4-bar link above knee w/swng at MultiCare Valley Hospital

12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251

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.

$1,941.69 with Regence/Asuris vs $8,421.58 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.

Full explanation →
Negotiated rate vs. cash
Regence/Asuris Commercial $1,941.69
Regence MedAdvantage $2,047.12
Blue Cross of Idaho MedAdvantage $2,047.12
Aetna MedAdvantage $2,047.12
United Healthcare MedAdvantage $2,067.00
WellCare MedAdvantage $2,086.87
Molina MedAdvantage $2,086.87
Community Health Plan of Washington MedAdvantage $2,186.25
Premera Signature $2,427.11
Premera Other Commercial Plans $2,427.11
Premera Prime $2,427.11
Cigna Commercial $2,783.61
Premera HMO $3,027.98
Community Health Plan of Washington Cascade Care $3,350.92
Ambetter Coordinated Care Exchange $3,676.87
Aetna All Commercial Plans $6,720.42
Kaiser PPO $8,421.58

Visitor-reported prices

visitor-reported
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4-bar link above knee w/swng at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane not published $2,028.06 – $2,230.87
Swedish Medical Center - First Hill Campus Seattle not published $2,028.06 – $6,161.25
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $2,028.06 – $5,161.41
Swedish Medical Center Cherry Hill Seattle not published $2,028.06 – $4,959.69
Swedish Issaquah Issaquah not published $2,028.06 – $4,502.29
Providence Centralia Hospital Centralia not published $2,028.06 – $3,835.49
Swedish Edmonds Hospital Edmonds not published $2,028.06 – $6,612.92
Kadlec Regional Medical Center Richland not published $2,028.06 – $3,751.91

All Washington hospitals for this procedure →