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.
5 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC PURAPLY AM 2X4 PER SQ CM Inpatient | Q4196 HCPCS | $540 | $286 | $286 – $486 | — | |
| HC PURAPLY AM 3X4 PER SQ CM WASTAGE Inpatient | Q4196 HCPCS | $171 | $90.63 | $90.63 – $154 | — | |
| HC PURAPLY AM 4X4 PER SQ CM WASTAGE Inpatient | Q4196 HCPCS | $171 | $90.63 | $90.63 – $154 | — | |
| HC PURAPLYAM-COM 3X4 EF PER SQ CM WASTAGE Inpatient | Q4196 HCPCS | $171 | $90.63 | $90.63 – $154 | — | |
| HC PURAPLYAM-COM 4X4 EF PER SQ CM Inpatient | Q4196 HCPCS | $171 | $90.63 | $90.63 – $154 | — |