Removal of breast lesion at MultiCare Good Samaritan Hospital
401 15th Avenue Southeast, Puyallup, WA · Multicare · · NPI 1841231461
$5,538.80
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.
?
What you pay up front if you don't use insurance.
$13,847.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$993.24 with Molina vs $19,980.41 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $993.24 | ↓ -82% |
| United Healthcare | Apple Health | $1,072.70 | ↓ -81% |
| WellPoint | Apple Health | $1,072.70 | ↓ -81% |
| Community Health Plan of Washington | Apple Health | $1,072.70 | ↓ -81% |
| Coordinated Care | Apple Health | $1,072.70 | ↓ -81% |
| SCAN | MedAdvantage | $4,478.16 | ↓ -19% |
| Aetna | MedAdvantage | $4,612.51 | ↓ -17% |
| Regence | MedAdvantage | $4,612.51 | ↓ -17% |
| United Healthcare | MedAdvantage | $4,657.29 | ↓ -16% |
| WellCare | MedAdvantage | $4,702.07 | ↓ -15% |
| Molina | MedAdvantage | $4,702.07 | ↓ -15% |
| Community Health Plan of Washington | MedAdvantage | $4,925.98 | ↓ -11% |
| First Choice | MHS Employee MCC/PPO | $5,057.83 | ↓ -9% |
| Premera | HMO | $6,037.66 | ↑ +9% |
| First Choice | MCC Wellfound Employee | $7,061.88 | ↑ +27% |
| Community Health Plan of Washington | Cascade Care | $7,550.18 | ↑ +36% |
| Ambetter | Coordinated Care Exchange | $8,956.33 | ↑ +62% |
| Uniform Medical | All Commercial Plans | $9,279.22 | ↑ +68% |
| First Choice | PPO | $9,543.08 | ↑ +72% |
| First Health | All Commercial Plans | $10,108.31 | ↑ +83% |
| Multiplan/PHCS | All Commercial Plans | $10,108.31 | ↑ +83% |
| Regence | MCC/AHN | $12,514.24 | ↑ +126% |
| Regence | Blue High Performance | $12,514.24 | ↑ +126% |
| Regence | RealValue | $12,871.79 | ↑ +132% |
| Premera | Signature | $13,927.08 | ↑ +151% |
| Premera | Prime | $14,240.46 | ↑ +157% |
| Regence | Commercial | $14,301.99 | ↑ +158% |
| Kaiser | PPO | $15,917.01 | ↑ +187% |
| Premera | Other Commercial Plans | $17,501.84 | ↑ +216% |
| Aetna | All Commercial Plans | $17,864.75 | ↑ +223% |
| Cigna | All Commercial Plans | $18,794.97 | ↑ +239% |
| United Healthcare | All Commercial Plans | $19,980.41 | ↑ +261% |
Visitor-reported prices
Comments
Removal of breast lesion at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $8,940.48 | $4,534.03 – $14,753.91 |
| Swedish Medical Center Cherry Hill | Seattle | $8,940.48 | $4,534.03 – $14,208.59 |
| Swedish Issaquah | Issaquah | $8,940.48 | $4,546.75 – $14,753.91 |
| Central Medical Center | Seattle | $8,320.80 | not published |
| MultiCare Valley Hospital | Spokane Valley | $5,534.00 | $949.09 – $15,298.21 |
| MultiCare Auburn Medical Center | Auburn | $5,538.80 | $970.79 – $18,794.97 |
| Virginia Mason Medical Center | Seattle | $5,216.79 | $15.32 – $1,849.21 |
| MultiCare Capital Medical Center | Olympia | $5,538.80 | $1,044.73 – $20,257.40 |