How many shoppable procedure prices are published for Gibson General Hospital?

Gibson General Hospital in Princeton, IN currently has 129 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Gibson General Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Gibson General Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2026-02-11

Gibson General Hospital

1808 Sherman Drive, Princeton, IN 47670 · 129 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.85×vs. Fair Market Price

Typical commercial prices here are 15% below the fair benchmark (0.85×) after accounting for local nurse/doctor wages and patient complexity.

87/100 · Verified

87/100Self-Pay Cash Beats Insurance 54% of the Time

File Completeness100

Price Logic78

Peer Alignment64

Clean Billing93

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.85× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Gibson General Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.93× Fair BaseRate) and emergency/ancillary services (1.2× Medicare, p75 1.00× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#30 of 107 in IN · 27th State Percentile#425 of 3,385 in U.S. · 12th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 15% below peer Fair BaseRate (0.85×)
Self-pay cash beats commercial insurance on 54% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 74% patient recommendation (74/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (33.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.85× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (0.6×) & laboratory (1.0×) services average 1.50× higher multiples than routine shoppable care (0.8×)
Even at low-cost facilities (0.85× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 6.1× Medicare (20¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.50× Divergence

1.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+8% Upper Tail

Q25 0.43× · Q50 0.93× · Q75 1.00×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

54% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 74/100Fair

Procedure Prices at Gibson General Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 129 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$54,917	$30,775	1.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$33,023	$19,087	1.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$32,791	$19,432	1.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$29,971	$17,936	1.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$13,253	$8,223	1.6×
C-section delivery (full package) CPT Code: `59510`	$2,520	$2,986	$2,975	1.0×
Trauma team activation HCPCS Code: `G0390`	—	$2,958	$1,453	2.0×
Vaginal delivery (full package) CPT Code: `59400`	$2,345	$2,707	$2,680	1.0×
Total hip replacement CPT Code: `27130`	$2,155	$2,155	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$2,133	$2,133	$13,523	0.2×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,494	$855	1.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,017	$823	$6,109	0.1×
Bunion correction surgery CPT Code: `28296`	$933	$741	$3,446	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$1,344	$689	$2,540	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,190	$692	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$616	$608	$3,629	0.2×
Breast lump removal CPT Code: `19120`	$663	$515	$3,875	0.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,743	$466	$1,021	0.5×
Rabies immune globulin HCPCS Code: `90375`	$1,082	$383	$322	1.2×
Blood transfusion CPT Code: `36430`	$321	$321	$498	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$444	$280	$981	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$531	$297	$1,256	0.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,190	$270	$511	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$235	$235	$86	2.7×
Screening mammogram (both breasts) CPT Code: `77067`	$179	$179	$123	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$189	$189	$148	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$424	$175	$151	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$123	$189	$185	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$104	$178	$181	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$984	$178	$369	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	$455	$202	$987	0.2×
Prosthetic fitting and training CPT Code: `97761`	$83	$126	$45	2.8×
X-ray, chest (two views) CPT Code: `71046`	$150	$150	$93	1.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,079	$145	$258	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$659	$140	$272	0.5×
MRI, brain (no contrast) CPT Code: `70551`	$1,079	$162	$343	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$933	$139	$583	0.2×
Orthotic fitting and training CPT Code: `97760`	$72	$110	$51	2.2×
X-ray, chest (single view) CPT Code: `71045`	$135	$135	$92	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$109	$109	$64	1.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$129	$125	$166	0.8×
Family therapy session CPT Code: `90847`	$83	$130	$173	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$158	$95	$86	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$87	$119	$123	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$60	$84	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$87	$103	$110	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$419	$101	$132	0.8×
CT scan, sinuses CPT Code: `70486`	$898	$118	$166	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$779	$107	$169	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$907	$122	$242	0.5×
Neurobehavioral status check CPT Code: `96116`	$72	$100	$231	0.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,557	$107	$303	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$1,079	$114	$338	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,813	$112	$448	0.3×
Care planning with family CPT Code: `90887`	$85	$85	$107	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$488	$488	$203	unverified
Typhoid vaccine HCPCS Code: `90675`	$746	$410	$347	1.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$248	$248	$111	unverified
Drug screening test HCPCS Code: `G0480`	$128	$128	$116	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$93	$93	$27	3.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$75	$75	$35	2.1×
Ultrasound, pelvis CPT Code: `76856`	$273	$72	$130	0.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$509	$69	$134	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$479	$63	$126	0.5×
CT scan, pelvis CPT Code: `72192`	$779	$76	$163	0.5×
CT scan, chest (no contrast) CPT Code: `71250`	$780	$76	$167	0.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,198	$76	$168	0.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$74	$74	$39	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$74	$74	$37	unverified
Speech therapy (group session) CPT Code: `92508`	$37	$29	$27	1.1×
Physical therapy (gait training) CPT Code: `97116`	$78	$35	$33	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$45	$40	$38	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$77	$42	$40	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$79	$39	$38	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$80	$39	$38	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$84	$35	$35	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$123	$39	$56	0.7×
X-ray, lower back CPT Code: `72110`	$209	$47	$112	0.4×
CT scan, head (no contrast) CPT Code: `70450`	$839	$62	$160	0.4×
Group therapy session CPT Code: `90853`	$42	$34	$100	0.3×
Pneumococcal vaccine HCPCS Code: `90732`	$42	$42	$140	0.3×
Review of medical records for care CPT Code: `90889`	$52	$52	$114	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$30	$4	$3	1.3×
Blood test, sodium CPT Code: `84295`	$37	$6	$5	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$31	$11	$11	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$20	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$32	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$39	$10	$10	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$35	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$22	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$37	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$56	$9	$9	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$84	$33	$34	1.0×
Blood test, magnesium CPT Code: `83735`	$55	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$121	$30	$31	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$75	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$50	$18	$19	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$39	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$67	$13	$14	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$16	$12	$14	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	$46	$28	$33	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$150	$36	$93	0.4×
X-ray, hand CPT Code: `73130`	$141	$34	$93	0.4×
X-ray, ankle CPT Code: `73610`	$165	$34	$93	0.4×
Psychological testing evaluation CPT Code: `96136`	$68	$36	$128	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$43	$43	$201	0.2×
Blood test, calcium CPT Code: `82310`	$17	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$46	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$37	$7	$7	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$66	$17	$18	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$28	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$82	$8	$9	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$29	$17	$25	0.7×
X-ray, hip CPT Code: `73502`	$138	$33	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$184	$32	$92	0.3×
Psychological testing by technician CPT Code: `96138`	$58	$40	$395	0.1×
Blood test, potassium CPT Code: `84132`	$47	$5	$5	1.0×
Hepatitis C antibody test CPT Code: `86803`	$228	$14	$15	0.9×
Culture, blood CPT Code: `87040`	$83	$10	$11	0.9×
Blood test, amylase CPT Code: `82150`	$24	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$13	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$10	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$58	$13	$46	0.3×
X-ray, foot CPT Code: `73630`	$141	$24	$92	0.3×
X-ray, pelvis CPT Code: `72170`	$131	$26	$110	0.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$23	$23	$25	unverified
Flu vaccine injection HCPCS Code: `G0008`	$8	$8	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$4	$4	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$14	$14	$49	unverified

Showing top 25 high-impact procedures of 129 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 33.0%

Audit a Bill or Quote at Gibson General Hospital (Zero PHI Required)

CMS CCN: 151319

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $54,917

1. Amount on Your Bill or Quote ($) Pre-filled with Gibson General Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $43,428 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $43,428

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (33.0% of gross = $43,428).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Gibson General Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$101,026 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($131,801) is $101,026 above the denoised Fair BaseRate ($30,775) and 5.6× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 350877575

Filing Period: 194401

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (33.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite74/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait102 min

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (159 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Gibson General Hospital.

Price Index: 0.81× regional baseline

Quality: 68/100 CMS composite

Median Household Income$67,763U.S. Census ACS

Local Uninsured Share4.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 87/100 · Verified CMS CCN 151319 EIN 350877575

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 151319) ↗ Verify IRS Form 990 (EIN 350877575) ↗ CMS HCRIS Cost Reports ↗

Published MRF File350877575_deaconess-health-system-gibson-general-hospital_standardcharges.csv

Publication / Vintage2026-02-11 · 313.99 MB

Validated Rate Rows11,110 (CMS v3.0.0)

File Integrity Digestde9fff6b836e98d7ec6c…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy