Shoe sole wedge outside sole at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$21.60
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.
$54.00
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.
$20.06 with First Choice vs $177.78 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 | $20.06 | ↓ -7% |
| First Choice | MCC Wellfound Employee | $26.12 | ↑ +21% |
| First Choice | PPO | $37.85 | ↑ +75% |
| First Health | All Commercial Plans | $38.34 | ↑ +78% |
| Multiplan/PHCS | All Commercial Plans | $39.42 | ↑ +83% |
| Regence/Asuris | Commercial | $40.90 | ↑ +89% |
| SCAN | MedAdvantage | $41.87 | ↑ +94% |
| Regence | MedAdvantage | $43.12 | ↑ +100% |
| Blue Cross of Idaho | MedAdvantage | $43.12 | ↑ +100% |
| Aetna | MedAdvantage | $43.12 | ↑ +100% |
| United Healthcare | MedAdvantage | $43.54 | ↑ +102% |
| WellCare | MedAdvantage | $43.96 | ↑ +104% |
| Molina | MedAdvantage | $43.96 | ↑ +104% |
| Community Health Plan of Washington | MedAdvantage | $46.05 | ↑ +113% |
| Premera | Signature | $51.12 | ↑ +137% |
| Premera | Other Commercial Plans | $51.12 | ↑ +137% |
| Premera | Prime | $51.12 | ↑ +137% |
| United Healthcare | Commercial | $51.26 | ↑ +137% |
| Cigna | Commercial | $58.63 | ↑ +171% |
| Premera | HMO | $63.78 | ↑ +195% |
| Community Health Plan of Washington | Cascade Care | $70.59 | ↑ +227% |
| Ambetter | Coordinated Care Exchange | $77.45 | ↑ +259% |
| Aetna | All Commercial Plans | $129.41 | ↑ +499% |
| Kaiser | PPO | $177.78 | ↑ +723% |
Visitor-reported prices
Comments
Shoe sole wedge outside sole at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $42.72 – $46.99 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $42.72 – $108.72 |
| MultiCare Valley Hospital | Spokane Valley | $21.60 | $40.90 – $177.38 |
| MultiCare Auburn Medical Center | Auburn | $21.60 | $35.79 – $184.55 |
| MultiCare Good Samaritan Hospital | Puyallup | $21.60 | $35.79 – $184.55 |
| MultiCare Capital Medical Center | Olympia | $21.60 | $36.81 – $77.45 |
| MultiCare Covington Medical Center | Covington | $21.60 | $35.79 – $184.55 |
| MultiCare Mary Bridge Children's Hospital | Tacoma | $21.60 | $35.79 – $313.50 |