Deaconess Gateway Hospital — price list
← Hospital overviewVerified from Deaconess Gateway 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) | |
|---|---|---|---|---|---|---|
| ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient | 770 MS-DRG | — | — | $4,371 – $28,340 | — | |
| ACETAMINOPHEN 10 MG/ML IV SOLN Inpatient | J0131 HCPCS | $115 | $37.79 | $37.79 – $101 | — | |
| ACETAMINOPHEN 10 MG/ML IV SOLN Inpatient | J0134 HCPCS | $110 | $36.14 | $36.14 – $96.36 | — | |
| ACETAMINOPHEN 160 MG/5ML PO SUSP Inpatient | 0637 RC | $8.50 | $2.81 | $2.81 – $7.48 | — | |
| ACETAMINOPHEN 325 MG PO TABS Inpatient | 0637 RC | $0.50 | $0.17 | $0.17 – $0.44 | — | |
| ACETAMINOPHEN ER 650 MG PO TBCR Inpatient | 0637 RC | $0.50 | $0.17 | $0.17 – $0.44 | — | |
| ACETAZOLAMIDE 250 MG PO TABS Inpatient | 0637 RC | $14.50 | $4.79 | $4.79 – $12.76 | — | |
| ACETIC ACID 3 % SOLN Inpatient | 0250 RC | $67.00 | $22.11 | $22.11 – $58.96 | — | |
| ACETYLCHOLINE CHLORIDE 20 MG IO SOLR Inpatient | 0250 RC | $330 | $109 | $109 – $290 | — | |
| ACETYLCYSTEINE 20 % IN SOLN Inpatient | 0250 RC | $42.00 | $13.86 | $13.86 – $36.96 | — | |
| ACTIDOSE WITH SORBITOL 50 GM/240ML PO SUSP Inpatient | 0637 RC | $24.00 | $7.92 | $7.92 – $21.12 | — | |
| ACUTE AND SUBACUTE ENDOCARDITIS WITH CC Inpatient | 289 MS-DRG | — | — | $6,405 – $41,529 | — | |
| ACYCLOVIR 200 MG PO CAPS Inpatient | 0637 RC | $8.00 | $2.64 | $2.64 – $7.04 | — | |
| ACYCLOVIR 5 % EX OINT Inpatient | 0637 RC | $135 | $44.55 | $44.55 – $119 | — | |
| ACYCLOVIR SODIUM 50 MG/ML IV SOLN Inpatient | J0133 HCPCS | $171 | $56.27 | $56.27 – $150 | — | |
| ADENOSINE 12 MCG/ML IN NS 500 ML (CATH LAB PREPARED) Inpatient | J0153 HCPCS | $96.00 | $31.68 | $31.68 – $84.48 | — | |
| ADENOSINE 6 MG/2ML IV SOLN Inpatient | J0153 HCPCS | $96.00 | $31.68 | $31.68 – $84.48 | — | |
| ADENOSINE FOR CATH LAB DILUTION Inpatient | J0153 HCPCS | $96.00 | $31.68 | $31.68 – $84.48 | — | |
| AFTERCARE WITHOUT CC/MCC Inpatient | 950 MS-DRG | — | — | $2,381 – $15,438 | — | |
| AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Inpatient | 560 MS-DRG | — | — | $4,626 – $29,997 | — | |
| AGALSIDASE BETA 5 MG IV SOLR Inpatient | J0180 HCPCS | $3,413 | $1,126 | $1,126 – $3,003 | — | |
| ALBENDAZOLE 200 MG PO TABS Inpatient | 0637 RC | $481 | $159 | $159 – $423 | — | |
| ALBUMIN HUMAN 5 % IV SOLN Inpatient | P9045 HCPCS | $226 | $74.42 | $74.42 – $198 | — | |
| ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS Inpatient | 0250 RC | $167 | $55.11 | $55.11 – $147 | — | |
| ALEMTUZUMAB 30 MG/ML IV SOLN Inpatient | 0250 RC | $5,160 | $1,703 | $1,703 – $4,540 | — | |
| ALLOPURINOL 100 MG PO TABS Inpatient | 0637 RC | $2.50 | $0.83 | $0.83 – $2.20 | — | |
| ALLOPURINOL 300 MG PO TABS Inpatient | 0637 RC | $3.50 | $1.16 | $1.16 – $3.08 | — | |
| ALLOPURINOL SODIUM 500 MG IV SOLR Inpatient | J0206 HCPCS | $10,837 | $3,576 | $3,576 – $9,536 | — | |
| ALPRAZOLAM 0.5 MG PO TABS Inpatient | 0637 RC | $4.50 | $1.49 | $1.49 – $3.96 | — | |
| ALPRAZOLAM 1 MG PO TABS Inpatient | 0637 RC | $10.50 | $3.47 | $3.47 – $9.24 | — |