CMS Price Transparency Data

X-ray, pelvis

Facility: Gibson General Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $51
  • Cash Discount Price: $131
  • vs. Medicare Baseline: 0.48x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Gibson General Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.48x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$131

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $131 (123%)
Insurance Median: $51 (48%)
Cash: $131 (123% of Medicare)
Ins. Median: $51 (48% 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
Aetna $17 - $194 16%
Ambetter / Centene $17 - $79 16%
Blue Cross Blue Shield $17 - $633 16%
Caresource Just For Me $17 - $79 16%
Medicare (plans) $17 - $79 16%
Meridiancomplete (Il) $17 - $79 16%
Mytruadvantage $17 - $79 16%
UnitedHealthcare $17 - $174 16%
Va Ccn $17 - $79 16%
Caresource $18 - $26 17%
Mdwise Plans $18 - $26 17%
Medicaid / KanCare $18 17%
Meridiancare (Il) $18 - $79 17%
Meridianhealth (Il) $18 17%
Mhs $18 - $26 17%
Caresource In Marketplace $23 - $138 22%
Deaconess Onecare $23 - $238 22%
Alliance Coal $24 - $62 22%
Claimdoc $24 - $211 22%
Hopetrust $26 - $211 24%
Hstechnology $26 - $211 24%
Encircle/Encore Combined $28 - $211 26%
Encircle/Encore Prime $28 - $186 26%
Noncontracted $28 - $127 26%
Cigna $35 - $218 33%
First Health $35 - $223 33%
Healthlink Hmo $35 - $223 33%
Healthlink Ppo $35 - $223 33%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $35 - $218 33%
Ky Racing Health & Welfare Fund $52 - $134 49%
Self-Pay $52 - $131 49%
Chambercare $90 - $198 84%
Gibson County Sheriff $128 - $211 120%
Integrated Health $135 - $223 126%
Principal Health Care $135 - $223 126%

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