890%)

Insurance Median: $1,458 (1365%)

Cash: $2,019 (1890% of Medicare)

Ins. Median: $1,458 (1365% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1365% of the Medicare baseline (a markup of 1265%). 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	$100	94%
Aetna	$255 - $1,682	239%
Blue Cross Blue Shield	$255 - $1,346	239%
Meridian Health Plan-All Plans	$255	239%
Geneseo Good Samaritan Village Op Only-All Plans	$488	457%
Cigna	$500	468%
Tricare	$585	548%
Health Alliance Mcare Adv	$650	609%
UnitedHealthcare	$650 - $1,658	609%
Humana	$657 - $1,300	615%
Wellmark Of Ia-All Plans	$1,122	1050%
Springfield Armory-All Plans	$1,458	1365%
Ambetter / Centene	$1,570	1470%
Health Alliance-All Other Plans	$1,682	1575%
Multiplan Integrated Hp	$1,682	1575%
Multiplan Pponext	$1,794	1680%
Osf Direct Access Network-All Plans	$1,794	1680%
Multiplan-All Other Plans	$1,907	1785%
Corvel-All Plans	$2,019	1890%
Healthsmart Adult-All Other Plans	$2,019	1890%
Healthsmart Pediatric	$2,019	1890%
Hfn-All Plans	$2,019	1890%
Multiplan Beech Street	$2,019	1890%
Multiplan Phcs Adult	$2,019	1890%
Multiplan Phcs Pediatric	$2,019	1890%
Usa Mco-All Plans	$2,019	1890%

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 $2,019.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72192.

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 72192.
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.