Visits & medical services prices at Deaconess Gibson Hospital
Princeton, IN · every code in this section with a posted price and a Medicare benchmark.
131 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actigraphy Testing Recording Analysis I&R (95803) | $188.15 | $355 | 3.0× |
| Airway Inhalation Treatment (94640) | $42.93 | $81 | 0.2× |
| Analyze neurostim complex (95972) | $187.09 | $353 | 1.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $83.21 | $157 | 5.8× |
| Application on-body injector (96377) | $37.10 | $70 | 0.7× |
| Assessment of aphasia per hr (96105) | $159 | $300 | 1.6× |
| Behavral qualit analys voice (92524) | $110.77 | $209 | 1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $217.30 | $410 | 0.6× |
| Canalith repositioning proc (95992) | $32.86 | $62 | 0.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $487.60 | $920 | 2.1× |
| Cardiopulmonary resuscitation (92950) | $476.47 | $899 | 2.1× |
| Cbt 1st hour (94644) | $153.17 | $289 | 1.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $38.16 | $72 | 0.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $38.16 | $72 | 0.5× |
| Chemo IV infusion addl hr (96415) | $38.16 | $72 | 0.5× |
| Chemo IV push addl drug (96411) | $78.97 | $149 | 1.0× |
| Chemother Prolong Infuse W/Pump (96416) | $214.12 | $404 | 0.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $78.97 | $149 | 1.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $214.12 | $404 | 0.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $133.56 | $252 | 0.4× |
| Chest Wall Manipulation (94668) | $49.82 | $94 | 0.4× |
| Color/duplex Doppler, complete (93975) | $956.12 | $1,804 | 3.8× |
| Color/duplex Doppler, limited (93976) | $468.52 | $884 | 4.2× |
| Continuous Pulse Ox (94762) | $156.35 | $295 | 1.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$198.75–$394.32 | $375–$744 | varies |
| Cpt initial (94667) | $49.82 | $94 | 0.4× |
| Critical care first hour (99291) | $931.21 | $1,757 | 1.1× |
| Debridement Open Wound 20 Sq Cm< (97597) | $173.84 | $328 | 0.8× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $335.49 | $633 | 3.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $779.10 | $1,470 | 3.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $419.23 | $791 | 3.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $658.79 | $1,243 | 2.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $419.23 | $791 | 3.8× |
| Duplex up extrem art bilat (93930) | $307.40 | $580 | 1.2× |
| Duplex up extrem art unilat/ltd (93931) | $419.23 | $791 | 3.8× |
| Echo Congenital Complete (93303) | $813.02 | $1,534 | 1.4× |
| Echo Heart Xthoracic,Limited (93308) | $172.25 | $325 | 0.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,230.66 | $2,322 | 2.1× |
| EEG awake and asleep (95819) | $382.13 | $721 | 1.7× |
| EEG awake drowsy (95816) | $382.13 | $721 | 1.7× |
| EEG cerebral death evaluation (95824) | $382.13 | $721 | 1.0× |
| Electrical Stimulation Ea 15 Min (97032) | $76.32 | $144 | 5.2× |
| Electrocardiogram Tracing (93005) | $108.65 | $205 | 1.7× |
| Emergency Dept Visit Level 2 (99282) | $151.05 | $285 | 0.9× |
| Emergency Dept Visit Level 3 (99283) | $264.47 | $499 | 0.9× |
| Emergency Dept Visit Level 4 (99284) | $459.51 | $867 | 1.0× |
| Er level 1 (99281) | $90.10 | $170 | 1.0× |
| Er level v (99285) | $722.39 | $1,363 | 1.1× |
| Evaluate pt use of inhaler (94664) | $44.52 | $84 | 0.2× |
| Evaluate Speech Production (92522) | $180.73 | $341 | 1.6× |
| Evaluate Swallowing Function (92610) | $163.24 | $308 | 1.9× |
| Evaluation of speech fluency (92521) | $146.81 | $277 | 1.1× |
| External ECG rec>48hr<7d recording (93242) | $76.85 | $145 | 1.9× |
| External ECG rec>7d<15d recording (93246) | $76.85 | $145 | 1.9× |
| Extracranial Bilat Study (93880) | $718.68 | $1,356 | 2.8× |
| Extracranial Uni/Ltd Study (93882) | $652.43 | $1,231 | 5.9× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $299.45 | $565 | 0.5× |
| Group Therapeutic Procedures (97150) | $71.02 | $134 | 3.9× |
| Immunization administration (90471) | $11.66 | $22 | 0.2× |
| Insert/Place Heart Catheter (93503) | $1,235.96 | $2,332 | 0.7× |
| Iontophoresis 15 min (97033) | $107.06 | $202 | 5.6× |
| Irrig Drug Delivery Device (96523) | $55.65 | $105 | 0.9× |
| IV infusion hydration each additional hour (96361) | $53.53 | $101 | 1.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $104.94 | $198 | 0.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $76.32 | $144 | 1.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $48.76 | $92 | 1.0× |
| IV push initial (96374) range across 2 matching MRF lines |
$76.32–$266.06 | $144–$502 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $20.14 | $38 | 0.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $20.14 | $38 | 0.5× |
| Methacholine challenge (94070) | $571.34 | $1,078 | 1.4× |
| Motion Fluoroscopy/Swallow (92611) | $288.32 | $544 | 3.2× |
| Multiple Sleep Latency Test (95805) | $1,046.22 | $1,974 | 1.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 7 matching MRF lines |
$87.45–$412.87 | $165–$779 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $107.59 | $203 | 0.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$71.55–$275.07 | $135–$519 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$71.55–$378.95 | $135–$715 | varies |
| Neuromuscular Reeducation (97112) | $78.97 | $149 | 2.4× |
| Oral Function Therapy (92526) | $157.94 | $298 | 1.9× |
| Oral Speech Device Eval (92597) | $159 | $300 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $72.08 | $136 | 1.6× |
| Ot eval high complexity (97167) | $159 | $300 | 1.6× |
| Ot Eval Low Complex (97165) | $89.57 | $169 | 0.9× |
| Ot Eval Moderate Complexity (97166) | $126.67 | $239 | 1.3× |
| Ot manual therapy 15 min (97140) | $83.74 | $158 | 3.0× |
| Ot paraffin bath (97018) | $82.15 | $155 | 13.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $83.21 | $157 | 2.1× |
| Ot Re-Eval Est Plan Care (97168) | $126.67 | $239 | 1.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $139.39 | $263 | 1.0× |
| Phlebotomy therapeutic (99195) | $61.48 | $116 | 0.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $139.39 | $263 | 2.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $139.39 | $263 | 2.2× |
| Physical Performance Test (97750) | $44.52 | $84 | 1.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,802 | $3,400 | 2.0× |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,743.17 | $3,289 | 1.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,787.16 | $3,372 | 2.0× |
| Psych diag eval w/med srvcs (90792) | $166.42 | $314 | 0.9× |
| Pt Eval High Complex (97163) | $159 | $300 | 1.6× |
| Pt eval low complex 20 min (97161) range across 5 matching MRF lines |
$89.57–$162.18 | $169–$306 | varies |
| Pt Eval Mod Complex (97162) | $126.67 | $239 | 1.3× |
| Pt gait training 15 min (97116) | $78.44 | $148 | 2.7× |
| Pt mechanical traction (97012) | $102.29 | $193 | 7.1× |
| Pt Re-Eval Est Plan Care (97164) | $125.08 | $236 | 1.9× |
| Pulm function test by gas (94727) | $134.62 | $254 | 0.6× |
| Pulmonary service/procedure (94799) | $174.37 | $329 | 1.3× |
| Pulmonary Stress Testing (94618) | $55.12 | $104 | 0.4× |
| Refill/Maint Portable Pump (96521) | $133.56 | $252 | 0.6× |
| Refill/Maint Pump/Resvr Syst (96522) | $134.09 | $253 | 0.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$55.12–$157.41 | $104–$297 | varies |
| Self Care Mngment Training (97535) | $79.50 | $150 | 2.5× |
| Sensory Integration Ea 15 Min (97533) | $79.50 | $150 | 1.3× |
| Sleep study attended (95807) | $1,743.17 | $3,289 | 4.4× |
| Speech sound lang comprehen (92523) range across 5 matching MRF lines |
$221.54–$251.22 | $418–$474 | varies |
| Spirometry (94010) | $72.61 | $137 | 0.3× |
| Standardized Cognitive Performance Testing (96125) | $360.93 | $681 | 3.5× |
| Temp transcutaneous pacing (92953) | $336.02 | $634 | 0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $54.06 | $102 | 2.4× |
| Ther Ivntj Ea Addl 15 Min (97130) | $47.70 | $90 | 2.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $71.55 | $135 | 2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$55.12–$60.95 | $104–$115 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $136.21 | $257 | 0.6× |
| Therapeutic Activities (97530) | $77.38 | $146 | 2.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $26.50 | $50 | 0.7× |
| Tte w/doppler, complete (93306) | $933.33 | $1,761 | 1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $157.94 | $298 | 2.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $22.79 | $43 | 0.5× |
| Upr/L Xtremity Art 2 Levels (93922) | $325.90 | $614.90 | 2.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $621.16 | $1,172 | 2.7× |
| Vent Mgmt Inpat Init Day (94002) | $394.32 | $744 | 0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $364.11 | $687 | 0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $74.20 | $140 | 2.4× |
| Whirlpool Therapy (97022) | $102.29 | $193 | 6.5× |
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.