Hla x-math non-cytotoxic 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.

$109.49 with Premera vs $198.51 with Ambetter — 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
Premera HMO $109.49
Blue Cross of Idaho MedAdvantage $110.52
Regence MedAdvantage $110.52
Aetna MedAdvantage $110.52
United Healthcare MedAdvantage $111.59
Molina MedAdvantage $112.67
WellCare MedAdvantage $112.67
Community Health Plan of Washington MedAdvantage $118.03
Kaiser PPO $120.44
Regence/Asuris Commercial $125.91
Cigna Commercial $131.39
Aetna All Commercial Plans $135.77
Premera Other Commercial Plans $136.86
Premera Prime $136.86
Premera Signature $136.86
Community Health Plan of Washington Cascade Care $180.91
Ambetter Coordinated Care Exchange $198.51

Visitor-reported prices

visitor-reported
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Hla x-math non-cytotoxic at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $420.48 $98.54 – $514.60
Providence Sacred Heart Medical Center and Children's Hospital Spokane $583.80 $109.49 – $394.16
Swedish Medical Center Cherry Hill Seattle $420.48 $98.54 – $498.18
Swedish Issaquah Issaquah $420.48 $98.54 – $514.60
MultiCare Auburn Medical Center Auburn $137.20 $107.30 – $214.60
MultiCare Good Samaritan Hospital Puyallup $137.20 $107.30 – $214.60
Virginia Mason Medical Center Seattle $301.41 $76.64 – $342.23
MultiCare Capital Medical Center Olympia $205.20 $107.30 – $198.51

All Washington hospitals for this procedure →