X-ray surgical specimen at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$1,741.20
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.
$4,353.00
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.
$82.47 with Molina vs $3,177.69 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 |
|---|---|---|---|
| Molina | Apple Health | $82.47 | ↓ -95% |
| WellPoint | Apple Health | $83.28 | ↓ -95% |
| Coordinated Care | Apple Health | $83.28 | ↓ -95% |
| United Healthcare | Apple Health | $84.90 | ↓ -95% |
| Community Health Plan of Washington | Apple Health | $87.33 | ↓ -95% |
| SCAN | MedAdvantage | $596.72 | ↓ -66% |
| Blue Cross of Idaho | MedAdvantage | $614.62 | ↓ -65% |
| Aetna | MedAdvantage | $614.62 | ↓ -65% |
| Regence | MedAdvantage | $614.62 | ↓ -65% |
| United Healthcare | MedAdvantage | $620.59 | ↓ -64% |
| Molina | MedAdvantage | $626.55 | ↓ -64% |
| WellCare | MedAdvantage | $626.55 | ↓ -64% |
| Community Health Plan of Washington | MedAdvantage | $656.39 | ↓ -62% |
| Premera | HMO | $914.67 | ↓ -47% |
| Community Health Plan of Washington | Cascade Care | $1,006.06 | ↓ -42% |
| Ambetter | Coordinated Care Exchange | $1,103.93 | ↓ -37% |
| Regence/Asuris | Commercial | $1,498.83 | ↓ -14% |
| Premera | Other Commercial Plans | $1,603.98 | ↓ -8% |
| Premera | Prime | $1,603.98 | ↓ -8% |
| Premera | Signature | $1,603.98 | ↓ -8% |
| Aetna | All Commercial Plans | $1,605.50 | ↓ -8% |
| First Choice | MHS Employee MCC/PPO | $1,617.14 | ↓ -7% |
| United Healthcare | Commercial | $1,695.49 | ↓ -3% |
| Cigna | Commercial | $1,716.19 | ↓ -1% |
| First Choice | MCC Wellfound Employee | $2,105.55 | ↑ +21% |
| Kaiser | PPO | $2,243.96 | ↑ +29% |
| First Choice | PPO | $3,051.45 | ↑ +75% |
| First Health | All Commercial Plans | $3,090.63 | ↑ +78% |
| Multiplan/PHCS | All Commercial Plans | $3,177.69 | ↑ +83% |
Visitor-reported prices
Comments
X-ray surgical specimen at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,059.10 | $288.09 – $1,733.69 |
| Providence Holy Family Hospital | Spokane | $2,086.70 | $133.65 – $1,889.45 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $26.30 – $669.78 |
| Swedish Medical Center - First Hill Campus | Seattle | $197.76 | $632.74 – $2,263.43 |
| Swedish Medical Center Cherry Hill | Seattle | $197.76 | $632.74 – $2,191.19 |
| Swedish Issaquah | Issaquah | $197.76 | $116.27 – $2,263.43 |
| Central Medical Center | Seattle | $1,920.00 | $549.00 – $549.00 |
| Providence Centralia Hospital | Centralia | $1,292.72 | $329.67 – $3,000.24 |