Assay of leflunomide at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$14.00
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.
$35.00
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.
$7.12 with Molina vs $69.93 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 →
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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 | $7.12 | ↓ -49% |
| WellPoint | Apple Health | $7.19 | ↓ -49% |
| Coordinated Care | Apple Health | $7.19 | ↓ -49% |
| United Healthcare | Apple Health | $7.33 | ↓ -48% |
| Community Health Plan of Washington | Apple Health | $7.54 | ↓ -46% |
| First Choice | MHS Employee MCC/PPO | $13.00 | ↓ -7% |
| First Choice | MCC Wellfound Employee | $16.93 | ↑ +21% |
| First Choice | PPO | $24.54 | ↑ +75% |
| Multiplan/PHCS | All Commercial Plans | $25.20 | ↑ +80% |
| First Health | All Commercial Plans | $25.20 | ↑ +80% |
| Premera | HMO | $38.57 | ↑ +176% |
| Regence | MedAdvantage | $38.93 | ↑ +178% |
| Aetna | MedAdvantage | $38.93 | ↑ +178% |
| Blue Cross of Idaho | MedAdvantage | $38.93 | ↑ +178% |
| United Healthcare | MedAdvantage | $39.31 | ↑ +181% |
| WellCare | MedAdvantage | $39.69 | ↑ +184% |
| Molina | MedAdvantage | $39.69 | ↑ +184% |
| Community Health Plan of Washington | MedAdvantage | $41.58 | ↑ +197% |
| Kaiser | PPO | $42.43 | ↑ +203% |
| Regence/Asuris | Commercial | $44.36 | ↑ +217% |
| United Healthcare | Commercial | $46.28 | ↑ +231% |
| Cigna | Commercial | $46.28 | ↑ +231% |
| Aetna | All Commercial Plans | $47.83 | ↑ +242% |
| Premera | Prime | $48.21 | ↑ +244% |
| Premera | Signature | $48.21 | ↑ +244% |
| Premera | Other Commercial Plans | $48.21 | ↑ +244% |
| Community Health Plan of Washington | Cascade Care | $63.73 | ↑ +355% |
| Ambetter | Coordinated Care Exchange | $69.93 | ↑ +400% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Assay of leflunomide at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $121.80 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $181.92 | $34.71 – $117.18 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $117.60 | $38.57 – $98.16 |
| Swedish Medical Center Cherry Hill | Seattle | $181.92 | $34.71 – $90.25 |
| Swedish Issaquah | Issaquah | $181.92 | $34.71 – $85.63 |
| Providence Mount Carmel Hospital | Colville | $121.80 | not published |
| Providence St Mary Medical Center | Walla Walla | $184.80 | $38.57 – $71.35 |
| Kadlec Regional Medical Center | Richland | $56.00 | $38.57 – $71.35 |