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.
375 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 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 | — | |
| ACTIDOSE WITH SORBITOL 50 GM/240ML PO SUSP Inpatient | 0637 RC | $24.00 | $7.92 | $7.92 – $21.12 | — | |
| 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 | — | |
| ALBENDAZOLE 200 MG PO TABS Inpatient | 0637 RC | $481 | $159 | $159 – $423 | — | |
| 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 | — | |
| 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 | — | |
| ALVIMOPAN 12 MG PO CAPS Inpatient | 0637 RC | $497 | $164 | $164 – $437 | — | |
| AMIODARONE HCL 100 MG PO TABS Inpatient | 0637 RC | $22.50 | $7.43 | $7.43 – $19.80 | — | |
| AMIODARONE HCL 200 MG PO TABS Inpatient | 0637 RC | $22.50 | $7.43 | $7.43 – $19.80 | — | |
| AMITRIPTYLINE HCL 100 MG PO TABS Inpatient | 0637 RC | $3.50 | $1.16 | $1.16 – $3.08 | — | |
| AMITRIPTYLINE HCL 25 MG PO TABS Inpatient | 0637 RC | $3.50 | $1.16 | $1.16 – $3.08 | — | |
| AMITRIPTYLINE HCL 50 MG PO TABS Inpatient | 0637 RC | $3.50 | $1.16 | $1.16 – $3.08 | — | |
| AMLODIPINE BESYLATE 10 MG PO TABS Inpatient | 0637 RC | $2.50 | $0.83 | $0.83 – $2.20 | — | |
| AMLODIPINE BESYLATE 2.5 MG PO TABS Inpatient | 0637 RC | $8.00 | $2.64 | $2.64 – $7.04 | — | |
| AMOXICILLIN 125 MG/5ML PO SUSR Inpatient | 0637 RC | $16.50 | $5.45 | $5.45 – $14.52 | — | |
| AMOXICILLIN 250 MG/5ML PO SUSR Inpatient | 0637 RC | $38.50 | $12.71 | $12.71 – $33.88 | — | |
| AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS Inpatient | 0637 RC | $12.50 | $4.13 | $4.13 – $11.00 | — | |
| AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5ML PO SUSR Inpatient | 0637 RC | $130 | $42.74 | $42.74 – $114 | — | |
| AMPHETAMINE-DEXTROAMPHET ER 5 MG PO CP24 Inpatient | 0637 RC | $24.00 | $7.92 | $7.92 – $21.12 | — | |
| AMPHETAMINE-DEXTROAMPHETAMINE 10 MG PO TABS Inpatient | 0637 RC | $14.50 | $4.79 | $4.79 – $12.76 | — | |
| ANASTROZOLE 1 MG PO TABS Inpatient | 0637 RC | $22.00 | $7.26 | $7.26 – $19.36 | — | |
| APIXABAN 2.5 MG PO TABS Inpatient | 0637 RC | $35.00 | $11.55 | $11.55 – $30.80 | — | |
| ARIPIPRAZOLE 10 MG PO TABS Inpatient | 0637 RC | $77.00 | $25.41 | $25.41 – $67.76 | — | |
| ARIPIPRAZOLE 5 MG PO TABS Inpatient | 0637 RC | $77.00 | $25.41 | $25.41 – $67.76 | — |