Excision of umbilicus 49250 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.

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The hospital's undiscounted list price — almost no one pays this.

$2,375.94 with Molina vs $15,761.59 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.

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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.

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Negotiated rate vs. cash
Molina Apple Health $2,375.94
WellPoint Apple Health $2,399.24
Coordinated Care Apple Health $2,399.24
United Healthcare Apple Health $2,445.83
Community Health Plan of Washington Apple Health $2,515.71
Blue Cross of Idaho MedAdvantage $4,027.30
Regence MedAdvantage $4,027.30
Aetna MedAdvantage $4,027.30
United Healthcare MedAdvantage $4,066.40
WellCare MedAdvantage $4,105.50
Molina MedAdvantage $4,105.50
Community Health Plan of Washington MedAdvantage $4,301.00
Premera HMO $5,869.41
Community Health Plan of Washington Cascade Care $6,592.27
Ambetter Coordinated Care Exchange $7,233.51
Premera Prime $9,154.31
Premera Signature $9,154.31
Premera Other Commercial Plans $9,154.31
Regence/Asuris Commercial $9,355.34
Cigna Commercial $11,245.36
Aetna All Commercial Plans $13,191.08
Kaiser PPO $15,761.59

Visitor-reported prices

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Excision of umbilicus 49250 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Regional Medical Center Everett - Colby Campus Everett $2,211.04 $4,077.37 – $11,784.40
Virginia Mason Medical Center Seattle $4,377.33 $12.66 – $2,694.95
Providence St Luke's Rehabilitation Medical Center Spokane not published $3,989.80 – $4,388.78
Swedish Medical Center - First Hill Campus Seattle not published $4,146.07 – $15,142.49
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $3,989.80 – $10,154.04
Swedish Medical Center Cherry Hill Seattle not published $4,146.07 – $14,582.80
Swedish Issaquah Issaquah not published $4,157.70 – $15,142.49
Central Medical Center Seattle not published not published

All Washington hospitals for this procedure →