Vaccine tdap >=7 years im at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$18.33
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.
$45.82
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.
$5.44 with Community Health Plan of Washington vs $23.91 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.
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 |
|---|---|---|---|
| Community Health Plan of Washington | MedAdvantage | $5.44 | ↓ -70% |
| First Choice | MHS Employee MCC/PPO | $12.17 | ↓ -34% |
| First Choice | MCC Wellfound Employee | $15.84 | ↓ -14% |
| Molina | Apple Health | $18.49 | ↑ +1% |
| Coordinated Care | Apple Health | $18.67 | ↑ +2% |
| WellPoint | Apple Health | $18.67 | ↑ +2% |
| United Healthcare | Apple Health | $19.03 | ↑ +4% |
| Community Health Plan of Washington | Apple Health | $19.58 | ↑ +7% |
| First Choice | PPO | $22.96 | ↑ +25% |
| First Health | All Commercial Plans | $23.25 | ↑ +27% |
| Multiplan/PHCS | All Commercial Plans | $23.91 | ↑ +30% |
Visitor-reported prices
Comments
Vaccine tdap >=7 years im at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $446.94 | $42.63 – $72.25 |
| Providence Holy Family Hospital | Spokane | $446.94 | $42.63 – $72.25 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $101.97 – $101.97 |
| Providence St Joseph Hospital | Chewelah | $481.07 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $99.50 | $42.63 – $72.25 |
| Swedish Medical Center Cherry Hill | Seattle | $99.50 | $42.63 – $72.25 |
| Swedish Issaquah | Issaquah | $99.50 | $42.63 – $79.42 |
| Providence Centralia Hospital | Centralia | $188.77 | $115.89 – $250.64 |