Drug test def 22+ classes 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

$816.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$2,040.00

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.

$74.43 with Molina vs $1,468.80 with Multiplan/PHCS — 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 $74.43 ↓ -91%
Coordinated Care Apple Health $75.15 ↓ -91%
WellPoint Apple Health $75.15 ↓ -91%
United Healthcare Apple Health $76.61 ↓ -91%
Community Health Plan of Washington Apple Health $78.80 ↓ -90%
Premera HMO $246.92 ↓ -70%
Blue Cross of Idaho MedAdvantage $249.24 ↓ -69%
Aetna MedAdvantage $249.24 ↓ -69%
Regence MedAdvantage $249.24 ↓ -69%
United Healthcare MedAdvantage $251.66 ↓ -69%
WellCare MedAdvantage $254.08 ↓ -69%
Molina MedAdvantage $254.08 ↓ -69%
Community Health Plan of Washington MedAdvantage $266.18 ↓ -67%
Kaiser PPO $271.61 ↓ -67%
Regence/Asuris Commercial $283.96 ↓ -65%
United Healthcare Commercial $296.30 ↓ -64%
Cigna Commercial $296.30 ↓ -64%
Aetna All Commercial Plans $306.18 ↓ -62%
Premera Other Commercial Plans $308.65 ↓ -62%
Premera Signature $308.65 ↓ -62%
Premera Prime $308.65 ↓ -62%
Community Health Plan of Washington Cascade Care $407.98 ↓ -50%
Ambetter Coordinated Care Exchange $447.67 ↓ -45%
First Choice MHS Employee MCC/PPO $757.86 ↓ -7%
First Choice MCC Wellfound Employee $986.75 ↑ +21%
First Choice PPO $1,430.04 ↑ +75%
First Health All Commercial Plans $1,468.80 ↑ +80%
Multiplan/PHCS All Commercial Plans $1,468.80 ↑ +80%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Drug test def 22+ classes at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $1,010.40 $222.23 – $1,160.52
Swedish Medical Center Cherry Hill Seattle $1,010.40 $222.23 – $1,123.49
Swedish Issaquah Issaquah $1,010.40 $222.23 – $1,160.52
MultiCare Yakima Memorial Hospital Yakima $550.00 $255.56 – $443.17
St. Michael Medical Center Silverdale $344.52 $246.92 – $702.54
St. Anne Hospital Burien $238.36 $246.92 – $702.54
St. Anthony Hospital Gig Harbor $237.42 $246.92 – $585.45
MultiCare Auburn Medical Center Auburn $687.60 $76.13 – $483.96

All Washington hospitals for this procedure →