Procedures & surgery prices at Deaconess Gibson Hospital

Princeton, IN · every code in this section with a posted price and a Medicare benchmark.

225 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $765.32 $1,444 0.8×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $168.01 $317 0.5×
Anoscopy diagnostic (46600) $98.58 $186 0.7×
Application finger splint static (29130) $170.66 $322 1.2×
Application long arm splint shoulder hand (29105) $170.66 $322 1.0×
Application Long Leg Splint (29505) $170.66 $322 1.0×
Application of rigid total contact leg cast (29445) $324.89 $613 1.1×
Application short arm splint forearm-hand static (29125) $170.66 $322 1.2×
Application short leg splint calf foot (29515) $73.67 $139 0.4×
Apply Multlay Comprs Lwr Leg (29581)
range across 6 matching MRF lines
$104.41–$160.06 $197–$302 varies
Arterial puncture (36600) $26.50 $50 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $219.42 $414 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $126.67 $239 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $219.42 $414 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $219.42 $414 0.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $393.79 $743 1.2×
Aspirate pleura w/ imaging (32555) $548.55 $1,035 0.8×
Aspiration and/or injection thyroid cyst (60300) $232.67 $439 0.3×
Avulsion nail plate partial/complete simple 1 (11730) $132.50 $250 0.6×
Biopsy bone trocar/needle deep (20225) $412.34 $778 0.2×
Biopsy Bone Trocar/Needle Superficial (20220) $412.34 $778 0.2×
Biopsy muscle percutaneous needle (20206) $412.34 $778 0.2×
Biopsy Pleura Percutaneous Needle (32400) $412.34 $778 0.2×
Bladder Irrigation (51700) $294.68 $556 1.1×
Bladder Scan (51798) $29.68 $56 0.5×
Blood Transfusion Service (36430) $320.65 $605 0.7×
Bone Marrow Biopsy (38221) $412.34 $778 0.2×
Bx breast 1st lesion us imag (19083) $765.32 $1,444 0.4×
Change Cystostomy Tube Simple (51705) $294.68 $556 1.1×
Chemical Cautery Tissue (17250) $192.39 $363 0.9×
Chemodenerv 1 extrem 5/> mus (64644) $192.39 $363 0.3×
Chemodenerv Musc Migraine (64615) $769.03 $1,451 2.4×
Chemodenerv musc neck dyston (64616) $1,103.99 $2,083 3.4×
Chemodenerv trunk musc 6/> (64647) $213.59 $403 0.3×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $219.42 $414 0.7×
Chest tube placement (32551) $1,124.66 $2,122 0.7×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,194.84 $6,028 0.8×
Clear outer ear canal (69200) $98.58 $186 0.7×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $226.84 $428 0.9×
Closed tx ankle dislocation w/o anesthesia (27840) $226.84 $428 0.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,157.52 $2,184 0.7×
Closed tx knee dislocation w/o anesthesia (27550) $226.84 $428 0.9×
Closed tx patellar dislocation w/o anesthesia (27560) $226.84 $428 0.9×
Closed tx radial shaft fracture w/manipulation (25505) $674.69 $1,273 0.4×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $3,363.91 $6,347 2.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $161.12 $304 0.6×
Closed tx ulnar shaft fracture w/o manipulation (25530) $438.84 $828 1.7×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $528.94 $998 0.9×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $208.82 $394 0.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,784.20 $7,140 2.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $226.84 $428 0.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $3,481.57 $6,569 2.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $340.26 $642 0.2×
Cltx dstl fibular fx lat malls w/manj (27788) $438.84 $828 1.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $340.26 $642 1.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $226.84 $428 0.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,363.80 $4,460 1.4×
Cltx fx grt toe phlx/phlg w/o manj (28490) $226.84 $428 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $438.84 $828 1.7×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $226.84 $428 0.9×
Cltx hip dislocation traumatic w/o anesthesia (27250) $226.84 $428 0.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $226.84 $428 0.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $226.84 $428 0.9×
Cltx metacarpal fx w/manipulation each bone (26605) $340.26 $642 1.3×
Cltx post hip arthrp dislc w/o anes (27265) $226.84 $428 0.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $226.84 $428 0.9×
Collect Blood From Catheter Venous Nos (36592) $45.05 $85 0.3×
Collection of venous blood by venipuncture (36415) $9.54 $18 1.0×
Control Nasal Hemorrhage Anterior Complex (30903) $243.27 $459 1.7×
Control Nasal Hemorrhage Anterior Simple (30901) $161.12 $304 1.1×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $412.34 $778 0.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $161.12 $304 1.1×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $161.12 $304 0.6×
Deb Musc/Fascia 20 Sq Cm/< (11043) $837.93 $1,581 1.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,166 $2,200 0.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $113.95 $215 0.3×
Declot vascular device (36593)
range across 2 matching MRF lines
$80.03–$428.77 $151–$809 varies
Drain/inj small joint/bursa w/us (20604) $126.67 $239 0.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $214.65 $405 0.3×
Drainage Finger Abscess Complicated (26011) $963.05 $1,817.07 0.6×
Drainage of finger abscess simple (26010) $214.65 $405 1.0×
Drainage of gum lesion (41800) $214.65 $405 1.5×
Drainage of hematoma/fluid (10140) $988.45 $1,865 0.6×
Drainage of scrotum (54700) $295.21 $557 0.1×
Draw Blood Off Venous Device (36591) $45.05 $85 0.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $214.65 $405 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $862.31 $1,627 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $339.20 $640 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $226.31 $427 1.1×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,523.75 $2,875 2.0×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $273.48 $516 0.8×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $140.45 $265 0.4×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $64.66 $122 0.2×
Evacuation of subungual hematoma (11740) $58.30 $110 0.4×
Explo/Drain Breast Abscess (19020) $3,253.67 $6,139 1.9×
Exploration penetrating wound spx extremity (20103) $1,976.90 $3,730 1.1×
Fna bx w/us gdn 1st les (10005) $1,112.47 $2,099 1.5×
I&d abscess peritonsillar (42700) $469.58 $886 1.9×
I&d abscess simple (10060) $214.65 $405 1.0×
I&D Below Fascia Foot 1 Bursal Space (28002) $1,094.45 $2,065 0.6×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,729.50 $5,150 0.9×
I&d perianal abscess superficial (46050) $837.40 $1,580 0.9×
I&d pilonidal cyst complicated (10081) $213.06 $402 0.3×
I&d pilonidal cyst simple (10080) $1,849.70 $3,490 2.5×
Incise external hemorrhoid (46083) $294.68 $556 1.1×
Incision & drainage abscess complicated/multiple (10061) $320.65 $605 0.7×
Incision & drainage leg/ankle abscess/hematoma (27603) $860.72 $1,624 0.3×
Incision & removal foreign body subq tiss compl (10121) $3,645.34 $6,878 2.1×
Incision & removal foreign body subq tiss simple (10120) $416.05 $785 1.0×
Incision and drainage of bartholin's gland abscess (56420) $239.03 $451 1.1×
Incision and drainage of vulva or perineal abscess (56405) $239.03 $451 0.7×
Incision of rectal abscess (46040) $1,838.04 $3,468 1.5×
Incisional biopsy skin single lesion (11106) $486.65 $918.20 0.6×
Initial Tx 1st Degree Burn Local Tx (16000) $132.50 $250 0.6×
Inj W/Fluor Eval Cv Device (36598) $275.07 $519 1.2×
Injection 1 tendon sheath/ligament aponeurosis (20550) $72.08 $136 0.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $294.68 $556 0.4×
Injection Anes Agent Sphenopalatine Ganglion (64505) $130.91 $247 0.4×
Injection anesthetic agent suprascapular nerve (64418) $181.79 $343 0.2×
Injection for identification of sentinel node (38792) $123.49 $233 0.3×
Injection single tendon origin/insertion (20551) $79.50 $150 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $78.97 $149 0.2×
Injection single/mlt trigger point 3/> muscles (20553) $163.77 $309 0.5×
Injection therapeutic carpal tunnel (20526) $64.13 $121 0.2×
Injection, anesthetic agent; brachial plexus, single (64415) $350.86 $662 0.4×
Injection, anesthetic agent; femoral nerve, single (64447) $401.74 $758 0.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $342.91 $647 0.5×
Injection, intralesional; up to and including 7 lesions (11900) $63.60 $120 0.3×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $481.77 $909 0.5×
Insert non-tunnel cv cath (36556) $795.53 $1,501 0.2×
Insert Temp Bladder Cath (51702) $98.58 $186 0.7×
Insert,Non-Indwelling Bladder Catheter (51701) $93.81 $177 0.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $339.73 $641 0.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $396.44 $748 0.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $585.65 $1,105 0.2×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure
$1,185.08 $2,236 0.1×
Intubation endotracheal emergency procedure (31500) $333.90 $630 1.3×
Late closure of wound (13160) $1,963.65 $3,705 0.5×
Myelography Lumbar Injection (62304) $198.22 $374 0.2×
N Block Inj Ilio-Ing/Hypogi (64425) $178.08 $336 0.2×
N block inj intercost sng (64420) $254.40 $480 0.3×
N Block Inj Plantar Digit (64455) $136.74 $258 0.4×
N Block Inj Pudendal (64430) $144.16 $272 0.2×
Nasal/Orogastric W/Tube Plmt (43752) $190.27 $359 0.4×
Needle Biopsy Lymph Nodes (38505) $1,119.36 $2,112 0.6×
Needle Biopsy Pancreas (48102) $412.34 $778 0.2×
Neuro alys b-amyl 1-42&1-40 (0358U) $742 $1,400 2.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $241.68 $456 0.6×
Njx anes stellate ganglion crv sympathetic (64510) $271.89 $513 0.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $393.79 $743 1.2×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $184.44 $348 0.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,865.60 $3,520 2.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $96.46 $182 0.1×
Ob preeclampsia biochem asy sflt-1&plgf serum (0482U) $212 $400 1.6×
Occipital Nerve Block (64405) $165.89 $313 0.5×
Percut Drain/Inject Renal Cyst (50390) $232.67 $439 0.3×
Perq dev breast 1st us imag (19285) $827.33 $1,561 1.1×
Perq device breast 1st imag (19281) $444.14 $838 0.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
unusually low: confirm this is the full procedure
$2,521.74 $4,758 0.3×
Placement of needle for intraosseous infusion (36680) $243.27 $459 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160) $889.38 $1,678.07 2.1×
Puncture Aspiration Cyst Breast (19000) $232.67 $439 0.3×
Removal Foreign Body Foot Subcutaneous (28190) $623.28 $1,176 0.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $160.59 $303 2.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $98.58 $186 1.6×
Removal of nail bed (11750) $156.35 $295 0.4×
Remove foreign body from eye (65205) $159.53 $301 1.1×
Remove Intrauterine Device (58301) $239.03 $451 0.7×
Remove Nasal Foreign Body (30300) $98.58 $186 0.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $713.38 $1,346 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $438.84 $828 1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $367.29 $693 0.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $490.78 $926 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $736.17 $1,389 1.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $888.81 $1,677 2.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,154.34 $2,178 2.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $795 $1,500 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $179.67 $339 0.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $490.78 $926 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $736.17 $1,389 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $862.31 $1,627 2.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $490.78 $926 1.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $736.17 $1,389 1.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $888.81 $1,677 2.1×
Repair of nail bed (11760) $179.67 $339 0.2×
Repair tongue laceration (41250) $161.12 $304 0.3×
Reposition Venous Catheter (36597) $560.21 $1,057 0.3×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $1,601.66 $3,022 0.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $159.53 $301 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $159.53 $301 1.1×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $159.53 $301 0.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $483.89 $913 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $498.20 $940 0.8×
Rplc Gtube No Revj Trc (43762) $347.15 $655 1.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $607.38 $1,146 2.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $216.77 $409 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $293.09 $553 1.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $404.39 $763 1.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $179.67 $339 0.8×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $418.17 $789 2.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $404.39 $763 1.9×
Skin sub graft face/nk/hf/g (15275) $173.31 $327 0.2×
Skin sub graft trnk/arm/leg (15271) $166.95 $315 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $269.24 $508 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $862.31 $1,627 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $166.95 $315 0.4×
Spinal puncture lumbar diagnostic (62270) $262.35 $495 0.4×
Strapping ankle (29540) $57.77 $109 0.3×
Strapping elbow or wrist (29260) $170.66 $322 2.7×
Strapping hand/finger (29280) $170.66 $322 2.7×
Strapping shoulder (29240) $75.26 $142 0.5×
Strapping Unna Boot (29580)
range across 10 matching MRF lines
$72.61–$175.96 $137–$332 varies
Thrombolytic Therapy Stroke (37195) $347.15 $655 1.0×
Thyroid biopsy (60100) $232.67 $439 0.3×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,124.66 $2,122 4.5×
Treat Knuckle Dislocation (26700) $226.84 $428 0.9×
Treat toe dislocation (28630) $226.84 $428 0.9×
Treatment closed elbow dislocation w/o anes (24600) $226.84 $428 0.9×
Trim skin lesion (11055) $438.31 $827 2.1×
Trim skin lesions 2 to 4 (11056) $493.96 $932 2.3×
Tx Gastro Intub W/Asp (43753) $98.58 $186 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $748.89 $1,413 1.0×
Unlisted procedure nervous system (64999) $2,055.87 $3,879 6.3×
Vaginal delivery only (59409) $3,108.98 $5,866 0.9×
Wedge excision skin nail fold (11765) $169.60 $320 0.4×

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.