CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Gibson General Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $58
  • Cash Discount Price: $150
  • vs. Medicare Baseline: 0.65x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Gibson General Hospital is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.65x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$150

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $150 (169%)
Insurance Median: $58 (65%)
Cash: $150 (169% of Medicare)
Ins. Median: $58 (65% 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 $13 - $523 15%
Medicaid / KanCare $13 - $26 15%
Meridiancare (Il) $13 - $91 15%
Meridianhealth (Il) $13 - $26 15%
Aetna $26 - $221 29%
Ambetter / Centene $26 - $91 29%
Caresource $26 - $36 29%
Caresource Just For Me $26 - $91 29%
Mdwise Plans $26 - $36 29%
Medicare (plans) $26 - $91 29%
Meridiancomplete (Il) $26 - $91 29%
Mhs $26 - $36 29%
Mytruadvantage $26 - $91 29%
UnitedHealthcare $26 - $198 29%
Va Ccn $26 - $91 29%
Caresource In Marketplace $34 - $157 38%
Deaconess Onecare $34 - $235 38%
Alliance Coal $36 - $71 40%
Claimdoc $36 - $241 40%
Hopetrust $39 - $241 44%
Hstechnology $39 - $241 44%
Ky Racing Health & Welfare Fund $39 - $153 44%
Self-Pay $39 - $150 44%
Encircle/Encore Combined $41 - $241 46%
Encircle/Encore Prime $41 - $212 46%
Noncontracted $41 - $145 46%
Cigna $44 - $249 49%
First Health $44 - $255 49%
Healthlink Hmo $44 - $255 49%
Healthlink Ppo $44 - $255 49%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $44 - $249 49%
Chambercare $67 - $226 75%
Gibson County Sheriff $94 - $241 106%
Integrated Health $100 - $255 112%
Principal Health Care $100 - $255 112%

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