Cytopath tbs c/v manual 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

$27.20

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.

$68.00

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.

$11.72 with Molina vs $48.96 with First Health — 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 $11.72 ↓ -57%
Coordinated Care Apple Health $11.83 ↓ -57%
WellPoint Apple Health $11.83 ↓ -57%
United Healthcare Apple Health $12.06 ↓ -56%
Community Health Plan of Washington Apple Health $12.41 ↓ -54%
Premera HMO $17.31 ↓ -36%
Regence MedAdvantage $18.71 ↓ -31%
Blue Cross of Idaho MedAdvantage $18.71 ↓ -31%
Aetna MedAdvantage $18.71 ↓ -31%
United Healthcare MedAdvantage $18.90 ↓ -31%
WellCare MedAdvantage $19.08 ↓ -30%
Molina MedAdvantage $19.08 ↓ -30%
Community Health Plan of Washington MedAdvantage $19.99 ↓ -27%
Kaiser PPO $20.39 ↓ -25%
Regence/Asuris Commercial $20.42 ↓ -25%
Cigna Commercial $21.83 ↓ -20%
Premera Other Commercial Plans $22.20 ↓ -18%
Premera Prime $22.20 ↓ -18%
Premera Signature $22.20 ↓ -18%
United Healthcare Commercial $22.25 ↓ -18%
Aetna All Commercial Plans $22.56 ↓ -17%
First Choice MHS Employee MCC/PPO $25.26 ↓ -7%
Community Health Plan of Washington Cascade Care $30.63 ↑ +13%
First Choice MCC Wellfound Employee $32.89 ↑ +21%
Ambetter Coordinated Care Exchange $33.61 ↑ +24%
First Choice PPO $47.67 ↑ +75%
Multiplan/PHCS All Commercial Plans $48.96 ↑ +80%
First Health All Commercial Plans $48.96 ↑ +80%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Cytopath tbs c/v manual at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $29.61 $18.54 – $20.39
Providence St Joseph Hospital Chewelah $39.90 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $90.30 $18.54 – $54.43
Central Medical Center Seattle $94.40 $22.00 – $22.00
Providence Mount Carmel Hospital Colville $41.30 not published
Kadlec Regional Medical Center Richland $135.80 $18.54 – $59.12
Providence Holy Family Hospital Spokane $46.90 $18.54 – $64.65
Providence Regional Medical Center Everett - Colby Campus Everett $40.56 $18.54 – $63.50

All Washington hospitals for this procedure →