Lwr ext dynamic prosth pylon 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

$173.20

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.

$433.00

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.

$160.86 with First Choice vs $1,412.53 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
First Choice MHS Employee MCC/PPO $160.86 ↓ -7%
First Choice MCC Wellfound Employee $209.44 ↑ +21%
First Choice PPO $303.53 ↑ +75%
First Health All Commercial Plans $307.43 ↑ +78%
Multiplan/PHCS All Commercial Plans $316.09 ↑ +83%
Regence/Asuris Commercial $324.94 ↑ +88%
SCAN MedAdvantage $332.60 ↑ +92%
Regence MedAdvantage $342.58 ↑ +98%
Blue Cross of Idaho MedAdvantage $342.58 ↑ +98%
Aetna MedAdvantage $342.58 ↑ +98%
United Healthcare MedAdvantage $345.91 ↑ +100%
WellCare MedAdvantage $349.23 ↑ +102%
Molina MedAdvantage $349.23 ↑ +102%
Community Health Plan of Washington MedAdvantage $365.86 ↑ +111%
Premera Signature $406.18 ↑ +135%
Premera Other Commercial Plans $406.18 ↑ +135%
Premera Prime $406.18 ↑ +135%
United Healthcare Commercial $407.27 ↑ +135%
Cigna Commercial $465.84 ↑ +169%
Premera HMO $506.74 ↑ +193%
Community Health Plan of Washington Cascade Care $560.77 ↑ +224%
Ambetter Coordinated Care Exchange $615.31 ↑ +255%
Aetna All Commercial Plans $1,028.17 ↑ +494%
Kaiser PPO $1,412.53 ↑ +716%

Visitor-reported prices

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Lwr ext dynamic prosth pylon at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane not published $339.39 – $373.33
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $339.39 – $863.75
MultiCare Valley Hospital Spokane Valley $173.20 $324.94 – $1,409.36
MultiCare Auburn Medical Center Auburn $173.20 $284.32 – $1,466.37
MultiCare Good Samaritan Hospital Puyallup $173.20 $284.32 – $1,466.37
MultiCare Capital Medical Center Olympia $173.20 $292.45 – $615.31
MultiCare Covington Medical Center Covington $173.20 $284.32 – $1,466.37
MultiCare Mary Bridge Children's Hospital Tacoma $173.20 $284.32 – $2,490.92

All Washington hospitals for this procedure →