Fees w/laryngeal sense test 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.

$75.37 with Molina vs $441.89 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.

Full explanation →
Negotiated rate vs. cash
Molina Apple Health $75.37
WellPoint Apple Health $76.11
Coordinated Care Apple Health $76.11
United Healthcare Apple Health $77.58
Community Health Plan of Washington Apple Health $79.80
Blue Cross of Idaho MedAdvantage $81.69
Regence MedAdvantage $81.69
Aetna MedAdvantage $81.69
United Healthcare MedAdvantage $82.48
Molina MedAdvantage $83.28
WellCare MedAdvantage $83.28
Community Health Plan of Washington MedAdvantage $87.24
Community Health Plan of Washington Cascade Care $133.72
Ambetter Coordinated Care Exchange $146.73
Cigna Commercial $147.35
Premera Signature $288.50
Premera Other Commercial Plans $288.50
Premera Prime $288.50
Premera HMO $369.25
Regence/Asuris Commercial $411.03
Kaiser PPO $441.89

Visitor-reported prices

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Fees w/laryngeal sense test at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane not published $86.17 – $94.79
Swedish Medical Center - First Hill Campus Seattle not published $68.94 – $261.78
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $86.17 – $219.30
Swedish Medical Center Cherry Hill Seattle not published $68.94 – $308.57
Swedish Issaquah Issaquah not published $68.94 – $195.43
Providence Centralia Hospital Centralia not published $86.17 – $238.62
Swedish Edmonds Hospital Edmonds not published $86.17 – $411.42
Providence St Mary Medical Center Walla Walla not published $86.17 – $159.41

All Washington hospitals for this procedure →