Diagnostic Mammogram (one breast) at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$265.60
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.
$664.00
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.
$34.35 with Molina vs $478.08 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 →
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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 |
|---|---|---|---|
| Molina | Apple Health | $34.35 | ↓ -87% |
| Coordinated Care | Apple Health | $34.69 | ↓ -87% |
| WellPoint | Apple Health | $34.69 | ↓ -87% |
| United Healthcare | Apple Health | $35.36 | ↓ -87% |
| Community Health Plan of Washington | Apple Health | $36.37 | ↓ -86% |
| United Healthcare | Commercial | $86.55 | ↓ -67% |
| Regence | MedAdvantage | $89.15 | ↓ -66% |
| Aetna | MedAdvantage | $89.15 | ↓ -66% |
| Blue Cross of Idaho | MedAdvantage | $89.15 | ↓ -66% |
| United Healthcare | MedAdvantage | $90.02 | ↓ -66% |
| Molina | MedAdvantage | $90.88 | ↓ -66% |
| WellCare | MedAdvantage | $90.88 | ↓ -66% |
| Community Health Plan of Washington | MedAdvantage | $95.21 | ↓ -64% |
| Premera | Prime | $111.42 | ↓ -58% |
| Premera | Other Commercial Plans | $111.42 | ↓ -58% |
| Premera | Signature | $111.42 | ↓ -58% |
| Cigna | Commercial | $144.97 | ↓ -45% |
| Premera | HMO | $145.76 | ↓ -45% |
| Community Health Plan of Washington | Cascade Care | $145.93 | ↓ -45% |
| Regence/Asuris | Commercial | $156.98 | ↓ -41% |
| Ambetter | Coordinated Care Exchange | $160.12 | ↓ -40% |
| Kaiser | PPO | $171.90 | ↓ -35% |
| First Choice | MHS Employee MCC/PPO | $246.68 | ↓ -7% |
| Aetna | All Commercial Plans | $306.77 | ↑ +16% |
| First Choice | MCC Wellfound Employee | $321.18 | ↑ +21% |
| First Choice | PPO | $465.46 | ↑ +75% |
| Multiplan/PHCS | All Commercial Plans | $478.08 | ↑ +80% |
| First Health | All Commercial Plans | $478.08 | ↑ +80% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $567.84 | $72.51 – $275.36 |
| Swedish Medical Center Cherry Hill | Seattle | $567.84 | $72.51 – $283.66 |
| Swedish Issaquah | Issaquah | $567.84 | $72.51 – $201.22 |
| Central Medical Center | Seattle | $400.00 | $87.00 – $87.00 |
| Providence Centralia Hospital | Centralia | $427.44 | $90.64 – $478.26 |
| Providence Mount Carmel Hospital | Colville | $451.50 | not published |
| Providence St Mary Medical Center | Walla Walla | $489.30 | $89.14 – $167.68 |
| Kadlec Regional Medical Center | Richland | $459.20 | $90.64 – $174.93 |