Incision of windpipe at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
not published by hospital
Cash price 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 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.
$1,397.59 with Molina vs $23,761.53 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.
Full explanation →
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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 ?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 ?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 | $1,397.59 | — |
| WellPoint | Apple Health | $1,411.30 | — |
| Coordinated Care | Apple Health | $1,411.30 | — |
| United Healthcare | Apple Health | $1,438.70 | — |
| Community Health Plan of Washington | Apple Health | $1,479.81 | — |
| Blue Cross of Idaho | MedAdvantage | $6,658.74 | — |
| Regence | MedAdvantage | $6,658.74 | — |
| Aetna | MedAdvantage | $6,658.74 | — |
| United Healthcare | MedAdvantage | $6,723.39 | — |
| WellCare | MedAdvantage | $6,788.03 | — |
| Molina | MedAdvantage | $6,788.03 | — |
| Community Health Plan of Washington | MedAdvantage | $7,111.27 | — |
| Premera | HMO | $8,848.50 | — |
| Community Health Plan of Washington | Cascade Care | $10,899.64 | — |
| Ambetter | Coordinated Care Exchange | $11,959.87 | — |
| Premera | Prime | $15,495.50 | — |
| Premera | Signature | $15,495.50 | — |
| Premera | Other Commercial Plans | $15,495.50 | — |
| Regence/Asuris | Commercial | $15,835.77 | — |
| Cigna | Commercial | $18,593.06 | — |
| Aetna | All Commercial Plans | $22,111.82 | — |
| Kaiser | PPO | $23,761.53 | — |
Visitor-reported prices
Comments
Incision of windpipe at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Michael Medical Center | Silverdale | $6,475.12 | $9,242.88 – $25,165.86 |
| St. Anne Hospital | Burien | $4,479.95 | $6,308.63 – $13,204.11 |
| St. Anthony Hospital | Gig Harbor | $4,462.24 | $10,563.29 – $14,528.71 |
| St. Joseph Medical Center | Tacoma | $4,859.08 | $10,563.29 – $14,528.71 |
| St. Elizabeth Hospital | Enumclaw | $5,184.29 | $2,494.11 – $13,204.11 |
| Virginia Mason Medical Center | Seattle | $7,179.27 | $13.03 – $2,118.59 |
| St. Francis Hospital | Federal Way | $4,604.18 | $10,563.29 – $14,528.71 |
| St. Clare Hospital | Lakewood | $4,228.85 | $10,563.29 – $14,528.71 |