Anogenital exam child w imag 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.

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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.

$227.41 with Regence vs $792.68 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 →

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
Regence MedAdvantage $227.41
Blue Cross of Idaho MedAdvantage $227.41
Aetna MedAdvantage $227.41
United Healthcare MedAdvantage $229.61
Molina MedAdvantage $231.82
WellCare MedAdvantage $231.82
Community Health Plan of Washington MedAdvantage $242.86
Premera HMO $314.86
Community Health Plan of Washington Cascade Care $372.24
Ambetter Coordinated Care Exchange $408.45
Premera Prime $527.27
Premera Signature $527.27
Premera Other Commercial Plans $527.27
Regence/Asuris Commercial $538.84
Cigna Commercial $634.99
Aetna All Commercial Plans $751.96
Kaiser PPO $792.68

Visitor-reported prices

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Anogenital exam child w imag at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $310.80 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $348.60 $225.29 – $573.36
Providence Centralia Hospital Centralia $352.04 $234.11 – $971.39
Providence Mount Carmel Hospital Colville $311.50 not published
Providence St Mary Medical Center Walla Walla $436.10 $176.57 – $753.87
Kadlec Regional Medical Center Richland $384.30 $144.00 – $616.05
Providence Holy Family Hospital Spokane $463.40 $225.29 – $591.38
Providence Regional Medical Center Everett - Colby Campus Everett $585.52 $230.23 – $647.60

All Washington hospitals for this procedure →