Heparin assay 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

$57.60

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.

Full explanation →

What you pay up front if you don't use insurance.

$144.00

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.

$2.52 with Molina vs $103.68 with Multiplan/PHCS — 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 $2.52 ↓ -96%
Coordinated Care Apple Health $2.55 ↓ -96%
WellPoint Apple Health $2.55 ↓ -96%
United Healthcare Apple Health $2.60 ↓ -95%
Community Health Plan of Washington Apple Health $2.67 ↓ -95%
Premera HMO $13.09 ↓ -77%
Blue Cross of Idaho MedAdvantage $13.21 ↓ -77%
Aetna MedAdvantage $13.21 ↓ -77%
Regence MedAdvantage $13.21 ↓ -77%
United Healthcare MedAdvantage $13.34 ↓ -77%
WellCare MedAdvantage $13.47 ↓ -77%
Molina MedAdvantage $13.47 ↓ -77%
Community Health Plan of Washington MedAdvantage $14.11 ↓ -76%
Kaiser PPO $14.40 ↓ -75%
Regence/Asuris Commercial $15.05 ↓ -74%
United Healthcare Commercial $15.71 ↓ -73%
Cigna Commercial $15.71 ↓ -73%
Aetna All Commercial Plans $16.23 ↓ -72%
Premera Other Commercial Plans $16.36 ↓ -72%
Premera Signature $16.36 ↓ -72%
Premera Prime $16.36 ↓ -72%
Community Health Plan of Washington Cascade Care $21.63 ↓ -62%
Ambetter Coordinated Care Exchange $23.73 ↓ -59%
First Choice MHS Employee MCC/PPO $53.50 ↓ -7%
First Choice MCC Wellfound Employee $69.65 ↑ +21%
First Choice PPO $100.94 ↑ +75%
First Health All Commercial Plans $103.68 ↑ +80%
Multiplan/PHCS All Commercial Plans $103.68 ↑ +80%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Heparin assay at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $162.54 $13.09 – $14.40
Providence St Joseph Hospital Chewelah $185.50 not published
Swedish Medical Center - First Hill Campus Seattle $91.68 $11.78 – $61.52
Providence Sacred Heart Medical Center and Children's Hospital Spokane $180.60 $13.09 – $47.12
Swedish Medical Center Cherry Hill Seattle $91.68 $11.78 – $59.56
Swedish Issaquah Issaquah $91.68 $11.78 – $61.52
Central Medical Center Seattle $193.60 $10.00 – $10.00
Providence Centralia Hospital Centralia $284.44 $13.09 – $81.55

All Washington hospitals for this procedure →