CMS Price Transparency Data

X-ray, pelvis

Facility: Hammond Henry Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $256
Cash Discount Price: $312
vs. Medicare Baseline: 2.40x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Hammond Henry Hospital is $256. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $312. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.40x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$312

Average discount available for prompt cash payment at this facility.

Insurance Median

$256

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: $312 (292%)

Insurance Median: $256 (240%)

Cash: $312 (292% of Medicare)

Ins. Median: $256 (240% 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 240% of the Medicare baseline (a markup of 140%). 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	$17	16%
Geneseo Good Samaritan Village Op Only-All Plans	$75	70%
Tricare	$91	85%
Aetna	$101 - $260	95%
Health Alliance Mcare Adv	$101	95%
UnitedHealthcare	$101 - $256	95%
Humana	$102 - $312	95%
Blue Cross Blue Shield	$134 - $208	125%
Meridian Health Plan-All Plans	$134	125%
Wellmark Of Ia-All Plans	$174	163%
Springfield Armory-All Plans	$226	212%
Ambetter / Centene	$243	228%
Health Alliance-All Other Plans	$260	243%
Multiplan Integrated Hp	$260	243%
Cigna	$267	250%
Multiplan Pponext	$278	260%
Osf Direct Access Network-All Plans	$278	260%
Multiplan-All Other Plans	$295	276%
Corvel-All Plans	$312	292%
Healthsmart Adult-All Other Plans	$312	292%
Healthsmart Pediatric	$312	292%
Hfn-All Plans	$312	292%
Multiplan Beech Street	$312	292%
Multiplan Phcs Adult	$312	292%
Multiplan Phcs Pediatric	$312	292%
Usa Mco-All Plans	$312	292%

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 $312.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

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 72170.
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.