Screening HIV antigen/antibody combination assay 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

$44.00

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.

$110.00

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.

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

$23.60 with SCAN vs $80.30 with Multiplan/PHCS — 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.

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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
SCAN MedAdvantage $23.60 ↓ -46%
Premera HMO $24.08 ↓ -45%
Aetna MedAdvantage $24.31 ↓ -45%
Blue Cross of Idaho MedAdvantage $24.31 ↓ -45%
Regence MedAdvantage $24.31 ↓ -45%
United Healthcare MedAdvantage $24.54 ↓ -44%
WellCare MedAdvantage $24.78 ↓ -44%
Molina MedAdvantage $24.78 ↓ -44%
Community Health Plan of Washington MedAdvantage $25.96 ↓ -41%
Kaiser PPO $26.49 ↓ -40%
Regence/Asuris Commercial $27.69 ↓ -37%
United Healthcare Commercial $28.90 ↓ -34%
Cigna Commercial $28.90 ↓ -34%
Premera Prime $30.10 ↓ -32%
Premera Signature $30.10 ↓ -32%
Premera Other Commercial Plans $30.10 ↓ -32%
Community Health Plan of Washington Cascade Care $39.79 ↓ -10%
First Choice MHS Employee MCC/PPO $40.87 ↓ -7%
Ambetter Coordinated Care Exchange $43.66 ↓ -1%
First Choice MCC Wellfound Employee $53.21 ↑ +21%
Aetna All Commercial Plans $74.41 ↑ +69%
First Choice PPO $77.11 ↑ +75%
First Health All Commercial Plans $78.10 ↑ +78%
Multiplan/PHCS All Commercial Plans $80.30 ↑ +83%

Visitor-reported prices

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Screening HIV antigen/antibody combination assay at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane not published $24.08 – $26.49
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $24.08 – $61.28
Providence Holy Family Hospital Spokane not published $24.08 – $102.79
MultiCare Valley Hospital Spokane Valley $44.00 $24.08 – $43.66
MultiCare Yakima Memorial Hospital Yakima $47.20 $24.07 – $44.07
MultiCare Auburn Medical Center Auburn $52.40 $23.60 – $47.20
MultiCare Good Samaritan Hospital Puyallup $52.40 $23.60 – $47.20
MultiCare Capital Medical Center Olympia $70.00 $23.60 – $43.66

All Washington hospitals for this procedure →