Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) 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

$1,529.60

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.

$3,824.00

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.

$580.23 with Molina vs $7,998.96 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 $580.23 ↓ -62%
Coordinated Care Apple Health $585.92 ↓ -62%
WellPoint Apple Health $585.92 ↓ -62%
United Healthcare Apple Health $597.30 ↓ -61%
Community Health Plan of Washington Apple Health $614.37 ↓ -60%
First Choice MHS Employee MCC/PPO $869.58 ↓ -43%
First Choice MCC Wellfound Employee $1,131.90 ↓ -26%
First Choice PPO $1,640.50 ↑ +7%
Blue Cross of Idaho MedAdvantage $2,196.46 ↑ +44%
Aetna MedAdvantage $2,196.46 ↑ +44%
Regence MedAdvantage $2,196.46 ↑ +44%
United Healthcare MedAdvantage $2,217.79 ↑ +45%
WellCare MedAdvantage $2,239.11 ↑ +46%
Molina MedAdvantage $2,239.11 ↑ +46%
Community Health Plan of Washington MedAdvantage $2,345.74 ↑ +53%
First Health All Commercial Plans $2,753.28 ↑ +80%
Multiplan/PHCS All Commercial Plans $2,753.28 ↑ +80%
Premera HMO $2,978.72 ↑ +95%
Community Health Plan of Washington Cascade Care $3,595.37 ↑ +135%
Ambetter Coordinated Care Exchange $3,945.10 ↑ +158%
Premera Signature $5,108.86 ↑ +234%
Premera Prime $5,108.86 ↑ +234%
Premera Other Commercial Plans $5,108.86 ↑ +234%
Regence/Asuris Commercial $5,221.05 ↑ +241%
United Healthcare Commercial $6,059.16 ↑ +296%
Cigna Commercial $6,133.14 ↑ +301%
Aetna All Commercial Plans $7,299.17 ↑ +377%
Kaiser PPO $7,998.96 ↑ +423%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $5,515.20 $2,261.24 – $8,373.23
Swedish Medical Center Cherry Hill Seattle $5,515.20 $2,261.24 – $8,063.75
Swedish Issaquah Issaquah $5,515.20 $2,267.58 – $8,373.23
Providence St Mary Medical Center Walla Walla $2,454.20 $1,710.86 – $4,025.62
MultiCare Yakima Memorial Hospital Yakima $2,173.60 $2,329.57 – $6,009.28
MultiCare Auburn Medical Center Auburn $3,825.20 $593.50 – $9,373.54
MultiCare Good Samaritan Hospital Puyallup $3,825.20 $607.22 – $9,373.54
Virginia Mason Medical Center Seattle $3,182.91 $12.42 – $1,007.90

All Washington hospitals for this procedure →