Gibson City, IL
26
In-network payers
124
Disclosed rate categories
41
Beds
4
Care quality
Gibson Area Hospital And Health Svcs is a 41-bed voluntary non-profit - private hospital in Gibson City, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 124 disclosed rate categories.
CCN (Medicare provider number)
141317
NPI
1114935681
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
41
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Gibson Area Hospital And Health Svcs most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$322 - $6,547
from 3 insurers · median $6,115
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 788
$19,194
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 807
$8,608
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Mammography
CPT 77067
$108 - $1,117
from 3 insurers · median $1,043
Typical for a hospital with this service line
MRI imaging
CPT 70551
$241 - $4,696
from 3 insurers · median $4,387
Typical for a hospital with this service line
MRI imaging
CPT 74183
$417 - $6,874
from 3 insurers · median $6,421
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$201 - $2,070
from 2 insurers · median $1,136
Typical for a hospital with this service line
MRI imaging
CPT 72148
$235 - $4,670
from 2 insurers · median $2,453
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$366 - $6,193
from 2 insurers · median $3,280
Hospital reports nuclear medicine services to CMS
CT imaging
CPT 70491
$160 - $3,499
from 3 insurers · median $3,268
Typical for a hospital with this service line
CT imaging
CPT 74178
$361 - $7,129
from 2 insurers · median $3,745
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$719 - $848
from 3 insurers · median $792
Typical for a hospital with this service line
Mammography
CPT 77066
$113 - $1,306
from 3 insurers · median $1,220
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$360 - $1,907
from 2 insurers · median $1,133
Typical for a hospital with this service line
MRI imaging
CPT 72158
$394 - $6,874
from 3 insurers · median $6,421
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$267 - $3,268
from 2 insurers · median $1,767
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$8,608
negotiated rate
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Digestive procedures
CPT 43239
$284 - $1,358
from 2 insurers · median $821
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$973 - $8,039
from 2 insurers · median $4,506
Typical for a hospital with this service line
Mammography
CPT 77065
$106 - $636
from 3 insurers · median $594
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$807 - $8,587
from 2 insurers · median $4,697
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$29 - $609
from 2 insurers · median $319
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$274 - $2,239
from 2 insurers · median $1,257
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$29 - $376
from 3 insurers · median $75
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 12 | 1758% | 11 | 1 |
| Insurer B* | 19 | 918% | 17 | 0 |
| Insurer C* | 24 | 99% | 3 | 17 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Gibson Area Hospital And Health Svcs.
1120 North Melvin Street, Gibson City, IL 60936
(217) 784-4251
The nearest hospitals of similar type and size. Their rates are compared with Gibson Area Hospital And Health Svcs for the same insurers and services above.
Kirby Hospital
▲ Rates typically 183% higher than Gibson Area Hospital And Health Svcs (21 services)
Hoopeston Community Memorial Hospital
▲ Rates typically 165% higher than Gibson Area Hospital And Health Svcs (21 services)
Warner Hospital And Health Services
▼ Rates typically 20% lower than Gibson Area Hospital And Health Svcs (19 services)
Carle Eureka Hospital
▼ Rates typically 10% lower than Gibson Area Hospital And Health Svcs (21 services)
Hopedale Medical Complex
▼ Rates typically 24% lower than Gibson Area Hospital And Health Svcs (17 services)
St. Vincent Williamsport
▼ Rates typically 45% lower than Gibson Area Hospital And Health Svcs (21 services)
Community Hospital Of Staunton
Hillsboro Area Hospital
Harvard Memorial Hospital
Marshall Browning Hospital
About Gibson Area Hospital And Health Svcs's rates and hospital price transparency.
For MRI of the brain, without contrast (CPT 70551), published negotiated rates at Gibson Area Hospital And Health Svcs range from $241 to $4,696 across 3 insurers. Aetna's rate is $241. The median at nearby comparable hospitals is $2,337. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Gibson Area Hospital And Health Svcs range from $322 to $6,547 across 3 insurers. Aetna's rate is $322. The median at nearby comparable hospitals is $3,187. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Gibson Area Hospital And Health Svcs range from $360 to $1,907 across 2 insurers. Aetna's rate is $360. The median at nearby comparable hospitals is $562. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Gibson Area Hospital And Health Svcs range from $19,194 to $19,194 across 1 insurers. Aetna's rate is $19,194. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Gibson Area Hospital And Health Svcs range from $108 to $1,117 across 3 insurers. Blue Cross Blue Shield of Illinois's rate is $1,043. The median at nearby comparable hospitals is $239. What a patient pays depends on their plan's deductible, coinsurance and network status.
Gibson Area Hospital And Health Svcs has 41 beds. Facility type: Critical Access Hospital.
Gibson Area Hospital And Health Svcs is located at 1120 North Melvin Street, Gibson City, IL 60936. Its main phone number is (217) 784-4251.
Gibson Area Hospital And Health Svcs's CMS Certification Number (CCN), also called its Medicare provider number, is 141317.
The National Provider Identifier (NPI) on file for Gibson Area Hospital And Health Svcs is 1114935681.
Gibson Area Hospital And Health Svcs lists 26 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
124 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers