Aco cont gluc mnt phys/qhp eqp 95250aco at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
not published by hospital
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.
not published by hospital
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.
$46.32 with Molina vs $537.83 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.
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 |
|---|---|---|---|
| Molina | Apple Health | $46.32 | — |
| WellPoint | Apple Health | $46.78 | — |
| Coordinated Care | Apple Health | $46.78 | — |
| United Healthcare | Apple Health | $47.69 | — |
| Community Health Plan of Washington | Apple Health | $49.05 | — |
| Blue Cross of Idaho | MedAdvantage | $149.75 | — |
| Regence | MedAdvantage | $149.75 | — |
| Aetna | MedAdvantage | $149.75 | — |
| United Healthcare | MedAdvantage | $151.21 | — |
| WellCare | MedAdvantage | $152.66 | — |
| Molina | MedAdvantage | $152.66 | — |
| Community Health Plan of Washington | MedAdvantage | $159.93 | — |
| Premera | HMO | $213.64 | — |
| Community Health Plan of Washington | Cascade Care | $245.13 | — |
| Ambetter | Coordinated Care Exchange | $268.98 | — |
| Premera | Prime | $349.78 | — |
| Premera | Signature | $349.78 | — |
| Premera | Other Commercial Plans | $349.78 | — |
| Regence/Asuris | Commercial | $357.46 | — |
| Cigna | Commercial | $418.14 | — |
| Aetna | All Commercial Plans | $481.69 | — |
| Kaiser | PPO | $537.83 | — |
Visitor-reported prices
Comments
Aco cont gluc mnt phys/qhp eqp 95250aco at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $96.00 | $154.17 – $544.87 |
| Swedish Medical Center Cherry Hill | Seattle | $96.00 | $154.17 – $486.91 |
| Swedish Issaquah | Issaquah | $96.00 | $154.60 – $544.87 |
| Swedish Edmonds Hospital | Edmonds | $96.00 | $151.62 – $475.31 |
| Providence St Mary Medical Center | Walla Walla | $809.90 | $117.13 – $274.47 |
| Kadlec Regional Medical Center | Richland | $554.40 | $148.36 – $453.29 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $104.00 | $151.62 – $486.91 |
| MultiCare Yakima Memorial Hospital | Yakima | $173.60 | $158.83 – $411.43 |