Contrast x-ray of brain 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.

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The hospital's undiscounted list price — almost no one pays this.

$392.42 with Blue Cross of Idaho vs $1,639.51 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.

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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
Blue Cross of Idaho MedAdvantage $392.42
Regence MedAdvantage $392.42
Aetna MedAdvantage $392.42
United Healthcare MedAdvantage $396.23
Molina Apple Health $397.71
Molina MedAdvantage $400.04
WellCare MedAdvantage $400.04
Coordinated Care Apple Health $401.61
WellPoint Apple Health $401.61
United Healthcare Apple Health $409.41
Community Health Plan of Washington MedAdvantage $419.09
Community Health Plan of Washington Apple Health $421.10
Community Health Plan of Washington Cascade Care $642.35
Premera HMO $651.23
Ambetter Coordinated Care Exchange $704.83
Premera Prime $1,017.59
Premera Signature $1,017.59
Premera Other Commercial Plans $1,017.59
Regence/Asuris Commercial $1,039.94
Cigna Commercial $1,095.74
Aetna All Commercial Plans $1,334.90
Kaiser PPO $1,639.51

Visitor-reported prices

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Contrast x-ray of brain at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $2,833.60 $388.77 – $1,374.66
Central Medical Center Seattle $1,433.60 $358.00 – $358.00
Providence Regional Medical Center Everett - Colby Campus Everett $1,287.00 $165.53 – $1,603.77
St. Michael Medical Center Silverdale $1,307.41 $1,736.41 – $2,666.07
St. Anne Hospital Burien $904.56 $934.73 – $2,718.82
St. Anthony Hospital Gig Harbor $900.98 $934.73 – $2,560.63
St. Joseph Medical Center Tacoma $981.11 $934.73 – $2,560.63
St. Elizabeth Hospital Enumclaw $1,046.77 $204.25 – $2,666.07

All Washington hospitals for this procedure →