Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr 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

$5,024.40

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.

$12,561.00

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.

$904.84 with Molina vs $13,275.90 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
Molina Apple Health $904.84 ↓ -82%
WellPoint Apple Health $913.71 ↓ -82%
Coordinated Care Apple Health $913.71 ↓ -82%
United Healthcare Apple Health $931.45 ↓ -81%
Community Health Plan of Washington Apple Health $958.06 ↓ -81%
SCAN MedAdvantage $3,573.21 ↓ -29%
Aetna MedAdvantage $3,680.41 ↓ -27%
Blue Cross of Idaho MedAdvantage $3,680.41 ↓ -27%
Regence MedAdvantage $3,680.41 ↓ -27%
United Healthcare MedAdvantage $3,716.14 ↓ -26%
Molina MedAdvantage $3,751.87 ↓ -25%
WellCare MedAdvantage $3,751.87 ↓ -25%
Community Health Plan of Washington MedAdvantage $3,930.53 ↓ -22%
First Choice MHS Employee MCC/PPO $4,666.41 ↓ -7%
Premera HMO $5,073.23 ↑ +1%
Community Health Plan of Washington Cascade Care $6,024.44 ↑ +20%
First Choice MCC Wellfound Employee $6,075.76 ↑ +21%
Ambetter Coordinated Care Exchange $6,610.44 ↑ +32%
Regence/Asuris Commercial $8,794.11 ↑ +75%
First Choice PPO $8,805.26 ↑ +75%
First Health All Commercial Plans $8,918.31 ↑ +78%
Multiplan/PHCS All Commercial Plans $9,169.53 ↑ +83%
Premera Signature $9,411.07 ↑ +87%
Premera Other Commercial Plans $9,411.07 ↑ +87%
Premera Prime $9,411.07 ↑ +87%
Aetna All Commercial Plans $9,500.70 ↑ +89%
United Healthcare Commercial $10,152.77 ↑ +102%
Cigna Commercial $10,276.73 ↑ +105%
Kaiser PPO $13,275.90 ↑ +164%

Visitor-reported prices

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Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $4,424.00 $3,646.14 – $9,279.41
Providence Holy Family Hospital Spokane $5,738.60 $3,646.14 – $9,571.10
Providence St Luke's Rehabilitation Medical Center Spokane not published $3,646.14 – $4,010.75
Providence St Joseph Hospital Chewelah $1,534.40 not published
Swedish Medical Center - First Hill Campus Seattle $8,669.76 $3,788.94 – $13,331.38
Swedish Medical Center Cherry Hill Seattle $8,669.76 $3,788.94 – $12,838.64
Swedish Issaquah Issaquah $8,669.76 $3,799.57 – $13,331.38
Providence Centralia Hospital Centralia $6,876.48 $3,788.94 – $16,014.08

All Washington hospitals for this procedure →