Echo exam of fetal heart 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

$259.20

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.

$648.00

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.

$68.97 with Molina vs $475.62 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 $68.97 ↓ -73%
WellPoint Apple Health $69.65 ↓ -73%
Coordinated Care Apple Health $69.65 ↓ -73%
United Healthcare Apple Health $71.00 ↓ -73%
Community Health Plan of Washington Apple Health $73.03 ↓ -72%
Aetna MedAdvantage $117.59 ↓ -55%
Regence MedAdvantage $117.59 ↓ -55%
Blue Cross of Idaho MedAdvantage $117.59 ↓ -55%
United Healthcare MedAdvantage $118.74 ↓ -54%
Molina MedAdvantage $119.88 ↓ -54%
WellCare MedAdvantage $119.88 ↓ -54%
Community Health Plan of Washington MedAdvantage $125.59 ↓ -52%
Premera HMO $188.92 ↓ -27%
Community Health Plan of Washington Cascade Care $192.49 ↓ -26%
Ambetter Coordinated Care Exchange $211.21 ↓ -19%
First Choice MHS Employee MCC/PPO $240.73 ↓ -7%
Premera Signature $290.91 ↑ +12%
Premera Other Commercial Plans $290.91 ↑ +12%
Premera Prime $290.91 ↑ +12%
Regence/Asuris Commercial $297.29 ↑ +15%
First Choice MCC Wellfound Employee $313.44 ↑ +21%
United Healthcare Commercial $324.39 ↑ +25%
Cigna Commercial $328.36 ↑ +27%
Aetna All Commercial Plans $397.49 ↑ +53%
First Choice PPO $454.25 ↑ +75%
Multiplan/PHCS All Commercial Plans $466.56 ↑ +80%
First Health All Commercial Plans $466.56 ↑ +80%
Kaiser PPO $475.62 ↑ +83%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Echo exam of fetal heart at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $617.28 $121.06 – $526.78
Providence Sacred Heart Medical Center and Children's Hospital Spokane $973.00 $116.50 – $403.49
Swedish Medical Center Cherry Hill Seattle $617.28 $121.06 – $509.96
Swedish Issaquah Issaquah $617.28 $91.27 – $526.78
Central Medical Center Seattle $364.80 $107.00 – $107.00
Providence St Mary Medical Center Walla Walla $1,000.30 $97.42 – $215.52
Kadlec Regional Medical Center Richland $417.20 $84.91 – $438.23
Providence Holy Family Hospital Spokane $224.00 $116.50 – $376.53

All Washington hospitals for this procedure →