Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$45,622.40
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.
$114,056.00
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.
$17,000.06 with Molina vs $143,060.43 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 |
|---|---|---|---|
| Molina | Apple Health | $17,000.06 | ↓ -63% |
| WellPoint | Apple Health | $17,166.73 | ↓ -62% |
| Coordinated Care | Apple Health | $17,166.73 | ↓ -62% |
| United Healthcare | Apple Health | $17,500.06 | ↓ -62% |
| Community Health Plan of Washington | Apple Health | $18,000.06 | ↓ -61% |
| First Choice | MHS Employee MCC/PPO | $25,936.33 | ↓ -43% |
| First Choice | MCC Wellfound Employee | $33,760.58 | ↓ -26% |
| SCAN | MedAdvantage | $34,278.45 | ↓ -25% |
| Regence | MedAdvantage | $35,306.80 | ↓ -23% |
| Blue Cross of Idaho | MedAdvantage | $35,306.80 | ↓ -23% |
| Aetna | MedAdvantage | $35,306.80 | ↓ -23% |
| United Healthcare | MedAdvantage | $35,649.58 | ↓ -22% |
| WellCare | MedAdvantage | $35,992.37 | ↓ -21% |
| Molina | MedAdvantage | $35,992.37 | ↓ -21% |
| Community Health Plan of Washington | MedAdvantage | $37,706.29 | ↓ -17% |
| First Choice | PPO | $48,930.02 | ↑ +7% |
| Premera | HMO | $54,668.85 | ↑ +20% |
| Community Health Plan of Washington | Cascade Care | $57,793.46 | ↑ +27% |
| Ambetter | Coordinated Care Exchange | $63,415.12 | ↑ +39% |
| First Health | All Commercial Plans | $80,979.76 | ↑ +78% |
| Multiplan/PHCS | All Commercial Plans | $83,260.88 | ↑ +83% |
| Regence/Asuris | Commercial | $89,383.06 | ↑ +96% |
| Aetna | All Commercial Plans | $93,881.04 | ↑ +106% |
| Premera | Other Commercial Plans | $95,653.62 | ↑ +110% |
| Premera | Prime | $95,653.62 | ↑ +110% |
| Premera | Signature | $95,653.62 | ↑ +110% |
| United Healthcare | Commercial | $97,397.17 | ↑ +113% |
| Cigna | Commercial | $98,586.39 | ↑ +116% |
| Kaiser | PPO | $143,060.43 | ↑ +214% |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $40,597.20 | $5,419.00 – $100,076.18 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $34,978.01 – $38,475.81 |
| Providence Holy Family Hospital | Spokane | not published | $2,985.00 – $91,817.26 |
| Swedish Medical Center - First Hill Campus | Seattle | $26,365.44 | $7,277.00 – $157,216.46 |
| Swedish Medical Center Cherry Hill | Seattle | $26,365.44 | $7,277.00 – $151,405.58 |
| Swedish Issaquah | Issaquah | $26,365.44 | $7,277.00 – $157,216.46 |
| Central Medical Center | Seattle | $24,660.80 | not published |
| Providence St Mary Medical Center | Walla Walla | $23,301.60 | $24,827.00 – $64,709.31 |