Anca screen with reflex to titer -quest 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

$44.00

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.

$110.00

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.

$7.79 with Community Health Plan of Washington vs $93.50 with First Health — 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 $7.79 ↓ -82%
Molina Apple Health $7.93 ↓ -82%
United Healthcare Apple Health $7.93 ↓ -82%
Coordinated Care Apple Health $7.93 ↓ -82%
WellPoint Apple Health $11.54 ↓ -74%
SCAN MedAdvantage $14.75 ↓ -66%
Premera HMO $15.05 ↓ -66%
Aetna MedAdvantage $15.19 ↓ -65%
Regence MedAdvantage $15.19 ↓ -65%
United Healthcare MedAdvantage $15.34 ↓ -65%
WellCare MedAdvantage $15.49 ↓ -65%
Regence RealValue $15.58 ↓ -65%
Community Health Plan of Washington MedAdvantage $16.22 ↓ -63%
Kaiser PPO $16.56 ↓ -62%
Regence Commercial $17.31 ↓ -61%
Uniform Medical All Commercial Plans $17.31 ↓ -61%
Regence MCC/AHN $17.31 ↓ -61%
Regence Blue High Performance $17.31 ↓ -61%
United Healthcare All Commercial Plans $18.06 ↓ -59%
Cigna All Commercial Plans $18.06 ↓ -59%
Premera Signature $18.81 ↓ -57%
Premera Prime $18.81 ↓ -57%
Premera Other Commercial Plans $18.81 ↓ -57%
First Choice MHS Employee MCC/PPO $22.95 ↓ -48%
Community Health Plan of Washington Cascade Care $24.87 ↓ -43%
Ambetter Coordinated Care Exchange $27.29 ↓ -38%
First Choice PPO $37.63 ↓ -14%
First Choice MCC Wellfound Employee $37.63 ↓ -14%
Multiplan/PHCS All Commercial Plans $80.30 ↑ +83%
Aetna All Commercial Plans $87.74 ↑ +99%
First Health All Commercial Plans $93.50 ↑ +113%

Visitor-reported prices

visitor-reported
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Anca screen with reflex to titer -quest at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Peter Hospital Olympia not published $12.79 – $84.28
Providence St Joseph Hospital Chewelah $272.30 not published
Central Medical Center Seattle $548.80 $11.00 – $11.00
Kadlec Regional Medical Center Richland $483.00 $15.05 – $58.85
Providence Holy Family Hospital Spokane $863.80 $15.05 – $64.24
Providence Regional Medical Center Everett - Colby Campus Everett $53.56 $15.05 – $63.21
MultiCare Valley Hospital Spokane Valley $67.20 $7.07 – $27.29
MultiCare Yakima Memorial Hospital Yakima $27.20 $15.58 – $27.01

All Washington hospitals for this procedure →