Deaconess Gibson Hospital — Physical therapy prices

← 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.

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.

13 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC OT MANUIAL THERAPY 15 MIN Inpatient	97140 CPT	$158	$83.74	$83.74 – $142	$123
HC PT EVALUATION 15 MIN II LOW COMPLX Inpatient	97161 CPT	$306	$162	$162 – $275	$165
HC PT EVALUATION 15 MIN II MOD COMPLEX Inpatient	97162 CPT	$239	$127	$127 – $215	—
HC PT EVALUATION 15 MIN LOW COMPLX Inpatient	97161 CPT	$169	$89.57	$89.57 – $152	$165
HC PT EVALUATION 30 MIN LOW COMPLX Inpatient	97161 CPT	$169	$89.57	$89.57 – $152	$165
HC PT EVALUATION 30 MIN MOD COMPLEX Inpatient	97162 CPT	$239	$127	$127 – $215	—
HC PT EVALUATION 45 MIN LOW COMPLX Inpatient	97161 CPT	$169	$89.57	$89.57 – $152	$165
HC PT EVALUATION 45 MIN MOD COMPLEX Inpatient	97162 CPT	$239	$127	$127 – $215	—
HC PT EVALUATION 60 MIN LOW COMPLX Inpatient	97161 CPT	$169	$89.57	$89.57 – $152	$165
HC PT EVALUATION 60 MIN MOD COMPLEX Inpatient	97162 CPT	$239	$127	$127 – $215	—
HC PT MANUAL THERAPY 15 MIN Inpatient	97140 CPT	$158	$83.74	$83.74 – $142	$123
HC PT NEUROMUSCULAR RE ED 15 MIN Inpatient	97112 CPT	$149	$78.97	$78.97 – $134	$116
HC PT THERAPEUTIC EXERCISE 15 MIN Inpatient	97110 CPT	$159	$84.27	$84.27 – $143	$185