Foot lamin/prepreg composite 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

$78.00

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.

Full explanation →

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

$195.00

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.

$72.44 with First Choice vs $635.37 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 →

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
First Choice MHS Employee MCC/PPO $72.44 ↓ -7%
First Choice MCC Wellfound Employee $94.32 ↑ +21%
First Choice PPO $136.70 ↑ +75%
First Health All Commercial Plans $138.45 ↑ +78%
Multiplan/PHCS All Commercial Plans $142.35 ↑ +83%
Regence/Asuris Commercial $146.16 ↑ +87%
SCAN MedAdvantage $149.61 ↑ +92%
Regence MedAdvantage $154.10 ↑ +98%
Blue Cross of Idaho MedAdvantage $154.10 ↑ +98%
Aetna MedAdvantage $154.10 ↑ +98%
United Healthcare MedAdvantage $155.59 ↑ +99%
WellCare MedAdvantage $157.09 ↑ +101%
Molina MedAdvantage $157.09 ↑ +101%
Community Health Plan of Washington MedAdvantage $164.57 ↑ +111%
Premera Signature $182.70 ↑ +134%
Premera Other Commercial Plans $182.70 ↑ +134%
Premera Prime $182.70 ↑ +134%
United Healthcare Commercial $183.19 ↑ +135%
Cigna Commercial $209.54 ↑ +169%
Premera HMO $227.94 ↑ +192%
Community Health Plan of Washington Cascade Care $252.24 ↑ +223%
Ambetter Coordinated Care Exchange $276.77 ↑ +255%
Aetna All Commercial Plans $462.48 ↑ +493%
Kaiser PPO $635.37 ↑ +715%

Visitor-reported prices

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Foot lamin/prepreg composite at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane not published $152.66 – $167.93
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $152.66 – $388.52
MultiCare Valley Hospital Spokane Valley $78.00 $146.16 – $633.95
MultiCare Yakima Memorial Hospital Yakima $78.00 $131.54 – $255.83
MultiCare Auburn Medical Center Auburn $78.00 $127.89 – $659.59
MultiCare Good Samaritan Hospital Puyallup $78.00 $127.89 – $659.59
MultiCare Capital Medical Center Olympia $78.00 $131.54 – $276.77
MultiCare Covington Medical Center Covington $78.00 $127.89 – $659.59

All Washington hospitals for this procedure →