Biliary endoscopy thru skin at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$10,156.40
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.
$25,391.00
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.
$2,914.39 with Molina vs $38,915.54 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 →
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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 | $2,914.39 | ↓ -71% |
| Coordinated Care | Apple Health | $2,942.96 | ↓ -71% |
| WellPoint | Apple Health | $2,942.96 | ↓ -71% |
| United Healthcare | Apple Health | $3,000.10 | ↓ -70% |
| Community Health Plan of Washington | Apple Health | $3,085.82 | ↓ -70% |
| First Choice | MHS Employee MCC/PPO | $9,432.76 | ↓ -7% |
| Aetna | MedAdvantage | $11,956.64 | ↑ +18% |
| Blue Cross of Idaho | MedAdvantage | $11,956.64 | ↑ +18% |
| Regence | MedAdvantage | $11,956.64 | ↑ +18% |
| United Healthcare | MedAdvantage | $12,072.73 | ↑ +19% |
| Molina | MedAdvantage | $12,188.81 | ↑ +20% |
| WellCare | MedAdvantage | $12,188.81 | ↑ +20% |
| First Choice | MCC Wellfound Employee | $12,281.63 | ↑ +21% |
| Community Health Plan of Washington | MedAdvantage | $12,769.23 | ↑ +26% |
| Premera | HMO | $15,058.79 | ↑ +48% |
| First Choice | PPO | $17,799.09 | ↑ +75% |
| First Health | All Commercial Plans | $18,281.52 | ↑ +80% |
| Multiplan/PHCS | All Commercial Plans | $18,281.52 | ↑ +80% |
| Community Health Plan of Washington | Cascade Care | $19,571.74 | ↑ +93% |
| Ambetter | Coordinated Care Exchange | $21,475.52 | ↑ +111% |
| Kaiser | PPO | $23,194.07 | ↑ +128% |
| Premera | Other Commercial Plans | $27,237.31 | ↑ +168% |
| Premera | Signature | $27,237.31 | ↑ +168% |
| Premera | Prime | $27,237.31 | ↑ +168% |
| Regence/Asuris | Commercial | $27,835.40 | ↑ +174% |
| United Healthcare | Commercial | $32,983.55 | ↑ +225% |
| Cigna | Commercial | $33,386.28 | ↑ +229% |
| Aetna | All Commercial Plans | $38,915.54 | ↑ +283% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $12,201.60 | $7,277.00 – $37,395.46 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $11,128.60 | $9,231.00 – $30,146.28 |
| Swedish Medical Center Cherry Hill | Seattle | $12,201.60 | $7,277.00 – $28,803.62 |
| Swedish Issaquah | Issaquah | $12,201.60 | $7,277.00 – $27,403.18 |
| Kadlec Regional Medical Center | Richland | $11,217.50 | $1,014.49 – $21,913.80 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $10,575.76 | $9,161.00 – $28,084.26 |
| MultiCare Yakima Memorial Hospital | Yakima | $10,156.40 | $8,020.09 – $32,037.81 |
| St. Michael Medical Center | Silverdale | $4,826.26 | $6,889.21 – $24,564.86 |