CMS Price Transparency Data

CT scan, pelvis

Facility: Gibson General Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $168
  • Cash Discount Price: $779
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Gibson General Hospital is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $779. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.57x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$779

Average discount available for prompt cash payment at this facility.

Insurance Median
$168

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: $779 (729%)
Insurance Median: $168 (157%)
Cash: $779 (729% of Medicare)
Ins. Median: $168 (157% 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.

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 $44 - $633 41%
Medicaid / KanCare $44 41%
Meridiancare (Il) $44 - $470 41%
Meridianhealth (Il) $44 41%
Aetna $48 - $1,148 45%
Ambetter / Centene $48 - $470 45%
Caresource $48 - $77 45%
Caresource Just For Me $48 - $470 45%
Mdwise Plans $48 - $77 45%
Medicare (plans) $48 - $470 45%
Meridiancomplete (Il) $48 - $470 45%
Mhs $48 - $77 45%
Mytruadvantage $48 - $470 45%
UnitedHealthcare $48 - $1,029 45%
Va Ccn $48 - $470 45%
Caresource In Marketplace $62 - $816 58%
Deaconess Onecare $62 - $1,220 58%
Alliance Coal $67 - $368 63%
Claimdoc $67 - $1,250 63%
Ky Racing Health & Welfare Fund $70 - $794 66%
Self-Pay $70 - $779 66%
Hopetrust $72 - $1,250 67%
Hstechnology $72 - $1,250 67%
Encircle/Encore Combined $76 - $1,250 71%
Encircle/Encore Prime $76 - $238 71%
Noncontracted $76 - $753 71%
Chambercare $120 - $447 112%
Cigna $168 - $1,294 157%
First Health $168 - $1,323 157%
Healthlink Hmo $168 - $1,323 157%
Healthlink Ppo $168 - $1,323 157%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $168 - $1,294 157%
Gibson County Sheriff $170 - $1,250 159%
Integrated Health $180 - $1,323 169%
Principal Health Care $180 - $1,323 169%

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