Electronic elbow sequential 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

not published by hospital

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.

not published by hospital

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.

$42,943.45 with Regence/Asuris vs $186,255.68 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
Regence/Asuris Commercial $42,943.45
Regence MedAdvantage $45,275.19
Blue Cross of Idaho MedAdvantage $45,275.19
Aetna MedAdvantage $45,275.19
United Healthcare MedAdvantage $45,714.76
WellCare MedAdvantage $46,154.32
Molina MedAdvantage $46,154.32
Community Health Plan of Washington MedAdvantage $48,352.15
Premera Signature $53,679.31
Premera Other Commercial Plans $53,679.31
Premera Prime $53,679.31
Cigna Commercial $61,563.73
Premera HMO $66,968.34
Community Health Plan of Washington Cascade Care $74,110.66
Ambetter Coordinated Care Exchange $81,319.52
Aetna All Commercial Plans $148,632.42
Kaiser PPO $186,255.68

Visitor-reported prices

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Electronic elbow sequential at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane not published $44,853.57 – $49,338.93
Swedish Medical Center - First Hill Campus Seattle not published $44,853.57 – $136,265.15
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $44,853.57 – $114,152.34
Swedish Medical Center Cherry Hill Seattle not published $44,853.57 – $109,690.92
Swedish Issaquah Issaquah not published $44,853.57 – $99,574.93
Providence Centralia Hospital Centralia not published $44,853.57 – $84,827.64
Swedish Edmonds Hospital Edmonds not published $44,853.57 – $146,254.56
Kadlec Regional Medical Center Richland not published $44,853.57 – $82,979.10

All Washington hospitals for this procedure →