_afb org id by sequencing rflx ast-sendout at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$86.80
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.
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What you pay up front if you don't use insurance.
$217.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$80.62 with First Choice vs $209.15 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 →
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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 |
|---|---|---|---|
| First Choice | MHS Employee MCC/PPO | $80.62 | ↓ -7% |
| First Choice | MCC Wellfound Employee | $104.96 | ↑ +21% |
| Premera | HMO | $115.36 | ↑ +33% |
| Aetna | MedAdvantage | $116.44 | ↑ +34% |
| Blue Cross of Idaho | MedAdvantage | $116.44 | ↑ +34% |
| Regence | MedAdvantage | $116.44 | ↑ +34% |
| United Healthcare | MedAdvantage | $117.57 | ↑ +35% |
| Molina | MedAdvantage | $118.71 | ↑ +37% |
| WellCare | MedAdvantage | $118.71 | ↑ +37% |
| Community Health Plan of Washington | MedAdvantage | $124.36 | ↑ +43% |
| Kaiser | PPO | $126.90 | ↑ +46% |
| Regence/Asuris | Commercial | $132.66 | ↑ +53% |
| United Healthcare | Commercial | $138.43 | ↑ +59% |
| Cigna | Commercial | $138.43 | ↑ +59% |
| Aetna | All Commercial Plans | $143.05 | ↑ +65% |
| Premera | Other Commercial Plans | $144.20 | ↑ +66% |
| Premera | Signature | $144.20 | ↑ +66% |
| Premera | Prime | $144.20 | ↑ +66% |
| First Choice | PPO | $152.12 | ↑ +75% |
| Multiplan/PHCS | All Commercial Plans | $156.24 | ↑ +80% |
| First Health | All Commercial Plans | $156.24 | ↑ +80% |
| Community Health Plan of Washington | Cascade Care | $190.61 | ↑ +120% |
| Ambetter | Coordinated Care Exchange | $209.15 | ↑ +141% |
| Community Health Plan of Washington | Apple Health | not published by hospital | — |
| SCAN | MedAdvantage | not published by hospital | — |
| WellPoint | Apple Health | not published by hospital | — |
| United Healthcare | Apple Health | not published by hospital | — |
| Coordinated Care | Apple Health | not published by hospital | — |
| Molina | Apple Health | not published by hospital | — |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $729.12 | $103.82 – $542.19 |
| Swedish Medical Center Cherry Hill | Seattle | $729.12 | $103.82 – $524.89 |
| Swedish Issaquah | Issaquah | $729.12 | $103.82 – $542.19 |
| Providence Mount Carmel Hospital | Colville | $457.80 | not published |
| Swedish Edmonds Hospital | Edmonds | $729.12 | $115.36 – $519.12 |
| Providence St Mary Medical Center | Walla Walla | $300.30 | $115.36 – $213.42 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $789.88 | $115.36 – $484.51 |
| MultiCare Yakima Memorial Hospital | Yakima | $70.00 | $119.39 – $207.05 |