CMS Price Transparency Data

X-ray, ankle

Facility: Gibson General Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $52
  • Cash Discount Price: $165
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Gibson General Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.58x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$165

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $165 (186%)
Insurance Median: $52 (58%)
Cash: $165 (186% of Medicare)
Ins. Median: $52 (58% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 $14 - $523 16%
Medicaid / KanCare $14 - $29 16%
Meridiancare (Il) $14 - $100 16%
Meridianhealth (Il) $14 - $29 16%
Aetna $25 - $243 28%
Ambetter / Centene $25 - $100 28%
Caresource Just For Me $25 - $100 28%
Medicare (plans) $25 - $100 28%
Meridiancomplete (Il) $25 - $100 28%
Mytruadvantage $25 - $100 28%
UnitedHealthcare $25 - $218 28%
Va Ccn $25 - $100 28%
Caresource $26 - $33 29%
Mdwise Plans $26 - $33 29%
Mhs $26 - $33 29%
Ky Racing Health & Welfare Fund $31 - $168 35%
Self-Pay $31 - $165 35%
Caresource In Marketplace $32 - $173 36%
Deaconess Onecare $32 - $258 36%
Alliance Coal $35 - $78 39%
Claimdoc $35 - $264 39%
Hopetrust $37 - $264 42%
Hstechnology $37 - $264 42%
Cigna $40 - $274 45%
Encircle/Encore Combined $40 - $264 45%
Encircle/Encore Prime $40 - $233 45%
First Health $40 - $280 45%
Healthlink Hmo $40 - $280 45%
Healthlink Ppo $40 - $280 45%
Noncontracted $40 - $159 45%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $40 - $274 45%
Chambercare $53 - $249 60%
Gibson County Sheriff $75 - $264 84%
Integrated Health $79 - $280 89%
Principal Health Care $79 - $280 89%

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