Clsd tx prox fib/shaft fx w/manip 27781 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

$2,495.20

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.

Full explanation →

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

$6,238.00

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.

$303.50 with Molina vs $6,397.96 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 $303.50 ↓ -88%
WellPoint Apple Health $306.47 ↓ -88%
Coordinated Care Apple Health $306.47 ↓ -88%
United Healthcare Apple Health $312.43 ↓ -87%
Community Health Plan of Washington Apple Health $321.35 ↓ -87%
SCAN MedAdvantage $1,756.02 ↓ -30%
Aetna MedAdvantage $1,808.70 ↓ -28%
Blue Cross of Idaho MedAdvantage $1,808.70 ↓ -28%
Regence MedAdvantage $1,808.70 ↓ -28%
United Healthcare MedAdvantage $1,826.26 ↓ -27%
Molina MedAdvantage $1,843.82 ↓ -26%
WellCare MedAdvantage $1,843.82 ↓ -26%
Community Health Plan of Washington MedAdvantage $1,931.62 ↓ -23%
First Choice MHS Employee MCC/PPO $2,317.42 ↓ -7%
Premera HMO $2,607.89 ↑ +5%
Community Health Plan of Washington Cascade Care $2,960.65 ↑ +19%
First Choice MCC Wellfound Employee $3,017.32 ↑ +21%
Ambetter Coordinated Care Exchange $3,248.64 ↑ +30%
Regence/Asuris Commercial $4,366.59 ↑ +75%
First Choice PPO $4,372.84 ↑ +75%
First Health All Commercial Plans $4,428.98 ↑ +78%
Multiplan/PHCS All Commercial Plans $4,553.74 ↑ +83%
Premera Signature $4,672.91 ↑ +87%
Premera Other Commercial Plans $4,672.91 ↑ +87%
Premera Prime $4,672.91 ↑ +87%
Aetna All Commercial Plans $4,686.25 ↑ +88%
United Healthcare Commercial $4,989.47 ↑ +100%
Cigna Commercial $5,050.39 ↑ +102%
Kaiser PPO $6,397.96 ↑ +156%

Visitor-reported prices

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Clsd tx prox fib/shaft fx w/manip 27781 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $3,859.80 $1,791.86 – $4,560.28
Providence Holy Family Hospital Spokane $5,297.60 $1,791.86 – $4,703.62
Providence St Luke's Rehabilitation Medical Center Spokane not published $1,791.86 – $1,971.04
Providence St Joseph Hospital Chewelah $2,146.20 not published
Swedish Medical Center - First Hill Campus Seattle $4,803.36 $1,862.04 – $6,600.75
Swedish Medical Center Cherry Hill Seattle $4,803.36 $1,862.04 – $6,356.78
Swedish Issaquah Issaquah $4,803.36 $1,867.26 – $6,600.75
Providence Centralia Hospital Centralia $3,313.96 $1,862.04 – $7,929.03

All Washington hospitals for this procedure →