Inj hydroxocobalamin IV 25mg 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

$10.26

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.

$25.65

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.

$5.33 with SCAN vs $9,162.09 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
SCAN MedAdvantage $5.33 ↓ -48%
United Healthcare Commercial $5.44 ↓ -47%
Regence MedAdvantage $5.49 ↓ -46%
Aetna MedAdvantage $5.49 ↓ -46%
Blue Cross of Idaho MedAdvantage $5.49 ↓ -46%
United Healthcare MedAdvantage $5.55 ↓ -46%
WellCare MedAdvantage $5.60 ↓ -45%
Molina MedAdvantage $5.60 ↓ -45%
Community Health Plan of Washington MedAdvantage $5.87 ↓ -43%
Cigna Commercial $7.25 ↓ -29%
Regence/Asuris Commercial $7.55 ↓ -26%
Community Health Plan of Washington Cascade Care $8.99 ↓ -12%
First Choice MHS Employee MCC/PPO $9.53 ↓ -7%
Ambetter Coordinated Care Exchange $9.87 ↓ -4%
Aetna All Commercial Plans $11.54 ↑ +12%
First Choice MCC Wellfound Employee $12.41 ↑ +21%
First Choice PPO $17.98 ↑ +75%
First Health All Commercial Plans $18.21 ↑ +77%
Multiplan/PHCS All Commercial Plans $18.72 ↑ +82%
Premera Prime $4,622.13 ↑ +44950%
Premera Signature $4,622.13 ↑ +44950%
Premera Other Commercial Plans $4,622.13 ↑ +44950%
Kaiser PPO $9,162.09 ↑ +89199%

Visitor-reported prices

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Inj hydroxocobalamin IV 25mg at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $5.44 – $13.85
Providence Holy Family Hospital Spokane not published $5.44 – $14.29
St. Michael Medical Center Silverdale $1,770.05 $1,263.34 – $1,804.77
St. Anne Hospital Burien $1,224.65 $862.28 – $1,804.77
St. Anthony Hospital Gig Harbor $1,219.81 $1,002.65 – $1,503.98
St. Joseph Medical Center Tacoma $1,328.29 $1,002.65 – $1,503.98
St. Elizabeth Hospital Enumclaw $1,417.19 $340.91 – $1,804.77
St. Francis Hospital Federal Way $1,258.61 $1,002.65 – $1,503.98

All Washington hospitals for this procedure →