External profiling gene expression oncology (breast) mrna 21 genes 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.

$274.06 with Molina vs $13,090.74 with Aetna — 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 $274.06
WellPoint Apple Health $276.75
Coordinated Care Apple Health $276.75
United Healthcare Apple Health $282.12
Community Health Plan of Washington Apple Health $290.18
Premera HMO $3,873.00
Regence MedAdvantage $3,909.41
Blue Cross of Idaho MedAdvantage $3,909.41
Aetna MedAdvantage $3,909.41
United Healthcare MedAdvantage $3,947.36
Molina MedAdvantage $3,985.32
WellCare MedAdvantage $3,985.32
Community Health Plan of Washington MedAdvantage $4,175.09
Kaiser PPO $4,260.30
Regence/Asuris Commercial $4,453.95
Cigna Commercial $4,647.60
Premera Prime $4,841.25
Premera Signature $4,841.25
Premera Other Commercial Plans $4,841.25
Community Health Plan of Washington Cascade Care $6,399.28
Ambetter Coordinated Care Exchange $7,021.75
Aetna All Commercial Plans $13,090.74

Visitor-reported prices

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External profiling gene expression oncology (breast) mrna 21 genes at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $10,040.80 $2,391.00 – $2,391.00
MultiCare Auburn Medical Center Auburn $5,874.40 $280.33 – $7,591.08
MultiCare Good Samaritan Hospital Puyallup $5,874.40 $286.81 – $7,591.08
Virginia Mason Medical Center Seattle $5,866.53 $2,711.10 – $12,105.84
MultiCare Capital Medical Center Olympia $5,874.40 $301.68 – $7,021.75
MultiCare Covington Medical Center Covington $5,874.40 $280.33 – $7,591.08
MultiCare Mary Bridge Children's Hospital Tacoma $5,874.40 $285.49 – $4,453.95
MultiCare Allenmore Hospital Tacoma $5,874.40 $286.92 – $7,591.08

All Washington hospitals for this procedure →