Incobotulinumtoxin a at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$11.11
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.
$27.77
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.
$5.29 with United Healthcare vs $378.93 with Community Health Plan of Washington — 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 |
|---|---|---|---|
| United Healthcare | Commercial | $5.29 | ↓ -52% |
| Aetna | MedAdvantage | $5.34 | ↓ -52% |
| Regence | MedAdvantage | $5.34 | ↓ -52% |
| Blue Cross of Idaho | MedAdvantage | $5.34 | ↓ -52% |
| United Healthcare | MedAdvantage | $5.39 | ↓ -51% |
| Molina | MedAdvantage | $5.44 | ↓ -51% |
| WellCare | MedAdvantage | $5.44 | ↓ -51% |
| Community Health Plan of Washington | MedAdvantage | $5.70 | ↓ -49% |
| Cigna | Commercial | $7.43 | ↓ -33% |
| Regence/Asuris | Commercial | $7.82 | ↓ -30% |
| Premera | HMO | $8.22 | ↓ -26% |
| Community Health Plan of Washington | Cascade Care | $8.74 | ↓ -21% |
| Ambetter | Coordinated Care Exchange | $9.59 | ↓ -14% |
| First Choice | MHS Employee MCC/PPO | $10.32 | ↓ -7% |
| Premera | Other Commercial Plans | $11.67 | ↑ +5% |
| Premera | Prime | $11.67 | ↑ +5% |
| Premera | Signature | $11.67 | ↑ +5% |
| First Choice | MCC Wellfound Employee | $13.43 | ↑ +21% |
| First Choice | PPO | $19.47 | ↑ +75% |
| Multiplan/PHCS | All Commercial Plans | $19.99 | ↑ +80% |
| First Health | All Commercial Plans | $19.99 | ↑ +80% |
| Aetna | All Commercial Plans | $21.01 | ↑ +89% |
| Kaiser | PPO | $23.14 | ↑ +108% |
| Molina | Apple Health | $357.87 | ↑ +3121% |
| WellPoint | Apple Health | $361.38 | ↑ +3153% |
| Coordinated Care | Apple Health | $361.38 | ↑ +3153% |
| United Healthcare | Apple Health | $368.40 | ↑ +3216% |
| Community Health Plan of Washington | Apple Health | $378.93 | ↑ +3311% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Incobotulinumtoxin a at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $1,339.57 | $5.21 – $13.85 |
| Swedish Medical Center Cherry Hill | Seattle | $1,339.57 | $5.21 – $10.04 |
| Swedish Issaquah | Issaquah | $1,339.57 | $5.21 – $13.85 |
| Swedish Edmonds Hospital | Edmonds | $1,339.57 | $5.29 – $10.79 |
| St. Michael Medical Center | Silverdale | $1,327.14 | $10.16 – $541.26 |
| St. Anne Hospital | Burien | $918.21 | $22.83 – $541.26 |
| St. Anthony Hospital | Gig Harbor | $914.58 | $15.60 – $451.05 |
| St. Joseph Medical Center | Tacoma | $995.92 | $15.60 – $451.05 |