Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit 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.
$3.83 with Regence vs $1,891.35 with Community Health Plan of Washington — 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 |
|---|---|---|---|
| Regence | MedAdvantage | $3.83 | — |
| Blue Cross of Idaho | MedAdvantage | $3.83 | — |
| Aetna | MedAdvantage | $3.83 | — |
| United Healthcare | MedAdvantage | $3.86 | — |
| Molina | MedAdvantage | $3.90 | — |
| WellCare | MedAdvantage | $3.90 | — |
| Community Health Plan of Washington | MedAdvantage | $4.09 | — |
| Regence/Asuris | Commercial | $4.91 | — |
| Cigna | Commercial | $5.46 | — |
| Community Health Plan of Washington | Cascade Care | $6.26 | — |
| Ambetter | Coordinated Care Exchange | $6.87 | — |
| Premera | HMO | $8.10 | — |
| Premera | Prime | $10.84 | — |
| Premera | Signature | $10.84 | — |
| Premera | Other Commercial Plans | $10.84 | — |
| Aetna | All Commercial Plans | $15.44 | — |
| Kaiser | PPO | $22.12 | — |
| Molina | Apple Health | $1,786.28 | — |
| WellPoint | Apple Health | $1,803.79 | — |
| Coordinated Care | Apple Health | $1,803.79 | — |
| United Healthcare | Apple Health | $1,838.82 | — |
| Community Health Plan of Washington | Apple Health | $1,891.35 | — |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Centralia Hospital | Centralia | $16,420.53 | $3.79 – $25.57 |
| Providence Mount Carmel Hospital | Colville | $13,638.94 | not published |
| Providence St Mary Medical Center | Walla Walla | $14,675.23 | $3.79 – $27.53 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $11,739.18 | $3.79 – $19.18 |
| St. Michael Medical Center | Silverdale | $14,873.43 | $8.91 – $4,741.20 |
| St. Anne Hospital | Burien | $10,290.49 | $2,265.24 – $4,741.20 |
| St. Anthony Hospital | Gig Harbor | $10,249.82 | $14.91 – $3,951.00 |
| St. Joseph Medical Center | Tacoma | $11,161.36 | $14.91 – $3,951.00 |