Bx/exc lymph node/open/deep cervic 38510 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

$3,886.40

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.

$9,716.00

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 ↓ -50%
Coordinated Care Apple Health $1,979.93 ↓ -49%
WellPoint Apple Health $1,979.93 ↓ -49%
United Healthcare Apple Health $2,018.38 ↓ -48%
Community Health Plan of Washington Apple Health $2,076.05 ↓ -47%
First Choice MHS Employee MCC/PPO $3,609.49 ↓ -7%
Blue Cross of Idaho MedAdvantage $4,404.16 ↑ +13%
Aetna MedAdvantage $4,404.16 ↑ +13%
Regence MedAdvantage $4,404.16 ↑ +13%
United Healthcare MedAdvantage $4,446.91 ↑ +14%
WellCare MedAdvantage $4,489.67 ↑ +16%
Molina MedAdvantage $4,489.67 ↑ +16%
First Choice MCC Wellfound Employee $4,699.63 ↑ +21%
Community Health Plan of Washington MedAdvantage $4,703.47 ↑ +21%
Premera HMO $5,696.86 ↑ +47%
First Choice PPO $6,810.92 ↑ +75%
First Health All Commercial Plans $6,995.52 ↑ +80%
Multiplan/PHCS All Commercial Plans $6,995.52 ↑ +80%
Community Health Plan of Washington Cascade Care $7,209.13 ↑ +85%
Ambetter Coordinated Care Exchange $7,910.38 ↑ +104%
Premera Signature $10,085.90 ↑ +160%
Premera Prime $10,085.90 ↑ +160%
Premera Other Commercial Plans $10,085.90 ↑ +160%
Regence/Asuris Commercial $10,307.38 ↑ +165%
United Healthcare Commercial $12,149.28 ↑ +213%
Cigna Commercial $12,297.62 ↑ +216%
Aetna All Commercial Plans $14,313.27 ↑ +268%
Kaiser PPO $15,298.21 ↑ +294%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Bx/exc lymph node/open/deep cervic 38510 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $8,940.48 $4,534.03 – $14,753.91
Swedish Medical Center Cherry Hill Seattle $8,940.48 $4,534.03 – $14,208.59
Swedish Issaquah Issaquah $8,940.48 $4,546.75 – $14,753.91
Providence St Mary Medical Center Walla Walla $5,560.10 $3,377.56 – $8,071.81
Kadlec Regional Medical Center Richland $6,904.80 $712.54 – $11,239.63
MultiCare Auburn Medical Center Auburn $4,997.20 $2,005.54 – $18,794.97
MultiCare Good Samaritan Hospital Puyallup $4,997.20 $2,051.91 – $18,794.97
Virginia Mason Medical Center Seattle $6,335.22 $15.62 – $1,931.08

All Washington hospitals for this procedure →