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US intelligence estimates between 100-300 deaths.
It's also still unclear what caused the explosion. Numerous theories have been put forth but the evidence for nearly all of them was eventually disproven. For example, the missiles fired by Hamas alleged to be a dud were shown to be inconsistent with the timing of the explosion. These rockets didn't show any misfiring in the video footage we have of the event.
Similarly, the crater at the site is inconsistent with Israeli munitions. There's the possibility of an iron dome interception gone wrong, but that too is unlikely.
One theory I didn't see discussed much was the idea that it was debris or shrapnel that was launched from the impact zone of nearby Israeli airstrikes. Israel was bombing targets very close to the hospital (as can be seen on the video) and timing-wise it matches better than most other theories. Debris gets launched from a nearby airstrike, lands in the parking lot and ignites several gas tanks there, causing the fireball on the video. This would also explain the lack of a matching missile on the video evidence.
But that too remains without much supporting evidence. It's likely that we'll never find the exact cause.