C-1 esterase, cinryze 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

not published by hospital

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.

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What you pay up front if you don't use insurance.

not published by hospital

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.

$66.12 with Aetna vs $270.29 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
Aetna MedAdvantage $66.12
Blue Cross of Idaho MedAdvantage $66.12
Regence MedAdvantage $66.12
United Healthcare MedAdvantage $66.76
Molina MedAdvantage $67.40
WellCare MedAdvantage $67.40
Community Health Plan of Washington MedAdvantage $70.61
Regence/Asuris Commercial $70.71
Cigna Commercial $89.70
Premera HMO $97.13
Community Health Plan of Washington Cascade Care $108.23
Ambetter Coordinated Care Exchange $118.75
Premera Other Commercial Plans $140.75
Premera Signature $140.75
Premera Prime $140.75
Aetna All Commercial Plans $253.70
Kaiser PPO $270.29

Visitor-reported prices

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C-1 esterase, cinryze at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $4,281.73 $65.73 – $65.73
Providence Regional Medical Center Everett - Colby Campus Everett $7,189.05 $53.17 – $132.07
Providence St Peter Hospital Olympia $8,623.27 $55.68 – $213.86
St. Michael Medical Center Silverdale $4,320.47 $108.52 – $8,810.33
St. Anne Hospital Burien $2,989.21 $214.68 – $8,810.33
St. Anthony Hospital Gig Harbor $2,977.39 $179.12 – $7,341.94
St. Joseph Medical Center Tacoma $3,242.18 $179.12 – $7,341.94
St. Elizabeth Hospital Enumclaw $3,459.18 $57.03 – $8,810.33

All Washington hospitals for this procedure →