5' nucleotidase - sendout 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

$49.20

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.

$123.00

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.

$8.25 with Molina vs $88.56 with Multiplan/PHCS — 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 $8.25 ↓ -83%
Coordinated Care Apple Health $8.33 ↓ -83%
WellPoint Apple Health $8.33 ↓ -83%
United Healthcare Apple Health $8.49 ↓ -83%
Community Health Plan of Washington Apple Health $8.73 ↓ -82%
Premera HMO $11.15 ↓ -77%
Blue Cross of Idaho MedAdvantage $11.25 ↓ -77%
Aetna MedAdvantage $11.25 ↓ -77%
Regence MedAdvantage $11.25 ↓ -77%
United Healthcare MedAdvantage $11.36 ↓ -77%
WellCare MedAdvantage $11.47 ↓ -77%
Molina MedAdvantage $11.47 ↓ -77%
Community Health Plan of Washington MedAdvantage $12.02 ↓ -76%
Kaiser PPO $12.27 ↓ -75%
Regence/Asuris Commercial $12.82 ↓ -74%
United Healthcare Commercial $13.38 ↓ -73%
Cigna Commercial $13.38 ↓ -73%
Aetna All Commercial Plans $13.83 ↓ -72%
Premera Other Commercial Plans $13.94 ↓ -72%
Premera Signature $13.94 ↓ -72%
Premera Prime $13.94 ↓ -72%
Community Health Plan of Washington Cascade Care $18.42 ↓ -63%
Ambetter Coordinated Care Exchange $20.21 ↓ -59%
First Choice MHS Employee MCC/PPO $45.69 ↓ -7%
First Choice MCC Wellfound Employee $59.50 ↑ +21%
First Choice PPO $86.22 ↑ +75%
First Health All Commercial Plans $88.56 ↑ +80%
Multiplan/PHCS All Commercial Plans $88.56 ↑ +80%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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5' nucleotidase - sendout at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $81.12 $10.04 – $52.41
Providence Sacred Heart Medical Center and Children's Hospital Spokane $82.60 $11.15 – $40.14
Swedish Medical Center Cherry Hill Seattle $81.12 $10.04 – $50.73
Swedish Issaquah Issaquah $81.12 $10.04 – $52.41
Central Medical Center Seattle $49.60 $8.00 – $8.00
Providence Mount Carmel Hospital Colville $164.50 not published
Swedish Edmonds Hospital Edmonds $81.12 $11.15 – $50.18
Providence St Mary Medical Center Walla Walla $32.90 $11.15 – $20.63

All Washington hospitals for this procedure →