How many shoppable procedure prices are published for Hammond Henry Hospital?

Hammond Henry Hospital in Geneseo, IL currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Hammond Henry Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Hammond Henry Hospital's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 23 Beds · rural Updated: 2026-01-22

Hammond Henry Hospital

600 N College Avenue, Geneseo, IL 61254 · 104 Priced Procedures · 80% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.52×vs. Fair Market Price

Typical commercial prices here are +52% above the fair benchmark (1.52×) even after accounting for local nurse/doctor wages and patient complexity.

66/100 · Caution

66/100Self-Pay Cash Beats Insurance 7% of the Time

File Completeness60

Price Logic83

Peer Alignment63

Clean Billing75

Real Cash Discount44

High-Markup · Check Safety

5-Star CMS clinical quality rating paired with 1.52× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +33% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Hammond Henry Hospital prices routine shoppable procedures at 2.3× Medicare (median 1.49× Fair BaseRate) while upper-quartile commercial rates jump +33% to 1.98× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#99 of 126 in IL · 77th State Percentile#2,662 of 3,385 in U.S. · 78th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.20× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 7% of shoppable procedures (44/100 Cash Honesty)
5-Star CMS clinical rating with 80% patient recommendation (81/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.52× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.49× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.98×) jump +33% above the median procedure ratio (Q50 1.49×)
Consolidated metro market (HHI 4,369) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.74× Divergence

1.7× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+33% Upper Tail

Q25 1.20× · Q50 1.49× · Q75 1.98×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.3× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.5× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.5× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.3× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

7% Cash Edge · 44/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 81/100Good

Procedure Prices at Hammond Henry Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$30,289	$30,289	$19,087	1.6×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$49,144	$23,127	$19,432	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$16,595	$16,595	$8,223	2.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,484	$4,484	$1,021	4.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,322	$1,033	$583	1.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,553	$971	$511	1.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,736	$897	$6,109	0.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,214	$725	$303	2.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,277	$725	$448	1.6×
Inguinal hernia repair CPT Code: `49505`	$2,464	$713	$3,629	0.2×
CT scan, head (no contrast) CPT Code: `70450`	$2,299	$725	$160	unverified
CT scan, head (with contrast) CPT Code: `70460`	$2,573	$725	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$2,748	$725	$258	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$3,409	$576	$338	1.7×
MRI, brain (no contrast) CPT Code: `70551`	$3,173	$576	$343	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,119	$576	$369	1.6×
Breast lump removal CPT Code: `19120`	$1,281	$565	$3,875	0.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,441	$402	$272	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,129	$402	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$1,013	$402	$130	unverified
Blood transfusion CPT Code: `36430`	$364	$364	$498	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$724	$261	$126	2.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$691	$261	$132	2.0×
CT scan, pelvis CPT Code: `72192`	$2,019	$255	$163	1.6×
CT scan, sinuses CPT Code: `70486`	$1,686	$255	$166	1.5×
CT scan, chest (no contrast) CPT Code: `71250`	$2,162	$255	$167	1.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,320	$255	$168	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,320	$255	$169	1.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$225	$225	$86	2.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,424	$241	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,424	$244	$1,256	0.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$286	$241	$25	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$1,204	$213	$987	0.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$138	$138	$14	9.9×
X-ray, chest (single view) CPT Code: `71045`	$320	$134	$92	1.5×
X-ray, shoulder CPT Code: `73030`	$312	$134	$92	1.5×
X-ray, foot CPT Code: `73630`	$308	$134	$92	1.5×
X-ray, chest (two views) CPT Code: `71046`	$325	$134	$93	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$368	$134	$93	1.4×
X-ray, hand CPT Code: `73130`	$291	$134	$93	1.4×
X-ray, hip CPT Code: `73502`	$385	$134	$93	1.4×
X-ray, ankle CPT Code: `73610`	$302	$134	$93	1.4×
X-ray, pelvis CPT Code: `72170`	$312	$134	$110	1.2×
X-ray, lower back CPT Code: `72110`	$658	$134	$112	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$126	$105	$35	3.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$122	$105	$38	2.8×
Speech therapy (language evaluation) CPT Code: `92507`	$141	$127	$86	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$173	$137	$201	0.7×
Physical therapy (gait training) CPT Code: `97116`	$149	$105	$33	3.2×
Physical therapy (manual therapy) CPT Code: `97140`	$132	$105	$34	3.1×
Occupational therapy (self-care training) CPT Code: `97535`	$126	$105	$38	2.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$149	$105	$40	2.6×
Prosthetic fitting and training CPT Code: `97761`	$149	$105	$45	2.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$81	$81	$38	2.1×
Orthotic fitting and training CPT Code: `97760`	$136	$105	$51	2.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$154	$129	$123	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$103	$90	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$242	$110	$110	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$308	$114	$123	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$373	$114	$148	0.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$366	$268	$203	1.3×
Typhoid vaccine HCPCS Code: `90675`	$718	$268	$347	0.8×
Drug screening test HCPCS Code: `G0480`	$470	$135	$116	1.2×
Blood test, hemoglobin CPT Code: `85018`	$59	$59	$3	19.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$42	$42	$4	10.5×
Blood test, vitamin D CPT Code: `82306`	$248	$54	$31	1.7×
Extended office visit (prolonged) HCPCS Code: `G2212`	$78	$78	$33	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$52	$51	$25	2.0×
Colorectal cancer screening HCPCS Code: `G0010`	$69	$69	$49	1.4×
Hepatitis B vaccine HCPCS Code: `90744`	$96	$51	$37	1.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$99	$51	$39	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$188	$61	$64	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$139	$51	$56	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$206	$51	$111	0.5×
Pneumococcal vaccine HCPCS Code: `90732`	$263	$51	$140	0.4×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$68	$10	$4	2.5×
Culture, bacterial CPT Code: `87070`	$169	$20	$9	2.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$38	$38	$35	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$113	$6	$3	2.0×
Blood test, calcium CPT Code: `82310`	$63	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$57	$10	$5	2.0×
Blood test, potassium CPT Code: `84132`	$57	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$63	$10	$5	2.0×
Blood test, basic metabolic panel CPT Code: `80048`	$179	$17	$9	1.9×
Blood test, liver function panel CPT Code: `80076`	$169	$17	$9	1.9×
Culture, blood CPT Code: `87040`	$224	$20	$11	1.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$75	$9	$5	1.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$158	$23	$14	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$158	$26	$16	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$224	$17	$11	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$74	$9	$6	1.5×
Hepatitis C antibody test CPT Code: `86803`	$169	$22	$15	1.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$196	$26	$18	1.4×
Blood test, amylase CPT Code: `82150`	$130	$10	$7	1.4×
Blood test, lipase CPT Code: `83690`	$136	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$124	$10	$7	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$118	$11	$8	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$179	$17	$14	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$185	$23	$19	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$136	$22	$20	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$136	$10	$10	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$35	$35	$49	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$34	$34	$48	0.7×
Blood antibody screen CPT Code: `86850`	$158	$9	$46	0.2×

Showing top 25 high-impact procedures of 104 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Hammond Henry Hospital (Zero PHI Required)

CMS CCN: 141319

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $30,289

Insurer Median $30,289

1. Amount on Your Bill or Quote ($) Pre-filled with Hammond Henry Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $3,366 Paying Cash

Self-Pay Cash Rate ($30,289) Beats Your Bill

Hammond Henry Hospital's published 45 CFR § 180 self-pay cash rate is $30,289 (vs. $30,289 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$14,568 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($33,655) is $14,568 above the denoised Fair BaseRate ($19,087) and 2.4× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Hammond Henry Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall5/5 Stars (5/5)

Safety Composite81/100

Would Recommend80%

Rated 9 or 10 (HCAHPS)86%

Median ER Wait105 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (174 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Hammond Henry Hospital.

Price Index: 1.27× regional baseline

Quality: 80/100 CMS composite

Median Household Income$69,912U.S. Census ACS

Local Uninsured Share4.1%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 66/100 · Caution CMS CCN 141319

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 141319) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-01-22 · 69.11 MB

Validated Rate Rows3,925 (CMS v3.0.0)

File Integrity DigestVerified · CCN 141319

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy