CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Hammond Henry Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $2,252
Cash Discount Price: $3,119
vs. Medicare Baseline: 9.24x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Hammond Henry Hospital is $2,252. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,119. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.24x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$3,119

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,252

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $3,119 (1279%)

Insurance Median: $2,252 (924%)

Cash: $3,119 (1279% of Medicare)

Ins. Median: $2,252 (924% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 924% of the Medicare baseline (a markup of 824%). 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	$125	51%
Aetna	$576 - $2,599	236%
Blue Cross Blue Shield	$576 - $2,079	236%
Meridian Health Plan-All Plans	$576	236%
Geneseo Good Samaritan Village Op Only-All Plans	$754	309%
Cigna	$800	328%
Tricare	$904	371%
Health Alliance Mcare Adv	$1,005	412%
UnitedHealthcare	$1,005 - $2,561	412%
Humana	$1,015 - $1,930	416%
Wellmark Of Ia-All Plans	$1,732	711%
Springfield Armory-All Plans	$2,252	924%
Ambetter / Centene	$2,426	995%
Health Alliance-All Other Plans	$2,599	1066%
Multiplan Integrated Hp	$2,599	1066%
Multiplan Pponext	$2,772	1137%
Osf Direct Access Network-All Plans	$2,772	1137%
Multiplan-All Other Plans	$2,945	1208%
Corvel-All Plans	$3,118	1279%
Healthsmart Adult-All Other Plans	$3,118	1279%
Healthsmart Pediatric	$3,118	1279%
Hfn-All Plans	$3,118	1279%
Multiplan Beech Street	$3,118	1279%
Multiplan Phcs Adult	$3,118	1279%
Multiplan Phcs Pediatric	$3,118	1279%
Usa Mco-All Plans	$3,118	1279%

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 $3,119.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73721.

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 73721.
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.