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Deaconess Gateway Hospitalprice 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.

2 prices shown (filtered).

ServiceCodeList priceCash priceNegotiated rangeAllowed (median)
HC OR 636 Q4196 PURAPLY AM PER SQ CM
Inpatient
Q4196
HCPCS
$1,238$408$408 – $1,089
HC PURAPLY AM 5 X 5 PER SQ CM
Inpatient
Q4196
HCPCS
$204$67.32$67.32 – $180
Deaconess Gateway Hospital price list · HospitalPricer