Assay alkaline phosphatase 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.

Full explanation →

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.

$3.31 with Molina vs $14.98 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 $3.31
WellPoint Apple Health $3.34
Coordinated Care Apple Health $3.34
United Healthcare Apple Health $3.41
Community Health Plan of Washington Apple Health $3.51
Premera HMO $8.26
Regence MedAdvantage $8.34
Blue Cross of Idaho MedAdvantage $8.34
Aetna MedAdvantage $8.34
United Healthcare MedAdvantage $8.42
Molina MedAdvantage $8.50
WellCare MedAdvantage $8.50
Community Health Plan of Washington MedAdvantage $8.90
Kaiser PPO $9.09
Regence/Asuris Commercial $9.50
Cigna Commercial $9.91
Aetna All Commercial Plans $10.24
Premera Prime $10.32
Premera Signature $10.32
Premera Other Commercial Plans $10.32
Community Health Plan of Washington Cascade Care $13.65
Ambetter Coordinated Care Exchange $14.98

Visitor-reported prices

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Assay alkaline phosphatase at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $37.60 $6.00 – $6.00
Providence Regional Medical Center Everett - Colby Campus Everett $17.68 $8.26 – $34.69
Providence St Peter Hospital Olympia $159.64 $7.02 – $46.26
St. Michael Medical Center Silverdale $46.72 $8.26 – $95.27
St. Anne Hospital Burien $32.33 $8.26 – $95.27
St. Anthony Hospital Gig Harbor $32.20 $8.26 – $79.39
St. Joseph Medical Center Tacoma $35.06 $8.26 – $79.39
St. Elizabeth Hospital Enumclaw $37.41 $8.26 – $95.27

All Washington hospitals for this procedure →