_afb org id by sequencing rflx ast-sendout 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

$86.80

Cash price

?

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.

$217.00

Gross charge

?

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.

$80.62 with First Choice vs $712.92 with Aetna — same scan, same building. Share

Negotiated rates by payer
?

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
?

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
?

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
First Choice MHS Employee MCC/PPO $80.62 ↓ -7%
First Choice MCC Wellfound Employee $104.96 ↑ +21%
SCAN MedAdvantage $113.05 ↑ +30%
Premera HMO $115.36 ↑ +33%
Blue Cross of Idaho MedAdvantage $116.44 ↑ +34%
Regence MedAdvantage $116.44 ↑ +34%
Aetna MedAdvantage $116.44 ↑ +34%
United Healthcare MedAdvantage $117.57 ↑ +35%
WellCare MedAdvantage $118.71 ↑ +37%
Molina MedAdvantage $118.71 ↑ +37%
Community Health Plan of Washington MedAdvantage $124.36 ↑ +43%
Kaiser PPO $126.90 ↑ +46%
Regence/Asuris Commercial $132.66 ↑ +53%
Cigna Commercial $138.43 ↑ +59%
United Healthcare Commercial $138.43 ↑ +59%
Premera Other Commercial Plans $144.20 ↑ +66%
Premera Prime $144.20 ↑ +66%
Premera Signature $144.20 ↑ +66%
First Choice PPO $152.12 ↑ +75%
First Health All Commercial Plans $154.07 ↑ +78%
Multiplan/PHCS All Commercial Plans $158.41 ↑ +83%
Community Health Plan of Washington Cascade Care $190.61 ↑ +120%
Ambetter Coordinated Care Exchange $209.15 ↑ +141%
Aetna All Commercial Plans $712.92 ↑ +721%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

_afb org id by sequencing rflx ast-sendout at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane not published $115.36 – $126.90
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $115.36 – $415.30
Providence Holy Family Hospital Spokane not published $115.36 – $492.32
Swedish Medical Center - First Hill Campus Seattle $729.12 $103.82 – $542.19
Swedish Medical Center Cherry Hill Seattle $729.12 $103.82 – $524.89
Swedish Issaquah Issaquah $729.12 $103.82 – $542.19
Providence Mount Carmel Hospital Colville $457.80 not published
Swedish Edmonds Hospital Edmonds $729.12 $115.36 – $519.12

All Washington hospitals for this procedure →