Removal of shunt at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$4,856.00
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.
$12,140.00
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.
$2,544.29 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.
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 |
|---|---|---|---|
| Molina | Apple Health | $2,544.29 | ↓ -48% |
| WellPoint | Apple Health | $2,569.23 | ↓ -47% |
| Coordinated Care | Apple Health | $2,569.23 | ↓ -47% |
| United Healthcare | Apple Health | $2,619.12 | ↓ -46% |
| Community Health Plan of Washington | Apple Health | $2,693.95 | ↓ -45% |
| SCAN | MedAdvantage | $3,448.15 | ↓ -29% |
| Aetna | MedAdvantage | $3,551.60 | ↓ -27% |
| Blue Cross of Idaho | MedAdvantage | $3,551.60 | ↓ -27% |
| Regence | MedAdvantage | $3,551.60 | ↓ -27% |
| United Healthcare | MedAdvantage | $3,586.08 | ↓ -26% |
| Molina | MedAdvantage | $3,620.56 | ↓ -25% |
| WellCare | MedAdvantage | $3,620.56 | ↓ -25% |
| Community Health Plan of Washington | MedAdvantage | $3,792.97 | ↓ -22% |
| First Choice | MHS Employee MCC/PPO | $4,510.01 | ↓ -7% |
| Premera | HMO | $5,077.18 | ↑ +5% |
| Community Health Plan of Washington | Cascade Care | $5,813.58 | ↑ +20% |
| First Choice | MCC Wellfound Employee | $5,872.12 | ↑ +21% |
| Ambetter | Coordinated Care Exchange | $6,379.08 | ↑ +31% |
| First Choice | PPO | $8,510.14 | ↑ +75% |
| First Health | All Commercial Plans | $8,619.40 | ↑ +78% |
| Regence/Asuris | Commercial | $8,660.03 | ↑ +78% |
| Multiplan/PHCS | All Commercial Plans | $8,862.20 | ↑ +83% |
| Aetna | All Commercial Plans | $9,216.33 | ↑ +90% |
| Premera | Other Commercial Plans | $9,267.58 | ↑ +91% |
| Premera | Signature | $9,267.58 | ↑ +91% |
| Premera | Prime | $9,267.58 | ↑ +91% |
| United Healthcare | Commercial | $9,797.42 | ↑ +102% |
| Cigna | Commercial | $9,917.04 | ↑ +104% |
| Kaiser | PPO | $13,286.21 | ↑ +174% |
Visitor-reported prices
Comments
Removal of shunt at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $3,518.52 – $3,870.37 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $3,518.52 – $8,954.64 |
| Providence Holy Family Hospital | Spokane | not published | $2,985.00 – $9,236.12 |
| MultiCare Valley Hospital | Spokane Valley | $4,856.00 | $2,526.23 – $13,256.42 |
| Virginia Mason Medical Center | Seattle | $3,747.99 | $10.74 – $2,160.57 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $3,656.33 – $13,496.13 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $3,656.33 – $12,997.30 |
| Swedish Issaquah | Issaquah | not published | $3,666.59 – $13,496.13 |