Inj, levothyroxine, freskabi 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

$27.44

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.

$68.60

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.

$3.99 with Regence/Asuris vs $60.12 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 →

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/Asuris Commercial $3.99 ↓ -85%
Cigna Commercial $5.35 ↓ -81%
United Healthcare Commercial $6.96 ↓ -75%
Blue Cross of Idaho MedAdvantage $7.02 ↓ -74%
Aetna MedAdvantage $7.02 ↓ -74%
Regence MedAdvantage $7.02 ↓ -74%
United Healthcare MedAdvantage $7.09 ↓ -74%
WellCare MedAdvantage $7.16 ↓ -74%
Molina MedAdvantage $7.16 ↓ -74%
Community Health Plan of Washington MedAdvantage $7.50 ↓ -73%
Community Health Plan of Washington Cascade Care $11.50 ↓ -58%
Ambetter Coordinated Care Exchange $12.62 ↓ -54%
Aetna All Commercial Plans $15.12 ↓ -45%
First Choice MHS Employee MCC/PPO $17.18 ↓ -37%
Premera Prime $18.94 ↓ -31%
Premera Signature $18.94 ↓ -31%
Premera Other Commercial Plans $18.94 ↓ -31%
First Choice MCC Wellfound Employee $22.37 ↓ -18%
First Choice PPO $32.42 ↑ +18%
Multiplan/PHCS All Commercial Plans $33.30 ↑ +21%
First Health All Commercial Plans $33.30 ↑ +21%
Kaiser PPO $37.47 ↑ +37%
Molina Apple Health $56.78 ↑ +107%
WellPoint Apple Health $57.33 ↑ +109%
Coordinated Care Apple Health $57.33 ↑ +109%
United Healthcare Apple Health $58.45 ↑ +113%
Community Health Plan of Washington Apple Health $60.12 ↑ +119%
Premera HMO not published by hospital
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Inj, levothyroxine, freskabi at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $727.90 not published
Swedish Medical Center - First Hill Campus Seattle $214.16 $2.66 – $21.14
Providence Sacred Heart Medical Center and Children's Hospital Spokane $697.47 $3.99 – $17.71
Providence Mount Carmel Hospital Colville $727.90 not published
Swedish Edmonds Hospital Edmonds $214.16 $3.19 – $17.68
Providence St Mary Medical Center Walla Walla $573.94 $2.66 – $20.47
Kadlec Regional Medical Center Richland $304.77 $6.96 – $12.87
Providence Holy Family Hospital Spokane $697.47 $3.99 – $18.27

All Washington hospitals for this procedure →