CMS Price Transparency Data

X-ray, lower back

Facility: Gibson General Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $76
  • Cash Discount Price: $209
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Gibson General Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $209. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.71x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$209

Average discount available for prompt cash payment at this facility.

Insurance Median
$76

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: $209 (196%)
Insurance Median: $76 (71%)
Cash: $209 (196% of Medicare)
Ins. Median: $76 (71% 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 $19 - $633 18%
Medicaid / KanCare $19 - $38 18%
Meridiancare (Il) $19 - $126 18%
Meridianhealth (Il) $19 - $38 18%
UnitedHealthcare $34 - $276 32%
Aetna $35 - $308 33%
Ambetter / Centene $35 - $126 33%
Caresource Just For Me $35 - $126 33%
Medicare (plans) $35 - $126 33%
Meridiancomplete (Il) $35 - $126 33%
Mytruadvantage $35 - $126 33%
Va Ccn $35 - $126 33%
Caresource $36 - $47 34%
Mdwise Plans $36 - $47 34%
Mhs $36 - $47 34%
Caresource In Marketplace $46 - $219 43%
Deaconess Onecare $46 - $328 43%
Alliance Coal $49 - $99 46%
Claimdoc $49 - $336 46%
Hopetrust $53 - $336 50%
Hstechnology $53 - $336 50%
Ky Racing Health & Welfare Fund $55 - $213 51%
Self-Pay $55 - $209 51%
Encircle/Encore Combined $56 - $336 52%
Encircle/Encore Prime $56 - $296 52%
Noncontracted $56 - $202 52%
Cigna $67 - $348 63%
First Health $67 - $356 63%
Healthlink Hmo $67 - $356 63%
Healthlink Ppo $67 - $356 63%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $67 - $348 63%
Chambercare $95 - $316 89%
Gibson County Sheriff $134 - $336 125%
Integrated Health $142 - $356 133%
Principal Health Care $142 - $356 133%

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