Assay of urine sulfate at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$21.20
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.
$53.00
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.
$1.87 with Molina vs $38.16 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 | $1.87 | ↓ -91% |
| Coordinated Care | Apple Health | $1.89 | ↓ -91% |
| WellPoint | Apple Health | $1.89 | ↓ -91% |
| United Healthcare | Apple Health | $1.92 | ↓ -91% |
| Community Health Plan of Washington | Apple Health | $1.98 | ↓ -91% |
| Premera | HMO | $5.49 | ↓ -74% |
| Blue Cross of Idaho | MedAdvantage | $5.54 | ↓ -74% |
| Aetna | MedAdvantage | $5.54 | ↓ -74% |
| Regence | MedAdvantage | $5.54 | ↓ -74% |
| United Healthcare | MedAdvantage | $5.60 | ↓ -74% |
| WellCare | MedAdvantage | $5.65 | ↓ -73% |
| Molina | MedAdvantage | $5.65 | ↓ -73% |
| Community Health Plan of Washington | MedAdvantage | $5.92 | ↓ -72% |
| Kaiser | PPO | $6.04 | ↓ -72% |
| Regence/Asuris | Commercial | $6.31 | ↓ -70% |
| United Healthcare | Commercial | $6.59 | ↓ -69% |
| Cigna | Commercial | $6.59 | ↓ -69% |
| Aetna | All Commercial Plans | $6.81 | ↓ -68% |
| Premera | Other Commercial Plans | $6.86 | ↓ -68% |
| Premera | Signature | $6.86 | ↓ -68% |
| Premera | Prime | $6.86 | ↓ -68% |
| Community Health Plan of Washington | Cascade Care | $9.07 | ↓ -57% |
| Ambetter | Coordinated Care Exchange | $9.95 | ↓ -53% |
| First Choice | MHS Employee MCC/PPO | $19.69 | ↓ -7% |
| First Choice | MCC Wellfound Employee | $25.64 | ↑ +21% |
| First Choice | PPO | $37.15 | ↑ +75% |
| First Health | All Commercial Plans | $38.16 | ↑ +80% |
| Multiplan/PHCS | All Commercial Plans | $38.16 | ↑ +80% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Assay of urine sulfate at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $24.80 | $4.00 – $4.00 |
| Providence St Mary Medical Center | Walla Walla | $58.10 | $5.49 – $10.16 |
| Kadlec Regional Medical Center | Richland | $72.80 | $5.49 – $21.47 |
| St. Michael Medical Center | Silverdale | $45.49 | $5.49 – $92.77 |
| St. Anne Hospital | Burien | $31.48 | $5.49 – $92.77 |
| St. Anthony Hospital | Gig Harbor | $31.35 | $5.49 – $77.31 |
| MultiCare Auburn Medical Center | Auburn | $12.40 | $1.91 – $10.76 |
| MultiCare Good Samaritan Hospital | Puyallup | $12.40 | $1.95 – $10.76 |