Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion 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

$857.20

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.

$2,143.00

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.

$428.34 with Molina vs $2,887.92 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
Molina Apple Health $428.34 ↓ -50%
Coordinated Care Apple Health $432.54 ↓ -50%
WellPoint Apple Health $432.54 ↓ -50%
United Healthcare Apple Health $440.94 ↓ -49%
Community Health Plan of Washington Apple Health $453.54 ↓ -47%
First Choice MHS Employee MCC/PPO $796.12 ↓ -7%
Blue Cross of Idaho MedAdvantage $796.52 ↓ -7%
Aetna MedAdvantage $796.52 ↓ -7%
Regence MedAdvantage $796.52 ↓ -7%
United Healthcare MedAdvantage $804.25 ↓ -6%
WellCare MedAdvantage $811.99 ↓ -5%
Molina MedAdvantage $811.99 ↓ -5%
Community Health Plan of Washington MedAdvantage $850.65 ↓ -1%
First Choice MCC Wellfound Employee $1,036.57 ↑ +21%
Premera HMO $1,147.13 ↑ +34%
Community Health Plan of Washington Cascade Care $1,303.82 ↑ +52%
Ambetter Coordinated Care Exchange $1,430.64 ↑ +67%
First Choice PPO $1,502.24 ↑ +75%
First Health All Commercial Plans $1,542.96 ↑ +80%
Multiplan/PHCS All Commercial Plans $1,542.96 ↑ +80%
Premera Signature $1,861.67 ↑ +117%
Premera Prime $1,861.67 ↑ +117%
Premera Other Commercial Plans $1,861.67 ↑ +117%
Regence/Asuris Commercial $1,902.55 ↑ +122%
United Healthcare Commercial $2,197.27 ↑ +156%
Cigna Commercial $2,224.10 ↑ +159%
Aetna All Commercial Plans $2,629.90 ↑ +207%
Kaiser PPO $2,887.92 ↑ +237%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $970.90 not published
Swedish Medical Center - First Hill Campus Seattle $2,234.40 $820.01 – $2,867.05
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,939.00 $789.10 – $2,008.27
Swedish Medical Center Cherry Hill Seattle $2,234.40 $820.01 – $2,775.55
Swedish Issaquah Issaquah $2,234.40 $822.31 – $2,867.05
Central Medical Center Seattle $1,680.00 not published
Providence Centralia Hospital Centralia $1,985.36 $820.01 – $3,568.56
Providence Mount Carmel Hospital Colville $975.10 not published

All Washington hospitals for this procedure →