CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Gibson General Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $189
  • Cash Discount Price: $189
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Gibson General Hospital is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.20x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$189

Average discount available for prompt cash payment at this facility.

Insurance Median
$189

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $189 (120%)
Insurance Median: $189 (120%)
Cash: $189 (120% of Medicare)
Ins. Median: $189 (120% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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
UnitedHealthcare $40 - $250 25%
Caresource In Marketplace $70 - $198 45%
Ky Racing Health & Welfare Fund $70 - $193 45%
Self-Pay $70 - $189 45%
Aetna $89 - $279 57%
Alliance Coal $89 - $120 57%
Ambetter / Centene $114 73%
Blue Cross Blue Shield $114 - $178 73%
Caresource Just For Me $114 73%
Medicare (plans) $114 73%
Meridiancare (Il) $114 73%
Meridiancomplete (Il) $114 73%
Mytruadvantage $114 73%
Va Ccn $114 73%
Chambercare $120 - $286 76%
Cigna $120 - $314 76%
Claimdoc $120 - $303 76%
Hopetrust $120 - $303 76%
Hstechnology $120 - $303 76%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $120 - $314 76%
First Health $140 - $321 89%
Healthlink Hmo $140 - $321 89%
Healthlink Ppo $140 - $321 89%
Gibson County Sheriff $170 - $303 108%
Integrated Health $180 - $321 115%
Principal Health Care $180 - $321 115%
Noncontracted $183 117%
Encircle/Encore Prime $268 171%
Deaconess Onecare $296 189%
Encircle/Encore Combined $303 193%

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