Observation direct referral from physician office for admission at MultiCare Good Samaritan Hospital
401 15th Avenue Southeast, Puyallup, WA · Multicare · · NPI 1841231461
$904.40
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.
$2,261.00
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.
$681.12 with SCAN vs $3,038.99 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 →
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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 |
|---|---|---|---|
| SCAN | MedAdvantage | $681.12 | ↓ -25% |
| Regence | MedAdvantage | $701.55 | ↓ -22% |
| Aetna | MedAdvantage | $701.55 | ↓ -22% |
| United Healthcare | MedAdvantage | $708.37 | ↓ -22% |
| WellCare | MedAdvantage | $715.18 | ↓ -21% |
| Molina | MedAdvantage | $715.18 | ↓ -21% |
| Community Health Plan of Washington | MedAdvantage | $749.23 | ↓ -17% |
| Premera | HMO | $1,026.80 | ↑ +14% |
| Community Health Plan of Washington | Cascade Care | $1,148.37 | ↑ +27% |
| Ambetter | Coordinated Care Exchange | $1,362.24 | ↑ +51% |
| Uniform Medical | All Commercial Plans | $1,563.63 | ↑ +73% |
| Multiplan/PHCS | All Commercial Plans | $1,650.53 | ↑ +83% |
| First Health | All Commercial Plans | $1,650.53 | ↑ +83% |
| Cigna | All Commercial Plans | $1,910.21 | ↑ +111% |
| Regence | Blue High Performance | $2,108.76 | ↑ +133% |
| Regence | MCC/AHN | $2,108.76 | ↑ +133% |
| Regence | RealValue | $2,169.01 | ↑ +140% |
| Premera | Signature | $2,346.84 | ↑ +159% |
| Premera | Prime | $2,399.64 | ↑ +165% |
| Regence | Commercial | $2,410.02 | ↑ +166% |
| Kaiser | PPO | $2,537.75 | ↑ +181% |
| Aetna | All Commercial Plans | $2,913.50 | ↑ +222% |
| Premera | Other Commercial Plans | $2,949.22 | ↑ +226% |
| United Healthcare | All Commercial Plans | $3,038.99 | ↑ +236% |
| Community Health Plan of Washington | Apple Health | not published by hospital | — |
| First Choice | MHS Employee MCC/PPO | not published by hospital | — |
| First Choice | MCC Wellfound Employee | not published by hospital | — |
| First Choice | PPO | not published by hospital | — |
| Coordinated Care | Apple Health | not published by hospital | — |
| Molina | Apple Health | not published by hospital | — |
| United Healthcare | Apple Health | not published by hospital | — |
| WellPoint | Apple Health | not published by hospital | — |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $153.30 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $162.24 | $689.62 – $2,095.06 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,036.00 | $663.63 – $1,688.93 |
| Swedish Medical Center Cherry Hill | Seattle | $162.24 | $689.62 – $1,613.71 |
| Swedish Issaquah | Issaquah | $162.24 | $691.55 – $1,535.25 |
| Providence Centralia Hospital | Centralia | $1,086.80 | $689.62 – $1,275.79 |
| Providence St Mary Medical Center | Walla Walla | $145.60 | $569.15 – $1,227.71 |
| Kadlec Regional Medical Center | Richland | $688.80 | $663.63 – $1,227.71 |