Biopsy/removal lymph nodes 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

$3,964.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$9,910.00

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.

$1,960.71 with Molina vs $15,298.21 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 →

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 $1,960.71 ↓ -51%
Coordinated Care Apple Health $1,979.93 ↓ -50%
WellPoint Apple Health $1,979.93 ↓ -50%
United Healthcare Apple Health $2,018.38 ↓ -49%
Community Health Plan of Washington Apple Health $2,076.05 ↓ -48%
First Choice MHS Employee MCC/PPO $3,681.57 ↓ -7%
Blue Cross of Idaho MedAdvantage $4,404.16 ↑ +11%
Aetna MedAdvantage $4,404.16 ↑ +11%
Regence MedAdvantage $4,404.16 ↑ +11%
United Healthcare MedAdvantage $4,446.91 ↑ +12%
WellCare MedAdvantage $4,489.67 ↑ +13%
Molina MedAdvantage $4,489.67 ↑ +13%
Community Health Plan of Washington MedAdvantage $4,703.47 ↑ +19%
First Choice MCC Wellfound Employee $4,793.47 ↑ +21%
Premera HMO $5,696.86 ↑ +44%
First Choice PPO $6,946.91 ↑ +75%
First Health All Commercial Plans $7,135.20 ↑ +80%
Multiplan/PHCS All Commercial Plans $7,135.20 ↑ +80%
Community Health Plan of Washington Cascade Care $7,209.13 ↑ +82%
Ambetter Coordinated Care Exchange $7,910.38 ↑ +100%
Premera Signature $10,085.90 ↑ +154%
Premera Prime $10,085.90 ↑ +154%
Premera Other Commercial Plans $10,085.90 ↑ +154%
Regence/Asuris Commercial $10,307.38 ↑ +160%
United Healthcare Commercial $12,149.28 ↑ +206%
Cigna Commercial $12,297.62 ↑ +210%
Aetna All Commercial Plans $14,313.27 ↑ +261%
Kaiser PPO $15,298.21 ↑ +286%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Biopsy/removal lymph nodes at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Mary Medical Center Walla Walla $4,483.50 $3,377.56 – $8,071.81
Virginia Mason Medical Center Seattle $6,771.27 $7.59 – $1,979.39
Providence St Luke's Rehabilitation Medical Center Spokane not published $4,363.14 – $4,799.46
Swedish Medical Center - First Hill Campus Seattle not published $4,534.03 – $14,753.91
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $4,363.14 – $11,104.20
Swedish Medical Center Cherry Hill Seattle not published $4,534.03 – $14,208.59
Swedish Issaquah Issaquah not published $4,546.75 – $14,753.91
Central Medical Center Seattle not published not published

All Washington hospitals for this procedure →