Biopsy vestibule of mouth 40808 at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$862.80
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.
$2,157.00
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.
$606.65 with Regence vs $2,032.85 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 |
|---|---|---|---|
| Regence | MedAdvantage | $606.65 | ↓ -30% |
| Blue Cross of Idaho | MedAdvantage | $606.65 | ↓ -30% |
| Aetna | MedAdvantage | $606.65 | ↓ -30% |
| United Healthcare | MedAdvantage | $612.54 | ↓ -29% |
| Molina | MedAdvantage | $618.43 | ↓ -28% |
| WellCare | MedAdvantage | $618.43 | ↓ -28% |
| Molina | Apple Health | $623.18 | ↓ -28% |
| WellPoint | Apple Health | $629.29 | ↓ -27% |
| Coordinated Care | Apple Health | $629.29 | ↓ -27% |
| United Healthcare | Apple Health | $641.51 | ↓ -26% |
| Community Health Plan of Washington | MedAdvantage | $647.88 | ↓ -25% |
| Community Health Plan of Washington | Apple Health | $659.84 | ↓ -24% |
| First Choice | MHS Employee MCC/PPO | $801.33 | ↓ -7% |
| Premera | HMO | $807.47 | ↓ -6% |
| Community Health Plan of Washington | Cascade Care | $993.02 | ↑ +15% |
| First Choice | MCC Wellfound Employee | $1,043.34 | ↑ +21% |
| Ambetter | Coordinated Care Exchange | $1,089.61 | ↑ +26% |
| Premera | Other Commercial Plans | $1,455.85 | ↑ +69% |
| Premera | Signature | $1,455.85 | ↑ +69% |
| Premera | Prime | $1,455.85 | ↑ +69% |
| Regence/Asuris | Commercial | $1,487.82 | ↑ +72% |
| First Choice | PPO | $1,512.06 | ↑ +75% |
| First Health | All Commercial Plans | $1,553.04 | ↑ +80% |
| Multiplan/PHCS | All Commercial Plans | $1,553.04 | ↑ +80% |
| United Healthcare | Commercial | $1,673.50 | ↑ +94% |
| Cigna | Commercial | $1,693.94 | ↑ +96% |
| Aetna | All Commercial Plans | $1,903.51 | ↑ +121% |
| Kaiser | PPO | $2,032.85 | ↑ +136% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy vestibule of mouth 40808 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Virginia Mason Medical Center | Seattle | $899.64 | $4.99 – $463.06 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $601.00 – $661.10 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $624.54 – $2,076.08 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $601.00 – $1,529.54 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $624.54 – $2,009.83 |
| Swedish Issaquah | Issaquah | not published | $626.29 – $2,076.08 |
| Central Medical Center | Seattle | not published | not published |
| Providence Centralia Hospital | Centralia | not published | $624.54 – $2,584.06 |