Biopsy of prostate at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
not published by hospital
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.
not published by hospital
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.
$1,034.35 with Molina vs $14,262.78 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 | $1,034.35 | — |
| WellPoint | Apple Health | $1,044.49 | — |
| Coordinated Care | Apple Health | $1,044.49 | — |
| United Healthcare | Apple Health | $1,064.77 | — |
| Community Health Plan of Washington | Apple Health | $1,095.19 | — |
| Blue Cross of Idaho | MedAdvantage | $3,964.97 | — |
| Regence | MedAdvantage | $3,964.97 | — |
| Aetna | MedAdvantage | $3,964.97 | — |
| United Healthcare | MedAdvantage | $4,003.46 | — |
| WellCare | MedAdvantage | $4,041.96 | — |
| Molina | MedAdvantage | $4,041.96 | — |
| Community Health Plan of Washington | MedAdvantage | $4,234.43 | — |
| Premera | HMO | $5,311.29 | — |
| Community Health Plan of Washington | Cascade Care | $6,490.23 | — |
| Ambetter | Coordinated Care Exchange | $7,121.54 | — |
| Premera | Prime | $9,224.42 | — |
| Premera | Signature | $9,224.42 | — |
| Premera | Other Commercial Plans | $9,224.42 | — |
| Regence/Asuris | Commercial | $9,426.98 | — |
| Cigna | Commercial | $11,071.29 | — |
| Aetna | All Commercial Plans | $12,891.71 | — |
| Kaiser | PPO | $14,262.78 | — |
Visitor-reported prices
Comments
Biopsy of prostate at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $5,869.44 | $4,081.89 – $12,400.79 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,144.50 | $3,928.04 – $9,996.87 |
| Swedish Medical Center Cherry Hill | Seattle | $5,869.44 | $4,081.89 – $9,551.63 |
| Swedish Issaquah | Issaquah | $5,869.44 | $4,093.34 – $9,087.22 |
| Kadlec Regional Medical Center | Richland | $2,400.30 | $445.77 – $7,266.88 |
| Providence Holy Family Hospital | Spokane | $5,133.80 | $3,928.04 – $10,311.11 |
| MultiCare Yakima Memorial Hospital | Yakima | $1,525.60 | $2,939.36 – $10,850.20 |
| Virginia Mason Medical Center | Seattle | $2,549.49 | $7.74 – $1,236.10 |