Antineutrophil cytoplasmic antibody screen each antibody 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

$10.40

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.

$26.00

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.

$7.07 with Molina vs $21.85 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 $7.07 ↓ -32%
WellPoint Apple Health $7.14 ↓ -31%
Coordinated Care Apple Health $7.14 ↓ -31%
United Healthcare Apple Health $7.28 ↓ -30%
Community Health Plan of Washington Apple Health $7.49 ↓ -28%
First Choice MHS Employee MCC/PPO $9.66 ↓ -7%
Premera HMO $12.05 ↑ +16%
Blue Cross of Idaho MedAdvantage $12.16 ↑ +17%
Aetna MedAdvantage $12.16 ↑ +17%
Regence MedAdvantage $12.16 ↑ +17%
United Healthcare MedAdvantage $12.28 ↑ +18%
WellCare MedAdvantage $12.40 ↑ +19%
Molina MedAdvantage $12.40 ↑ +19%
First Choice MCC Wellfound Employee $12.58 ↑ +21%
Community Health Plan of Washington MedAdvantage $12.99 ↑ +25%
Kaiser PPO $13.26 ↑ +28%
Regence/Asuris Commercial $13.86 ↑ +33%
Cigna Commercial $14.46 ↑ +39%
United Healthcare Commercial $14.46 ↑ +39%
Aetna All Commercial Plans $14.94 ↑ +44%
Premera Other Commercial Plans $15.06 ↑ +45%
Premera Signature $15.06 ↑ +45%
Premera Prime $15.06 ↑ +45%
First Choice PPO $18.23 ↑ +75%
First Health All Commercial Plans $18.72 ↑ +80%
Multiplan/PHCS All Commercial Plans $18.72 ↑ +80%
Community Health Plan of Washington Cascade Care $19.91 ↑ +91%
Ambetter Coordinated Care Exchange $21.85 ↑ +110%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Antineutrophil cytoplasmic antibody screen each antibody at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $46.08 $10.84 – $36.61
Swedish Medical Center Cherry Hill Seattle $46.08 $10.84 – $28.20
Swedish Issaquah Issaquah $46.08 $10.84 – $26.75
Providence St Mary Medical Center Walla Walla $63.70 $12.05 – $22.29
MultiCare Yakima Memorial Hospital Yakima $22.40 $12.47 – $21.63
St. Michael Medical Center Silverdale $58.29 $83.21 – $118.87
St. Anne Hospital Burien $40.33 $56.80 – $118.87
St. Anthony Hospital Gig Harbor $40.17 $95.10 – $99.06

All Washington hospitals for this procedure →