Lig/band angioaccess av fistula 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.

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The hospital's undiscounted list price — almost no one pays this.

$1,483.11 with Molina vs $13,286.21 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.

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Negotiated rate vs. cash
Molina Apple Health $1,483.11 —
Coordinated Care Apple Health $1,497.65 —
WellPoint Apple Health $1,497.65 —
United Healthcare Apple Health $1,526.73 —
Community Health Plan of Washington Apple Health $1,570.35 —
SCAN MedAdvantage $3,448.15 —
Blue Cross of Idaho MedAdvantage $3,551.60 —
Aetna MedAdvantage $3,551.60 —
Regence MedAdvantage $3,551.60 —
United Healthcare MedAdvantage $3,586.08 —
Molina MedAdvantage $3,620.56 —
WellCare MedAdvantage $3,620.56 —
Community Health Plan of Washington MedAdvantage $3,792.97 —
Premera HMO $5,077.18 —
Community Health Plan of Washington Cascade Care $5,813.58 —
Ambetter Coordinated Care Exchange $6,379.08 —
Aetna All Commercial Plans $9,216.33 —
Premera Other Commercial Plans $9,267.58 —
Premera Signature $9,267.58 —
Premera Prime $9,267.58 —
Cigna Commercial $9,917.04 —
Kaiser PPO $13,286.21 —

Visitor-reported prices

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Lig/band angioaccess av fistula at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $9,460.50 $3,518.52 – $8,954.64
Providence St Luke's Rehabilitation Medical Center Spokane not published $3,518.52 – $3,870.37
Providence Holy Family Hospital Spokane not published $3,518.52 – $12,776.00
Kadlec Regional Medical Center Richland $7,769.30 $632.23 – $10,281.45
Providence St Peter Hospital Olympia $6,546.80 $3,086.66 – $13,025.02
St. Michael Medical Center Silverdale $3,180.27 $4,539.66 – $14,039.89
St. Anne Hospital Burien $2,200.34 $3,098.50 – $6,485.22
St. Anthony Hospital Gig Harbor $2,191.64 $5,188.18 – $8,105.48

All Washington hospitals for this procedure →