Dactinomycin 0.5 mg intravenous solution 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.
$340.84 with Regence vs $2,432.41 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 →
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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 | $340.84 | — |
| Aetna | MedAdvantage | $340.84 | — |
| Blue Cross of Idaho | MedAdvantage | $340.84 | — |
| United Healthcare | MedAdvantage | $344.15 | — |
| Molina | MedAdvantage | $347.46 | — |
| WellCare | MedAdvantage | $347.46 | — |
| Community Health Plan of Washington | MedAdvantage | $364.01 | — |
| Cigna | Commercial | $454.72 | — |
| Community Health Plan of Washington | Cascade Care | $557.92 | — |
| Regence/Asuris | Commercial | $596.27 | — |
| Ambetter | Coordinated Care Exchange | $612.19 | — |
| Molina | Apple Health | $761.54 | — |
| Coordinated Care | Apple Health | $769.01 | — |
| WellPoint | Apple Health | $769.01 | — |
| United Healthcare | Apple Health | $783.94 | — |
| Community Health Plan of Washington | Apple Health | $806.34 | — |
| Premera | HMO | $967.67 | — |
| Aetna | All Commercial Plans | $1,286.21 | — |
| Premera | Prime | $1,505.03 | — |
| Premera | Signature | $1,505.03 | — |
| Premera | Other Commercial Plans | $1,505.03 | — |
| Kaiser | PPO | $2,432.41 | — |
Visitor-reported prices
Comments
Dactinomycin 0.5 mg intravenous solution at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $6,972.71 | $337.67 – $2,882.91 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $6,233.34 | $337.67 – $2,402.43 |
| Swedish Medical Center Cherry Hill | Seattle | $6,972.71 | $337.67 – $2,089.07 |
| Swedish Issaquah | Issaquah | $6,972.71 | $337.67 – $2,882.91 |
| Central Medical Center | Seattle | $1,016.99 | $302.92 – $302.92 |
| Swedish Edmonds Hospital | Edmonds | $1,074.33 | $337.67 – $2,245.75 |
| Providence St Mary Medical Center | Walla Walla | $2,609.47 | $337.67 – $2,809.27 |
| Kadlec Regional Medical Center | Richland | $7,555.56 | $337.67 – $2,360.65 |