Implant cochlear device 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

not published by hospital

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.

not published by hospital

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.

$19,162.46 with Molina vs $148,683.15 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.

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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
Molina Apple Health $19,162.46 —
Coordinated Care Apple Health $19,350.32 —
WellPoint Apple Health $19,350.32 —
United Healthcare Apple Health $19,726.06 —
Community Health Plan of Washington Apple Health $20,289.66 —
SCAN MedAdvantage $36,007.45 —
Blue Cross of Idaho MedAdvantage $37,087.68 —
Aetna MedAdvantage $37,087.68 —
Regence MedAdvantage $37,087.68 —
United Healthcare MedAdvantage $37,447.75 —
Molina MedAdvantage $37,807.83 —
WellCare MedAdvantage $37,807.83 —
Community Health Plan of Washington MedAdvantage $39,608.20 —
Premera HMO $60,605.35 —
Community Health Plan of Washington Cascade Care $60,708.57 —
Ambetter Coordinated Care Exchange $66,613.79 —
Aetna All Commercial Plans $93,138.00 —
Premera Other Commercial Plans $97,501.11 —
Premera Signature $97,501.11 —
Premera Prime $97,501.11 —
Cigna Commercial $103,559.11 —
Kaiser PPO $148,683.15 —

Visitor-reported prices

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Implant cochlear device at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane not published $36,742.30 – $40,416.53
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $17,902.00 – $102,635.79
Providence Holy Family Hospital Spokane not published $9,894.00 – $96,448.54
Virginia Mason Medical Center Seattle $49,013.55 $0.41 – $5,299.78
Swedish Medical Center - First Hill Campus Seattle not published $7,277.00 – $161,237.52
Swedish Medical Center Cherry Hill Seattle not published $7,277.00 – $155,278.02
Swedish Issaquah Issaquah not published $7,277.00 – $161,237.52
Central Medical Center Seattle not published not published

All Washington hospitals for this procedure →