CMS Price Transparency Data

X-ray, shoulder

Facility: Gibson General Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $54
  • Cash Discount Price: $184
  • vs. Medicare Baseline: 0.61x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Gibson General Hospital is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $184. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.61x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$184

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

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: $184 (207%)
Insurance Median: $54 (61%)
Cash: $184 (207% of Medicare)
Ins. Median: $54 (61% 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 $11 - $523 12%
Medicaid / KanCare $11 - $23 12%
Meridiancare (Il) $11 - $111 12%
Meridianhealth (Il) $11 - $23 12%
Aetna $23 - $271 26%
Ambetter / Centene $23 - $111 26%
Caresource $23 - $32 26%
Caresource Just For Me $23 - $111 26%
Mdwise Plans $23 - $32 26%
Medicare (plans) $23 - $111 26%
Meridiancomplete (Il) $23 - $111 26%
Mhs $23 - $32 26%
Mytruadvantage $23 - $111 26%
UnitedHealthcare $23 - $243 26%
Va Ccn $23 - $111 26%
Caresource In Marketplace $30 - $193 34%
Deaconess Onecare $30 - $288 34%
Alliance Coal $32 - $87 36%
Claimdoc $32 - $295 36%
Hopetrust $34 - $295 38%
Hstechnology $34 - $295 38%
Ky Racing Health & Welfare Fund $34 - $187 38%
Self-Pay $34 - $184 38%
Encircle/Encore Combined $37 - $295 42%
Encircle/Encore Prime $37 - $260 42%
Noncontracted $37 - $178 42%
Cigna $41 - $305 46%
First Health $41 - $312 46%
Healthlink Hmo $41 - $312 46%
Healthlink Ppo $41 - $312 46%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $41 - $305 46%
Chambercare $58 - $278 65%
Gibson County Sheriff $82 - $295 92%
Integrated Health $87 - $312 98%
Principal Health Care $87 - $312 98%

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