Homovanillic acid (hva) 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

$20.80

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.

$52.00

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.

$9.39 with Community Health Plan of Washington vs $130.65 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 $9.39 ↓ -55%
Molina Apple Health $9.57 ↓ -54%
United Healthcare Apple Health $9.57 ↓ -54%
Coordinated Care Apple Health $9.57 ↓ -54%
WellPoint Apple Health $13.92 ↓ -33%
SCAN MedAdvantage $21.96 ↑ +6%
Premera HMO $22.41 ↑ +8%
Aetna MedAdvantage $22.62 ↑ +9%
Regence MedAdvantage $22.62 ↑ +9%
United Healthcare MedAdvantage $22.84 ↑ +10%
WellCare MedAdvantage $23.06 ↑ +11%
Regence RealValue $23.19 ↑ +11%
Community Health Plan of Washington MedAdvantage $24.16 ↑ +16%
Kaiser PPO $24.65 ↑ +19%
Regence MCC/AHN $25.77 ↑ +24%
Uniform Medical All Commercial Plans $25.77 ↑ +24%
Regence Commercial $25.77 ↑ +24%
Regence Blue High Performance $25.77 ↑ +24%
Cigna All Commercial Plans $26.89 ↑ +29%
United Healthcare All Commercial Plans $26.89 ↑ +29%
Premera Other Commercial Plans $28.01 ↑ +35%
Premera Signature $28.01 ↑ +35%
Premera Prime $28.01 ↑ +35%
First Choice MHS Employee MCC/PPO $34.18 ↑ +64%
Community Health Plan of Washington Cascade Care $37.03 ↑ +78%
Multiplan/PHCS All Commercial Plans $37.96 ↑ +83%
Ambetter Coordinated Care Exchange $40.63 ↑ +95%
First Health All Commercial Plans $44.20 ↑ +113%
First Choice PPO $56.03 ↑ +169%
First Choice MCC Wellfound Employee $56.03 ↑ +169%
Aetna All Commercial Plans $130.65 ↑ +528%

Visitor-reported prices

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Homovanillic acid (hva) at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Peter Hospital Olympia not published $19.05 – $125.50
Providence St Joseph Hospital Chewelah $67.90 not published
Swedish Medical Center - First Hill Campus Seattle $50.88 $20.17 – $105.33
Providence Sacred Heart Medical Center and Children's Hospital Spokane $111.30 $22.41 – $80.68
Swedish Medical Center Cherry Hill Seattle $50.88 $20.17 – $101.97
Swedish Issaquah Issaquah $50.88 $20.17 – $105.33
Central Medical Center Seattle $100.80 $17.00 – $17.00
Providence Mount Carmel Hospital Colville $77.00 not published

All Washington hospitals for this procedure →