ER Visit (level 4) at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$950.40
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.
$2,376.00
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.
$455.67 with SCAN vs $1,701.98 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 |
|---|---|---|---|
| SCAN | MedAdvantage | $455.67 | ↓ -52% |
| Regence | MedAdvantage | $469.34 | ↓ -51% |
| Aetna | MedAdvantage | $469.34 | ↓ -51% |
| Blue Cross of Idaho | MedAdvantage | $469.34 | ↓ -51% |
| United Healthcare | MedAdvantage | $473.90 | ↓ -50% |
| WellCare | MedAdvantage | $478.46 | ↓ -50% |
| Molina | MedAdvantage | $478.46 | ↓ -50% |
| Community Health Plan of Washington | MedAdvantage | $501.24 | ↓ -47% |
| First Choice | MHS Employee MCC/PPO | $671.67 | ↓ -29% |
| Premera | HMO | $693.76 | ↓ -27% |
| Community Health Plan of Washington | Cascade Care | $768.27 | ↓ -19% |
| Ambetter | Coordinated Care Exchange | $843.00 | ↓ -11% |
| First Choice | MCC Wellfound Employee | $874.53 | ↓ -8% |
| Regence/Asuris | Commercial | $1,203.33 | ↑ +27% |
| Cigna | Commercial | $1,236.83 | ↑ +30% |
| Aetna | All Commercial Plans | $1,246.86 | ↑ +31% |
| First Choice | PPO | $1,267.41 | ↑ +33% |
| First Health | All Commercial Plans | $1,283.68 | ↑ +35% |
| Premera | Signature | $1,287.76 | ↑ +35% |
| Premera | Other Commercial Plans | $1,287.76 | ↑ +35% |
| Premera | Prime | $1,287.76 | ↑ +35% |
| United Healthcare | Commercial | $1,294.75 | ↑ +36% |
| Multiplan/PHCS | All Commercial Plans | $1,319.84 | ↑ +39% |
| Kaiser | PPO | $1,701.98 | ↑ +79% |
Visitor-reported prices
Comments
ER Visit (level 4) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,078.70 | $464.97 – $1,183.36 |
| Providence Holy Family Hospital | Spokane | $1,376.20 | $464.97 – $1,220.56 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $464.97 – $511.47 |
| Providence St Joseph Hospital | Chewelah | $620.90 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $909.12 | $483.19 – $1,713.22 |
| Swedish Medical Center Cherry Hill | Seattle | $909.12 | $483.19 – $1,649.90 |
| Swedish Issaquah | Issaquah | $909.12 | $484.54 – $1,713.22 |
| Central Medical Center | Seattle | $1,888.80 | $809.00 – $809.00 |