Bk/ak locking mechanism at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$414.00
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.
$1,035.00
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.
$384.50 with First Choice vs $3,379.21 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 |
|---|---|---|---|
| First Choice | MHS Employee MCC/PPO | $384.50 | ↓ -7% |
| First Choice | MCC Wellfound Employee | $500.63 | ↑ +21% |
| First Choice | PPO | $725.54 | ↑ +75% |
| First Health | All Commercial Plans | $734.85 | ↑ +78% |
| Multiplan/PHCS | All Commercial Plans | $755.55 | ↑ +83% |
| Regence/Asuris | Commercial | $777.37 | ↑ +88% |
| SCAN | MedAdvantage | $795.70 | ↑ +92% |
| Regence | MedAdvantage | $819.57 | ↑ +98% |
| Blue Cross of Idaho | MedAdvantage | $819.57 | ↑ +98% |
| Aetna | MedAdvantage | $819.57 | ↑ +98% |
| United Healthcare | MedAdvantage | $827.53 | ↑ +100% |
| WellCare | MedAdvantage | $835.49 | ↑ +102% |
| Molina | MedAdvantage | $835.49 | ↑ +102% |
| Community Health Plan of Washington | MedAdvantage | $875.27 | ↑ +111% |
| Premera | Signature | $971.71 | ↑ +135% |
| Premera | Other Commercial Plans | $971.71 | ↑ +135% |
| Premera | Prime | $971.71 | ↑ +135% |
| United Healthcare | Commercial | $974.33 | ↑ +135% |
| Cigna | Commercial | $1,114.44 | ↑ +169% |
| Premera | HMO | $1,212.27 | ↑ +193% |
| Community Health Plan of Washington | Cascade Care | $1,341.55 | ↑ +224% |
| Ambetter | Coordinated Care Exchange | $1,472.05 | ↑ +256% |
| Aetna | All Commercial Plans | $2,459.73 | ↑ +494% |
| Kaiser | PPO | $3,379.21 | ↑ +716% |
Visitor-reported prices
Comments
Bk/ak locking mechanism at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $811.94 – $893.13 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $811.94 – $2,066.39 |
| Swedish Medical Center - First Hill Campus | Seattle | $987.36 | $811.94 – $2,466.67 |
| Swedish Medical Center Cherry Hill | Seattle | $987.36 | $811.94 – $1,985.64 |
| Swedish Issaquah | Issaquah | $987.36 | $811.94 – $1,802.51 |
| MultiCare Valley Hospital | Spokane Valley | $414.00 | $777.37 – $3,371.63 |
| MultiCare Auburn Medical Center | Auburn | $414.00 | $680.20 – $3,508.01 |
| MultiCare Good Samaritan Hospital | Puyallup | $414.00 | $680.20 – $3,508.01 |