Av fusion direct any site 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.

$2,393.14 with Molina vs $13,256.42 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 $2,393.14
WellPoint Apple Health $2,416.60
Coordinated Care Apple Health $2,416.60
United Healthcare Apple Health $2,463.52
Community Health Plan of Washington Apple Health $2,533.91
Blue Cross of Idaho MedAdvantage $3,551.60
Regence MedAdvantage $3,551.60
Aetna MedAdvantage $3,551.60
United Healthcare MedAdvantage $3,586.08
WellCare MedAdvantage $3,620.56
Molina MedAdvantage $3,620.56
Community Health Plan of Washington MedAdvantage $3,792.97
Premera HMO $4,936.54
Community Health Plan of Washington Cascade Care $5,813.58
Ambetter Coordinated Care Exchange $6,379.08
Premera Prime $8,434.14
Premera Signature $8,434.14
Premera Other Commercial Plans $8,434.14
Regence/Asuris Commercial $8,619.34
Cigna Commercial $9,917.04
Aetna All Commercial Plans $11,764.86
Kaiser PPO $13,256.42

Visitor-reported prices

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Av fusion direct any site at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $6,325.60 not published
MultiCare Auburn Medical Center Auburn $7,611.20 $2,447.85 – $15,156.63
MultiCare Good Samaritan Hospital Puyallup $7,611.20 $2,504.45 – $15,156.63
Virginia Mason Medical Center Seattle $9,928.68 $6.53 – $3,248.08
MultiCare Capital Medical Center Olympia $7,611.20 $2,634.28 – $16,335.97
MultiCare Covington Medical Center Covington $7,611.20 $2,447.85 – $15,156.63
MultiCare Mary Bridge Children's Hospital Tacoma $7,611.20 $2,492.96 – $23,429.60
MultiCare Allenmore Hospital Tacoma $7,611.20 $2,505.44 – $15,156.63

All Washington hospitals for this procedure →