CMS Price Transparency Data

CT scan, sinuses

Facility: Hammond Henry Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,300
Cash Discount Price: $1,686
vs. Medicare Baseline: 12.17x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Hammond Henry Hospital is $1,300. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,686. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.17x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$1,686

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,300

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: $1,686 (1579%)

Insurance Median: $1,300 (1217%)

Cash: $1,686 (1579% of Medicare)

Ins. Median: $1,300 (1217% 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 1217% of the Medicare baseline (a markup of 1117%). 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	$80	75%
Aetna	$255 - $1,405	239%
Blue Cross Blue Shield	$255 - $1,124	239%
Meridian Health Plan-All Plans	$255	239%
Geneseo Good Samaritan Village Op Only-All Plans	$407	381%
Tricare	$489	458%
Cigna	$500	468%
Health Alliance Mcare Adv	$543	508%
UnitedHealthcare	$543 - $1,384	508%
Humana	$549 - $1,300	514%
Wellmark Of Ia-All Plans	$936	876%
Springfield Armory-All Plans	$1,217	1139%
Ambetter / Centene	$1,311	1227%
Health Alliance-All Other Plans	$1,405	1315%
Multiplan Integrated Hp	$1,405	1315%
Multiplan Pponext	$1,498	1402%
Osf Direct Access Network-All Plans	$1,498	1402%
Multiplan-All Other Plans	$1,592	1490%
Corvel-All Plans	$1,686	1579%
Healthsmart Adult-All Other Plans	$1,686	1579%
Healthsmart Pediatric	$1,686	1579%
Hfn-All Plans	$1,686	1579%
Multiplan Beech Street	$1,686	1579%
Multiplan Phcs Adult	$1,686	1579%
Multiplan Phcs Pediatric	$1,686	1579%
Usa Mco-All Plans	$1,686	1579%

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 $1,686.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

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 70486.
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.