Biopsy of heart lining at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$4,083.60
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.
$10,209.00
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.
$1,596.86 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 →
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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 | $1,596.86 | ↓ -61% |
| Coordinated Care | Apple Health | $1,612.52 | ↓ -61% |
| WellPoint | Apple Health | $1,612.52 | ↓ -61% |
| United Healthcare | Apple Health | $1,643.83 | ↓ -60% |
| Community Health Plan of Washington | Apple Health | $1,690.79 | ↓ -59% |
| Aetna | MedAdvantage | $3,551.60 | ↓ -13% |
| Blue Cross of Idaho | MedAdvantage | $3,551.60 | ↓ -13% |
| Regence | MedAdvantage | $3,551.60 | ↓ -13% |
| United Healthcare | MedAdvantage | $3,586.08 | ↓ -12% |
| Molina | MedAdvantage | $3,620.56 | ↓ -11% |
| WellCare | MedAdvantage | $3,620.56 | ↓ -11% |
| First Choice | MHS Employee MCC/PPO | $3,792.64 | ↓ -7% |
| Community Health Plan of Washington | MedAdvantage | $3,792.97 | ↓ -7% |
| Premera | HMO | $4,936.54 | ↑ +21% |
| First Choice | MCC Wellfound Employee | $4,938.09 | ↑ +21% |
| Community Health Plan of Washington | Cascade Care | $5,813.58 | ↑ +42% |
| Ambetter | Coordinated Care Exchange | $6,379.08 | ↑ +56% |
| First Choice | PPO | $7,156.51 | ↑ +75% |
| First Health | All Commercial Plans | $7,350.48 | ↑ +80% |
| Multiplan/PHCS | All Commercial Plans | $7,350.48 | ↑ +80% |
| Premera | Signature | $8,434.14 | ↑ +107% |
| Premera | Prime | $8,434.14 | ↑ +107% |
| Premera | Other Commercial Plans | $8,434.14 | ↑ +107% |
| Regence/Asuris | Commercial | $8,619.34 | ↑ +111% |
| United Healthcare | Commercial | $9,797.42 | ↑ +140% |
| Cigna | Commercial | $9,917.04 | ↑ +143% |
| Aetna | All Commercial Plans | $11,764.86 | ↑ +188% |
| Kaiser | PPO | $13,256.42 | ↑ +225% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of heart lining at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $8,451.84 | $3,656.33 – $13,496.13 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,942.40 | $3,518.52 – $8,954.64 |
| Swedish Medical Center Cherry Hill | Seattle | $8,451.84 | $3,656.33 – $12,997.30 |
| Swedish Issaquah | Issaquah | $8,451.84 | $3,666.59 – $13,496.13 |
| Central Medical Center | Seattle | $6,150.40 | not published |
| Providence St Mary Medical Center | Walla Walla | $4,561.90 | $2,824.42 – $6,509.26 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $2,476.76 | $1,985.00 – $10,503.15 |
| MultiCare Yakima Memorial Hospital | Yakima | $3,635.20 | $3,766.83 – $9,920.64 |