Bx thigh/knee soft tiss supf 27323 at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
not published by hospital
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.
not published by hospital
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.
$1,183.41 with Molina vs $6,673.00 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 | $1,183.41 | — |
| WellPoint | Apple Health | $1,195.01 | — |
| Coordinated Care | Apple Health | $1,195.01 | — |
| United Healthcare | Apple Health | $1,218.21 | — |
| Community Health Plan of Washington | Apple Health | $1,253.02 | — |
| Blue Cross of Idaho | MedAdvantage | $1,857.75 | — |
| Regence | MedAdvantage | $1,857.75 | — |
| Aetna | MedAdvantage | $1,857.75 | — |
| United Healthcare | MedAdvantage | $1,875.78 | — |
| WellCare | MedAdvantage | $1,893.82 | — |
| Molina | MedAdvantage | $1,893.82 | — |
| Community Health Plan of Washington | MedAdvantage | $1,984.00 | — |
| Premera | HMO | $2,650.61 | — |
| Community Health Plan of Washington | Cascade Care | $3,040.94 | — |
| Ambetter | Coordinated Care Exchange | $3,336.73 | — |
| Premera | Prime | $4,289.94 | — |
| Premera | Signature | $4,289.94 | — |
| Premera | Other Commercial Plans | $4,289.94 | — |
| Regence/Asuris | Commercial | $4,384.15 | — |
| Cigna | Commercial | $5,187.36 | — |
| Aetna | All Commercial Plans | $6,056.19 | — |
| Kaiser | PPO | $6,673.00 | — |
Visitor-reported prices
Comments
Bx thigh/knee soft tiss supf 27323 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,787.00 | $1,840.45 – $4,683.94 |
| St. Michael Medical Center | Silverdale | $978.42 | $1,396.63 – $7,067.38 |
| St. Anne Hospital | Burien | $676.94 | $953.26 – $1,995.19 |
| St. Anthony Hospital | Gig Harbor | $674.26 | $1,596.15 – $4,080.13 |
| St. Joseph Medical Center | Tacoma | $734.23 | $1,596.15 – $4,080.13 |
| St. Elizabeth Hospital | Enumclaw | $783.37 | $376.87 – $1,995.19 |
| Virginia Mason Medical Center | Seattle | $2,026.74 | $8.20 – $761.79 |
| St. Francis Hospital | Federal Way | $695.71 | $1,596.15 – $4,080.13 |