Amino acid screen, urine at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
not published by hospital
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.
not published by hospital
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.
$8.30 with Molina vs $85.72 with Aetna — 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 | $8.30 | — |
| WellPoint | Apple Health | $8.39 | — |
| Coordinated Care | Apple Health | $8.39 | — |
| United Healthcare | Apple Health | $8.55 | — |
| Community Health Plan of Washington | Apple Health | $8.79 | — |
| SCAN | MedAdvantage | $13.59 | — |
| Premera | HMO | $13.87 | — |
| Blue Cross of Idaho | MedAdvantage | $14.00 | — |
| Regence | MedAdvantage | $14.00 | — |
| Aetna | MedAdvantage | $14.00 | — |
| United Healthcare | MedAdvantage | $14.14 | — |
| Molina | MedAdvantage | $14.27 | — |
| WellCare | MedAdvantage | $14.27 | — |
| Community Health Plan of Washington | MedAdvantage | $14.95 | — |
| Kaiser | PPO | $15.26 | — |
| Cigna | Commercial | $16.64 | — |
| Premera | Other Commercial Plans | $17.34 | — |
| Premera | Prime | $17.34 | — |
| Premera | Signature | $17.34 | — |
| Community Health Plan of Washington | Cascade Care | $22.92 | — |
| Ambetter | Coordinated Care Exchange | $25.15 | — |
| Aetna | All Commercial Plans | $85.72 | — |
Visitor-reported prices
Comments
Amino acid screen, urine at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Holy Family Hospital | Spokane | $166.60 | $13.87 – $59.20 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $13.87 – $15.26 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $13.87 – $49.93 |
| Central Medical Center | Seattle | $62.40 | $10.00 – $10.00 |
| MultiCare Yakima Memorial Hospital | Yakima | $32.40 | $14.36 – $24.89 |
| MultiCare Auburn Medical Center | Auburn | $34.40 | $8.43 – $27.19 |
| MultiCare Good Samaritan Hospital | Puyallup | $34.40 | $8.63 – $27.19 |
| Virginia Mason Medical Center | Seattle | $40.29 | $9.71 – $43.35 |