CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Gibson General Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $151
  • Cash Discount Price: $419
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Gibson General Hospital is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $419. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.41x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$419

Average discount available for prompt cash payment at this facility.

Insurance Median
$151

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: $419 (392%)
Insurance Median: $151 (141%)
Cash: $419 (392% of Medicare)
Ins. Median: $151 (141% 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 $35 - $633 33%
Medicaid / KanCare $35 - $71 33%
Meridiancare (Il) $35 - $253 33%
Meridianhealth (Il) $35 - $71 33%
Aetna $74 - $618 69%
Ambetter / Centene $74 - $253 69%
Caresource Just For Me $74 - $253 69%
Medicare (plans) $74 - $253 69%
Meridiancomplete (Il) $74 - $253 69%
Mytruadvantage $74 - $253 69%
UnitedHealthcare $74 - $554 69%
Va Ccn $74 - $253 69%
Caresource $76 - $101 71%
Mdwise Plans $76 - $101 71%
Mhs $76 - $101 71%
Ky Racing Health & Welfare Fund $84 - $427 79%
Self-Pay $84 - $419 79%
Caresource In Marketplace $96 - $439 90%
Deaconess Onecare $96 - $657 90%
Alliance Coal $103 - $198 96%
Claimdoc $103 - $672 96%
Hopetrust $111 - $672 104%
Hstechnology $111 - $672 104%
Cigna $116 - $696 109%
First Health $116 - $712 109%
Healthlink Hmo $116 - $712 109%
Healthlink Ppo $116 - $712 109%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $116 - $696 109%
Noncontracted $118 - $405 110%
Encircle/Encore Combined $120 - $672 112%
Encircle/Encore Prime $120 - $593 112%
Chambercare $143 - $633 134%
Gibson County Sheriff $203 - $672 190%
Integrated Health $215 - $712 201%
Principal Health Care $215 - $712 201%

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