Blood smear microscopic w manual differential wbc count at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$15.20
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.
$38.00
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.
$3.80 with Premera vs $27.36 with Multiplan/PHCS — 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 |
|---|---|---|---|
| Premera | HMO | $3.80 | ↓ -75% |
| Molina | Apple Health | $3.83 | ↓ -75% |
| Regence | MedAdvantage | $3.84 | ↓ -75% |
| Aetna | MedAdvantage | $3.84 | ↓ -75% |
| Blue Cross of Idaho | MedAdvantage | $3.84 | ↓ -75% |
| United Healthcare | MedAdvantage | $3.87 | ↓ -75% |
| WellPoint | Apple Health | $3.87 | ↓ -75% |
| Coordinated Care | Apple Health | $3.87 | ↓ -75% |
| Molina | MedAdvantage | $3.91 | ↓ -74% |
| WellCare | MedAdvantage | $3.91 | ↓ -74% |
| United Healthcare | Apple Health | $3.94 | ↓ -74% |
| Community Health Plan of Washington | Apple Health | $4.05 | ↓ -73% |
| Community Health Plan of Washington | MedAdvantage | $4.10 | ↓ -73% |
| Kaiser | PPO | $4.18 | ↓ -73% |
| Regence/Asuris | Commercial | $4.37 | ↓ -71% |
| United Healthcare | Commercial | $4.56 | ↓ -70% |
| Cigna | Commercial | $4.56 | ↓ -70% |
| Aetna | All Commercial Plans | $4.71 | ↓ -69% |
| Premera | Other Commercial Plans | $4.75 | ↓ -69% |
| Premera | Signature | $4.75 | ↓ -69% |
| Premera | Prime | $4.75 | ↓ -69% |
| Community Health Plan of Washington | Cascade Care | $6.28 | ↓ -59% |
| Ambetter | Coordinated Care Exchange | $6.89 | ↓ -55% |
| First Choice | MHS Employee MCC/PPO | $14.12 | ↓ -7% |
| First Choice | MCC Wellfound Employee | $18.38 | ↑ +21% |
| First Choice | PPO | $26.64 | ↑ +75% |
| First Health | All Commercial Plans | $27.36 | ↑ +80% |
| Multiplan/PHCS | All Commercial Plans | $27.36 | ↑ +80% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Blood smear microscopic w manual differential wbc count at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $85.68 | $3.80 – $4.18 |
| Providence St Joseph Hospital | Chewelah | $45.50 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $17.28 | $3.42 – $17.86 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $95.20 | $3.80 – $13.68 |
| Swedish Medical Center Cherry Hill | Seattle | $17.28 | $3.42 – $17.29 |
| Swedish Issaquah | Issaquah | $17.28 | $3.42 – $17.86 |
| Central Medical Center | Seattle | $25.60 | $3.00 – $3.00 |
| Providence Centralia Hospital | Centralia | $87.36 | $3.80 – $23.67 |