Bilateral n block inj occipital 64405 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

$446.80

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.

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

$1,117.00

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.

$297.40 with Molina vs $1,212.63 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 $297.40 ↓ -33%
WellPoint Apple Health $300.32 ↓ -33%
Coordinated Care Apple Health $300.32 ↓ -33%
United Healthcare Apple Health $306.15 ↓ -31%
Community Health Plan of Washington Apple Health $314.90 ↓ -30%
SCAN MedAdvantage $335.21 ↓ -25%
Aetna MedAdvantage $345.27 ↓ -23%
Blue Cross of Idaho MedAdvantage $345.27 ↓ -23%
Regence MedAdvantage $345.27 ↓ -23%
United Healthcare MedAdvantage $348.62 ↓ -22%
Molina MedAdvantage $351.97 ↓ -21%
WellCare MedAdvantage $351.97 ↓ -21%
Community Health Plan of Washington MedAdvantage $368.73 ↓ -17%
First Choice MHS Employee MCC/PPO $414.97 ↓ -7%
Premera HMO $494.29 ↑ +11%
First Choice MCC Wellfound Employee $540.29 ↑ +21%
Community Health Plan of Washington Cascade Care $565.16 ↑ +26%
Ambetter Coordinated Care Exchange $620.14 ↑ +39%
First Choice PPO $783.02 ↑ +75%
First Health All Commercial Plans $793.07 ↑ +78%
Regence/Asuris Commercial $804.69 ↑ +80%
Multiplan/PHCS All Commercial Plans $815.41 ↑ +83%
Premera Other Commercial Plans $861.15 ↑ +93%
Premera Signature $861.15 ↑ +93%
Premera Prime $861.15 ↑ +93%
Aetna All Commercial Plans $864.37 ↑ +93%
United Healthcare Commercial $952.44 ↑ +113%
Cigna Commercial $964.07 ↑ +116%
Kaiser PPO $1,212.63 ↑ +171%

Visitor-reported prices

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Bilateral n block inj occipital 64405 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,249.50 $342.05 – $870.52
Providence Holy Family Hospital Spokane $586.60 $342.05 – $3,379.00
Providence St Luke's Rehabilitation Medical Center Spokane not published $342.05 – $376.25
Providence St Joseph Hospital Chewelah $347.90 not published
Swedish Medical Center - First Hill Campus Seattle $825.60 $355.45 – $1,230.32
Swedish Medical Center Cherry Hill Seattle $825.60 $355.45 – $1,191.05
Swedish Issaquah Issaquah $825.60 $356.44 – $1,230.32
Providence Centralia Hospital Centralia $747.24 $355.45 – $1,531.35

All Washington hospitals for this procedure →