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

3900 Capital Mall DR SW, Olympia, WA · Multicare · · NPI 1841258639

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

$156.66

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.

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

$391.65

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.

$62.50 with Community Health Plan of Washington vs $545.23 with Aetna — 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
Community Health Plan of Washington Apple Health $62.50 ↓ -60%
United Healthcare Apple Health $63.66 ↓ -59%
Coordinated Care Apple Health $63.66 ↓ -59%
Molina Apple Health $63.66 ↓ -59%
Regence RealValue $82.21 ↓ -48%
Regence MCC/AHN $91.34 ↓ -42%
Regence Blue High Performance $91.34 ↓ -42%
Regence Commercial $91.34 ↓ -42%
Uniform Medical All Commercial Plans $91.34 ↓ -42%
WellPoint Apple Health $92.59 ↓ -41%
SCAN MedAdvantage $93.19 ↓ -41%
United Healthcare All Commercial Plans $95.09 ↓ -39%
Regence MedAdvantage $95.98 ↓ -39%
Aetna MedAdvantage $95.98 ↓ -39%
United Healthcare MedAdvantage $96.92 ↓ -38%
WellCare MedAdvantage $97.85 ↓ -38%
Community Health Plan of Washington MedAdvantage $102.51 ↓ -35%
Cigna All Commercial Plans $128.07 ↓ -18%
Premera HMO $140.85 ↓ -10%
Community Health Plan of Washington Cascade Care $157.12 ↑ +0%
Ambetter Coordinated Care Exchange $172.40 ↑ +10%
Premera Signature $200.19 ↑ +28%
Premera Other Commercial Plans $200.19 ↑ +28%
Premera Prime $200.19 ↑ +28%
Multiplan/PHCS All Commercial Plans $211.36 ↑ +35%
First Health All Commercial Plans $246.11 ↑ +57%
First Choice MHS Employee MCC/PPO $265.82 ↑ +70%
First Choice MCC Wellfound Employee $435.77 ↑ +178%
First Choice PPO $435.77 ↑ +178%
Aetna All Commercial Plans $545.23 ↑ +248%
Kaiser PPO not published by hospital

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 Peter Hospital Olympia $24,345.24 $80.83 – $310.47
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

All Washington hospitals for this procedure →