C-1 esterase, berinert at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$8.84
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.
$22.10
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.
$8.21 with First Choice vs $286.93 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 |
|---|---|---|---|
| First Choice | MHS Employee MCC/PPO | $8.21 | ↓ -7% |
| First Choice | MCC Wellfound Employee | $10.69 | ↑ +21% |
| First Choice | PPO | $15.49 | ↑ +75% |
| First Health | All Commercial Plans | $15.69 | ↑ +77% |
| Multiplan/PHCS | All Commercial Plans | $16.13 | ↑ +82% |
| SCAN | MedAdvantage | $74.53 | ↑ +743% |
| United Healthcare | Commercial | $76.05 | ↑ +760% |
| Regence | MedAdvantage | $76.77 | ↑ +768% |
| Blue Cross of Idaho | MedAdvantage | $76.77 | ↑ +768% |
| Aetna | MedAdvantage | $76.77 | ↑ +768% |
| United Healthcare | MedAdvantage | $77.51 | ↑ +777% |
| WellCare | MedAdvantage | $78.26 | ↑ +785% |
| Molina | MedAdvantage | $78.26 | ↑ +785% |
| Community Health Plan of Washington | MedAdvantage | $81.98 | ↑ +827% |
| Premera | HMO | $97.23 | ↑ +1000% |
| Cigna | Commercial | $101.44 | ↑ +1048% |
| Regence/Asuris | Commercial | $101.66 | ↑ +1050% |
| Community Health Plan of Washington | Cascade Care | $125.66 | ↑ +1321% |
| Ambetter | Coordinated Care Exchange | $137.88 | ↑ +1460% |
| Premera | Signature | $144.80 | ↑ +1538% |
| Premera | Prime | $144.80 | ↑ +1538% |
| Premera | Other Commercial Plans | $144.80 | ↑ +1538% |
| Kaiser | PPO | $270.86 | ↑ +2964% |
| Aetna | All Commercial Plans | $286.93 | ↑ +3146% |
Visitor-reported prices
Comments
C-1 esterase, berinert at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $10,430.17 | $50.20 – $140.69 |
| Providence Holy Family Hospital | Spokane | $10,430.17 | $64.36 – $159.40 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $76.05 – $83.66 |
| Swedish Medical Center - First Hill Campus | Seattle | $10,149.69 | $67.77 – $149.41 |
| Swedish Medical Center Cherry Hill | Seattle | $10,149.69 | $67.77 – $140.69 |
| Swedish Issaquah | Issaquah | $10,149.69 | $67.77 – $149.41 |
| Swedish Edmonds Hospital | Edmonds | $10,149.69 | $70.90 – $140.69 |
| Providence St Mary Medical Center | Walla Walla | $11,222.65 | $67.77 – $419.05 |