Exchange nephrostomy cath at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$1,610.80
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.
$4,027.00
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.
$915.74 with First Choice vs $8,272.76 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 |
|---|---|---|---|
| First Choice | MHS Employee MCC/PPO | $915.74 | ↓ -43% |
| Molina | Apple Health | $1,031.17 | ↓ -36% |
| WellPoint | Apple Health | $1,041.28 | ↓ -35% |
| Coordinated Care | Apple Health | $1,041.28 | ↓ -35% |
| United Healthcare | Apple Health | $1,061.50 | ↓ -34% |
| Community Health Plan of Washington | Apple Health | $1,091.83 | ↓ -32% |
| First Choice | MCC Wellfound Employee | $1,191.99 | ↓ -26% |
| First Choice | PPO | $1,727.58 | ↑ +7% |
| SCAN | MedAdvantage | $2,282.82 | ↑ +42% |
| Regence | MedAdvantage | $2,351.30 | ↑ +46% |
| Blue Cross of Idaho | MedAdvantage | $2,351.30 | ↑ +46% |
| Aetna | MedAdvantage | $2,351.30 | ↑ +46% |
| United Healthcare | MedAdvantage | $2,374.13 | ↑ +47% |
| WellCare | MedAdvantage | $2,396.96 | ↑ +49% |
| Molina | MedAdvantage | $2,396.96 | ↑ +49% |
| Community Health Plan of Washington | MedAdvantage | $2,511.10 | ↑ +56% |
| First Health | All Commercial Plans | $2,859.17 | ↑ +78% |
| Multiplan/PHCS | All Commercial Plans | $2,939.71 | ↑ +83% |
| Premera | HMO | $3,161.32 | ↑ +96% |
| Community Health Plan of Washington | Cascade Care | $3,848.83 | ↑ +139% |
| Ambetter | Coordinated Care Exchange | $4,223.22 | ↑ +162% |
| Regence/Asuris | Commercial | $5,533.79 | ↑ +244% |
| Premera | Other Commercial Plans | $5,922.00 | ↑ +268% |
| Premera | Prime | $5,922.00 | ↑ +268% |
| Premera | Signature | $5,922.00 | ↑ +268% |
| Aetna | All Commercial Plans | $5,998.33 | ↑ +272% |
| United Healthcare | Commercial | $6,486.31 | ↑ +303% |
| Cigna | Commercial | $6,565.51 | ↑ +308% |
| Kaiser | PPO | $8,272.76 | ↑ +414% |
Visitor-reported prices
Comments
Exchange nephrostomy cath at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,180.80 | $2,329.41 – $5,928.34 |
| Providence Holy Family Hospital | Spokane | $2,086.70 | $2,329.41 – $6,114.69 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $1,769.20 – $2,562.35 |
| Swedish Medical Center - First Hill Campus | Seattle | $2,090.88 | $2,420.64 – $8,627.45 |
| Swedish Medical Center Cherry Hill | Seattle | $2,090.88 | $2,420.64 – $8,308.57 |
| Swedish Issaquah | Issaquah | $2,090.88 | $2,427.43 – $8,627.45 |
| Providence St Mary Medical Center | Walla Walla | $1,948.80 | $1,804.81 – $4,309.40 |
| Kadlec Regional Medical Center | Richland | $4,154.50 | $165.81 – $6,572.45 |