Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution 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

$51.86

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.

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

$129.63

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.

$30.64 with SCAN vs $3,235.31 with Community Health Plan of Washington — 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
SCAN MedAdvantage $30.64 ↓ -41%
United Healthcare Commercial $31.26 ↓ -40%
Aetna MedAdvantage $31.56 ↓ -39%
Regence MedAdvantage $31.56 ↓ -39%
Blue Cross of Idaho MedAdvantage $31.56 ↓ -39%
United Healthcare MedAdvantage $31.86 ↓ -39%
Molina MedAdvantage $32.17 ↓ -38%
WellCare MedAdvantage $32.17 ↓ -38%
Community Health Plan of Washington MedAdvantage $33.70 ↓ -35%
Cigna Commercial $40.33 ↓ -22%
Premera HMO $41.15 ↓ -21%
Regence/Asuris Commercial $41.63 ↓ -20%
First Choice MHS Employee MCC/PPO $46.70 ↓ -10%
Community Health Plan of Washington Cascade Care $51.65 ↓ -0%
Ambetter Coordinated Care Exchange $56.68 ↑ +9%
First Choice MCC Wellfound Employee $60.80 ↑ +17%
Premera Prime $61.29 ↑ +18%
Premera Other Commercial Plans $61.29 ↑ +18%
Premera Signature $61.29 ↑ +18%
First Choice PPO $88.12 ↑ +70%
First Health All Commercial Plans $89.25 ↑ +72%
Multiplan/PHCS All Commercial Plans $91.76 ↑ +77%
Aetna All Commercial Plans $114.09 ↑ +120%
Kaiser PPO $114.31 ↑ +120%
Molina Apple Health $3,055.57 ↑ +5792%
Coordinated Care Apple Health $3,085.53 ↑ +5850%
WellPoint Apple Health $3,085.53 ↑ +5850%
United Healthcare Apple Health $3,145.44 ↑ +5965%
Community Health Plan of Washington Apple Health $3,235.31 ↑ +6139%

Visitor-reported prices

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Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $8,512.92 $21.25 – $57.83
Providence Holy Family Hospital Spokane $8,512.92 $27.24 – $69.81
Swedish Medical Center - First Hill Campus Seattle $9,522.68 $27.75 – $57.83
Swedish Medical Center Cherry Hill Seattle $9,522.68 $27.75 – $57.83
Swedish Issaquah Issaquah $9,522.68 $27.75 – $57.83
Central Medical Center Seattle $3,872.64 $30.00 – $30.00
Swedish Edmonds Hospital Edmonds $9,522.68 $28.86 – $57.83
Providence St Mary Medical Center Walla Walla $13,328.31 $27.75 – $196.12

All Washington hospitals for this procedure →