CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Gibson General Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $308
  • Cash Discount Price: $1,079
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Gibson General Hospital is $308. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,079. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.26x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$1,079

Average discount available for prompt cash payment at this facility.

Insurance Median
$308

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $1,079 (443%)
Insurance Median: $308 (126%)
Cash: $1,079 (443% of Medicare)
Ins. Median: $308 (126% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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
Aetna $65 - $1,589 27%
Ambetter / Centene $65 - $651 27%
Blue Cross Blue Shield $65 - $1,411 27%
Caresource Just For Me $65 - $651 27%
Medicare (plans) $65 - $651 27%
Meridiancomplete (Il) $65 - $651 27%
Mytruadvantage $65 - $651 27%
UnitedHealthcare $65 - $1,424 27%
Va Ccn $65 - $651 27%
Caresource $66 - $115 27%
Mdwise Plans $66 - $115 27%
Mhs $66 - $115 27%
Medicaid / KanCare $68 - $114 28%
Meridiancare (Il) $68 - $651 28%
Meridianhealth (Il) $68 - $114 28%
Caresource In Marketplace $85 - $1,129 35%
Deaconess Onecare $85 - $1,689 35%
Alliance Coal $91 - $509 37%
Claimdoc $91 - $1,730 37%
Hopetrust $98 - $1,730 40%
Hstechnology $98 - $1,730 40%
Encircle/Encore Combined $104 - $1,730 43%
Encircle/Encore Prime $104 - $529 43%
Noncontracted $104 - $1,042 43%
Ky Racing Health & Welfare Fund $217 - $1,099 89%
Self-Pay $217 - $1,079 89%
Cigna $230 - $1,791 94%
First Health $230 - $1,832 94%
Healthlink Hmo $230 - $1,832 94%
Healthlink Ppo $230 - $1,832 94%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $230 - $1,791 94%
Chambercare $372 - $983 153%
Gibson County Sheriff $527 - $1,730 216%
Integrated Health $558 - $1,832 229%
Principal Health Care $558 - $1,832 229%

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