Insitu hybridization manual 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

$633.60

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.

$1,584.00

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.

$28.69 with Molina vs $1,829.14 with United Healthcare — 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 $28.69 ↓ -95%
WellPoint Apple Health $28.69 ↓ -95%
United Healthcare Apple Health $30.98 ↓ -95%
Community Health Plan of Washington Apple Health $30.98 ↓ -95%
Coordinated Care Apple Health $30.98 ↓ -95%
SCAN MedAdvantage $409.96 ↓ -35%
Aetna MedAdvantage $422.26 ↓ -33%
Regence MedAdvantage $422.26 ↓ -33%
United Healthcare MedAdvantage $426.36 ↓ -33%
WellCare MedAdvantage $430.46 ↓ -32%
Molina MedAdvantage $430.46 ↓ -32%
Community Health Plan of Washington MedAdvantage $450.96 ↓ -29%
Premera HMO $607.17 ↓ -4%
Community Health Plan of Washington Cascade Care $691.20 ↑ +9%
Ambetter Coordinated Care Exchange $819.92 ↑ +29%
Uniform Medical All Commercial Plans $875.04 ↑ +38%
Multiplan/PHCS All Commercial Plans $924.91 ↑ +46%
First Health All Commercial Plans $924.91 ↑ +46%
First Choice MHS Employee MCC/PPO $955.32 ↑ +51%
Regence MCC/AHN $1,180.10 ↑ +86%
Regence Blue High Performance $1,180.10 ↑ +86%
Regence RealValue $1,213.82 ↑ +92%
Premera Signature $1,313.32 ↑ +107%
First Choice MCC Wellfound Employee $1,333.84 ↑ +111%
Premera Prime $1,342.87 ↑ +112%
Regence Commercial $1,348.69 ↑ +113%
Kaiser PPO $1,500.63 ↑ +137%
Premera Other Commercial Plans $1,650.42 ↑ +160%
Aetna All Commercial Plans $1,678.19 ↑ +165%
Cigna All Commercial Plans $1,720.62 ↑ +172%
First Choice PPO $1,802.49 ↑ +184%
United Healthcare All Commercial Plans $1,829.14 ↑ +189%

Visitor-reported prices

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Insitu hybridization manual at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $189.63 $136.43 – $439.38
Providence St Joseph Hospital Chewelah $210.70 not published
Swedish Medical Center - First Hill Campus Seattle $255.84 $205.59 – $1,332.03
Providence Sacred Heart Medical Center and Children's Hospital Spokane $266.00 $226.15 – $1,020.28
Swedish Medical Center Cherry Hill Seattle $255.84 $205.59 – $1,289.52
Swedish Issaquah Issaquah $255.84 $205.59 – $1,332.03
Central Medical Center Seattle $856.00 $890.00 – $890.00
Providence Mount Carmel Hospital Colville $233.80 not published

All Washington hospitals for this procedure →