Ortho ewh rgd without jnt cstm w/fit&adj at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$18.40
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.
$46.00
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.
$17.09 with First Choice vs $3,358.96 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 |
|---|---|---|---|
| First Choice | MHS Employee MCC/PPO | $17.09 | ↓ -7% |
| First Choice | MCC Wellfound Employee | $22.25 | ↑ +21% |
| First Choice | PPO | $32.25 | ↑ +75% |
| First Health | All Commercial Plans | $32.66 | ↑ +78% |
| Multiplan/PHCS | All Commercial Plans | $33.58 | ↑ +83% |
| Regence/Asuris | Commercial | $772.71 | ↑ +4100% |
| SCAN | MedAdvantage | $790.95 | ↑ +4199% |
| Regence | MedAdvantage | $814.68 | ↑ +4328% |
| Blue Cross of Idaho | MedAdvantage | $814.68 | ↑ +4328% |
| Aetna | MedAdvantage | $814.68 | ↑ +4328% |
| United Healthcare | MedAdvantage | $822.59 | ↑ +4371% |
| WellCare | MedAdvantage | $830.50 | ↑ +4414% |
| Molina | MedAdvantage | $830.50 | ↑ +4414% |
| Community Health Plan of Washington | MedAdvantage | $870.04 | ↑ +4628% |
| Premera | Signature | $965.89 | ↑ +5149% |
| Premera | Other Commercial Plans | $965.89 | ↑ +5149% |
| Premera | Prime | $965.89 | ↑ +5149% |
| United Healthcare | Commercial | $968.51 | ↑ +5164% |
| Cigna | Commercial | $1,107.76 | ↑ +5920% |
| Premera | HMO | $1,205.01 | ↑ +6449% |
| Community Health Plan of Washington | Cascade Care | $1,333.54 | ↑ +7148% |
| Ambetter | Coordinated Care Exchange | $1,463.25 | ↑ +7852% |
| Aetna | All Commercial Plans | $2,444.99 | ↑ +13188% |
| Kaiser | PPO | $3,358.96 | ↑ +18155% |
Visitor-reported prices
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Ortho ewh rgd without jnt cstm w/fit&adj at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $759.50 | $807.09 – $2,054.04 |
| Providence Holy Family Hospital | Spokane | $774.90 | not published |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $807.09 – $887.80 |
| Providence St Joseph Hospital | Chewelah | $702.80 | not published |
| Providence St Mary Medical Center | Walla Walla | $528.50 | not published |
| St. Michael Medical Center | Silverdale | $382.86 | $546.50 – $3,549.50 |
| St. Anne Hospital | Burien | $264.89 | $373.01 – $2,524.40 |
| St. Anthony Hospital | Gig Harbor | $263.84 | $433.73 – $2,609.57 |