CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Gibson General Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $897
  • Cash Discount Price: $1,813
  • vs. Medicare Baseline: 2.52x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Gibson General Hospital is $897. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,813. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.52x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$1,813

Average discount available for prompt cash payment at this facility.

Insurance Median
$897

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $1,813 (509%)
Insurance Median: $897 (252%)
Cash: $1,813 (509% of Medicare)
Ins. Median: $897 (252% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 252% of the Medicare baseline (a markup of 152%). 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
Blue Cross Blue Shield $58 - $2,215 16%
Medicaid / KanCare $58 16%
Meridiancare (Il) $58 - $1,095 16%
Meridianhealth (Il) $58 16%
Aetna $80 - $2,672 22%
Ambetter / Centene $80 - $1,095 22%
Caresource $80 22%
Caresource Just For Me $80 - $1,095 22%
Mdwise Plans $80 22%
Medicare (plans) $80 - $1,095 22%
Meridiancomplete (Il) $80 - $1,095 22%
Mhs $80 22%
Mytruadvantage $80 - $1,095 22%
UnitedHealthcare $80 - $2,395 22%
Va Ccn $80 - $1,095 22%
Caresource In Marketplace $104 - $1,899 29%
Deaconess Onecare $104 - $2,839 29%
Alliance Coal $112 - $855 31%
Claimdoc $112 - $2,908 31%
Ky Racing Health & Welfare Fund $112 - $1,847 31%
Self-Pay $112 - $1,813 31%
Hopetrust $120 - $2,908 34%
Hstechnology $120 - $2,908 34%
Encircle/Encore Combined $127 - $2,908 36%
Encircle/Encore Prime $127 - $831 36%
Noncontracted $128 - $1,752 36%
Cigna $149 - $3,010 42%
First Health $149 - $3,079 42%
Healthlink Hmo $149 - $3,079 42%
Healthlink Ppo $149 - $3,079 42%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $149 - $3,010 42%
Chambercare $192 - $906 54%
Gibson County Sheriff $272 - $2,908 76%
Integrated Health $288 - $3,079 81%
Principal Health Care $288 - $3,079 81%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1808 Sherman Drive, Princeton, IN 47670
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals