Biopsy skin incisional single lesion 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

$567.60

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.

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

$1,419.00

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.

$302.25 with Molina vs $2,585.23 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 $302.25 ↓ -47%
Coordinated Care Apple Health $305.21 ↓ -46%
WellPoint Apple Health $305.21 ↓ -46%
United Healthcare Apple Health $311.14 ↓ -45%
Community Health Plan of Washington Apple Health $320.03 ↓ -44%
First Choice MHS Employee MCC/PPO $527.16 ↓ -7%
First Choice MCC Wellfound Employee $686.37 ↑ +21%
Blue Cross of Idaho MedAdvantage $831.32 ↑ +46%
Aetna MedAdvantage $831.32 ↑ +46%
Regence MedAdvantage $831.32 ↑ +46%
United Healthcare MedAdvantage $839.39 ↑ +48%
WellCare MedAdvantage $847.46 ↑ +49%
Molina MedAdvantage $847.46 ↑ +49%
Community Health Plan of Washington MedAdvantage $887.82 ↑ +56%
First Choice PPO $994.72 ↑ +75%
First Health All Commercial Plans $1,021.68 ↑ +80%
Multiplan/PHCS All Commercial Plans $1,021.68 ↑ +80%
Premera HMO $1,026.89 ↑ +81%
Community Health Plan of Washington Cascade Care $1,360.79 ↑ +140%
Ambetter Coordinated Care Exchange $1,493.15 ↑ +163%
Premera Signature $1,661.83 ↑ +193%
Premera Prime $1,661.83 ↑ +193%
Premera Other Commercial Plans $1,661.83 ↑ +193%
Regence/Asuris Commercial $1,698.32 ↑ +199%
Aetna All Commercial Plans $2,288.04 ↑ +303%
United Healthcare Commercial $2,293.28 ↑ +304%
Cigna Commercial $2,321.28 ↑ +309%
Kaiser PPO $2,585.23 ↑ +355%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Biopsy skin incisional single lesion at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $868.70 not published
Swedish Medical Center - First Hill Campus Seattle $1,160.16 $855.84 – $2,600.04
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,375.50 $823.58 – $2,096.01
Swedish Medical Center Cherry Hill Seattle $1,160.16 $855.84 – $2,002.66
Swedish Issaquah Issaquah $1,160.16 $858.24 – $1,905.29
Providence Centralia Hospital Centralia $960.44 $855.84 – $1,869.13
Providence Mount Carmel Hospital Colville $1,016.40 not published
Providence St Mary Medical Center Walla Walla $816.20 $556.51 – $1,523.62

All Washington hospitals for this procedure →