Long tongue stirrup 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.

$131.56 with First Choice vs $584.68 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.

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
First Choice MHS Employee MCC/PPO $131.56
SCAN MedAdvantage $132.62
Regence MedAdvantage $136.60
Aetna MedAdvantage $136.60
United Healthcare MedAdvantage $137.93
WellCare MedAdvantage $139.25
Molina MedAdvantage $139.25
Community Health Plan of Washington MedAdvantage $145.89
Aetna All Commercial Plans $177.79
First Choice MCC Wellfound Employee $183.68
Cigna All Commercial Plans $185.75
Premera HMO $202.05
Community Health Plan of Washington Cascade Care $223.60
Premera Signature $233.23
Premera Prime $233.23
First Choice PPO $248.22
Ambetter Coordinated Care Exchange $265.25
Premera Other Commercial Plans $285.05
Kaiser PPO $584.68

Visitor-reported prices

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Long tongue stirrup at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $171.67 $135.33 – $411.13
Swedish Medical Center Cherry Hill Seattle $171.67 $135.33 – $330.96
Swedish Edmonds Hospital Edmonds $171.67 $135.33 – $441.28
Providence St Luke's Rehabilitation Medical Center Spokane not published $135.33 – $148.86
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $135.33 – $344.41
Swedish Issaquah Issaquah not published $135.33 – $300.43
Providence Centralia Hospital Centralia not published $135.33 – $255.94
Kadlec Regional Medical Center Richland not published $135.33 – $250.36

All Washington hospitals for this procedure →