Biopsy bone trocar/needle superficial at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$1,280.40
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.
$3,201.00
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.
$428.34 with Molina vs $6,673.00 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 | $428.34 | ↓ -67% |
| Coordinated Care | Apple Health | $432.54 | ↓ -66% |
| WellPoint | Apple Health | $432.54 | ↓ -66% |
| United Healthcare | Apple Health | $440.94 | ↓ -66% |
| Community Health Plan of Washington | Apple Health | $453.54 | ↓ -65% |
| First Choice | MHS Employee MCC/PPO | $1,189.17 | ↓ -7% |
| First Choice | MCC Wellfound Employee | $1,548.32 | ↑ +21% |
| Blue Cross of Idaho | MedAdvantage | $1,857.75 | ↑ +45% |
| Aetna | MedAdvantage | $1,857.75 | ↑ +45% |
| Regence | MedAdvantage | $1,857.75 | ↑ +45% |
| United Healthcare | MedAdvantage | $1,875.78 | ↑ +46% |
| WellCare | MedAdvantage | $1,893.82 | ↑ +48% |
| Molina | MedAdvantage | $1,893.82 | ↑ +48% |
| Community Health Plan of Washington | MedAdvantage | $1,984.00 | ↑ +55% |
| First Choice | PPO | $2,243.90 | ↑ +75% |
| First Health | All Commercial Plans | $2,304.72 | ↑ +80% |
| Multiplan/PHCS | All Commercial Plans | $2,304.72 | ↑ +80% |
| Premera | HMO | $2,650.61 | ↑ +107% |
| Community Health Plan of Washington | Cascade Care | $3,040.94 | ↑ +137% |
| Ambetter | Coordinated Care Exchange | $3,336.73 | ↑ +161% |
| Premera | Signature | $4,289.94 | ↑ +235% |
| Premera | Prime | $4,289.94 | ↑ +235% |
| Premera | Other Commercial Plans | $4,289.94 | ↑ +235% |
| Regence/Asuris | Commercial | $4,384.15 | ↑ +242% |
| United Healthcare | Commercial | $5,124.79 | ↑ +300% |
| Cigna | Commercial | $5,187.36 | ↑ +305% |
| Aetna | All Commercial Plans | $6,056.19 | ↑ +373% |
| Kaiser | PPO | $6,673.00 | ↑ +421% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy bone trocar/needle superficial at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $4,420.32 | $1,912.53 – $6,684.56 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $2,252.60 | $1,840.45 – $4,683.94 |
| Swedish Medical Center Cherry Hill | Seattle | $4,420.32 | $1,912.53 – $6,437.49 |
| Swedish Issaquah | Issaquah | $4,420.32 | $1,917.90 – $6,684.56 |
| Central Medical Center | Seattle | $2,880.00 | not published |
| Providence St Mary Medical Center | Walla Walla | $1,946.70 | $1,436.62 – $3,404.83 |
| Kadlec Regional Medical Center | Richland | $1,927.80 | $145.73 – $5,092.35 |
| Providence Holy Family Hospital | Spokane | $1,394.40 | $1,840.45 – $4,831.18 |