Alys cplx sp/pn npgt w/prgrm at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$306.40
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.
$766.00
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.
$99.40 with Molina vs $551.52 with First Health — 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 | $99.40 | ↓ -68% |
| WellPoint | Apple Health | $100.38 | ↓ -67% |
| Coordinated Care | Apple Health | $100.38 | ↓ -67% |
| United Healthcare | Apple Health | $102.33 | ↓ -67% |
| Community Health Plan of Washington | Apple Health | $105.25 | ↓ -66% |
| Aetna | MedAdvantage | $106.94 | ↓ -65% |
| Regence | MedAdvantage | $106.94 | ↓ -65% |
| Blue Cross of Idaho | MedAdvantage | $106.94 | ↓ -65% |
| United Healthcare | MedAdvantage | $107.98 | ↓ -65% |
| Molina | MedAdvantage | $109.01 | ↓ -64% |
| WellCare | MedAdvantage | $109.01 | ↓ -64% |
| Community Health Plan of Washington | MedAdvantage | $114.21 | ↓ -63% |
| Community Health Plan of Washington | Cascade Care | $175.05 | ↓ -43% |
| Premera | HMO | $176.42 | ↓ -42% |
| Ambetter | Coordinated Care Exchange | $192.07 | ↓ -37% |
| Premera | Signature | $256.14 | ↓ -16% |
| Premera | Other Commercial Plans | $256.14 | ↓ -16% |
| Premera | Prime | $256.14 | ↓ -16% |
| Regence/Asuris | Commercial | $261.76 | ↓ -15% |
| First Choice | MHS Employee MCC/PPO | $284.57 | ↓ -7% |
| United Healthcare | Commercial | $294.99 | ↓ -4% |
| Cigna | Commercial | $298.59 | ↓ -3% |
| Aetna | All Commercial Plans | $343.10 | ↑ +12% |
| First Choice | MCC Wellfound Employee | $370.51 | ↑ +21% |
| Kaiser | PPO | $444.15 | ↑ +45% |
| First Choice | PPO | $536.97 | ↑ +75% |
| Multiplan/PHCS | All Commercial Plans | $551.52 | ↑ +80% |
| First Health | All Commercial Plans | $551.52 | ↑ +80% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Alys cplx sp/pn npgt w/prgrm at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $396.48 | $110.09 – $533.12 |
| Swedish Medical Center Cherry Hill | Seattle | $396.48 | $110.09 – $516.11 |
| Swedish Issaquah | Issaquah | $396.48 | $110.40 – $533.12 |
| MultiCare Yakima Memorial Hospital | Yakima | $138.40 | $113.42 – $301.28 |
| MultiCare Auburn Medical Center | Auburn | $336.40 | $101.68 – $462.12 |
| MultiCare Good Samaritan Hospital | Puyallup | $336.40 | $104.03 – $462.12 |
| Virginia Mason Medical Center | Seattle | $217.26 | $1.65 – $1,084.02 |
| MultiCare Capital Medical Center | Olympia | $155.60 | $107.89 – $491.86 |