ER Visit (level 3) at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$423.60
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.
$1,059.00
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.
$298.11 with SCAN vs $1,244.33 with Cigna — 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 |
|---|---|---|---|
| SCAN | MedAdvantage | $298.11 | ↓ -30% |
| Regence | MedAdvantage | $307.05 | ↓ -28% |
| Aetna | MedAdvantage | $307.05 | ↓ -28% |
| Blue Cross of Idaho | MedAdvantage | $307.05 | ↓ -28% |
| United Healthcare | MedAdvantage | $310.03 | ↓ -27% |
| WellCare | MedAdvantage | $313.01 | ↓ -26% |
| Molina | MedAdvantage | $313.01 | ↓ -26% |
| Community Health Plan of Washington | MedAdvantage | $327.92 | ↓ -23% |
| First Choice | MHS Employee MCC/PPO | $393.42 | ↓ -7% |
| Premera | HMO | $445.45 | ↑ +5% |
| Community Health Plan of Washington | Cascade Care | $502.61 | ↑ +19% |
| First Choice | MCC Wellfound Employee | $512.24 | ↑ +21% |
| Ambetter | Coordinated Care Exchange | $551.50 | ↑ +30% |
| First Choice | PPO | $742.36 | ↑ +75% |
| First Health | All Commercial Plans | $751.89 | ↑ +78% |
| Multiplan/PHCS | All Commercial Plans | $773.07 | ↑ +83% |
| Regence/Asuris | Commercial | $775.18 | ↑ +83% |
| Aetna | All Commercial Plans | $810.77 | ↑ +91% |
| Premera | Prime | $829.57 | ↑ +96% |
| Premera | Other Commercial Plans | $829.57 | ↑ +96% |
| Premera | Signature | $829.57 | ↑ +96% |
| United Healthcare | Commercial | $847.02 | ↑ +100% |
| Kaiser | PPO | $1,092.83 | ↑ +158% |
| Cigna | Commercial | $1,244.33 | ↑ +194% |
Visitor-reported prices
Comments
ER Visit (level 3) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $599.20 | $304.19 – $774.17 |
| Providence Holy Family Hospital | Spokane | $856.10 | $304.19 – $798.50 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $304.19 – $334.61 |
| Providence St Joseph Hospital | Chewelah | $345.80 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $630.72 | $316.11 – $1,087.67 |
| Swedish Medical Center Cherry Hill | Seattle | $630.72 | $316.11 – $1,047.46 |
| Swedish Issaquah | Issaquah | $630.72 | $316.99 – $1,087.67 |
| Central Medical Center | Seattle | $1,180.80 | $451.00 – $451.00 |