CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Gibson General Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $218
  • Cash Discount Price: $780
  • vs. Medicare Baseline: 2.04x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Gibson General Hospital is $218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $780. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.04x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$780

Average discount available for prompt cash payment at this facility.

Insurance Median
$218

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: $780 (730%)
Insurance Median: $218 (204%)
Cash: $780 (730% of Medicare)
Ins. Median: $218 (204% 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 204% of the Medicare baseline (a markup of 104%). 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 $45 - $633 42%
Medicaid / KanCare $45 42%
Meridiancare (Il) $45 - $471 42%
Meridianhealth (Il) $45 42%
Aetna $47 - $1,150 44%
Ambetter / Centene $47 - $471 44%
Caresource Just For Me $47 - $471 44%
Medicare (plans) $47 - $471 44%
Meridiancomplete (Il) $47 - $471 44%
Mytruadvantage $47 - $471 44%
UnitedHealthcare $47 - $1,030 44%
Va Ccn $47 - $471 44%
Caresource $48 - $77 45%
Mdwise Plans $48 - $77 45%
Mhs $48 - $77 45%
Caresource In Marketplace $62 - $817 58%
Deaconess Onecare $62 - $1,222 58%
Alliance Coal $66 - $368 62%
Claimdoc $66 - $1,251 62%
Hopetrust $71 - $1,251 66%
Hstechnology $71 - $1,251 66%
Encircle/Encore Combined $75 - $1,251 70%
Encircle/Encore Prime $75 - $238 70%
Noncontracted $76 - $754 71%
Ky Racing Health & Welfare Fund $90 - $795 84%
Self-Pay $90 - $780 84%
Chambercare $154 - $390 144%
Cigna $167 - $1,295 156%
First Health $167 - $1,325 156%
Healthlink Hmo $167 - $1,325 156%
Healthlink Ppo $167 - $1,325 156%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $167 - $1,295 156%
Gibson County Sheriff $218 - $1,251 204%
Integrated Health $231 - $1,325 216%
Principal Health Care $231 - $1,325 216%

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