Bx perianal mass at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$1,296.40
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.
$3,241.00
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.
$999.23 with Molina vs $3,698.13 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 |
|---|---|---|---|
| Molina | Apple Health | $999.23 | ↓ -23% |
| WellPoint | Apple Health | $1,009.03 | ↓ -22% |
| Coordinated Care | Apple Health | $1,009.03 | ↓ -22% |
| United Healthcare | Apple Health | $1,028.62 | ↓ -21% |
| Aetna | MedAdvantage | $1,046.03 | ↓ -19% |
| Blue Cross of Idaho | MedAdvantage | $1,046.03 | ↓ -19% |
| Regence | MedAdvantage | $1,046.03 | ↓ -19% |
| United Healthcare | MedAdvantage | $1,056.19 | ↓ -19% |
| Community Health Plan of Washington | Apple Health | $1,058.01 | ↓ -18% |
| WellCare | MedAdvantage | $1,066.35 | ↓ -18% |
| Molina | MedAdvantage | $1,066.35 | ↓ -18% |
| Community Health Plan of Washington | MedAdvantage | $1,117.12 | ↓ -14% |
| First Choice | MHS Employee MCC/PPO | $1,204.03 | ↓ -7% |
| Premera | HMO | $1,377.13 | ↑ +6% |
| First Choice | MCC Wellfound Employee | $1,567.67 | ↑ +21% |
| Community Health Plan of Washington | Cascade Care | $1,712.25 | ↑ +32% |
| Ambetter | Coordinated Care Exchange | $1,878.80 | ↑ +45% |
| First Choice | PPO | $2,271.94 | ↑ +75% |
| Multiplan/PHCS | All Commercial Plans | $2,333.52 | ↑ +80% |
| First Health | All Commercial Plans | $2,333.52 | ↑ +80% |
| Premera | Signature | $2,418.35 | ↑ +87% |
| Premera | Prime | $2,418.35 | ↑ +87% |
| Premera | Other Commercial Plans | $2,418.35 | ↑ +87% |
| Regence/Asuris | Commercial | $2,471.45 | ↑ +91% |
| United Healthcare | Commercial | $2,885.60 | ↑ +123% |
| Cigna | Commercial | $2,920.83 | ↑ +125% |
| Aetna | All Commercial Plans | $3,407.83 | ↑ +163% |
| Kaiser | PPO | $3,698.13 | ↑ +185% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Bx perianal mass at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $1,600.20 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,810.90 | $1,036.29 – $2,637.37 |
| Providence Centralia Hospital | Centralia | $1,736.28 | $1,076.88 – $4,468.70 |
| Providence Mount Carmel Hospital | Colville | $1,923.60 | not published |
| Providence St Mary Medical Center | Walla Walla | $3,235.40 | $809.85 – $3,468.02 |
| Kadlec Regional Medical Center | Richland | $3,887.80 | $1,036.29 – $2,833.99 |
| Providence Holy Family Hospital | Spokane | $2,089.50 | $1,036.29 – $3,379.00 |
| Providence St Peter Hospital | Olympia | $1,736.28 | $909.10 – $3,590.24 |