Deaconess Gibson Hospital — price list
← Hospital overviewVerified from Deaconess Gibson Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACETAMINOPHEN 10 MG/ML IV SOLN Inpatient | J0131 HCPCS | $80.50 | $42.67 | $42.67 – $72.45 | — | |
| ACETAMINOPHEN 10 MG/ML IV SOLN Inpatient | J0136 HCPCS | $67.90 | $35.99 | $35.99 – $61.11 | — | |
| ACETAMINOPHEN 120 MG RE SUPP Inpatient | 0637 RC | $5.00 | $2.65 | $2.65 – $4.50 | — | |
| ACETAMINOPHEN 325 MG PO TABS Inpatient | 0637 RC | $2.00 | $1.06 | $1.06 – $1.80 | — | |
| ACETAMINOPHEN 500 MG PO TABS Inpatient | 0637 RC | $2.00 | $1.06 | $1.06 – $1.80 | — | |
| ACETAMINOPHEN 650 MG RE SUPP Inpatient | 0637 RC | $3.70 | $1.97 | $1.96 – $3.33 | — | |
| ACETAMINOPHEN ORAL SUSP/SOLN 160 MG/5 ML (GGH WRAPPER) Inpatient | 0637 RC | $13.05 | $6.92 | $6.92 – $11.75 | — | |
| ACETAMINOPHEN-CODEINE 120-12 MG/5ML PO SOLN Inpatient | 0637 RC | $68.15 | $36.12 | $36.12 – $61.34 | — | |
| ACETAZOLAMIDE 250 MG PO TABS Inpatient | 0637 RC | $3.60 | $1.91 | $1.91 – $3.24 | — | |
| ACETYLCYSTEINE 20 % IN SOLN Inpatient | 0250 RC | $99.55 | $52.77 | $52.76 – $89.60 | — | |
| ACYCLOVIR SODIUM 50 MG/ML IV SOLN Inpatient | J0133 HCPCS | $99.00 | $52.47 | $52.47 – $89.10 | — | |
| ADENOSINE 12 MG/4ML IV SOLN Inpatient | J0153 HCPCS | $84.00 | $44.52 | $44.52 – $75.60 | — | |
| ADENOSINE 6 MG/2ML IV SOLN Inpatient | J0153 HCPCS | $52.50 | $27.83 | $27.83 – $47.25 | — | |
| ALBUMIN HUMAN 25 % IV SOLN Inpatient | P9047 HCPCS | $864 | $458 | $458 – $778 | — | |
| ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU Inpatient | 0250 RC | $13.35 | $7.08 | $7.08 – $12.02 | — | |
| ALBUTEROL SULFATE 1.25 MG/3ML IN NEBU Inpatient | 0250 RC | $13.55 | $7.19 | $7.18 – $12.20 | — | |
| ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS (COMMON CANISTER) Inpatient | 0250 RC | $120 | $63.63 | $63.63 – $108 | — | |
| ALENDRONATE SODIUM 70 MG PO TABS Inpatient | 0637 RC | $113 | $59.74 | $59.73 – $101 | — | |
| ALLOPURINOL 100 MG PO TABS Inpatient | 0637 RC | $4.15 | $2.20 | $2.20 – $3.74 | — | |
| ALLOPURINOL 300 MG PO TABS Inpatient | 0637 RC | $7.90 | $4.19 | $4.19 – $7.11 | — | |
| ALPRAZOLAM 0.25 MG PO TABS Inpatient | 0637 RC | $5.95 | $3.16 | $3.15 – $5.36 | — | |
| ALPRAZOLAM 0.5 MG PO TABS Inpatient | 0637 RC | $6.35 | $3.37 | $3.37 – $5.72 | — | |
| ALTEPLASE 2 MG IJ SOLR Inpatient | J2997 HCPCS | $889 | $471 | $471 – $800 | — | |
| ALUM & MAG HYDROXIDE-SIMETH 200-200-20 MG/5ML PO SUSP Inpatient | 0637 RC | $32.15 | $17.04 | $17.04 – $28.94 | — | |
| ALUM HYDROXIDE-MAG CARBONATE 95-358 MG/15ML PO SUSP Inpatient | 0637 RC | $37.30 | $19.77 | $19.77 – $33.57 | — | |
| AMILORIDE HCL 5 MG PO TABS Inpatient | 0637 RC | $2.30 | $1.22 | $1.22 – $2.07 | — | |
| AMINOPHYLLINE 25 MG/ML IV SOLN Inpatient | J0280 HCPCS | $84.95 | $45.03 | $45.02 – $76.46 | — | |
| AMIODARONE HCL 150 MG/3ML IV SOLN Inpatient | J0282 HCPCS | $20.40 | $10.82 | $10.81 – $18.36 | — | |
| AMIODARONE HCL 200 MG PO TABS Inpatient | 0637 RC | $3.05 | $1.62 | $1.62 – $2.75 | — | |
| AMIODARONE HCL 450 MG/9ML IV SOLN Inpatient | J0282 HCPCS | $74.80 | $39.65 | $39.64 – $67.32 | — |