Abdominal paracentesis w/image guidance at MultiCare Deaconess Hospital

800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269

Source: hospital's published price file ↗ · Published Aug 27, 2026 · Ingested Sep 24, 2026

$1,384.80

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$3,462.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$504.91 with Molina vs $3,681.77 with Kaiser — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Molina Apple Health $504.91 ↓ -64%
WellPoint Apple Health $509.86 ↓ -63%
Coordinated Care Apple Health $509.86 ↓ -63%
United Healthcare Apple Health $519.76 ↓ -62%
Community Health Plan of Washington Apple Health $534.61 ↓ -61%
SCAN MedAdvantage $990.48 ↓ -28%
Aetna MedAdvantage $1,020.19 ↓ -26%
Blue Cross of Idaho MedAdvantage $1,020.19 ↓ -26%
Regence MedAdvantage $1,020.19 ↓ -26%
United Healthcare MedAdvantage $1,030.10 ↓ -26%
Molina MedAdvantage $1,040.00 ↓ -25%
WellCare MedAdvantage $1,040.00 ↓ -25%
Community Health Plan of Washington MedAdvantage $1,089.53 ↓ -21%
First Choice MHS Employee MCC/PPO $1,286.13 ↓ -7%
Premera HMO $1,406.95 ↑ +2%
Community Health Plan of Washington Cascade Care $1,669.95 ↑ +21%
First Choice MCC Wellfound Employee $1,674.57 ↑ +21%
Ambetter Coordinated Care Exchange $1,832.39 ↑ +32%
First Choice PPO $2,426.86 ↑ +75%
First Health All Commercial Plans $2,458.02 ↑ +78%
Regence/Asuris Commercial $2,462.81 ↑ +78%
Multiplan/PHCS All Commercial Plans $2,527.26 ↑ +83%
Premera Other Commercial Plans $2,635.60 ↑ +90%
Premera Signature $2,635.60 ↑ +90%
Premera Prime $2,635.60 ↑ +90%
Aetna All Commercial Plans $2,745.31 ↑ +98%
United Healthcare Commercial $2,814.30 ↑ +103%
Cigna Commercial $2,848.66 ↑ +106%
Kaiser PPO $3,681.77 ↑ +166%

Visitor-reported prices

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Abdominal paracentesis w/image guidance at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $2,401.70 $1,010.69 – $2,572.22
Providence Holy Family Hospital Spokane $2,435.30 $1,010.69 – $6,462.00
Providence St Luke's Rehabilitation Medical Center Spokane not published $1,010.69 – $1,111.76
Providence St Joseph Hospital Chewelah $800.10 not published
Swedish Medical Center - First Hill Campus Seattle $2,480.64 $1,050.28 – $3,693.82
Swedish Medical Center Cherry Hill Seattle $2,480.64 $1,050.28 – $3,575.94
Swedish Issaquah Issaquah $2,480.64 $1,053.23 – $3,693.82
Providence Centralia Hospital Centralia $1,761.76 $1,050.28 – $4,597.63

All Washington hospitals for this procedure →