Assay of sialic acid at MultiCare Good Samaritan Hospital
401 15th Avenue Southeast, Puyallup, WA · Multicare · · NPI 1841231461
$21.60
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.
$54.00
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 $62.36 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 | ↓ -60% |
| WellPoint | Apple Health | $8.63 | ↓ -60% |
| United Healthcare | Apple Health | $9.32 | ↓ -57% |
| Community Health Plan of Washington | Apple Health | $9.32 | ↓ -57% |
| Coordinated Care | Apple Health | $9.32 | ↓ -57% |
| SCAN | MedAdvantage | $13.17 | ↓ -39% |
| Premera | HMO | $13.44 | ↓ -38% |
| Premera | Signature | $13.44 | ↓ -38% |
| Premera | Prime | $13.44 | ↓ -38% |
| Regence | MCC/AHN | $13.52 | ↓ -37% |
| Regence | Blue High Performance | $13.52 | ↓ -37% |
| First Choice | MHS Employee MCC/PPO | $13.53 | ↓ -37% |
| Aetna | MedAdvantage | $13.57 | ↓ -37% |
| Regence | MedAdvantage | $13.57 | ↓ -37% |
| United Healthcare | MedAdvantage | $13.70 | ↓ -37% |
| Molina | MedAdvantage | $13.83 | ↓ -36% |
| WellCare | MedAdvantage | $13.83 | ↓ -36% |
| Regence | RealValue | $13.91 | ↓ -36% |
| Community Health Plan of Washington | MedAdvantage | $14.49 | ↓ -33% |
| Kaiser | PPO | $14.78 | ↓ -32% |
| Uniform Medical | All Commercial Plans | $15.46 | ↓ -28% |
| Regence | Commercial | $15.46 | ↓ -28% |
| Cigna | All Commercial Plans | $16.13 | ↓ -25% |
| United Healthcare | All Commercial Plans | $16.13 | ↓ -25% |
| Premera | Other Commercial Plans | $16.80 | ↓ -22% |
| First Choice | MCC Wellfound Employee | $18.90 | ↓ -13% |
| Community Health Plan of Washington | Cascade Care | $22.21 | ↑ +3% |
| First Choice | PPO | $25.54 | ↑ +18% |
| Ambetter | Coordinated Care Exchange | $26.34 | ↑ +22% |
| Multiplan/PHCS | All Commercial Plans | $31.39 | ↑ +45% |
| First Health | All Commercial Plans | $31.39 | ↑ +45% |
| Aetna | All Commercial Plans | $62.36 | ↑ +189% |
Visitor-reported prices
Comments
Assay of sialic acid at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $60.80 | $10.00 – $10.00 |
| MultiCare Auburn Medical Center | Auburn | $21.60 | $8.43 – $26.34 |
| MultiCare Capital Medical Center | Olympia | $182.40 | $9.08 – $24.37 |
| MultiCare Covington Medical Center | Covington | $21.60 | $8.43 – $26.34 |
| MultiCare Mary Bridge Children's Hospital | Tacoma | $21.60 | $8.59 – $30.49 |
| MultiCare Allenmore Hospital | Tacoma | $21.60 | $8.63 – $26.34 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $13.44 – $14.78 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $12.10 – $63.17 |