Fosphenytoin 50 mg pe/ml injection (wrapper) at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$26.52
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.
$66.28
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.
$1.31 with SCAN vs $23.15 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 | $1.31 | ↓ -95% |
| United Healthcare | Commercial | $1.33 | ↓ -95% |
| Blue Cross of Idaho | MedAdvantage | $1.34 | ↓ -95% |
| Regence | MedAdvantage | $1.34 | ↓ -95% |
| Cigna | Commercial | $1.34 | ↓ -95% |
| Aetna | MedAdvantage | $1.34 | ↓ -95% |
| United Healthcare | MedAdvantage | $1.36 | ↓ -95% |
| WellCare | MedAdvantage | $1.37 | ↓ -95% |
| Molina | MedAdvantage | $1.37 | ↓ -95% |
| Community Health Plan of Washington | MedAdvantage | $1.44 | ↓ -95% |
| Community Health Plan of Washington | Cascade Care | $2.20 | ↓ -92% |
| Ambetter | Coordinated Care Exchange | $2.41 | ↓ -91% |
| First Choice | MHS Employee MCC/PPO | $3.45 | ↓ -87% |
| First Choice | MCC Wellfound Employee | $4.50 | ↓ -83% |
| Regence/Asuris | Commercial | $4.61 | ↓ -83% |
| First Choice | PPO | $6.52 | ↓ -75% |
| First Health | All Commercial Plans | $6.60 | ↓ -75% |
| Multiplan/PHCS | All Commercial Plans | $6.79 | ↓ -74% |
| Premera | HMO | $7.68 | ↓ -71% |
| Kaiser | PPO | $23.15 | ↓ -13% |
Visitor-reported prices
Comments
Fosphenytoin 50 mg pe/ml injection (wrapper) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $70.66 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $412.59 | $1.33 – $3.71 |
| Providence Holy Family Hospital | Spokane | $412.59 | $1.33 – $7.30 |
| Providence St Joseph Hospital | Chewelah | $247.46 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $61.79 | $1.33 – $4.45 |
| Swedish Medical Center Cherry Hill | Seattle | $61.79 | $1.33 – $3.23 |
| Swedish Issaquah | Issaquah | $103.02 | $1.33 – $4.45 |
| Central Medical Center | Seattle | $167.27 | $3.16 – $3.16 |