X-ray exam of tear duct at MultiCare Covington Medical Center
17700 SE 272nd Street, Covington, WA · Multicare · · NPI 1326564071
$474.00
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.
$1,185.00
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.
$83.76 with Molina vs $1,482.13 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 →
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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 | $83.76 | ↓ -82% |
| United Healthcare | Apple Health | $90.46 | ↓ -81% |
| WellPoint | Apple Health | $90.46 | ↓ -81% |
| Community Health Plan of Washington | Apple Health | $90.46 | ↓ -81% |
| Coordinated Care | Apple Health | $90.46 | ↓ -81% |
| SCAN | MedAdvantage | $271.53 | ↓ -43% |
| Aetna | MedAdvantage | $279.68 | ↓ -41% |
| Regence | MedAdvantage | $279.68 | ↓ -41% |
| United Healthcare | MedAdvantage | $282.39 | ↓ -40% |
| WellCare | MedAdvantage | $285.11 | ↓ -40% |
| Molina | MedAdvantage | $285.11 | ↓ -40% |
| Community Health Plan of Washington | MedAdvantage | $298.69 | ↓ -37% |
| Premera | HMO | $437.46 | ↓ -8% |
| Community Health Plan of Washington | Cascade Care | $457.80 | ↓ -3% |
| Ambetter | Coordinated Care Exchange | $543.06 | ↑ +15% |
| Uniform Medical | All Commercial Plans | $596.52 | ↑ +26% |
| Multiplan/PHCS | All Commercial Plans | $692.04 | ↑ +46% |
| First Health | All Commercial Plans | $692.04 | ↑ +46% |
| First Choice | MHS Employee MCC/PPO | $785.53 | ↑ +66% |
| Regence | MCC/AHN | $804.48 | ↑ +70% |
| Regence | Blue High Performance | $804.48 | ↑ +70% |
| Regence | RealValue | $827.46 | ↑ +75% |
| Premera | Signature | $895.29 | ↑ +89% |
| Premera | Prime | $915.44 | ↑ +93% |
| Regence | Commercial | $919.40 | ↑ +94% |
| Kaiser | PPO | $1,081.20 | ↑ +128% |
| First Choice | MCC Wellfound Employee | $1,096.78 | ↑ +131% |
| Premera | Other Commercial Plans | $1,125.09 | ↑ +137% |
| Aetna | All Commercial Plans | $1,127.69 | ↑ +138% |
| Cigna | All Commercial Plans | $1,145.33 | ↑ +142% |
| United Healthcare | All Commercial Plans | $1,217.57 | ↑ +157% |
| First Choice | PPO | $1,482.13 | ↑ +213% |
Visitor-reported prices
Comments
X-ray exam of tear duct at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,472.80 | $265.88 – $838.94 |
| Central Medical Center | Seattle | $880.00 | $242.00 – $242.00 |
| MultiCare Auburn Medical Center | Auburn | $474.00 | $83.76 – $1,145.33 |
| MultiCare Good Samaritan Hospital | Puyallup | $474.00 | $85.70 – $1,145.33 |
| Virginia Mason Medical Center | Seattle | $412.08 | $1.45 – $182.48 |
| MultiCare Capital Medical Center | Olympia | $342.00 | $90.14 – $1,234.45 |
| MultiCare Mary Bridge Children's Hospital | Tacoma | $474.00 | $85.30 – $1,836.63 |
| MultiCare Allenmore Hospital | Tacoma | $474.00 | $85.73 – $1,145.33 |