Injection, burosumab-twza 1m 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.

$488.74 with SCAN vs $1,920.11 with Kaiser — 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
SCAN MedAdvantage $488.74
Aetna MedAdvantage $503.40
Regence MedAdvantage $503.40
United Healthcare MedAdvantage $508.29
Molina MedAdvantage $513.18
WellCare MedAdvantage $513.18
Community Health Plan of Washington MedAdvantage $537.62
Cigna All Commercial Plans $657.62
Premera HMO $657.63
Community Health Plan of Washington Cascade Care $824.02
First Choice MHS Employee MCC/PPO $943.68
Aetna All Commercial Plans $967.64
Ambetter Coordinated Care Exchange $977.48
Premera Signature $1,020.06
Premera Prime $1,020.06
Premera Other Commercial Plans $1,241.81
First Choice MCC Wellfound Employee $1,317.59
First Choice PPO $1,780.52
Kaiser PPO $1,920.11

Visitor-reported prices

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Injection, burosumab-twza 1m at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $12,709.20 $345.93 – $922.62
Providence Holy Family Hospital Spokane $12,709.20 $443.50 – $1,033.40
Swedish Medical Center - First Hill Campus Seattle not published $464.74 – $998.83
Swedish Medical Center Cherry Hill Seattle not published $464.74 – $922.62
Swedish Issaquah Issaquah not published $464.74 – $998.83
Central Medical Center Seattle not published $481.57 – $481.57
Providence Centralia Hospital Centralia not published $464.74 – $3,013.33
Swedish Edmonds Hospital Edmonds not published $468.68 – $922.62

All Washington hospitals for this procedure →