Biliary endoscopy thru skin at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$6,924.00
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.
$17,310.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$2,935.22 with Molina vs $21,996.79 with Premera — 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 | $2,935.22 | ↓ -58% |
| WellPoint | Apple Health | $2,964.00 | ↓ -57% |
| Coordinated Care | Apple Health | $2,964.00 | ↓ -57% |
| United Healthcare | Apple Health | $3,021.55 | ↓ -56% |
| Community Health Plan of Washington | Apple Health | $3,107.88 | ↓ -55% |
| First Choice | MHS Employee MCC/PPO | $6,430.67 | ↓ -7% |
| SCAN | MedAdvantage | $7,069.78 | ↑ +2% |
| Regence | MedAdvantage | $7,281.88 | ↑ +5% |
| Blue Cross of Idaho | MedAdvantage | $7,281.88 | ↑ +5% |
| Aetna | MedAdvantage | $7,281.88 | ↑ +5% |
| United Healthcare | MedAdvantage | $7,352.58 | ↑ +6% |
| WellCare | MedAdvantage | $7,423.27 | ↑ +7% |
| Molina | MedAdvantage | $7,423.27 | ↑ +7% |
| Community Health Plan of Washington | MedAdvantage | $7,776.76 | ↑ +12% |
| First Choice | MCC Wellfound Employee | $8,372.85 | ↑ +21% |
| Community Health Plan of Washington | Cascade Care | $11,919.66 | ↑ +72% |
| First Choice | PPO | $12,134.31 | ↑ +75% |
| First Health | All Commercial Plans | $12,290.10 | ↑ +78% |
| Multiplan/PHCS | All Commercial Plans | $12,636.30 | ↑ +83% |
| Premera | HMO | $12,835.10 | ↑ +85% |
| Ambetter | Coordinated Care Exchange | $13,079.10 | ↑ +89% |
| Kaiser | PPO | $15,797.01 | ↑ +128% |
| Aetna | All Commercial Plans | $18,270.92 | ↑ +164% |
| United Healthcare | Commercial | $20,087.75 | ↑ +190% |
| Cigna | Commercial | $20,333.03 | ↑ +194% |
| Regence/Asuris | Commercial | $20,554.78 | ↑ +197% |
| Premera | Prime | $21,996.79 | ↑ +218% |
| Premera | Other Commercial Plans | $21,996.79 | ↑ +218% |
| Premera | Signature | $21,996.79 | ↑ +218% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $7,001.40 | $7,214.07 – $18,359.80 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $7,214.07 – $7,935.47 |
| Providence Holy Family Hospital | Spokane | not published | $5,081.00 – $18,936.92 |
| Swedish Medical Center - First Hill Campus | Seattle | $8,326.08 | $7,277.00 – $22,774.72 |
| Swedish Medical Center Cherry Hill | Seattle | $8,326.08 | $7,277.00 – $17,542.08 |
| Swedish Issaquah | Issaquah | $8,326.08 | $7,277.00 – $16,689.18 |
| MultiCare Valley Hospital | Spokane Valley | $6,924.00 | $2,914.39 – $20,458.19 |
| MultiCare Yakima Memorial Hospital | Yakima | $6,924.00 | $5,159.02 – $23,546.83 |