CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Gibson General Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $179
  • Cash Discount Price: $179
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Gibson General Hospital is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.42x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$179

Average discount available for prompt cash payment at this facility.

Insurance Median
$179

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $179 (142%)
Insurance Median: $179 (142%)
Cash: $179 (142% of Medicare)
Ins. Median: $179 (142% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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 $29 - $236 23%
Caresource In Marketplace $50 - $187 40%
Ky Racing Health & Welfare Fund $50 - $182 40%
Self-Pay $50 - $179 40%
Aetna $84 - $263 67%
Alliance Coal $84 - $86 67%
Chambercare $86 - $270 68%
Cigna $86 - $297 68%
Claimdoc $86 - $286 68%
Hopetrust $86 - $286 68%
Hstechnology $86 - $286 68%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $86 - $297 68%
First Health $101 - $303 80%
Healthlink Hmo $101 - $303 80%
Healthlink Ppo $101 - $303 80%
Ambetter / Centene $108 86%
Blue Cross Blue Shield $108 - $168 86%
Caresource Just For Me $108 86%
Medicare (plans) $108 86%
Meridiancare (Il) $108 86%
Meridiancomplete (Il) $108 86%
Mytruadvantage $108 86%
Va Ccn $108 86%
Gibson County Sheriff $122 - $286 97%
Integrated Health $130 - $303 103%
Principal Health Care $130 - $303 103%
Noncontracted $173 137%
Encircle/Encore Prime $253 200%
Deaconess Onecare $280 222%
Encircle/Encore Combined $286 227%

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