Deaconess Gibson Hospital

Princeton, IN · Critical Access Hospital

Posts prices for 29 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.

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ProcedurePosted cashPosted gross× Medicare
CT head/brain without contrast (70450) $838.99 $1,583 7.6×
MRI brain without contrast (70551) $1,078.55 $2,035 4.3×
MRI brain with contrast (70552) $1,134.20 $2,140 3.1×
MRI brain without and with contrast (70553) $1,189.85 $2,245 3.2×
X-ray lower spine, 4+ views (72110) $209.35 $395 1.9×
MRI lumbar spine without contrast (72148) $1,078.55 $2,035 4.3×
CT pelvis with contrast (72193) $906.83 $1,711 4.9×
MRI lower-extremity joint without contrast (73721) $984.21 $1,857 3.9×
CT abdomen and pelvis with contrast (74177) $1,813.13 $3,421 4.9×
Ultrasound, abdomen complete (76700) $508.80 $960 4.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $467.99 $883 4.2×
Ultrasound, transvaginal (76830) $383.19 $723 3.5×
Mammography, one breast (diagnostic) (77065) $139.92 $264 1.6×
Mammography, both breasts (diagnostic) (77066) $189.21 $357 1.7×
Mammography, screening (bilateral) (77067) $178.61 $337 2.0×
Basic metabolic panel (80048) $27.56 $52 3.3×
Comprehensive metabolic panel (80053) $33.92 $64 3.2×
Lipid panel (80061) $67.31 $127 5.0×
Renal function panel (80069) $83.74 $158 9.6×
Hepatic function panel (80076) $82.15 $155 10.1×
PSA, total (84153)
range across 2 matching MRF lines
$50.35–$75.26 $95–$142 varies
Thyroid stimulating hormone (TSH) (84443) $65.72 $124 3.9×
CBC with automated differential (85025)
range across 2 matching MRF lines
$21.73–$51.41 $41–$97 varies
CBC, automated (85027)
range across 4 matching MRF lines
$17.49–$23.85 $33–$45 varies
Prothrombin time (PT) (85610)
range across 4 matching MRF lines
$11.66–$46.64 $22–$88 varies
Partial thromboplastin time (PTT) (85730)
range across 3 matching MRF lines
$37.10–$47.70 $70–$90 varies
Psychotherapy, 45 minutes (90834) $128.79 $243 0.7×
Sleep study (attended polysomnography) (95810) $1,743.17 $3,289 1.9×
Physical therapy, therapeutic exercise (per 15 min) (97110) $84.27 $159 2.9×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (CSV, 329.2 MB) ↓ — captured 2026-10-01

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