Assay of osteocalcin at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$131.60
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.
$329.00
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.
$8.53 with Molina vs $236.88 with Multiplan/PHCS — 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 | $8.53 | ↓ -94% |
| Coordinated Care | Apple Health | $8.62 | ↓ -93% |
| WellPoint | Apple Health | $8.62 | ↓ -93% |
| United Healthcare | Apple Health | $8.78 | ↓ -93% |
| Community Health Plan of Washington | Apple Health | $9.04 | ↓ -93% |
| Premera | HMO | $29.85 | ↓ -77% |
| Blue Cross of Idaho | MedAdvantage | $30.13 | ↓ -77% |
| Aetna | MedAdvantage | $30.13 | ↓ -77% |
| Regence | MedAdvantage | $30.13 | ↓ -77% |
| United Healthcare | MedAdvantage | $30.42 | ↓ -77% |
| WellCare | MedAdvantage | $30.72 | ↓ -77% |
| Molina | MedAdvantage | $30.72 | ↓ -77% |
| Community Health Plan of Washington | MedAdvantage | $32.18 | ↓ -76% |
| Kaiser | PPO | $32.84 | ↓ -75% |
| Regence/Asuris | Commercial | $34.33 | ↓ -74% |
| United Healthcare | Commercial | $35.82 | ↓ -73% |
| Cigna | Commercial | $35.82 | ↓ -73% |
| Aetna | All Commercial Plans | $37.01 | ↓ -72% |
| Premera | Other Commercial Plans | $37.31 | ↓ -72% |
| Premera | Signature | $37.31 | ↓ -72% |
| Premera | Prime | $37.31 | ↓ -72% |
| Community Health Plan of Washington | Cascade Care | $49.32 | ↓ -63% |
| Ambetter | Coordinated Care Exchange | $54.12 | ↓ -59% |
| First Choice | MHS Employee MCC/PPO | $122.22 | ↓ -7% |
| First Choice | MCC Wellfound Employee | $159.14 | ↑ +21% |
| First Choice | PPO | $230.63 | ↑ +75% |
| First Health | All Commercial Plans | $236.88 | ↑ +80% |
| Multiplan/PHCS | All Commercial Plans | $236.88 | ↑ +80% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Assay of osteocalcin at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $134.40 | $23.00 – $23.00 |
| Providence St Mary Medical Center | Walla Walla | $75.60 | $29.85 – $55.22 |
| Kadlec Regional Medical Center | Richland | $109.20 | $29.85 – $116.71 |
| St. Michael Medical Center | Silverdale | $201.97 | $29.85 – $411.85 |
| St. Anne Hospital | Burien | $139.74 | $29.85 – $411.85 |
| St. Anthony Hospital | Gig Harbor | $139.19 | $29.85 – $343.21 |
| MultiCare Auburn Medical Center | Auburn | $75.60 | $8.73 – $58.51 |
| MultiCare Good Samaritan Hospital | Puyallup | $75.60 | $8.93 – $58.51 |