Declotting thrombolytic agent implanted vas access device 36 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

$538.00

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.

$1,345.00

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.

$205.53 with Molina vs $1,480.16 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 $205.53 ↓ -62%
Coordinated Care Apple Health $207.55 ↓ -61%
WellPoint Apple Health $207.55 ↓ -61%
United Healthcare Apple Health $211.58 ↓ -61%
Community Health Plan of Washington Apple Health $217.62 ↓ -60%
Regence MedAdvantage $371.53 ↓ -31%
Blue Cross of Idaho MedAdvantage $371.53 ↓ -31%
Aetna MedAdvantage $371.53 ↓ -31%
United Healthcare MedAdvantage $375.14 ↓ -30%
Molina MedAdvantage $378.75 ↓ -30%
WellCare MedAdvantage $378.75 ↓ -30%
Community Health Plan of Washington MedAdvantage $396.78 ↓ -26%
First Choice MHS Employee MCC/PPO $499.67 ↓ -7%
Premera HMO $587.93 ↑ +9%
Community Health Plan of Washington Cascade Care $608.16 ↑ +13%
First Choice MCC Wellfound Employee $650.58 ↑ +21%
Ambetter Coordinated Care Exchange $667.32 ↑ +24%
Premera Signature $896.11 ↑ +67%
Premera Other Commercial Plans $896.11 ↑ +67%
Premera Prime $896.11 ↑ +67%
Regence/Asuris Commercial $915.80 ↑ +70%
First Choice PPO $942.85 ↑ +75%
First Health All Commercial Plans $968.40 ↑ +80%
Multiplan/PHCS All Commercial Plans $968.40 ↑ +80%
United Healthcare Commercial $1,024.91 ↑ +91%
Cigna Commercial $1,037.42 ↑ +93%
Aetna All Commercial Plans $1,239.81 ↑ +130%
Kaiser PPO $1,480.16 ↑ +175%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Declotting thrombolytic agent implanted vas access device 36 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $487.62 $368.07 – $404.88
Providence St Joseph Hospital Chewelah $204.40 not published
Swedish Medical Center - First Hill Campus Seattle $1,048.80 $382.49 – $1,455.12
Providence Sacred Heart Medical Center and Children's Hospital Spokane $657.30 $368.07 – $959.76
Swedish Medical Center Cherry Hill Seattle $1,048.80 $382.49 – $1,408.68
Swedish Issaquah Issaquah $1,048.80 $383.56 – $1,455.12
Central Medical Center Seattle $1,120.00 not published
Providence Centralia Hospital Centralia $908.96 $382.49 – $1,811.16

All Washington hospitals for this procedure →