Chemodenerv musc neck dyston 64616 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

$565.20

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.

Full explanation →

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

$1,413.00

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.

$295.29 with Molina vs $1,209.91 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 $295.29 ↓ -48%
Coordinated Care Apple Health $298.19 ↓ -47%
WellPoint Apple Health $298.19 ↓ -47%
United Healthcare Apple Health $303.98 ↓ -46%
Community Health Plan of Washington Apple Health $312.66 ↓ -45%
Regence MedAdvantage $345.27 ↓ -39%
Blue Cross of Idaho MedAdvantage $345.27 ↓ -39%
Aetna MedAdvantage $345.27 ↓ -39%
United Healthcare MedAdvantage $348.62 ↓ -38%
Molina MedAdvantage $351.97 ↓ -38%
WellCare MedAdvantage $351.97 ↓ -38%
Community Health Plan of Washington MedAdvantage $368.73 ↓ -35%
Premera HMO $480.60 ↓ -15%
First Choice MHS Employee MCC/PPO $524.93 ↓ -7%
Community Health Plan of Washington Cascade Care $565.16 ↓ -0%
Ambetter Coordinated Care Exchange $620.14 ↑ +10%
First Choice MCC Wellfound Employee $683.47 ↑ +21%
Premera Signature $783.70 ↑ +39%
Premera Other Commercial Plans $783.70 ↑ +39%
Premera Prime $783.70 ↑ +39%
Regence/Asuris Commercial $800.91 ↑ +42%
United Healthcare Commercial $952.44 ↑ +69%
Cigna Commercial $964.07 ↑ +71%
First Choice PPO $990.51 ↑ +75%
Multiplan/PHCS All Commercial Plans $1,017.36 ↑ +80%
First Health All Commercial Plans $1,017.36 ↑ +80%
Aetna All Commercial Plans $1,103.39 ↑ +95%
Kaiser PPO $1,209.91 ↑ +114%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Chemodenerv musc neck dyston 64616 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $2,047.68 $355.45 – $1,230.32
Providence Sacred Heart Medical Center and Children's Hospital Spokane $501.90 $342.05 – $870.52
Swedish Medical Center Cherry Hill Seattle $2,047.68 $355.45 – $1,191.05
Swedish Issaquah Issaquah $2,047.68 $356.44 – $1,230.32
Central Medical Center Seattle $677.60 not published
MultiCare Yakima Memorial Hospital Yakima $364.00 $366.19 – $921.83
MultiCare Auburn Medical Center Auburn $686.80 $302.04 – $1,473.43
MultiCare Good Samaritan Hospital Puyallup $686.80 $309.03 – $1,473.43

All Washington hospitals for this procedure →