Change cystostomy tube; complex 51710 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

$1,032.40

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.

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

$2,581.00

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.

$135.48 with Molina vs $2,782.76 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 $135.48 ↓ -87%
Coordinated Care Apple Health $136.81 ↓ -87%
WellPoint Apple Health $136.81 ↓ -87%
United Healthcare Apple Health $139.47 ↓ -86%
Community Health Plan of Washington Apple Health $143.45 ↓ -86%
Regence MedAdvantage $784.33 ↓ -24%
Aetna MedAdvantage $784.33 ↓ -24%
Blue Cross of Idaho MedAdvantage $784.33 ↓ -24%
United Healthcare MedAdvantage $791.95 ↓ -23%
Molina MedAdvantage $799.56 ↓ -23%
WellCare MedAdvantage $799.56 ↓ -23%
Community Health Plan of Washington MedAdvantage $837.64 ↓ -19%
First Choice MHS Employee MCC/PPO $958.84 ↓ -7%
Premera HMO $1,105.34 ↑ +7%
First Choice MCC Wellfound Employee $1,248.43 ↑ +21%
Community Health Plan of Washington Cascade Care $1,283.87 ↑ +24%
Ambetter Coordinated Care Exchange $1,408.75 ↑ +36%
Premera Prime $1,807.50 ↑ +75%
Premera Other Commercial Plans $1,807.50 ↑ +75%
Premera Signature $1,807.50 ↑ +75%
First Choice PPO $1,809.28 ↑ +75%
Regence/Asuris Commercial $1,847.21 ↑ +79%
Multiplan/PHCS All Commercial Plans $1,858.32 ↑ +80%
First Health All Commercial Plans $1,858.32 ↑ +80%
United Healthcare Commercial $2,163.65 ↑ +110%
Cigna Commercial $2,190.07 ↑ +112%
Aetna All Commercial Plans $2,494.88 ↑ +142%
Kaiser PPO $2,782.76 ↑ +170%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Change cystostomy tube; complex 51710 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $554.40 not published
Swedish Medical Center - First Hill Campus Seattle $2,006.88 $807.46 – $2,615.69
Providence Sacred Heart Medical Center and Children's Hospital Spokane $3,883.60 $777.03 – $1,977.54
Swedish Medical Center Cherry Hill Seattle $2,006.88 $807.46 – $2,532.21
Swedish Issaquah Issaquah $2,006.88 $809.73 – $2,615.69
Providence Centralia Hospital Centralia $884.52 $807.46 – $3,255.70
Providence Mount Carmel Hospital Colville $664.30 not published
Providence St Mary Medical Center Walla Walla $1,904.70 $605.30 – $2,526.65

All Washington hospitals for this procedure →