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.
13 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| BEVACIZUMAB 100 MG/4ML IV SOLN Inpatient | J9035 HCPCS | $2,546 | $840 | $840 – $2,240 | — | |
| BEVACIZUMAB 400 MG/16ML IV SOLN Inpatient | J9035 HCPCS | $9,001 | $2,970 | $2,970 – $7,921 | — | |
| HC BALLOON DORADO 035 8X2X80 Inpatient | C1725 HCPCS | $507 | $167 | $167 – $446 | — | |
| HC BALLOON DORADO 035 9X4X40 Inpatient | C1725 HCPCS | $507 | $167 | $167 – $446 | — | |
| HC GLIDEWIRE STIFF SHAFT 035 260 Inpatient | C1769 HCPCS | $845 | $279 | $279 – $744 | $100 | |
| HC GUIDEWIRE STRAIGHT EXCHANGE MERIT .035 260 CM Inpatient | C1769 HCPCS | $60.00 | $19.80 | $19.80 – $52.80 | $100 | |
| HC GUIDEWIRE AMPLATZ .035X180CM Inpatient | C1769 HCPCS | $128 | $42.24 | $42.24 – $113 | $100 | |
| HC RC PROC PLATELET PHERESIS Inpatient | P9035 HCPCS | $2,659 | $877 | $877 – $2,340 | — | |
| HC SCREW 4.0 CANC PART THREAD 207.035 Inpatient | C1713 HCPCS | $132 | $43.56 | $43.56 – $116 | $1,209 | |
| HC SCREW ZIMMER 12MM 770350012 Inpatient | C1713 HCPCS | $445 | $147 | $147 – $392 | $1,209 | |
| HC SCREW ZIMMER 16MM 770350016 Inpatient | C1713 HCPCS | $445 | $147 | $147 – $392 | $1,209 | |
| HC WIRE GLIDE J TIP ROS TAPER .035 X 180CM X 31.5CM BSC CN 49-156 Inpatient | C1769 HCPCS | $104 | $34.32 | $34.32 – $91.52 | $100 | |
| KETOTIFEN FUMARATE 0.035 % OP SOLN Inpatient | 0637 RC | $13.00 | $4.29 | $4.29 – $11.44 | — |