Drng of mouth lesion 40801 at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$1,055.60
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.
$2,639.00
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.
$606.65 with Regence vs $2,032.85 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 | $606.65 | ↓ -43% |
| Blue Cross of Idaho | MedAdvantage | $606.65 | ↓ -43% |
| Aetna | MedAdvantage | $606.65 | ↓ -43% |
| United Healthcare | MedAdvantage | $612.54 | ↓ -42% |
| Molina | MedAdvantage | $618.43 | ↓ -41% |
| WellCare | MedAdvantage | $618.43 | ↓ -41% |
| Molina | Apple Health | $623.18 | ↓ -41% |
| WellPoint | Apple Health | $629.29 | ↓ -40% |
| Coordinated Care | Apple Health | $629.29 | ↓ -40% |
| United Healthcare | Apple Health | $641.51 | ↓ -39% |
| Community Health Plan of Washington | MedAdvantage | $647.88 | ↓ -39% |
| Community Health Plan of Washington | Apple Health | $659.84 | ↓ -37% |
| Premera | HMO | $807.47 | ↓ -24% |
| First Choice | MHS Employee MCC/PPO | $980.39 | ↓ -7% |
| Community Health Plan of Washington | Cascade Care | $993.02 | ↓ -6% |
| Ambetter | Coordinated Care Exchange | $1,089.61 | ↑ +3% |
| First Choice | MCC Wellfound Employee | $1,276.48 | ↑ +21% |
| Premera | Prime | $1,455.85 | ↑ +38% |
| Premera | Signature | $1,455.85 | ↑ +38% |
| Premera | Other Commercial Plans | $1,455.85 | ↑ +38% |
| Regence/Asuris | Commercial | $1,487.82 | ↑ +41% |
| United Healthcare | Commercial | $1,673.50 | ↑ +59% |
| Cigna | Commercial | $1,693.94 | ↑ +60% |
| First Choice | PPO | $1,849.94 | ↑ +75% |
| Multiplan/PHCS | All Commercial Plans | $1,900.08 | ↑ +80% |
| First Health | All Commercial Plans | $1,900.08 | ↑ +80% |
| Aetna | All Commercial Plans | $1,903.51 | ↑ +80% |
| Kaiser | PPO | $2,032.85 | ↑ +93% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Drng of mouth lesion 40801 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $665.00 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $1,899.84 | $624.54 – $2,076.08 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,910.30 | $601.00 – $1,529.54 |
| Swedish Medical Center Cherry Hill | Seattle | $1,899.84 | $624.54 – $2,009.83 |
| Swedish Issaquah | Issaquah | $1,899.84 | $626.29 – $2,076.08 |
| Providence Centralia Hospital | Centralia | $1,055.08 | $624.54 – $2,584.06 |
| Providence Mount Carmel Hospital | Colville | $797.30 | not published |
| Providence St Mary Medical Center | Walla Walla | $3,042.90 | $487.53 – $2,005.41 |