Ghs osteopathic manipulative tx, 3-4 regions 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.

$24.29 with Regence vs $111.16 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
Regence MedAdvantage $24.29
Blue Cross of Idaho MedAdvantage $24.29
Aetna MedAdvantage $24.29
United Healthcare MedAdvantage $24.52
Molina MedAdvantage $24.76
WellCare MedAdvantage $24.76
Community Health Plan of Washington MedAdvantage $25.94
Molina Apple Health $26.63
Coordinated Care Apple Health $26.89
WellPoint Apple Health $26.89
United Healthcare Apple Health $27.42
Community Health Plan of Washington Apple Health $28.20
Community Health Plan of Washington Cascade Care $39.76
Ambetter Coordinated Care Exchange $43.62
Premera HMO $44.16
Cigna Commercial $67.81
Premera Prime $68.65
Premera Signature $68.65
Premera Other Commercial Plans $68.65
Regence/Asuris Commercial $70.16
Aetna All Commercial Plans $94.56
Kaiser PPO $111.16

Visitor-reported prices

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Ghs osteopathic manipulative tx, 3-4 regions at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Edmonds Hospital Edmonds $85.44 $24.59 – $110.34
St. Michael Medical Center Silverdale $61.11 $26.11 – $124.61
St. Anne Hospital Burien $42.28 $26.11 – $137.99
St. Anthony Hospital Gig Harbor $42.11 $26.11 – $129.97
MultiCare Auburn Medical Center Auburn $70.80 $24.57 – $115.66
MultiCare Good Samaritan Hospital Puyallup $70.80 $24.70 – $115.66
St. Joseph Medical Center Tacoma $45.86 $26.11 – $129.97
St. Elizabeth Hospital Enumclaw $48.93 $23.54 – $124.61

All Washington hospitals for this procedure →