CMS Price Transparency Data

X-ray, lower back

Facility: Hammond Henry Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $540
Cash Discount Price: $658
vs. Medicare Baseline: 5.06x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Hammond Henry Hospital is $540. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $658. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.06x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$658

Average discount available for prompt cash payment at this facility.

Insurance Median

$540

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: $658 (616%)

Insurance Median: $540 (506%)

Cash: $658 (616% of Medicare)

Ins. Median: $540 (506% 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 506% of the Medicare baseline (a markup of 406%). 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	$26	24%
Aetna	$134 - $548	125%
Blue Cross Blue Shield	$134 - $439	125%
Meridian Health Plan-All Plans	$134	125%
Geneseo Good Samaritan Village Op Only-All Plans	$159	149%
Tricare	$191	179%
Health Alliance Mcare Adv	$212	198%
UnitedHealthcare	$212 - $540	198%
Humana	$214 - $658	200%
Wellmark Of Ia-All Plans	$366	343%
Springfield Armory-All Plans	$475	445%
Ambetter / Centene	$512	479%
Health Alliance-All Other Plans	$548	513%
Multiplan Integrated Hp	$548	513%
Cigna	$563	527%
Multiplan Pponext	$585	548%
Osf Direct Access Network-All Plans	$585	548%
Multiplan-All Other Plans	$621	581%
Corvel-All Plans	$658	616%
Healthsmart Adult-All Other Plans	$658	616%
Healthsmart Pediatric	$658	616%
Hfn-All Plans	$658	616%
Multiplan Beech Street	$658	616%
Multiplan Phcs Adult	$658	616%
Multiplan Phcs Pediatric	$658	616%
Usa Mco-All Plans	$658	616%

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 $658.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

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 72110.
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.