Alteplase 100 mg infusion from pyxis vial at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$289.80
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.
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What you pay up front if you don't use insurance.
$724.50
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.
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The hospital's undiscounted list price — almost no one pays this.
$57.18 with Molina vs $390.56 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 →
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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 ?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 |
|---|---|---|---|
| Molina | Apple Health | $57.18 | ↓ -80% |
| WellPoint | Apple Health | $57.74 | ↓ -80% |
| Coordinated Care | Apple Health | $57.74 | ↓ -80% |
| United Healthcare | Apple Health | $58.87 | ↓ -80% |
| Community Health Plan of Washington | Apple Health | $60.55 | ↓ -79% |
| First Choice | MHS Employee MCC/PPO | $72.20 | ↓ -75% |
| SCAN | MedAdvantage | $93.19 | ↓ -68% |
| First Choice | MCC Wellfound Employee | $94.01 | ↓ -68% |
| United Healthcare | Commercial | $95.09 | ↓ -67% |
| Regence | MedAdvantage | $95.98 | ↓ -67% |
| Aetna | MedAdvantage | $95.98 | ↓ -67% |
| Blue Cross of Idaho | MedAdvantage | $95.98 | ↓ -67% |
| United Healthcare | MedAdvantage | $96.92 | ↓ -67% |
| WellCare | MedAdvantage | $97.85 | ↓ -66% |
| Molina | MedAdvantage | $97.85 | ↓ -66% |
| Community Health Plan of Washington | MedAdvantage | $102.51 | ↓ -65% |
| Cigna | Commercial | $128.07 | ↓ -56% |
| First Choice | PPO | $136.24 | ↓ -53% |
| Regence/Asuris | Commercial | $137.01 | ↓ -53% |
| First Health | All Commercial Plans | $137.99 | ↓ -52% |
| Premera | HMO | $140.85 | ↓ -51% |
| Multiplan/PHCS | All Commercial Plans | $141.88 | ↓ -51% |
| Community Health Plan of Washington | Cascade Care | $157.12 | ↓ -46% |
| Ambetter | Coordinated Care Exchange | $172.40 | ↓ -41% |
| Premera | Prime | $200.19 | ↓ -31% |
| Premera | Other Commercial Plans | $200.19 | ↓ -31% |
| Premera | Signature | $200.19 | ↓ -31% |
| Aetna | All Commercial Plans | $362.26 | ↑ +25% |
| Kaiser | PPO | $390.56 | ↑ +35% |
Visitor-reported prices
Comments
Alteplase 100 mg infusion from pyxis vial at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $1,536.68 | $95.09 – $104.60 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $11,522.62 | $69.40 – $200.45 |
| Providence Holy Family Hospital | Spokane | $11,522.62 | $88.97 – $201.26 |
| Providence St Joseph Hospital | Chewelah | $23,045.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $12,548.99 | $91.34 – $240.55 |
| Swedish Medical Center Cherry Hill | Seattle | $12,548.99 | $91.34 – $175.92 |
| Swedish Issaquah | Issaquah | $12,548.99 | $91.34 – $240.55 |
| Central Medical Center | Seattle | $6,067.68 | $94.15 – $94.15 |