Alteplase 100 mg infusion from pyxis vial at MultiCare Covington Medical Center

17700 SE 272nd Street, Covington, WA · Multicare · · NPI 1326564071

Source: hospital's published price file ↗ · Published Aug 27, 2026 · Ingested Sep 17, 2026

$142.66

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.

Full explanation →

What you pay up front if you don't use insurance.

$356.65

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.

Full explanation →

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

$58.08 with Molina vs $428.80 with First Choice — 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 →

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
Molina Apple Health $58.08 ↓ -59%
United Healthcare Apple Health $62.72 ↓ -56%
WellPoint Apple Health $62.72 ↓ -56%
Community Health Plan of Washington Apple Health $62.72 ↓ -56%
Coordinated Care Apple Health $62.72 ↓ -56%
SCAN MedAdvantage $93.19 ↓ -35%
United Healthcare All Commercial Plans $95.09 ↓ -33%
Aetna MedAdvantage $95.98 ↓ -33%
Regence MedAdvantage $95.98 ↓ -33%
United Healthcare MedAdvantage $96.92 ↓ -32%
Molina MedAdvantage $97.85 ↓ -31%
WellCare MedAdvantage $97.85 ↓ -31%
Community Health Plan of Washington MedAdvantage $102.51 ↓ -28%
Uniform Medical All Commercial Plans $109.61 ↓ -23%
Cigna All Commercial Plans $128.07 ↓ -10%
Premera HMO $140.85 ↓ -1%
Community Health Plan of Washington Cascade Care $157.12 ↑ +10%
Ambetter Coordinated Care Exchange $186.38 ↑ +31%
Aetna All Commercial Plans $188.45 ↑ +32%
Premera Signature $204.64 ↑ +43%
Premera Prime $204.64 ↑ +43%
Regence MCC/AHN $215.79 ↑ +51%
Regence Blue High Performance $215.79 ↑ +51%
Regence RealValue $221.96 ↑ +56%
First Choice MHS Employee MCC/PPO $227.26 ↑ +59%
Regence Commercial $246.62 ↑ +73%
Premera Other Commercial Plans $249.13 ↑ +75%
Multiplan/PHCS All Commercial Plans $260.35 ↑ +82%
First Health All Commercial Plans $260.35 ↑ +82%
First Choice MCC Wellfound Employee $317.31 ↑ +122%
Kaiser PPO $405.45 ↑ +184%
First Choice PPO $428.80 ↑ +201%

Visitor-reported prices

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Alteplase 100 mg infusion from pyxis vial at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $1,536.68 $95.09 – $104.60
Providence St Joseph Hospital Chewelah $23,045.20 not published
Swedish Medical Center - First Hill Campus Seattle $12,548.99 $91.34 – $240.55
Providence Sacred Heart Medical Center and Children's Hospital Spokane $11,522.62 $69.40 – $200.45
Swedish Medical Center Cherry Hill Seattle $12,548.99 $91.34 – $175.92
Swedish Issaquah Issaquah $12,548.99 $91.34 – $240.55
Central Medical Center Seattle $6,067.68 $94.15 – $94.15
Providence Centralia Hospital Centralia $24,345.24 $91.34 – $586.69

All Washington hospitals for this procedure →