Vinblastine 1 mg/ml intravenous solution 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

$7.86

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.

$19.64

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.

$7.27 with First Choice vs $14.29 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.

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
First Choice MHS Employee MCC/PPO $7.27 ↓ -8%
First Choice MCC Wellfound Employee $9.47 ↑ +20%
First Choice PPO $13.73 ↑ +75%
First Health All Commercial Plans $13.90 ↑ +77%
Multiplan/PHCS All Commercial Plans $14.29 ↑ +82%

Visitor-reported prices

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Vinblastine 1 mg/ml intravenous solution at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $526.76 $4.35 – $12.42
Providence Holy Family Hospital Spokane $526.76 $4.35 – $12.42
Providence St Luke's Rehabilitation Medical Center Spokane not published $11.20 – $11.20
Swedish Medical Center - First Hill Campus Seattle $163.80 $4.35 – $12.42
Swedish Medical Center Cherry Hill Seattle $163.80 $4.35 – $12.42
Swedish Issaquah Issaquah $163.80 $4.35 – $12.42
Central Medical Center Seattle $74.14 $5.29 – $5.29
Swedish Edmonds Hospital Edmonds $163.80 $4.35 – $12.42

All Washington hospitals for this procedure →