Lactic acid 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

$47.60

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.

Full explanation →

What you pay up front if you don't use insurance.

$119.00

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.

$8.30 with Molina vs $86.87 with Multiplan/PHCS — 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
Molina Apple Health $8.30 ↓ -83%
WellPoint Apple Health $8.39 ↓ -82%
Coordinated Care Apple Health $8.39 ↓ -82%
United Healthcare Apple Health $8.55 ↓ -82%
Community Health Plan of Washington Apple Health $8.79 ↓ -82%
SCAN MedAdvantage $11.34 ↓ -76%
Premera HMO $11.57 ↓ -76%
Regence MedAdvantage $11.68 ↓ -75%
Blue Cross of Idaho MedAdvantage $11.68 ↓ -75%
Aetna MedAdvantage $11.68 ↓ -75%
United Healthcare MedAdvantage $11.79 ↓ -75%
WellCare MedAdvantage $11.91 ↓ -75%
Molina MedAdvantage $11.91 ↓ -75%
Community Health Plan of Washington MedAdvantage $12.47 ↓ -74%
Kaiser PPO $12.73 ↓ -73%
Regence/Asuris Commercial $13.31 ↓ -72%
United Healthcare Commercial $13.88 ↓ -71%
Cigna Commercial $13.88 ↓ -71%
Premera Other Commercial Plans $14.46 ↓ -70%
Premera Prime $14.46 ↓ -70%
Premera Signature $14.46 ↓ -70%
Community Health Plan of Washington Cascade Care $19.12 ↓ -60%
Ambetter Coordinated Care Exchange $20.98 ↓ -56%
First Choice MHS Employee MCC/PPO $44.21 ↓ -7%
First Choice MCC Wellfound Employee $57.56 ↑ +21%
Aetna All Commercial Plans $71.50 ↑ +50%
First Choice PPO $83.42 ↑ +75%
First Health All Commercial Plans $84.49 ↑ +78%
Multiplan/PHCS All Commercial Plans $86.87 ↑ +83%

Visitor-reported prices

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Lactic acid at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $111.51 $11.57 – $12.73
Providence Sacred Heart Medical Center and Children's Hospital Spokane $144.90 $11.57 – $41.65
Providence Holy Family Hospital Spokane $129.50 $11.57 – $49.40
Providence St Joseph Hospital Chewelah $110.60 not published
Swedish Medical Center - First Hill Campus Seattle $78.24 $10.41 – $54.38
Swedish Medical Center Cherry Hill Seattle $78.24 $10.41 – $52.64
Swedish Issaquah Issaquah $78.24 $10.41 – $54.38
Central Medical Center Seattle $144.80 $9.00 – $9.00

All Washington hospitals for this procedure →