Injection of sinus tract at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$2,097.60
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.
$5,244.00
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.
$623.18 with Molina vs $6,177.22 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 | $623.18 | ↓ -70% |
| WellPoint | Apple Health | $629.29 | ↓ -70% |
| Coordinated Care | Apple Health | $629.29 | ↓ -70% |
| United Healthcare | Apple Health | $641.51 | ↓ -69% |
| Community Health Plan of Washington | Apple Health | $659.84 | ↓ -69% |
| Aetna | MedAdvantage | $1,745.25 | ↓ -17% |
| Blue Cross of Idaho | MedAdvantage | $1,745.25 | ↓ -17% |
| Regence | MedAdvantage | $1,745.25 | ↓ -17% |
| United Healthcare | MedAdvantage | $1,762.20 | ↓ -16% |
| Molina | MedAdvantage | $1,779.14 | ↓ -15% |
| WellCare | MedAdvantage | $1,779.14 | ↓ -15% |
| Community Health Plan of Washington | MedAdvantage | $1,863.86 | ↓ -11% |
| First Choice | MHS Employee MCC/PPO | $1,948.15 | ↓ -7% |
| Premera | HMO | $2,300.32 | ↑ +10% |
| First Choice | MCC Wellfound Employee | $2,536.52 | ↑ +21% |
| Community Health Plan of Washington | Cascade Care | $2,856.79 | ↑ +36% |
| Ambetter | Coordinated Care Exchange | $3,134.67 | ↑ +49% |
| First Choice | PPO | $3,676.04 | ↑ +75% |
| Multiplan/PHCS | All Commercial Plans | $3,775.68 | ↑ +80% |
| First Health | All Commercial Plans | $3,775.68 | ↑ +80% |
| Premera | Signature | $4,035.29 | ↑ +92% |
| Premera | Prime | $4,035.29 | ↑ +92% |
| Premera | Other Commercial Plans | $4,035.29 | ↑ +92% |
| Regence/Asuris | Commercial | $4,123.90 | ↑ +97% |
| United Healthcare | Commercial | $4,814.44 | ↑ +130% |
| Cigna | Commercial | $4,873.23 | ↑ +132% |
| Aetna | All Commercial Plans | $5,536.81 | ↑ +164% |
| Kaiser | PPO | $6,177.22 | ↑ +194% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Injection of sinus tract at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $3,697.92 | $1,796.72 – $6,571.29 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $2,088.80 | $1,729.00 – $4,400.30 |
| Swedish Medical Center Cherry Hill | Seattle | $3,697.92 | $1,796.72 – $6,328.40 |
| Swedish Issaquah | Issaquah | $3,697.92 | $1,801.76 – $6,571.29 |
| Kadlec Regional Medical Center | Richland | $6,776.00 | $146.87 – $5,006.05 |
| Providence Holy Family Hospital | Spokane | $2,261.70 | $1,729.00 – $4,538.62 |
| St. Michael Medical Center | Silverdale | $801.27 | $1,143.77 – $6,542.30 |
| St. Anne Hospital | Burien | $554.38 | $780.67 – $1,633.95 |