CMS Price Transparency Data

X-ray, foot

Facility: Gibson General Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $37
  • Cash Discount Price: $141
  • vs. Medicare Baseline: 0.42x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Gibson General Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.42x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$141

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

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: $141 (159%)
Insurance Median: $37 (42%)
Cash: $141 (159% of Medicare)
Ins. Median: $37 (42% 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
Aetna $7 - $208 8%
Ambetter / Centene $7 - $85 8%
Blue Cross Blue Shield $7 - $523 8%
Caresource Just For Me $7 - $85 8%
Medicare (plans) $7 - $85 8%
Meridiancomplete (Il) $7 - $85 8%
Mytruadvantage $7 - $85 8%
UnitedHealthcare $7 - $186 8%
Va Ccn $7 - $85 8%
Caresource $8 - $31 9%
Mdwise Plans $8 - $31 9%
Mhs $8 - $31 9%
Alliance Coal $10 - $66 11%
Caresource In Marketplace $10 - $148 11%
Claimdoc $10 - $226 11%
Deaconess Onecare $10 - $221 11%
Hopetrust $11 - $226 12%
Hstechnology $11 - $226 12%
Medicaid / KanCare $11 - $22 12%
Meridiancare (Il) $11 - $85 12%
Meridianhealth (Il) $11 - $22 12%
Encircle/Encore Combined $12 - $226 13%
Encircle/Encore Prime $12 - $200 13%
Noncontracted $12 - $136 13%
Cigna $13 - $234 15%
First Health $13 - $239 15%
Healthlink Hmo $13 - $239 15%
Healthlink Ppo $13 - $239 15%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $13 - $234 15%
Ky Racing Health & Welfare Fund $19 - $144 21%
Self-Pay $19 - $141 21%
Chambercare $33 - $213 37%
Gibson County Sheriff $47 - $226 53%
Integrated Health $50 - $239 56%
Principal Health Care $50 - $239 56%

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