Insert hepatic shunt (tips) at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$712.40
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.
$1,781.00
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.
$661.64 with First Choice vs $57,576.16 with Cigna — 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 |
|---|---|---|---|
| First Choice | MHS Employee MCC/PPO | $661.64 | ↓ -7% |
| Aetna | All Commercial Plans | $801.45 | ↑ +13% |
| First Choice | MCC Wellfound Employee | $861.47 | ↑ +21% |
| First Choice | PPO | $1,248.48 | ↑ +75% |
| First Health | All Commercial Plans | $1,264.51 | ↑ +78% |
| Multiplan/PHCS | All Commercial Plans | $1,300.13 | ↑ +83% |
| Premera | HMO | $18,092.07 | ↑ +2440% |
| SCAN | MedAdvantage | $20,019.20 | ↑ +2710% |
| Aetna | MedAdvantage | $20,619.78 | ↑ +2794% |
| Blue Cross of Idaho | MedAdvantage | $20,619.78 | ↑ +2794% |
| Regence | MedAdvantage | $20,619.78 | ↑ +2794% |
| United Healthcare | MedAdvantage | $20,819.97 | ↑ +2823% |
| WellCare | MedAdvantage | $21,020.16 | ↑ +2851% |
| Molina | MedAdvantage | $21,020.16 | ↑ +2851% |
| Community Health Plan of Washington | MedAdvantage | $22,021.12 | ↑ +2991% |
| Regence/Asuris | Commercial | $28,637.44 | ↑ +3920% |
| Premera | Signature | $31,985.71 | ↑ +4390% |
| Premera | Other Commercial Plans | $31,985.71 | ↑ +4390% |
| Premera | Prime | $31,985.71 | ↑ +4390% |
| Community Health Plan of Washington | Cascade Care | $33,752.37 | ↑ +4638% |
| Ambetter | Coordinated Care Exchange | $37,035.52 | ↑ +5099% |
| United Healthcare | Commercial | $56,881.63 | ↑ +7885% |
| Cigna | Commercial | $57,576.16 | ↑ +7982% |
Visitor-reported prices
Comments
Insert hepatic shunt (tips) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $18,813.20 | $5,419.00 – $51,988.64 |
| Providence Holy Family Hospital | Spokane | $22,058.40 | $2,985.00 – $53,622.86 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $2,739.55 – $22,470.53 |
| Swedish Medical Center - First Hill Campus | Seattle | $12,741.12 | $7,277.00 – $64,490.20 |
| Swedish Medical Center Cherry Hill | Seattle | $12,741.12 | $7,277.00 – $49,673.16 |
| Swedish Issaquah | Issaquah | $12,741.12 | $7,277.00 – $47,258.04 |
| Kadlec Regional Medical Center | Richland | $15,278.90 | $1,352.82 – $37,791.35 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $10,349.56 | $7,246.00 – $48,432.60 |