Insitu hybridization auto 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.

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The hospital's undiscounted list price — almost no one pays this.

$27.41 with Molina vs $1,442.29 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.

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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
Molina Apple Health $27.41
WellPoint Apple Health $27.68
Coordinated Care Apple Health $27.68
United Healthcare Apple Health $28.22
Community Health Plan of Washington Apple Health $29.03
Blue Cross of Idaho MedAdvantage $403.19
Regence MedAdvantage $403.19
Aetna MedAdvantage $403.19
United Healthcare MedAdvantage $407.10
WellCare MedAdvantage $411.02
Molina MedAdvantage $411.02
Community Health Plan of Washington MedAdvantage $430.59
Premera HMO $572.90
Community Health Plan of Washington Cascade Care $659.97
Ambetter Coordinated Care Exchange $724.17
Premera Prime $951.10
Premera Signature $951.10
Premera Other Commercial Plans $951.10
Regence/Asuris Commercial $971.99
Cigna Commercial $1,125.81
Aetna All Commercial Plans $1,344.57
Kaiser PPO $1,442.29

Visitor-reported prices

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Insitu hybridization auto at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $447.36 $152.61 – $1,332.03
Swedish Medical Center Cherry Hill Seattle $447.36 $152.61 – $1,289.52
Swedish Issaquah Issaquah $447.36 $152.61 – $1,332.03
Central Medical Center Seattle $856.00 $890.00 – $890.00
Swedish Edmonds Hospital Edmonds $447.36 $145.48 – $1,275.35
Providence St Mary Medical Center Walla Walla $631.40 $318.51 – $738.95
Kadlec Regional Medical Center Richland $802.20 $167.87 – $1,108.13
Providence Regional Medical Center Everett - Colby Campus Everett $484.64 $178.05 – $1,190.32

All Washington hospitals for this procedure →