Amino acid screen, urine at MultiCare Good Samaritan Hospital
401 15th Avenue Southeast, Puyallup, WA · Multicare · · NPI 1841231461
$34.40
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.
$86.00
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.
$8.63 with Molina vs $64.36 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 →
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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 | $8.63 | ↓ -75% |
| WellPoint | Apple Health | $8.63 | ↓ -75% |
| United Healthcare | Apple Health | $9.32 | ↓ -73% |
| Community Health Plan of Washington | Apple Health | $9.32 | ↓ -73% |
| Coordinated Care | Apple Health | $9.32 | ↓ -73% |
| SCAN | MedAdvantage | $13.59 | ↓ -60% |
| Premera | HMO | $13.87 | ↓ -60% |
| Premera | Signature | $13.87 | ↓ -60% |
| Premera | Prime | $13.87 | ↓ -60% |
| Regence | MCC/AHN | $13.96 | ↓ -59% |
| Regence | Blue High Performance | $13.96 | ↓ -59% |
| First Choice | MHS Employee MCC/PPO | $13.97 | ↓ -59% |
| Aetna | MedAdvantage | $14.00 | ↓ -59% |
| Regence | MedAdvantage | $14.00 | ↓ -59% |
| United Healthcare | MedAdvantage | $14.14 | ↓ -59% |
| Molina | MedAdvantage | $14.27 | ↓ -59% |
| WellCare | MedAdvantage | $14.27 | ↓ -59% |
| Regence | RealValue | $14.36 | ↓ -58% |
| Community Health Plan of Washington | MedAdvantage | $14.95 | ↓ -57% |
| Kaiser | PPO | $15.26 | ↓ -56% |
| Uniform Medical | All Commercial Plans | $15.95 | ↓ -54% |
| Regence | Commercial | $15.95 | ↓ -54% |
| Cigna | All Commercial Plans | $16.64 | ↓ -52% |
| United Healthcare | All Commercial Plans | $16.64 | ↓ -52% |
| Premera | Other Commercial Plans | $17.34 | ↓ -50% |
| First Choice | MCC Wellfound Employee | $19.50 | ↓ -43% |
| Community Health Plan of Washington | Cascade Care | $22.92 | ↓ -33% |
| First Choice | PPO | $26.35 | ↓ -23% |
| Ambetter | Coordinated Care Exchange | $27.19 | ↓ -21% |
| Multiplan/PHCS | All Commercial Plans | $50.37 | ↑ +46% |
| First Health | All Commercial Plans | $50.37 | ↑ +46% |
| Aetna | All Commercial Plans | $64.36 | ↑ +87% |
Visitor-reported prices
Comments
Amino acid screen, urine at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $62.40 | $10.00 – $10.00 |
| Providence Holy Family Hospital | Spokane | $166.60 | $13.87 – $59.20 |
| MultiCare Yakima Memorial Hospital | Yakima | $32.40 | $14.36 – $24.89 |
| MultiCare Auburn Medical Center | Auburn | $34.40 | $8.43 – $27.19 |
| Virginia Mason Medical Center | Seattle | $40.29 | $9.71 – $43.35 |
| MultiCare Capital Medical Center | Olympia | $63.20 | $9.08 – $25.15 |
| MultiCare Covington Medical Center | Covington | $34.40 | $8.43 – $27.19 |
| MultiCare Mary Bridge Children's Hospital | Tacoma | $34.40 | $8.59 – $30.49 |