CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Hammond Henry Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $302
  • Cash Discount Price: $368
  • vs. Medicare Baseline: 3.40x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Hammond Henry Hospital is $302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $368. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.40x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.
Cash / Self-Pay
$368

Average discount available for prompt cash payment at this facility.

Insurance Median
$302

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: $368 (414%)
Insurance Median: $302 (340%)
Cash: $368 (414% of Medicare)
Ins. Median: $302 (340% 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 340% of the Medicare baseline (a markup of 240%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $89 100%
Tricare $107 120%
Aetna $119 - $307 134%
Health Alliance Mcare Adv $119 134%
UnitedHealthcare $119 - $302 134%
Humana $120 - $368 135%
Blue Cross Blue Shield $134 - $245 151%
Meridian Health Plan-All Plans $134 151%
Wellmark Of Ia-All Plans $204 229%
Springfield Armory-All Plans $266 299%
Ambetter / Centene $286 322%
Health Alliance-All Other Plans $307 345%
Multiplan Integrated Hp $307 345%
Cigna $315 354%
Multiplan Pponext $327 368%
Osf Direct Access Network-All Plans $327 368%
Multiplan-All Other Plans $348 391%
Corvel-All Plans $368 414%
Healthsmart Adult-All Other Plans $368 414%
Healthsmart Pediatric $368 414%
Hfn-All Plans $368 414%
Multiplan Beech Street $368 414%
Multiplan Phcs Adult $368 414%
Multiplan Phcs Pediatric $368 414%
Usa Mco-All Plans $368 414%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 N College Avenue, Geneseo, IL 61254
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals