Supplies, drugs & other prices at Gibson Community Hospital

Gibson City, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablation b9 thyroid nodule perq laser w/img gdn (0673T) $15,054 $15,054 8.5×
Admin hepatitis b vaccine (G0010) $53 $53 1.1×
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$35–$130 $35–$130 varies
Admin pneumococcal vaccine (G0009)
range across 3 matching MRF lines
$130–$173 $130–$173 varies
Alcohol/subs interv 15-30mn (G0396) $152 $152 3.8×
Alcohol/subs interv >30 min (G0397) $251 $251 1.3×
Annual alcohol screen 15 min (G0442) $87 $87 2.2×
Autolog prp not diab ulcer (G0460) $260 $260 0.1×
Behavior counsel obesity 15m (G0447) $124 $124 1.1×
Brief alcohol misuse counsel (G0443) $124 $124 1.1×
Brief chkin by md/qhp, 11-20 (G2252) $93 $93 3.3×
Ca screen;pelvic/breast exam (G0101) $114 $114 1.0×
Colon ca scrn not hi rsk ind (G0121) $3,274 $3,274 3.3×
Colorectal scrn; hi risk ind (G0105) $3,310 $3,310 3.3×
Covid-19 lab test non-cdc (U0002) $206 $206 4.0×
Depression screen annual (G0444) $86 $86 2.1×
Dermal filler injection(s) (G0429) $304 $304 0.1×
Diab manage trn per indiv (G0108) $182 $182 3.3×
Drug test def 1-7 classes (G0480) $252 $252 2.2×
Ekg tracing for initial prev (G0404) $573 $573 18.5×
Elec stim other than wound (G0283)
range across 6 matching MRF lines
$81–$176 $81–$176 varies
Elec stim unattend for press (G0281) $146 $146 12.5×
Fecal blood scrn immunoassay (G0328) $86 $86 4.8×
Followup eval of foot pt lop (G0246) $82 $82 0.6×
Heart Symp Image Plnr (0331T) $2,093 $2,093 1.5×
Hep c screen high risk/other (G0472) $258 $258 5.6×
Hepb screen high risk indiv (G0499) $529 $529 18.7×
High inten beh couns std 30m (G0445) $124 $124 1.1×
Home sleep test/type 2 porta (G0398) $628 $628 2.7×
Home sleep test/type 3 porta (G0399) $525 $525 2.3×
Hospital outpt clinic visit (G0463)
range across 35 matching MRF lines
$54–$962 $54–$962 varies
Initial foot exam pt lops (G0245) $135 $135 0.9×
Initial preventive exam (G0402) $364 $364 2.6×
Inj for sacroiliac jt anesth (G0260) $1,729 $1,729 2.3×
Intens behave ther cardio dx (G0446) $124 $124 3.1×
Mra w/o fol w/cont, chest (C8911) $3,224 $3,224 8.6×
Mra w/o fol w/cont, lwr ext (C8914) $3,224 $3,224 8.6×
Mri w/cont, breast, bi (C8906) $3,006 $3,006 8.0×
Mri w/cont, breast, uni (C8903) $2,774 $2,774 14.8×
Myocrd Symp Innervaj Img Plnr Qual&Quant W/Spect (0332T) $1,744 $1,744 1.3×
Njx platelet plasma (0232T) $500 $500 1.0×
Obtaining screen pap smear (Q0091) $140 $140 4.5×
Oth resp proc, group (G0239) $310 $310 7.7×
Potassium hydroxide preps (Q0112) $6 $6 1.0×
Ppps, initial visit (G0438) $368 $368 2.1×
Ppps, subseq visit (G0439)
range across 3 matching MRF lines
$122–$277 $122–$277 varies
Psa screening (G0103) $295 $295 15.3×
Pure tone audiometry (threshold), automated; air only Non-Facility Physician Technical Component (0208T) $62 $62 1.5×
Routine footcare pt w lops (G0247) $102 $102 0.5×
Scr c/v cyto, autosys, rescr (G0148) $59 $59 1.8×
Scr c/v cyto,thinlayer,rescr (G0144) $126 $126 2.9×
Scr c/v cyto,thinlayer,rescr (G0145) $126 $126 4.8×
Scr c/v cyto,thinlayer,rescr (G0143) $303 $303 11.2×
Screen pap by tech w md supv (P3000) $59 $59 3.2×
Tee w or w/o fol w/cont, mon (C8927) $746 $746 0.9×
Trim nail(s) (G0127) $218 $218 3.4×
Tte w or wo fol wcon,doppler (C8929)
range across 2 matching MRF lines
$4,773–$5,012 $4,773–$5,012 varies
Wet mounts/ w preparations (Q0111) $31 $31 1.7×

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.