Avulsion nail plate partial/complete simple single nail plate at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$320.80
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.
$802.00
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.
$44.49 with Molina vs $803.58 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 →
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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 | $44.49 | ↓ -86% |
| Coordinated Care | Apple Health | $44.93 | ↓ -86% |
| WellPoint | Apple Health | $44.93 | ↓ -86% |
| United Healthcare | Apple Health | $45.80 | ↓ -86% |
| Community Health Plan of Washington | Apple Health | $47.11 | ↓ -85% |
| Regence | MedAdvantage | $225.68 | ↓ -30% |
| Blue Cross of Idaho | MedAdvantage | $225.68 | ↓ -30% |
| Aetna | MedAdvantage | $225.68 | ↓ -30% |
| United Healthcare | MedAdvantage | $227.87 | ↓ -29% |
| Molina | MedAdvantage | $230.06 | ↓ -28% |
| WellCare | MedAdvantage | $230.06 | ↓ -28% |
| Community Health Plan of Washington | MedAdvantage | $241.01 | ↓ -25% |
| First Choice | MHS Employee MCC/PPO | $297.94 | ↓ -7% |
| Premera | HMO | $319.20 | ↓ -0% |
| Community Health Plan of Washington | Cascade Care | $369.41 | ↑ +15% |
| First Choice | MCC Wellfound Employee | $387.93 | ↑ +21% |
| Ambetter | Coordinated Care Exchange | $405.34 | ↑ +26% |
| Premera | Signature | $529.72 | ↑ +65% |
| Premera | Other Commercial Plans | $529.72 | ↑ +65% |
| Premera | Prime | $529.72 | ↑ +65% |
| Regence/Asuris | Commercial | $541.37 | ↑ +69% |
| First Choice | PPO | $562.20 | ↑ +75% |
| First Health | All Commercial Plans | $577.44 | ↑ +80% |
| Multiplan/PHCS | All Commercial Plans | $577.44 | ↑ +80% |
| United Healthcare | Commercial | $622.55 | ↑ +94% |
| Cigna | Commercial | $630.15 | ↑ +96% |
| Aetna | All Commercial Plans | $742.73 | ↑ +132% |
| Kaiser | PPO | $803.58 | ↑ +150% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Avulsion nail plate partial/complete simple single nail plate at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $365.40 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $551.04 | $232.33 – $821.23 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $520.10 | $223.58 – $569.00 |
| Swedish Medical Center Cherry Hill | Seattle | $551.04 | $232.33 – $795.02 |
| Swedish Issaquah | Issaquah | $551.04 | $232.98 – $821.23 |
| Providence Centralia Hospital | Centralia | $516.36 | $232.33 – $1,022.17 |
| Providence Mount Carmel Hospital | Colville | $365.40 | not published |
| Providence St Mary Medical Center | Walla Walla | $583.10 | $177.40 – $793.27 |