Ankle X-ray 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

$250.40

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.

$626.00

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.

$40.64 with Molina vs $507.59 with First Choice — 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
Molina Apple Health $40.64 ↓ -84%
United Healthcare Apple Health $43.90 ↓ -82%
WellPoint Apple Health $43.90 ↓ -82%
Community Health Plan of Washington Apple Health $43.90 ↓ -82%
Coordinated Care Apple Health $43.90 ↓ -82%
SCAN MedAdvantage $99.53 ↓ -60%
Aetna MedAdvantage $102.52 ↓ -59%
Regence MedAdvantage $102.52 ↓ -59%
United Healthcare MedAdvantage $103.51 ↓ -59%
WellCare MedAdvantage $104.51 ↓ -58%
Molina MedAdvantage $104.51 ↓ -58%
Community Health Plan of Washington MedAdvantage $109.49 ↓ -56%
Premera HMO $162.75 ↓ -35%
Community Health Plan of Washington Cascade Care $167.81 ↓ -33%
Ambetter Coordinated Care Exchange $199.06 ↓ -21%
Uniform Medical All Commercial Plans $221.21 ↓ -12%
First Choice MHS Employee MCC/PPO $269.02 ↑ +7%
Regence Blue High Performance $298.33 ↑ +19%
Regence MCC/AHN $298.33 ↑ +19%
Regence RealValue $306.86 ↑ +23%
Premera Signature $332.01 ↑ +33%
Premera Prime $339.48 ↑ +36%
Regence Commercial $340.95 ↑ +36%
Multiplan/PHCS All Commercial Plans $365.73 ↑ +46%
First Health All Commercial Plans $365.73 ↑ +46%
First Choice MCC Wellfound Employee $375.62 ↑ +50%
Kaiser PPO $402.25 ↑ +61%
Aetna All Commercial Plans $410.76 ↑ +64%
Premera Other Commercial Plans $417.23 ↑ +67%
Cigna All Commercial Plans $417.74 ↑ +67%
United Healthcare All Commercial Plans $444.09 ↑ +77%
First Choice PPO $507.59 ↑ +103%

Visitor-reported prices

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Ankle X-ray at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $145.53 $28.62 – $106.67
Providence St Joseph Hospital Chewelah $405.30 not published
Swedish Medical Center - First Hill Campus Seattle $264.48 $100.77 – $375.11
Providence Sacred Heart Medical Center and Children's Hospital Spokane $522.90 $96.98 – $287.32
Swedish Medical Center Cherry Hill Seattle $264.48 $100.77 – $363.14
Swedish Issaquah Issaquah $264.48 $101.06 – $375.11
Central Medical Center Seattle $304.00 $89.00 – $89.00
Providence Centralia Hospital Centralia $310.44 $100.77 – $497.22

All Washington hospitals for this procedure →