CMS Price Transparency Data

X-ray, hip

Facility: Hammond Henry Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $316
Cash Discount Price: $385
vs. Medicare Baseline: 3.55x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at Hammond Henry Hospital is $316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $385. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.55x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$385

Average discount available for prompt cash payment at this facility.

Insurance Median

$316

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $385 (433%)

Insurance Median: $316 (355%)

Cash: $385 (433% of Medicare)

Ins. Median: $316 (355% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 355% of the Medicare baseline (a markup of 255%). 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	$21	24%
Geneseo Good Samaritan Village Op Only-All Plans	$93	105%
Tricare	$112	126%
Aetna	$124 - $321	139%
Health Alliance Mcare Adv	$124	139%
UnitedHealthcare	$124 - $316	139%
Humana	$125 - $385	141%
Blue Cross Blue Shield	$134 - $257	151%
Meridian Health Plan-All Plans	$134	151%
Wellmark Of Ia-All Plans	$214	241%
Springfield Armory-All Plans	$278	313%
Ambetter / Centene	$300	337%
Health Alliance-All Other Plans	$321	361%
Multiplan Integrated Hp	$321	361%
Cigna	$330	371%
Multiplan Pponext	$342	385%
Osf Direct Access Network-All Plans	$342	385%
Multiplan-All Other Plans	$364	409%
Corvel-All Plans	$385	433%
Healthsmart Adult-All Other Plans	$385	433%
Healthsmart Pediatric	$385	433%
Hfn-All Plans	$385	433%
Multiplan Beech Street	$385	433%
Multiplan Phcs Adult	$385	433%
Multiplan Phcs Pediatric	$385	433%
Usa Mco-All Plans	$385	433%

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 $385.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

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 73502.
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.