Amputation of foot at ankle at MultiCare Good Samaritan Hospital

401 15th Avenue Southeast, Puyallup, WA · Multicare · · NPI 1841231461

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

not published by hospital

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.

not published by hospital

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.

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The hospital's undiscounted list price — almost no one pays this.

$4,956.46 with Molina vs $34,831.50 with Cigna — 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.

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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.

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Negotiated rate vs. cash
Molina Apple Health $4,956.46
Coordinated Care Apple Health $5,352.98
United Healthcare Apple Health $5,352.98
WellPoint Apple Health $5,352.98
Community Health Plan of Washington Apple Health $5,352.98
SCAN MedAdvantage $8,299.08
Aetna MedAdvantage $8,548.06
Regence MedAdvantage $8,548.06
United Healthcare MedAdvantage $8,631.05
Molina MedAdvantage $8,714.04
WellCare MedAdvantage $8,714.04
Community Health Plan of Washington MedAdvantage $9,128.99
First Choice MHS Employee MCC/PPO $9,986.87
Premera HMO $11,617.00
First Choice MCC Wellfound Employee $13,943.93
Community Health Plan of Washington Cascade Care $13,992.25
Ambetter Coordinated Care Exchange $16,598.17
First Choice PPO $18,843.14
Premera Signature $26,139.06
Premera Prime $26,727.23
Kaiser PPO $30,625.74
Premera Other Commercial Plans $32,848.37
Aetna All Commercial Plans $33,327.63
Cigna All Commercial Plans $34,831.50

Visitor-reported prices

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Amputation of foot at ankle at other Washington hospitals

Hospital City Cash price Negotiated range
Virginia Mason Medical Center Seattle $8,429.28 $18.66 – $3,069.55
Providence St Luke's Rehabilitation Medical Center Spokane not published $8,085.92 – $8,894.51
Swedish Medical Center - First Hill Campus Seattle not published $7,277.00 – $29,132.10
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $8,085.92 – $20,578.67
Swedish Medical Center Cherry Hill Seattle not published $7,277.00 – $28,055.35
Swedish Issaquah Issaquah not published $7,277.00 – $29,132.10
Central Medical Center Seattle not published not published
Providence Centralia Hospital Centralia not published $8,402.62 – $34,994.41

All Washington hospitals for this procedure →