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.

11 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
COAG FACT XA INACTIVATED-ZHZO 200 MG IV SOLR Inpatient	J7169 HCPCS	$6,822	$2,251	$2,251 – $6,003	—
HC OT EVALUATION 45 MIN HIGH COMPLEX Inpatient	97167 CPT	$632	$209	$209 – $556	—
HC OT EVALUATION 45 MIN MOD COMPLEX Inpatient	97166 CPT	$527	$174	$174 – $464	—
HC OT RE EVALUATION 60 MIN Inpatient	97168 CPT	$166	$54.78	$54.78 – $146	—
HC PT EVALUATION 15 MIN II HIGH COMPLEX Inpatient	97163 CPT	$632	$209	$209 – $556	—
HC PT EVALUATION 15 MIN MOD COMPLEX Inpatient	97162 CPT	$527	$174	$174 – $464	$250
HC PT EVALUATION 30 MIN HIGH COMPLEX Inpatient	97163 CPT	$632	$209	$209 – $556	—
HC PT EVALUATION 60 MIN LOW COMPLX Inpatient	97161 CPT	$351	$116	$116 – $309	$210
HC PT RE EVALUATION 15 MIN Inpatient	97164 CPT	$166	$54.78	$54.78 – $146	$177
HC PT RE EVALUATION 30 MIN Inpatient	97164 CPT	$166	$54.78	$54.78 – $146	$177
HC SCREW LOCK CROSSROAD MINIBUNION 2.7 3100-2716NL Inpatient	C1713 HCPCS	$422	$139	$139 – $371	$1,209