Acetylcholinesterase assay 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.

Full explanation →

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$8.25 with Molina vs $22.28 with Ambetter — 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
WellPoint Apple Health $8.33
Coordinated Care Apple Health $8.33
United Healthcare Apple Health $8.49
Community Health Plan of Washington Apple Health $8.73
Premera HMO $12.29
Regence MedAdvantage $12.41
Blue Cross of Idaho MedAdvantage $12.41
Aetna MedAdvantage $12.41
United Healthcare MedAdvantage $12.53
Molina MedAdvantage $12.65
WellCare MedAdvantage $12.65
Community Health Plan of Washington MedAdvantage $13.25
Kaiser PPO $13.52
Regence/Asuris Commercial $14.13
Cigna Commercial $14.75
Aetna All Commercial Plans $15.24
Premera Prime $15.36
Premera Signature $15.36
Premera Other Commercial Plans $15.36
Community Health Plan of Washington Cascade Care $20.31
Ambetter Coordinated Care Exchange $22.28

Visitor-reported prices

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Acetylcholinesterase assay at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $282.80 not published
Swedish Medical Center - First Hill Campus Seattle $56.64 $11.06 – $57.76
Providence Sacred Heart Medical Center and Children's Hospital Spokane $182.00 $12.29 – $44.24
Swedish Medical Center Cherry Hill Seattle $56.64 $11.06 – $55.92
Swedish Issaquah Issaquah $56.64 $11.06 – $57.76
Central Medical Center Seattle $54.40 $10.00 – $10.00
Providence St Mary Medical Center Walla Walla $330.40 $12.29 – $22.74
Providence Holy Family Hospital Spokane $126.00 $12.29 – $52.44

All Washington hospitals for this procedure →