ER Visit (level 5, high severity) at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$1,702.40
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.
$4,256.00
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.
$650.35 with SCAN vs $2,732.39 with Multiplan/PHCS — 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 | $650.35 | ↓ -62% |
| Regence | MedAdvantage | $669.86 | ↓ -61% |
| Aetna | MedAdvantage | $669.86 | ↓ -61% |
| Blue Cross of Idaho | MedAdvantage | $669.86 | ↓ -61% |
| United Healthcare | MedAdvantage | $676.37 | ↓ -60% |
| WellCare | MedAdvantage | $682.87 | ↓ -60% |
| Molina | MedAdvantage | $682.87 | ↓ -60% |
| Community Health Plan of Washington | MedAdvantage | $715.39 | ↓ -58% |
| Premera | HMO | $996.45 | ↓ -41% |
| Community Health Plan of Washington | Cascade Care | $1,096.50 | ↓ -36% |
| Ambetter | Coordinated Care Exchange | $1,203.16 | ↓ -29% |
| Cigna | Commercial | $1,225.98 | ↓ -28% |
| First Choice | MHS Employee MCC/PPO | $1,390.52 | ↓ -18% |
| Regence/Asuris | Commercial | $1,745.09 | ↑ +3% |
| Aetna | All Commercial Plans | $1,795.25 | ↑ +5% |
| First Choice | MCC Wellfound Employee | $1,810.49 | ↑ +6% |
| United Healthcare | Commercial | $1,847.89 | ↑ +9% |
| Premera | Prime | $1,867.51 | ↑ +10% |
| Premera | Signature | $1,867.51 | ↑ +10% |
| Premera | Other Commercial Plans | $1,867.51 | ↑ +10% |
| Kaiser | PPO | $2,444.57 | ↑ +44% |
| First Choice | PPO | $2,623.84 | ↑ +54% |
| First Health | All Commercial Plans | $2,657.53 | ↑ +56% |
| Multiplan/PHCS | All Commercial Plans | $2,732.39 | ↑ +61% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $2,339.40 | $663.63 – $1,688.93 |
| Providence Holy Family Hospital | Spokane | $3,049.20 | $663.63 – $1,742.02 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $663.63 – $729.99 |
| Providence St Joseph Hospital | Chewelah | $1,095.50 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $1,272.00 | $689.62 – $2,456.96 |
| Swedish Medical Center Cherry Hill | Seattle | $1,272.00 | $689.62 – $2,366.15 |
| Swedish Issaquah | Issaquah | $1,272.00 | $691.55 – $2,456.96 |
| Central Medical Center | Seattle | $2,623.20 | $1,398.00 – $1,398.00 |