CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Gibson General Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $85
  • Cash Discount Price: $479
  • vs. Medicare Baseline: 0.80x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Gibson General Hospital is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $479. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.80x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$479

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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: $479 (448%)
Insurance Median: $85 (80%)
Cash: $479 (448% of Medicare)
Ins. Median: $85 (80% 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 $21 - $633 20%
Medicaid / KanCare $21 - $63 20%
Meridiancare (Il) $21 - $289 20%
Meridianhealth (Il) $21 - $63 20%
Aetna $26 - $706 24%
Ambetter / Centene $26 - $289 24%
Caresource $26 - $80 24%
Caresource Just For Me $26 - $289 24%
Mdwise Plans $26 - $80 24%
Medicare (plans) $26 - $289 24%
Meridiancomplete (Il) $26 - $289 24%
Mhs $26 - $80 24%
Mytruadvantage $26 - $289 24%
UnitedHealthcare $26 - $633 24%
Va Ccn $26 - $289 24%
Caresource In Marketplace $34 - $502 32%
Deaconess Onecare $34 - $750 32%
Alliance Coal $36 - $226 34%
Claimdoc $36 - $768 34%
Hopetrust $39 - $768 37%
Hstechnology $39 - $768 37%
Encircle/Encore Combined $41 - $768 38%
Encircle/Encore Prime $41 - $678 38%
Noncontracted $41 - $463 38%
Ky Racing Health & Welfare Fund $45 - $488 42%
Self-Pay $45 - $479 42%
Cigna $46 - $796 43%
First Health $46 - $814 43%
Healthlink Hmo $46 - $814 43%
Healthlink Ppo $46 - $814 43%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $46 - $796 43%
Chambercare $77 - $723 72%
Gibson County Sheriff $109 - $768 102%
Integrated Health $115 - $814 108%
Principal Health Care $115 - $814 108%

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