Bckdhb gene 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.

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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.

$29.39 with Molina vs $321.07 with Aetna — 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 $29.39
WellPoint Apple Health $29.67
Coordinated Care Apple Health $29.67
United Healthcare Apple Health $30.25
Community Health Plan of Washington Apple Health $31.11
Premera HMO $94.99
Regence MedAdvantage $95.88
Blue Cross of Idaho MedAdvantage $95.88
Aetna MedAdvantage $95.88
United Healthcare MedAdvantage $96.81
Molina MedAdvantage $97.74
WellCare MedAdvantage $97.74
Community Health Plan of Washington MedAdvantage $102.40
Kaiser PPO $104.49
Regence/Asuris Commercial $109.24
Cigna Commercial $113.99
Premera Prime $118.74
Premera Signature $118.74
Premera Other Commercial Plans $118.74
Community Health Plan of Washington Cascade Care $156.95
Ambetter Coordinated Care Exchange $172.22
Aetna All Commercial Plans $321.07

Visitor-reported prices

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Bckdhb gene at other Washington hospitals

Hospital City Cash price Negotiated range
St. Michael Medical Center Silverdale $74.03 $94.99 – $222.28
St. Anne Hospital Burien $51.22 $72.13 – $188.08
St. Anthony Hospital Gig Harbor $51.02 $94.99 – $188.08
St. Joseph Medical Center Tacoma $55.56 $94.99 – $189.98
St. Elizabeth Hospital Enumclaw $59.27 $28.52 – $180.48
Virginia Mason Medical Center Seattle $144.33 $66.49 – $296.91
St. Francis Hospital Federal Way $52.64 $94.99 – $188.08
St. Clare Hospital Lakewood $48.35 $94.99 – $188.08

All Washington hospitals for this procedure →